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  1. publication

    Use of Narcotic Drugs in Public Injection Rooms under Public International Law

    07 January 2000

    State-controlled public injection rooms are not expressly referred to in any of the rele­vant international conventions. It is thus necessary to determine, by way of a prelimi­nary factual enquiry, the exact characteristics of such institutions that fall within the ambit of one or more of the conventions. The rather superficial provisions concerning drug addicts stand in stark contrast to the stated primary aims of the conventions, which are formulated in the preambles as pre­venting and combatting abuse of narcotic drugs and psychotropic substances and the public health and social problems which such abuse engenders.

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    Flexibility of treaty provisions

    • UNODC Legal Affairs Section
    30 September 2002

    In a confidential and authoritative memorandum to the INCB, UNODC legal experts argue that most harm reduction measures are in fact acceptable under the conventions. According to the Legal Affairs Section "it could easily be argued that the Guiding Principles of Drug Demand Reduction provide a clear mandate for the institution of harm reduction policies that, respecting cultural and gender differences, provide for a more supportive environment for drug users."

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    Drug Consumption Rooms

    01 April 2003

    The first drug consumption room for opiate-dependent persons in Germany was opened in Frankfort on the Main in December 1994. In March 2003 there were 19 drug consumption rooms in the Federal Republic of Germany: These institutions provide several hundred drug injecting places; they are used every day by several thousand addicts several times a day.

     

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    Evaluation of the work of drug consumption rooms in the Federal Republic of Germany

    01 July 2003

    publicationBesides the classic approaches (drug counselling centres, therapy for substance abuse) there exist reform and pilot projects to develop alternative ways of helping. These are intended for longtime drug users who have undergone several therapies unsuccessfully or could not be reached by existing resources. Amongst those alternative services is the treatment with substitution therapy as well as the establishment of drug consumption rooms.

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    European report on drug consumption rooms

    • Dagmar Hedrich
    01 February 2004

    publicationDrug consumption rooms have been established in several countries, where confirmed drug users are allowed to consume their drugs in hygienic conditions and without fear of arrest. These facilities, which mostly operate in big cities, emerged because of serious health and public order problems associated with drug use, especially drug injecting in public places. In 2004, there were about 60 consumption rooms in 36 European cities and two pilot projects of medically supervised injecting centres in Australia and Canada.

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  6. injection

    “I inject less as I have easier access to pipes”

    • Lynne Leonard, Emily DeRubeis, Linda Pelude, Emily Medd, Nick Birkett, Joyce Seto
    30 April 2007

    Among injection drug users (IDUs) in Ottawa, the capital of Canada, prevalence rates of HIV (20.6 percent) and hepatitis C HCV (75.8 percent) are among the highest in Canada. Recent research evidence suggests the potential for HCV and HIV transmission through the multi-person use of crack-smoking implements. On the basis of this scientific evidence, in April 2005, Ottawa's needle exchange programme (NEP) commenced distributing glass stems, rubber mouthpieces, brass screens, chopsticks, lip balm and chewing gum to reduce the harms associated with smoking crack.

     

  7. Canada drug law contributes to the harm it seeks to prevent

    Tom Blickman
    28 May 2008
    Article

    In a surprise ruling yesterday, the British Colombia Supreme Court supported Vancouver's experimental supervised injection clinic Insite - North America's first legal supervised injection site - and halted federal attempts to close the facility. That is very good news, but the ruling went even further.

  8. Safe injection site still not safe

    Tom Blickman
    30 May 2008
    Article

    Ignoring all the scientific evidence, Canada Health Minister Tony Clement will move to close Canada's only sanctioned safe-injection site, announcing it will appeal a British Colombia court ruling that Vancouver's Insite should stay open because reducing the risk of drug overdoses is a vital health service.

  9. Smoking of crack cocaine as a risk factor for HIV infection among people who use injection drugs

    • Kora DeBeck et. al.
    27 October 2009

    This paper examined whether use of crack cocaine has become a risk factor for HIV infection. Smoking of crack cocaine was found to be an independent risk factor for HIV seroconversion among injection drug users. This finding points to the urgent need for evidence-based public health initiatives targeted at people who smoke crack cocaine. Innovative interventions that have the potential to reduce HIV transmission in this population, including the distribution of safer crack kits and medically supervised inhalation rooms, need to be evaluated.

     

  10. France mulls opening 'shooting galleries' for drug addicts

    Guillaume Loiret
    24 September 2010
    Other news

    French officials across the political spectrum have expressed support for "shooting galleries", where addicts could use drugs under medical supervision. Such centres exist in several other European countries. The debate over "shooting galleries" started in the headquarters of an anti-addiction association located in the Belleville neighbourhood of Paris. In May 2009, the association, called ASUD (Self-support and Risk Reduction among Drug Users) opened a centre in which addicts could use drugs under medical supervision.

