Safe injection sites expand as overdose deaths rise
MONTREAL — Canada is attacking its expanding opioid crisis with an unusual measure: It’s giving addicts a safe place to shoot up.
The government already has allowed seven “safe injection sites” to open, and a score of others are being considered across the country.
The storefront sites give addicts clean syringes, medical supervision and freedom from arrest. They don’t get help in kicking their problem unless they ask for it, but the program dramatically reduces the chance of a fatal overdose or the transmission of blood-borne diseases such as hepatitis or HIV.
The effort, inspired by some in Europe, is being closely watched in the U.S., where officials are struggling to cope with a surge in overdose deaths from opioid use. Several cities say they are considering similar measures despite fears that they may encourage drug use.
Dozens of people a day have been coming to three new centers in Montreal, where users are given a small kit to safely inject drugs they bring with them and then an opportunity to relax for a half hour on couches listening to music, according to a 30-year-old addict who would only give his first name, Francois. The center operators denied access to the media once the center opened.
“They give you everything you need,” Francois said as he left a center in the gentrifying downtown neighborhood around Sainte-Catherine street after injecting heroin. “Everyone is pretty relaxed.”
A single injection site opened in 2003, run by a Vancouver nonprofit organization under authorization by Health Canada. It received 214,898 visits by 8,040 individuals last year, with nurses intervening in 1,781 overdoses. It said it’s never had an overdose death.
Another center also has opened in that West Coast city, and in recent weeks, two more have opened in British Columbia and three in Montreal. Another is scheduled to open in Montreal soon and three in Toronto. More than a dozen other potential sites are being considered across Canada federal officials say.
John Walters, who directed the White House Office of National Drug Control Policy under President George W. Bush, said safe-injection sites merely prolong addiction and eventually lead to deaths.
He noted that overdose deaths have risen sharply in British Columbia despite the presence of the first safe-injection site in North America. The province had 136 deaths in April, a 97 percent increase over the same month a year earlier. There were 967 overdose deaths in British Columbia in 2016, up from 517 in 2015.