Pubdate: Fri, 30 Mar 2007 Source: Imprint (CN ON Edu) Copyright: Imprint Publications 2007. Contact: http://imprint.uwaterloo.ca/ Details: http://www.mapinc.org/media/2693 Author: Andrew Abela, Staff Reporter Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/find?142 (Safe Injecting Rooms) Cited: http://www.vch.ca/sis/ (Insite) SENATOR CAMPBELL DISCUSSES THE POLITICS OF DRUG ABUSE This past Wednesday, former Vancouver mayor, Senator Larry Campbell spoke to UW students at a near full BMH auditorium. He was one of the most influential politicians in the decision to build Insite, a pro-social and progressive safe injection site in Vancouver. He began with a description of the four-pillar approach to ending drug abuse employed by so many health facilities, including Insite -- the supervised injection site that opened in September 2003. Campbell explained that "the system is based on treatment, law enforcement, harm reduction and prevention -- which all stem from the basic goals of the facility." As a former Canadian mountie narc, Campbell is no stranger to the severely detrimental effects of drug abuse -- and in particular, injectable drugs like heroin and cocaine. His decision to pay more attention appeared to be out of his control, though, as it stemmed from a sharp rise in overdose fatalities in 1981 - -- many of which he personally dealt with as chief coroner. Campbell darkly recounted that he would frequently "walk into a room, only to find two people dead on the ground with needles still in their arm." His horrific and compelling anecdotes put a very vivid image to the undeniable drug problem Canada, and Vancouver in particular, is currently facing. Instead of lingering on negativity, he quickly lightened things up with a counter-intuitive explanation of the drug industry. According to the Senator, it is a business in which "you make a better product, but you end up killing the client -- which in my opinion, is bad business," in reference to the cruel criminals who peddle expensive 90 per cent pure heroin. This is just one of the problems that Campbell hoped to solve with Insite. Stephen Harper's concerns with the medically supervised injection site were apparently much more legal in nature, as his main question for Senator Campbell was "Are they illegal?" Campbell sarcastically declared that he was "happy to learn that the Prime Minister had Canada's health as a priority." What could Harper possibly consider illegal about a place in which the worst things provided are syringes, spoons and cotton balls -- when all of which can be freely purchased at a local pharmacy? The way Campbell sees it, far too much emphasis is placed on law enforcement when the prime issue of health promotion and disease prevention lies right before our eyes. It was clear that he found it ironic that "70 per cent of our money goes into law enforcement instead of much more important areas like health care." Even more surprising is the disproportionate amount of research and financial support from federal and provincial governments that goes into alcohol and tabacco related issues. According to Campbell, the conservative government thinks "second hand smoke is a much greater worry than sudden death from drug overdose." Campbell does not let this discourage him, though, and continues to strive for widespread recognition of the strong effect drug abuse has on society -- even amongst a largely ignorant and scientifically uneducated conservative backdrop. Campbell explained that "everything we do there is based on science." They are able to experimentally determine the effects of various combinations of methadone and heroin on drug addiction, treatment and health. Though, he assured us that "this type of testing is only for the deepest of addicts who have been like that for a number of years, and have tried multiple times to quit to no avail." Based on the fact that most drug users' problems lie in their ability to inject the sordid substances intravenously, health practitioners frequently assist them in finding a proper vein or even in injecting it for them. This promotes safety and saves many lives normally lost to poor technique. Many politicians have expressed their anxieties about teaching proper technique to drug users, declaring that it will likely encourage further drug use. All Campbell wanted to do, though, was "keep people from dying, and contracting HIV or other needle-related illnesses." In reference to Insite's lucrative success, Campbell explained that contrary to popular belief, in the months after its September 2003 inception, "public disorder was measurably down." This seems insignificant, though, when compared to the numerous lives saved at the facility. Campbell estimated that "out of about 400 overdoses -- ranging from mild oxygen deprivation to deep convulsive trouble on the floor -- not one person died at Insite." It sort of seems trivial how all this immeasurable benefit can come from a small room containing nothing but eight mirrors, eight chairs, a bunch of cheap medical equipment and some help from the right people. Campbell's bleak view of contemporary Canadian society was illustrated best by his criticism of the current federal government and the sole fact that "drug addicts and people with mental illness are living on our street -- and we aren't doing a thing about it." Before coming to an end, discussion turned to the current state of drug abuse in Vancouver. He pointed out that "referral to addiction treatment is up in recent years and so is the use of the health-conscious services Insite provides." To some this may be perceived as evidence of an ever-increasing drug problem, but to others, it is clear proof that more drug users are putting their health above the dirty convenience of getting high in the nearest back alley. Campbell hopes that society will move towards a health model based on equality, prevention and education. Perhaps then, ignorant prejudices will be replaced by the more accurate and scientific mental health model of drug addiction. After that, Canadians can begin to be proud to say they come from one of the most health-conscious and progressive nations of the world. - --- MAP posted-by: Derek