Pubdate: Wed, 4 Jun 2008 Source: Telegraph-Journal (Saint John, CN NK) Copyright: 2008 Brunswick News Inc. Contact: http://telegraphjournal.canadaeast.com/onsite.php?page=contact Website: http://telegraphjournal.canadaeast.com/ Details: http://www.mapinc.org/media/2878 Author: Sandra Davis Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/find?137 (Needle Exchange) Bookmark: http://www.mapinc.org/find?142 (Supervised Injection Sites) LOCAL ADVOCATE WELCOMES B.C. COURT DECISION Drugs AIDS Saint John Official Thinks Ruling Could Affect National Policy and Funding SAINT JOHN - It's not often a decision on a program in the east end of Vancouver has an impact more than 5,700 kilometres away in Saint John but, in time, it could. A British Columbia court ruling has struck down laws prohibiting possession and trafficking of drugs by those accessing help at supervised injection sites, effectively granting a reprieve for Vancouver's controversial injection facility known as Insite, the country's first safe injection site for drug addicts. The decision has left the federal government "very disappointed," Health Minister Tony Clement has said. The latest exemption was to expire June 30, but the B.C. court ruling gives the federal government until June 30, 2009 to try to fix the drug law. In the meantime, Insite is exempt. Advocates for harm-reduction methods toward drug addiction, such as safe injection sites and needle exchanges, think the decision could affect national policy and subsequent funding. "We see it as the ultimate model of harm reduction," says Julie Dingwell, the executive director of AIDS Saint John and a harm-reduction supporter. "A supervised injection site is a medical service. Once they become connected, they then become interested in accessing other services. We can gain their trust and then let them know about all the other programs available to them." Data shows that, since the inception of the pilot program in 2003, there are far fewer drug overdoses and deaths in Vancouver, says Dingwell. "These things not only save lives, they're saving potentially billions of dollars in health-care costs when we reduce the spread of blood-borne pathogens and the incredible numbers of hospital stays that can happen when people are using injection drugs and not taking care of themselves," she said. The Vancouver's Insite program receives an exemption from the Controlled Drug and Substances Act that allows drug addicts to inject drugs in a clean, safe environment with health professionals on-site and no fear of arrest. The current federal drug strategy is heavy on law enforcement solutions, such as stiffer penalties for drug-related crime, but vague when it comes to treatment options. The ruling, say some advocates and legal experts, could prompt injection-site proponents to try to launch other, similar facilities across Canada, though some acknowledged it's likely the case will have to survive appeals before that can happen. AIDS Saint John is not actively seeking a supervised injection site, Dingwell said, because more data is needed and because there are no programs in place to refer people to. Instead, groups in the province are working with government to put more resources into addictions treatment immediately. "We are in a desperate situation in Saint John and in all of New Brunswick," said Dingwell. "We have hundreds of people on waiting lists and they will be on wait lists for years, languish and die. That is not harm reduction." The Insite ruling has been greeted ecstatically by supporters, who mused about the possibility of using the ruling to open similar facilities. Justice Ian Pitfield wrote that denying access to the site ignores the illness of addiction and violates drug addicts' right - enshrined in Section 7 of the Charter - to life, liberty and security. "While there is nothing to be said in favour of the injection of controlled substances that leads to addiction, there is much to be said against denying addicts health-care services that will ameliorate the effects of their condition," he wrote. "I cannot agree with Canada's submission that an addict must feed his addiction in an unsafe environment when a safe environment that may lead to rehabilitation is the alternative." Victoria Mayor Alan Lowe said the B.C. capital wants to follow Vancouver's lead and set up its own supervised facility, while Toronto councillor Gord Perks, who sits on a committee that shapes drug policy, said the ruling was great news as his city examines its options. The Public Health Agency of Canada estimates 250,000 Canadians are infected with hepatitis C, with approximately 3,200 to 5,000 new cases every year. - --- MAP posted-by: Richard Lake