The image is made up of almost all plastic materials except the needle which is not visible. Additionally, all the syringes are empty. This it reminds me of modernity's false promise of individualism. The used syringes are empty and in their collective pile within the orange box point to the social disarray produced by a medical apparatus that individualizes health, addiction, and safety.
In my opionion, this image communicates the nuance required to effectively understand and address toxicity as a social issue. It also unveils the discursive risks embedded in the "common sense," where overly simplified solutions contribute to, rather than attenuate or resolve the complexity of medical epidemics. It's unsettling to imagine the provision of a box of sharp objects, intended to inject toxic substances into bodies of people struggling with addiction, as a safety measure. And yet, careful studies have shown that these actions can save lives.