Safe injection sites possess many salutary benefits related to public health safety of the drug using community. Safe injection sites provide a safe place for drug users to inject drugs into their bodies so they do not have to reuse needles and can also be supervised by nurses constantly while they do so. Insite is the sole safe injection site in all of Canada and the expansion of other facilities has been fiercely contested by policy makers not due to empirical criminological evidence, but simply due to one dimensional classical conservatism inspired ideology and illogical hysteria. The fear propagated by the past Conservative government that by assisting drug users by feeding their addiction and by gathering so many law breakers in concentrated areas would correlate to an increased rate in crime. The traditionalistic ideology of the Conservative government mandated them to adamantly oppose the prospect of safe injection sites let alone their expansion into other regions and provinces regardless of the fact that there were no adverse effects for the community in terms of increased crime. Safe injection sites were introduced to Vancouver in 2003 under a special exemption under section 56 under the Controlled Drugs and Substances Act, which was granted by the Liberal government via Health Canada as a desperate means to help resolve the growing health concerns in the area. In 1998, a report by then British Columbia public health officer John Millar decried the situation in the
Portugal's success would be the ideal model for Canada to base decriminalization of illicit drugs. Although Canada does not have as much of a drug epidemic that Portugal had before decriminalization, statistics show the country has rising rates of both heroin and meth use. Treating this evident problem with a different approach has been gathering heavy support over the years. Support behind this legal movement in Canada includes the Canadian Drug Policy Coalition and the Green Party of Canada. Not only were drugs decriminalized in Portugal, the entire system was reconstructed to aid those addicted. Both the reduce in law enforcement towards illicit drugs and the increase in funding towards treatment paid off greatly for Portugal. Overdose death went down by 72% while the spread of HIV went down by 94%. Canada has prioritized the war on drugs, although the method being followed does not prove effective. It might prove better to abandon this current war in favour for public health, following Portugal's lead in providing harm reduction treatment and treating the addiction as the public health crisis that it
Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).
Worldwide and in more than 80 cities in 38 US states, NEP has emerged to address the risks of injection drug use. There are currently 113 NEPs in the US, and in Hawaii, the NEP is funded by the State Health Department. The NEP offers drug treatment referral, methadone clinic and a peer education program to teach IDUs the benefits of not sharing needles. HIV rates among injecting drug users have declined 5% in 1989 to 1.1% in 1994-96. From 1993-1996, 74% of NEP clients reported no needle sharing, and 44% of those who report sharing admitted that the used needles were previously cleaned with bleach. Harm Reduction Central in Hollywood, CA, reported a low rate of shared needles of young IDUs, specifically those of ages
Vancouver is a city with multiple “claims to fame”. Known to be one of the worlds most livable, expensive, and beautiful cities, it is also well known for its large population of drug users, and the detrimental effects intravenous drugs have had on the Downtown East Side community. One of the major concerns connected to intravenous drug use is the large proportion of users who report a history of needle sharing, greatly increasing their chances of contracting HIV, Hepatitis B or C, and other injection related infections (Strike, Myers & Millson, 2004). With an estimated 15000 intravenous drug users (IDUs) currently residing in Vancouver, and up to an estimated 125000 nationally, the Canadian government has taken a proactive “Harm Reduction” stance allowing the implementation of controversial Needle Exchange Programs (NEPs) throughout most of the country (Weekes & Cumberland). Canada’s first NEP opened in Toronto in 1987, with Vancouver following suit in 1989. While it was still considered an offence to possess drugs under the Canadian Criminal Code, section S.462.2 stated that it was “not an offence […] to distribute needles to prevent the spread of HIV infection” (Weekes & Cumberland). The goal of these early NEPs was to supply IDUs with injection equipment to eliminate the necessity for needle sharing between users, operating on a strict “one for one” model. For each used needle returned, it would be replaced with a new, sterile
A safe injection site (SIS) has been placed in Vancouver’s Downtown Eastside where drug use is a challenging problem. The program is a vital piece of the cities known harm reduction approach to its serious problems with homelessness, drugs, crime and AIDS. Canada has drastically shifted its method. Going from punishing drug users to establishing the plan of harm reduction. Since 2003 when the supervised SIS opened, it has presented a safe health-focused center where drug users have access to inject illegal drugs using sterile equipment in a clean environment under the supervision of medically trained professionals. Although there are some serious concerns about the
occurs as a response to injuries and introduction of foreign environment into the body of
Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of
Health services for people who inject drugs are subject to ‘considerable community concern and media and political attention’ (MSIC Evaluation Committee, 2003, p. 177). The development of a policy network, in July 1997 involved a multiplicity of actors who played an important role in the policy process. A NSW Parliamentary Joint Select Committee of ‘public and private spheres’ (Dennis, 2013, p. 78) was established to consider the feasibility for a trial of a MSIC. The Committee extensively reviewed the arguments contending for and arguing against proposals for a trial, and a suitable location. Copious submissions and evidence was put forward to the Committee with many advocators endorsing the action commenting that ‘injecting rooms may contribute to the reduction in the number of fatal and non-fatal overdoses by providing access to resuscitation and disseminating information about safer using practices’ (Parliament of New South Wales, 1998, p. 82).
