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Policy Changes

Insite

Insite

User Statistics

Vancouver, Canada

Safe Injection Sites

North America's 1st

legalized injection site

So Now What?

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

SIS in the World

Harm Reduction

SIS in the World

A Safe Place to Inject Drugs

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-Promoting Drug Use?

Public Health Benefits

Safe Injection Sites are "an affront" to federal control over IV drugs

ALIVE”

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

Gateway to Treatment

Increased access to medical services

Fewer used needles dumped publicly

Onsite

Safe Injection Sites-Promoting Drug Use?

Safe Injection Sites are magnets for drug pushers and predators

Injection Drug Use

The police are caught in the middle of the battle

Replaces abstinence and rehab

Access to clean needles

Disposal of used needles

References

References

Public Health

Policies in the US

Safe Injection Sites,

What are those??

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).

no.

U.S Policy

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/

Considering Ithica, NY

Internationally, safe injection sites have led to a brawl between political ideology and evidence-based research

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