Ottawa Citizen

Health unit asking city to back mobile safe-injection service

- JON WILLING jwilling@postmedia.com twitter.com/JonathanWi­lling

Ottawa Public Health is asking city hall for money to buy a van that could operate as a mobile overdose prevention unit, beefing up the health unit’s efforts to prevent deaths and reduce the spread of disease.

The health unit wants the city to buy a three-quarter-ton van for $150,000 with hopes that the province will pay for the purchase and the vehicle’s retrofit.

The van would provide “a mobile overdose prevention service that can be positioned in high risk areas,” the city says.

The request is contained in a fleet report produced by the city’s corporate services department, scheduled to be discussed during a transporta­tion committee meeting on Wednesday.

The health unit already has a van that supports its Site program, which distribute­s clean needles and inhalation equipment, condoms and health promotion and education informatio­n. The van is on the road each night.

In an emailed response to the Citizen, the health unit said the request to purchase an additional van is part of a “more permanent solution for enhancing OPH’s harm reduction services” through supervised injection sites, either at fixed locations or through mobile services.

A mobile supervised injection site would still need the appropriat­e legislativ­e approvals and have funding, the health unit said.

Health Canada has approved two mobile consumptio­n sites in Kelowna, B.C., and one in Montreal.

The Ontario government announced in August it would provide more than $222 million over three years through an opioid addiction and overdose program.

In Ottawa, the local health unit is acting fast to increase supervised injection services since it has become the most pressing public health issue in the city.

Isra Levy, the city’s medical officer of health, has backed the idea of launching a mobile supervised injection service.

“I’ve always believed mobile services are the best services to reach people where they are geographic­ally in a community,” Levy said after the most recent health board meeting on Sept. 18, when board members approved opening a temporary supervised injection site on Clarence Street.

“We ourselves in Ottawa Public Health offer mobile services in terms of needle distributi­on, so for me it’s a fairly logical thought process that we need to go to where people are,” Levy said.

“We’re talking about people who are in circumstan­ces in a stage of their lives sometimes where 50 or 100 feet is something they’re not going to necessaril­y do. From a service provider point of view, I work with nurses to try to reach people wherever they are, whether they need immunizati­ons, if they need support for prevention or treatment of TB (tuberculos­is) or meningitis, or whether there are people who use drugs and need support for whatever they need from the medical system. We’ll go to them, we’ll go to you. That’s the work we do.”

The health board directed Levy to bring a report to the first meeting of 2018 to explain how the Clarence Street injection site works out over the first 60 days of operation.

The board also wants to hear any recommenda­tions to have permanent supervised injection services in Ottawa, either at one place or through a mobile setup.

Mayor Jim Watson said this week he would accept Levy’s advice on how to proceed with supervised injection services in Ottawa.

The temporary injection site at the health unit’s Clarence Street clinic opened Tuesday. It’s designed to provide the harm-reduction service until the Sandy Hill Community Health Centre is ready to launch its licensed injection site later this fall.

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