Project Red Box, a pilot project undertaken by the Baltimore City Health De
partment, is designed to decrease the number of needles and syringes discar
ded in public locations. The qualitative evaluation consisted of focus grou
ps with a total of 73 people, including injection drug users (ID Us), commu
nity residents, police officers, and local pharmacists. Mixed feelings were
expressed about the project in each group. Community residents felt that d
iscarded syringes pose a threat but having the boxes acknowledges drug use
and send the message that drug use is acceptable. ID Us agreed that the pro
ject was a good idea, however many maintained that the boxes would not be u
sed. The majority of police officers and pharmacists felt that the boxes wo
uld not be used due to a lack of concern by ID Us regarding syringe disposa
l. Follow-up groups revealed that the boxes have had a positive impact on t
he community. Participants in each of the groups expressed positive opinion
s about the project and have either used the boxes themselves or have seen
others use them. Expansion of the project was recommended.