http://www.canadianharmreduction.com/
Pubdate: Thu, 26 Jun 2003
Source: Boston Globe (MA)
Page: A1
Copyright: 2003 Globe Newspaper Company
Contact:  http://www.boston.com/globe/
Details: http://www.mapinc.org/media/52
Author: Colin Nickerson
Bookmark: http://www.mapinc.org/find?142 (Safe Injecting Rooms)

CANADA SETS SANCTIONED SITE TO INJECT DRUGS

MONTREAL - Canada's health ministry yesterday approved North America's 
first sanctioned "safe injection site" for illegal drug users, a 
controversial project in Vancouver that the Bush administration has called 
"state-sponsored ... suicide."

The facility, to be located in the heart of the British Columbia port 
city's drug- and crime-ridden Downtown Eastside neighborhood, will provide 
a clinic-like setting where drug addicts can shoot up under the supervision 
of a registered nurse in a facility that offers a legal safe zone for drug 
users. The aim of the program, which has been endorsed by Vancouver's 
police, is to offer "injection supervision" to prevent overdoses, as well 
as provide clean needles to reduce the spread of HIV, hepatitis, and other 
blood-borne diseases epidemic among intravenous drug users.

Health Canada, the national health ministry, granted the program a federal 
criminal exemption that makes it off-limits for police. Addicts cannot be 
arrested for possession of illegal narcotics while using the facility.

"Users can bring their own drugs, heroin or cocaine, onto the site and 
inject them," said Viviana Zanocco, spokeswoman for the Vancouver Coastal 
Health Authority. "People on the premises will be safe from arrest for 
possession of an illegal substance."

Similar safe-injection programs have been introduced in Switzerland, the 
Netherlands, and Australia with mixed results: The spread of diseases and 
deaths by overdose among addicts have declined somewhat, but addiction 
rates have not fallen, according to some drug-use specialists.

John Walters, director of the White House Office of National Drug Control 
Policy, has voiced strong objections to the proposed Canadian project, 
which could be in operation by September with the help of a $1.1 million 
grant from the Canadian government. Earlier this year, he described it as 
"state-sponsored personal suicide," arguing that instead of treating the 
illness of drug addiction, the injection site will enable addicts to 
continue poisoning themselves in a clinical setting and near the US border.

David Murray, policy analyst with the White House drug control office, said 
that the United States does not challenge Canada's "sovereign right" to 
underwrite the injection site, but that it is alarmed "from the point of 
view of a neighbor and from a public health perspective" at a program that 
puts narcotics users and, potentially, dealers beyond reach of the law.

"Canada may be abetting the public health crisis more than treating it," he 
said.

Canada and the United States have been at odds on an array of issues since 
President Bush was sworn into office. Prime Minister Jean Chretien has 
infuriated the White House with his refusal to support the Iraq war, his 
undiplomatic critiques of American economic policy, and his plan to 
"decriminalize" marijuana. Following a number of anti-American jibes from 
members of Chretien's Liberal Party, the White House in April scrapped 
Bush's first state visit to Canada, planned for May 5.

Vancouver suffers from some of the highest drug-addiction rates in North 
America. In Downtown Eastside, addicts shoot up openly in doorways and on 
curbsides. Crime is rampant and the streets are littered with needles.

City officials say there are 12,000 intravenous drug users among the 1.3 
million people in metropolitan Vancouver, including 4,700 addicts in a 
12-block section of Downtown Eastside. In the past decade, more than 2,000 
addicts have died from overdoses in the city's streets, while about 30 
percent of the addicts are infected with HIV-AIDS and 90 percent have 
hepatitis C, a liver disease.

City officials yesterday greeted the federal government's green light for 
the project with jubilation. "Everybody here should take pride in this," 
Mayor Larry Campbell told the City Council. "'We are the first in Canada, 
the first in North America."

The facility will be located a half block from the intersection of Main and 
Hastings streets - a section known as "pain and wasting" among Vancouverites.

The clinic will consist of 12 seats where addicts shoot up under 
supervision, an emergency room for overdoses, and a first aid station for 
addicts who arrive with wounds or infected sores.

Sterile needles will be provided, but what sets the project apart is the 
federal exemption from enforcement of drug laws.

"If we can just slow the spread of the disease among addicts, we'll be 
saving taxpayers millions and millions of dollars in health costs," said 
Zanocco, the Vancouver Coastal Health Authority spokeswoman. "The US and 
Canada seem to have different views on drug addiction. We see it as a 
health issue, not a criminal problem."
- ---
MAP posted-by: Jay Bergstrom