San Francisco Chronicle

Report reveals undergroun­d haven for users

- By Mike Stobbe

NEW YORK — A safe haven where drug users inject themselves with heroin and other drugs has been quietly operating in the United States for three years, a report reveals.

None was known to exist in the U.S. until the disclosure in a medical journal, although several states and cities are pushing to establish these so-called supervised injection sites where users can shoot up under the care of trained staff who can treat an overdose if necessary.

In the report released Tuesday, two researcher­s said they’ve been evaluating an undergroun­d safe place that opened in 2014. As a condition of their research, they didn’t disclose the location of the facility — which is unsanction­ed and potentiall­y illegal — or the social service agency running it.

The researcher­s offered little data, and their main finding was that no one died while injecting at the safe place. There were two overdoses on site, which were reversed by staff members using the overdose medication naloxone.

Advocates and some politician­s in recent years have called for government-sanctioned injection sites as the U.S. grapples with the opioid epidemic. More than 52,000 Americans died from drug overdoses in 2015 — the most ever — fueled by soaring abuse of heroin and prescripti­on painkiller­s. Government statistics for the first nine months of last year, also released Tuesday, show overdose death rates continuing to increase.

The National Center for Health Statistics reported that overdose deaths reached a record 19.9 per 100,000 population in the third quarter, a big increase over the 16.7 recorded for the same three months in 2015. Similarly, the first two quarters of last year showed death rates of 18.9 and 19.3, far greater than the correspond­ing periods for 2015. Data for the fourth quarter of 2016 are not yet available.

Some say the new report could have an impact on efforts to establish safe injection sites around the U.S. Such sites have been backed by lawmakers in New York, California and other states, along with officials in San Francisco, Seattle and Ithaca, N.Y.

Injection sites are legal in countries including Australia, Canada, Denmark, France, Germany, Luxembourg, the Netherland­s, Norway, Spain and Switzerlan­d where medical profession­als monitor drug users. They also provide clean needles to prevent the spread of infectious diseases like HIV or hepatitis C. Ideally, they also steer users into treatment and other services.

Mike Stobbe is an Associated Press writer.

 ?? Jonathan Hayward / Associated Press 2008 ?? Several U.S. states and cities are pushing to establish supervised injection sites like this one in Vancouver, British Columbia, where users can shoot up under the care of trained staff.
Jonathan Hayward / Associated Press 2008 Several U.S. states and cities are pushing to establish supervised injection sites like this one in Vancouver, British Columbia, where users can shoot up under the care of trained staff.

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