Etcetera

The Needle And The Damage Done - Exploring Safe Injection Sites

port1080.

Posted to Etcetera on Sun Oct 21, 2007 at 08:57:29 PM EST (promoted by 1fastdog). RSS.

The city of San Francisco, California recently held a symposium on the wisdom of creating "safe injection sites" for IV drug users to shoot up.

Proponents of the sites, which would be supervised by nursing staff and would provide clean needles and emergency medical care, hold that such sites would reduce deaths by overdose, help prevent IV drug users from passing diseases amongst themselves by sharing needles, and allow users to get help in kicking their addiction by providing accessible counselors and literature on site. Opponents believe that such sites encourage drug use, could attract increased crime and violence, and, in the words of Bertha Madras, the deputy director of demand reduction for the White House Office of National Drug Control Policy, such policies suggest that "We accept drug addiction, we accept the state of affairs as acceptable...This is a form of giving up."

Although there are approximately 65 safe injection sites in 27 cities in 8 different countries world-wide, there is only one currently operational in North America. The Insite facility in Vancouver, British Columbia was initially greeted with skepticism, but was given the okay for a trial run. So far the results appear positive; there have been no fatal overdoses at the facility, and anecdotal evidence suggests that drug users at the sites tend to be "cleaner" (i.e. more careful about using and disposing their needles) than users on the street.

Of course, before San Francisco can go forward with creating such a site there is also the question of legality. In Canada, Insite operates under an exemption from Canadian drug laws which was specifically crafted to allow for its operation. In the US, such a site would also need such a special exemption, or at least a willingness to turn a blind eye on the part of the state and federal government.

Tags: written by Port1080, edited by 1fastdog, San Francisco, safe injection site, IV drug use (all tags)

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Re: The Needle And The Damage Done

port1080.

Mon Oct 22, 2007 at 08:40:38 AM EST

5.00 (astute)

"We accept drug addiction, we accept the state of affairs as acceptable...This is a form of giving up."

My response to this is - so what. Maybe it's time to give up. We've spent how many billions on dollars on the war on drugs, and yet drug usage is still rampant and shows no signs of stopping soon. Countries like China, Singapore, and Indonesia still have drug problems, even though they execute drug dealers and impose severe prison sentences on users. If those tactics can't stamp out drug use, does anyone think that a liberal democracy could hope to do so, without severely compromising its ideals? It's time for a rational approach to drug use - legalize it, tax it, regulate it, and take that tax money and use it to fund treatment and education programs.

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Re: The Needle And The Damage Done

pO157.

Mon Oct 22, 2007 at 10:29:23 AM EST

none

So far the results appear positive; there have been no fatal overdoses at the facility, and anecdotal evidence suggests that drug users at the sites tend to be "cleaner"

Quite the high standard there. Isn't it only a matter of time though? Some idiot mixes the wrong thing in his home chemistry set and next thing you know a dozen junkies end up dying of a hot dose in the facility? I'm not deriding the place, though. It's probably a better idea than having an OD face down in some ditch.

What port1080 said. Legalize drugs (marijuana at least -- the rest we need to have a serious discussion about as a country that I do not think would ever happen) and take it from there. I think if this was legalized you'd kind of have a similar situation as the countries that have alcohol at an early age. Less mystification, more responsibility. You'd still get the smokehounds and waste-os that would have gotten high continuously no matter what, but you'd probably get less recreational users doing it for the thrill of breaking the law and then getting hooked.

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Re: The Needle And The Damage Done

port1080.

Tue Oct 23, 2007 at 10:01:14 PM EST

none

Less mystification


I think this is key.  Arguments against cigarette smoking, for example, are much more convincing when smoking is framed in the same terms as poor hygiene than if it's framed as being dangerous to your health.  After all, it's "cool" to skateboard, surf, skydive, base jump, play Russian roulette, etc, etc, but it's not "cool" to have nasty body odor and bad breath.  If you want to get kids attention, telling them something is dangerous to them is probably the best way to get them to do it (hence the cigarette co's willingness to sponsor anti-smoking ads, I guess...).  If you want to actually get them to avoid the behavior, tell them it will make them less attractive to the opposite sex, and you're on to something....  So, same with drugs.  If we make them illegal because they're "dangerous", they're suddenly attractive.  If we legalize, but stigmatize (is it really cool to be so high all the time you forget to bathe?), I think we might see more effective results.  Heck, taking high school kids on tours of safe injection clinics might be a good place to start - it can't hurt for them to see up close and personal where that lifestyle tends to lead.

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Re: The Needle And The Damage Done

pO157.

Wed Oct 24, 2007 at 07:42:20 AM EST

none

 If we legalize, but stigmatize (is it really cool to be so high all the time you forget to bathe?)

According to some occupants of my college dorm, yes.

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A dead sweat in my teeth

Steve Urkel.

Tue Oct 23, 2007 at 10:59:33 PM EST

none

So who's tried heroin? I've taken hydromorphone and enjoyed it immensely. How different is the real stuff?

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Not This Kid

uncarved block.

Wed Oct 24, 2007 at 12:42:49 PM EST

none

   Oh, not that I didn't try everything else I could get my hands on for a while- never did get a chance to try peyote- but for some reason heroin and cigarettes weren't attractive. Probably the needle thing, and by the time I found out you could snort heroin, the desire to give it a go had been erased by other experimentation. (Meth was scary, and scary attractive at the same time.) Cigarettes was probably just a money issue-- saving up to party once in a while was a different proposition than constantly finding enough for a daily habit at that age.
    A guy I knew who had done heroin once told me that morphine just blew it away, though. Total mind/body disconnect, was the way he put it. Considering he had Crohn's disease, this was quite attractive when the disease was active, probably why he found heroin in the first place.

Ex ignorantia ad sapientiam; e luce ad tenebras

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Re: Not This Kid

Steve Urkel.

Wed Oct 24, 2007 at 01:42:05 PM EST

none

I thought heroin was sort of a concentrated morphine? I'd look it up, but I already looked up Victor Mature's filmography today, and that's my limit.

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Yes It Is

uncarved block.

Wed Oct 24, 2007 at 06:12:19 PM EST

none

   Didn't know myself, so I checked. What probably happened is that he'd always cut the heroin enough for safety at home, while the morphine he got was at the hospital, where the dosage was much stronger. (I can't imagine rural Washington is a benchmark for pure heroin, not even in Yakima.) I suspect it was a morphine drip, too, which would seriously change the perception of two similar drugs.

Ex ignorantia ad sapientiam; e luce ad tenebras

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