Pubdate: Fri, 06 Dec 2002 Source: Province, The (CN BC) 1-F500-4D17-9A08-A66435E3569E} Copyright: 2002 The Province Contact: http://www.canada.com/vancouver/theprovince/ Details: http://www.mapinc.org/media/476 Author: Joey Thompson INJECTION SITES WON'T WORK WITHOUT REHAB When Vancouver's just-out-of-the-box mayor sits down with the architects of a blueprint for drug-injection sites, I hope he'll heed the concerns of a citizen who's only ever trafficked in words. It's not that, as a taxpayer, I am totally opposed to helping bankroll drug-devouring sites for some of the 4,500 junkies who daily fix on the soiled sidewalks of the Downtown Eastside. It's just that I am yet to be convinced that such open-air drug markets -- as touted by Mayor Larry Campbell and his predecessor Philip Owen -- will have any impact on a drug-use epidemic that costs B.C.'s law-abiding citizens billions of dollars in health- and crime-related costs. For the record, I cannot claim proprietorship of all the concerns raised here, that honour goes to Vancouver Const. Gerry Wickstead, who ranks as one of the few who has bothered to cut away the political rhetoric to expose the goods on safe-injection sites. First, let's keep in mind these sites host a mere fraction of the addict population. Most junkies take their drugs other ways; they smoke crack cocaine or ingest methamphetamines. Whatever. Secondly, research shows drug-consumption sites merely serve to rubber stamp the use of illicit drugs unless they come equipped with accessible, effective drug-rehabilitation programs -- something Vancouver has never had. Why then, is the city's mayor gung-ho to get these sites up and running early next year before the more urgent need for comprehensive medical and drug treatment has been addressed? And who's expected to pay the bill? Every injection drug addict costs the government $33,761 a year; roughly $506 million for the 15,000 we host in B.C., according to the city's Framework for Action document. Taxpayers are entitled to an iron-clad financial commitment from all three levels of government first, considering the stream of addicts migrating here. Speaking of numbers, Vancouver's needle-exchange program distributes more than 9,000 sharps a day. The B.C. government estimates a daily average injection rate of 41,000. How many safe-injection sites do taxpayers have to fund to accommodate such use? A 1992 to '97 study by the-then South Fraser Health Authority found that most addicts use a cocktail of substances to maintain their highs; that most fatal overdoses involve some combination of heroin, cocaine and alcohol and occur -- not on the street -- but in their homes or the residences of their friends or family. So what if something goes terribly wrong at a government-sponsored site? Who's liable? One more thing, before I get off the soapbox; that's the issue of enforcement. Police are going to have to be equipped to deal with the traffickers and enforcers drawn to the area of these safe sites like flies to sticky paper. But what's the point of cracking down when sentencing judges make a mockery of police efforts to flush these scum from our streets? A paltry four per cent of those found with drugs on them in B.C. are sent to jail. Wickstead says part of the reason is the shortage of jail beds. Traditionally, 10 per cent of B.C.'s 4,400 jail beds are occupied by drug offenders. Compare that to the 6,099 adults charged in 2000 with trafficking or importing. More than 6,000 offenders for 440 beds. Go figure. - --- MAP posted-by: Josh