Canadian society has always dealt with some percentage of the population who have become addicted to intravenous drugs. Left unchecked, the ecology of IV drug use creates a number of societal issues as well as a greater burden to the already over-stretched Canadian healthcare system. Legally and financially supporting safe injection sites is just a matter of simple economics.
Moreover, NEPs will provide sterile needle and syringes to avoid exchanges of used injections between drug users. Since NEPs are implemented, the number of HIV cases and other diseases are declined. In Saskatchewan, distributing needles reduces the total costs for health care because needle exchange programs reduce the transmission of HIV by one-third and accommodate a return of four thousand dollars investment in health care costs. (Thompson) Needle exchange program provide safety not only in drug addicts but also provide safety in the community. Many of needle exchange programs perform a one-for-one basis to decrease the exposure of contaminated needles in streets and playgrounds so that children and other people are away from needle sticks accident. (Franciscus)
Today, experts in public health policy have been advocated for harm reduction, which is a philosophy that attempts to reduce the negative outcomes of drug use. Safe injection sites (SISs) follow this ideology. They are facilities where addicts are legally able to use opioids, such as heroin, under medical supervision. To stop reusing and sharing of needles, Opioid users will be given access to clean needles, which will prevent hospitalizations from serious infections and the spread of sexually transmitted diseases. Furthermore, opioid addicts will have a clean space and will not fear being arrested by the police. This will eliminate additional anxiety and stress. Advocates for SISs believe that SISs will reduce public drug use and provide a safe space for addicts to consume illicit drugs. They have been successful in many developed countries. In many studies, it has been shown that SISs save taxpayers money and reduce the number of opioid-related deaths.
Analysis: The cause of the problem is those who are addicts buy drugs from dealers not knowing the potential laced ingredients. Many illicit drug chemists mix fentanyl with a stimulant drug in order to get a better high for the customer while (Young, 2017). Anyone who uses drugs recreationally is also at risk because it is difficult to determine whether a substance has fentanyl mixed in with the simplest drugs such as marijuana. This puts the lives of many young people at risk because they might be trying it for the first time and can easily overdose. Response: This issue is very time consuming for police officers and requires multiple resources. Fraser health needs to step up and work with police in order to address the issue because police have limited resources. There are a few approaches the province has made to make an attempt to control this crisis. For example, they have set up a safe injection site in Vancouver on East Hastings street thus addicts can use under supervision. However, this is not ideal because there is no safe injection site in Abbotsford so addicts who live in the area are prone to use without any supervision which results in overdoses. Addicts end up using in public place like parks and the streets in front
There are many ways in which people who are addicted to intravenous drugs are perceived by our society. People sometimes believe the addicted person is to blame for their circumstance and substance dependence and some feel serious drug addicts are a “lost cause” due to a lack of values or flawed character. “Persons who struggle with addictions often are depicted as criminals or prostitutes, weak, lazy and morally corrupt” (Bartlett, R., Brown, L., Shattell, M., Wright, T., Lewallen, L. (2013). These stereotypes paint people with addiction negatively; a percentage of people who live with serious addiction are capable of recovery with the right attitude, support and healthcare. Street level healthcare services such as; safe injection sites, provide accessable resources at street level for people to make the choice to live healthier lifestyles. Govement funding and support is needed to make these projects possible to improve the health of Canadians. Safe injection sites are proven to be positive contributions to communities, save lives, reduce harm and open doors towards recovery for people from the grip of addiction.
People have very negative attitude towards these sights, they believe that these sites encourage people to shoot up their drugs, but the sad reality is people are hooked on opioids, they are going to shoot up regardless. It is better to have these site because they can provide clean needles which reduces the chances of contracting HIV and there's a strong possibility people can overdose, she argues it is better to inject at site with supervision then in a dark alley alone where nobody is there to save you if something goes
In the 2010 research study conducted by Des Jarlais, Arasteh, McKnight, Ringer, and Friedman, the authors sought to identify potential shifts in the behavior of “injecting and non-injecting” drug users in New York City after access was given to SEPs. They collected data from the Beth Israel methadone maintenance program concerning the route of administration for the primary drug being used by new arrivals between the years 1994 and 2007 (Des Jarlais et al., 2010). The study showed that following the year 1995, the number heroine users who used injection as the route of administration was slightly less than the number of heroine users who used the intranasal route (Des Jarlais et al., 2010). This difference gradually grew over time and by