  11. The Dutch treatment and social support system for drug users

    • Eberhard Schatz, Katrin Schiffer, John Peter Kools
    15 January 2011

    This paper, written in collaboration with the Correlation Network, briefly describes the history and the basic elements of the Dutch drug dependence treatment policy, including recent trends in drug use and the current drug treatment system implemented in the four largest cities in the Netherlands. Building on more than 30 years’ experience, the Dutch approach focuses on an integrated treatment system, which provides comprehensive support and services to the most vulnerable groups, including homeless people, problematic drug users and chronic psychiatric patients. At the same time, a strong emphasis is given to public order and crime reduction.

     

  12. injection

    Injection drug facility coming to San Francisco?

    06 February 2011
    Other news

    A legal, city-funded center where intravenous drug users can get needles and shoot up without consequence is on the agenda in San Francisco. The idea comes from the city's Hepatitis C Task Force, created by then-Mayor Gavin Newsom in 2009 in response to growing concern over the 12,000 San Francisco residents infected by the disease, most of whom have no idea of their status. Opening the nation's first legal injection drug center garnered unanimous support by the task force.

  13. injection

    Vancouver's safe injection site cuts overdose deaths

    18 April 2011
    Other news

    The number of drug-overdose deaths on Vancouver’s notorious downtown Eastside fell sharply after the opening of a safe injection site, new research shows. The study, published online Monday in the medical journal The Lancet, shows that fatal overdoses dropped 35 per cent in the vicinity of Insite in the two years after it opened. By comparison, OD deaths dropped only 9 per cent in the rest of Vancouver in that same period.

  14. injection

    Dying for a change on safe-injection site

    18 April 2011
    Other news

    A health-care facility that saves lives and prevents the transmission of deadly diseases should be hailed as an innovative advancement in medical care – not a political football to be punted around by the government of the day. Unfortunately, however, the federal Conservatives continue to play deadly games with Insite, North America’s first supervised injection site.

  15. injection

    It’s time to inject some Insite into this campaign

    19 April 2011
    Other news

    For all the thunderous warnings about Stephen Harper’s hidden agenda, there has been remarkably little talk in this election about one of the few real examples of Conservative social conservatism – namely, the party’s stunningly steadfast opposition to the Insite supervised injection facility in Vancouver’s Downtown Eastside.

  16. Counterpoint: Drug addicts can’t recover if they’re already dead

    Liz Evans
    20 April 2011
    Other news

    InSite does not operate under the assumption that addiction is incurable. We believe in recovery; in fact, the biggest difference between our approach to recovery and the opinion expressed by Barbara Kay in her recent column (Rehab still the best solution for addiction) is that we believe it should be possible even for addicts who are not ready to get clean. InSite’s purpose is to help prevent addicts from dying, either from an overdose or from a disease, before they get a chance to recover.

  17. injection

    The arguments for and against Vancouver’s supervised injection site

    11 May 2011
    Other news

    When the Supreme Court of Canada convenes to consider Vancouver’s supervised injection site, it will hear detailed arguments that hinge on the fine print of the Canadian Constitution. But besides being a landmark showdown between federal and provincial powers, the hearing also sets the stage for a ruling expected to affect not only the daily lives of injection drug users on Vancouver’s Downtown Eastside but drug policy across the country and potentially farther afield.

  18. injection

    Globe editorial: Supervised injection for the sake of public health

    11 May 2011
    Other news

    Vancouver’s supervised drug-injection clinic, Insite, saves lives and prevents human misery. Providing addicts with a safe, sterile place to inject heroin and other drugs is a pragmatic and effective way to curb the spread of infectious disease, including HIV/AIDs and hepatitis B and C, and to reduce substance abuse and overdoses. Yet the federal government persists in opposing it, viewing Insite not as a critical component of British Columbia’s health-based approach to treating addiction, but as a stark violation of criminal law.

  19. Former mayors speak out for Insite

    11 May 2011
    Other news

    Divided by politics but united by drug policy, five former Vancouver mayors have issued a last-minute plea to Ottawa to drop its appeal of earlier court decisions approving Insite, the city’s supervised drug injection site. “Since opening in 2003, Insite has proven – beyond a doubt – its worth to our community,” the five ex-mayors say in an open letter issued to the federal Conservative government. Open letter supporting Insite from Vancouver mayors.

  20. No evidence to contradict studies that supervised drug injections save addicts’ lives

    12 May 2011
    Other news

    Under tough judicial grilling, the Harper government conceded it had no evidence to counter scientific research showing supervised drug injections save lives and reduce harm to addicts. Federal lawyers said a final decision had not been made whether to extend or end a legal exemption for Vancouver’s Insite injection clinic before local health authorities launched a lawsuit in 2008 to save it. But they were at a loss to explain the basis for the Conservative government’s stated reluctance to allow it to continue.

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