Pubdate: Fri, 21 Oct 2005 Source: East York Mirror (CN ON) Copyright: 2005 East York Mirror Contact: http://www.insidetoronto.ca/to/easty/ Details: http://www.mapinc.org/media/2219 Author: David Nickle DRUG STRATEGY INCLUDES CRACK PIPES AND SAFE SITES A new city drug strategy that manages drug use according to "harm reduction" strategies was unveiled by health and city officials at Toronto City Hall last Friday. The strategy's 66 recommendations include the prospect of establishing safe injection sites, handing out pipes to crack cocaine addicts and offering council's support of a move to decriminalize the possession of small amounts of marijuana. But it also covers a range of areas beyond that including emphasizing drug abuse prevention programs in schools and looking at strategies for getting rid of marijuana grow houses. Drug-Using Society According to Toronto's Medical Officer of Health Dr. David McKeown, the strategy's recommendations, which have yet to be adopted by Toronto Council, are based on a simple premise: "We know we are a drug-using society - it is a historical fact," he said. "Through the centuries people from all socioeconomic backgrounds have used alcohol and other drugs, and there's no reason to think that drug use is going to disappear." McKeown, who was joined by Ward 27 Councillor Kyle Rae (Toronto Centre-Rosedale) and others who had worked on the report, said that while some drug use, such as moderate consumption of alcohol, is relatively harmless and acceptable, "some use causes significant harm". "In the past, our response to substance abuse has focused on enforcement...but we must do more on prevention and harm reduction," he said. Toward that end, the report focuses on two of the most pernicious drugs used and abused by Torontonians - alcohol and crack cocaine. In particular, the report has controversial recommendations for reaching out to crack cocaine users who currently are not in contact with health workers. The report recommends looking at creating safe use sites - similar to the safe injection site in Vancouver - and supplying drug paraphernalia to crack cocaine users. Police Opposed The harm reduction ideas in the report are not finding much support with Toronto Police, however. Police Chief Bill Blair said he opposed not only the call to decriminalize marijuana possession, but particularly the idea of handing out crack pipes to drug users. Blair said that he supported a drug strategy that looked toward eliminating the addiction rather than managing it. "I think our role should be towards helping substance abusers become drug free," he said. "We should not only address the harm by users but the harm inflicted on communities by drug traffickers." However, Frank Coburn, an admitted former crack addict who helped put together the report, said harm reduction can be a lifesaver. "The harm interventions kept me alive," said Coburn, who said he spent 10 years on the street addicted to crack. "To this day, despite all of the things I have done, I haven't contracted Hepatitis C or B, I haven't contracted HIV. I've stayed healthy, stayed alive and was able to look at things from a different perspective then went to the Donwood Institute for three weeks and now I don't use."