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North America's 1st
legalized injection site
263,713 visits to the site by 6,532
unique individuals
5,359 clinical treatment interventions
464 referrals to Onsite detox
THE CASE FOR SAFE INJECTION
FACILITIES IN THE UNITED STATES
Harm Reduction
Canada has an SIS in one city
* Germany with 13 SISs in four cities.
* The Netherlands with 16 SISs in nine cities.
* Switzerland with 17 SISs in 12 cities.
* Spain with two SISs in two cities.
* Australia with an SIS in one city.
* Canada with an SIS in one city.
"The idea, posited by critics is that Insite
is any kind of “celebration of drug use,”
“No, in fact, it’s a celebration of a drug
user’s life, because we value the life
of a drug user enough to keep them
Safe Injection Sites are "an affront" to federal control over IV drugs
Government facilitation of drug use implies tacit approval
Safer Injection Practices
Safe Injection Sites do not deter drug use or help drug users
Lowered risk of HIV & HCV
Increased access to medical services
Fewer used needles dumped publicly
Onsite
Safe Injection Sites are magnets for drug pushers and predators
The police are caught in the middle of the battle
Replaces abstinence and rehab
Access to clean needles
Disposal of used needles
An SIS is a legal facility that permits and monitors people as they prepare and inject pre-obtained drugs in a hygienic, anxiety-free atmosphere under the supervision of health personnel (Broadhead, Kerr, Grund, & Altice, 2002).
Zero Tolerence
Syringe Exchange
BUT No SIS
No Research or Funding
Jozaghi, E. & Andresen, M. (2013). Should North America’s first and only supervised injection facility (InSite) be expanded in British Columbia, Canada?. Harm Reduction Journal, 10(1), 1. http://dx.doi.org/10.1186/1477-7517-10-1
Mather, B.M., Degenhardt, L., Bucello, C., Lemon, J., Wiessing, L., Hickman, M. (2013). Mortality among people who inject drugs: a systematic review and meta-analysis. Bulletin of the World Health Organization 2013, 91, pp. 102-123. doi: 10.2471/BLT.12.108282
Pharmajet (2016). Needle Reuse: A Global Problem, and still a Major Issue in the U.S. Retreived from http://pharmajet.com/needle-reuse-global-problem-still-major-issue-u-s/
Supervised Injection. (2016). Vch.ca. Retrieved 29 October 2016, from http://www.vch.ca/your-health/health-topics/supervised-injection/
The arguments for and against Vancouver's supervised injection site. (2016). The Globe and Mail. Retrieved 29 October 2016, from http://www.theglobeandmail.com/news/british-columbia/the-arguments-for-and-against-vancouvers-supervised-injection-site/article596153/
Watch: The Achievements of Insite, Vancouver's Supervised Injection Facility. (2016). TheInfluence. Retrieved 29 October 2016, from http://theinfluence.org/watch-the-achievements-of-insite-vancouvers-supervised-injection-facility/
Vancouver Coastal Health (2014). User Statistics. Retrieved from http://www.vch.ca/your-health/health-topics/supervised-injection/user-statistics/
Disease
Overdose
Death
Beletsky, L., Davis, C.S., Anderson, E., Burris, S. (2008). The Law (and Politics) of Safe Injection Facilities in the United States. American Journal of Public Health. 98(2): 231–237. 10.2105/AJPH.2006.103747
Broadhead, R.S., Borch, C.A., Van Hulst, Y., Villemez, W.J., Farrell, J., Altice, F.L (2003). Safer Injection Sites in New York City: A Utilization Survey of Injection Drug Users. Journal of Drug Issues, 33(3), pp. 733-750.
Drug Policy Alliance (2016A). Supervised Injection Facilities. Retrieved from http://www.drugpolicy.org/supervised-injection-facilities
Drug Policy Alliance (2016B). Supervised Injection Facilities. Retrieved from http://www.drugpolicy.org/sites/default/files/DPA%20Fact%20Sheet_Supervised%20Injection%20Facilities%20(Feb.%202016).pdf
Eisler, P. (6, March 2013). Dirty medical needles put tens of thousands at risk in USA. USA Today. Retrieved from http://www.usatoday.com/story/news/nation/2012/12/26/infections-needles-mrsa-hospitals/1780335/
Internationally, safe injection sites have led to a brawl between political ideology and evidence-based research