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USA. San Francisco eyes supervised drug use sites — again

Gov. Gavin Newsom nixed a plan for state-sanctioned drug use sites last year. Now, San Francisco officials are forging ahead without him.

Mayor London Breed said Wednesday she’s working with Supervisor Hillary Ronen to overturn a city law that gets in the way of allowing non-profits to set up safe injection sites, where people can inject drugs in a hygienic environment, with clean needles, under the supervision of people trained to prevent overdoses. (Politico, USA, 19.01.2023)

https://www.politico.com/newsletters/california-playbook/2023/01/19/san-francisco-eyes-supervised-drug-use-sites-again-00078494

A scoping review of qualitative research on barriers and facilitators to the use of supervised consumption services. 

Ivsins A, Warnock A, Small W, Strike C, Kerr T, Bardwell G. 

Int J Drug Policy. 2023 Jan;111:103910. doi: 10.1016/j.drugpo.2022.103910. Epub 2022 Nov 24. PMID: 36436364.

Abstract

https://linkinghub.elsevier.com/retrieve/pii/S0955-3959(22)00326-7

USA. The Opioid Crisis: New York’s supervised injection sites have halted nearly 700 overdoses in just over a year

Since November 2021, New York’s sites together have served more than 2,100 people using drugs more than 50,000 times. No one has died there. (USA, The Philiadelphi Inquirer, 03.01.2023)

https://www.inquirer.com/health/opioid-addiction/supervised-consumption-site-opioid-overdose-crisis-new-york-philadelphia-20230103.html

Kanada. First supervised drug inhalation service in Ontario opens in Toronto amid rise in smoking-related OD deaths

For the first time in Ontario, people who choose to inhale their substances now have a safe, indoor space to go.

Toronto’s Casey House has now added drug inhalation to the list of services it offers through its supervised consumption service. (CP24, Kanada, 18.12.2022)

https://www.cp24.com/news/first-supervised-drug-inhalation-service-in-ontario-opens-in-toronto-amid-rise-in-smoking-related-od-deaths-1.6199017

Griechenland. A Visit to the Drug Consumption Room in Athens

At the international meeting of the Corelation European Harm Reduction Network, participants had a chance to visit the Drug Consumption room of OKANA, the largest service provider in Greece. The Drug consumption room started as a pilot project back in 2011, to reduce needle sharing and infections, to end overdoses and to reduce public nuisance caused by the open drug scenes in Athens. The room could only operate for 9 months as a pilot project, before the prosecutor shut it down. Athenians had to wait ten years, to be able to finally open it again. (drugreporter, Ungarn, 23.11.2022, Video, 20:23)

https://www.youtube.com/watch?v=bZDhlwZoKqg

Bayern. Drogensucht: Warum gibt es keine Konsumräume in Bayern? (Audio und Text)

Jedes Jahr sterben in Bayern etwa 250 Menschen an ihrer Drogensucht. Häufig ist die Ursache eine Überdosis - zum Beispiel von Heroin. Medizinisch überwachte Konsumräume könnten helfen. Doch die Staatsregierung ist bisher dagegen. (Bayerischer Rundfunk, 24.09.2022, Audio, 04:58)

https://www.br.de/nachrichten/wissen/drogensucht-warum-gibt-es-keine-konsumraeume-in-bayern,TIGbxIQ

Schottland. Edinburgh drug consumption room study underway after deaths hit record high

Whilst Glasgow's council continues to make the legal case for consumption rooms, Edinburgh is looking at the cost and possible location of such a facility in the capital. (edinburghlive, UK, 01.11.2022)

https://www.edinburghlive.co.uk/news/edinburgh-news/edinburgh-drug-consumption-room-study-25410471

The onset and severity of acute opioid toxicity in heroin overdose cases: a retrospective cohort study at a supervised injecting facility in Melbourne, Australia. 

Stam NC, Cogger S, Schumann JL, Weeks A, Roxburgh A, Dietze PM, Clark N. 

Clin Toxicol (Phila). 2022 Oct 6:1-8. doi: 10.1080/15563650.2022.2126371. Epub ahead of print. PMID: 36200988.

https://www.tandfonline.com/doi/full/10.1080/15563650.2022.2126371

“Overdose Has Many Faces”: The Politics of Care in Responding to Overdose at Sydney’s Medically Supervised Injecting Centre. 

Dertadian, G. C., & Yates, K. (2022). 

Contemporary Drug Problems0(0). doi.org/10.1177/00914509221134716

https://journals.sagepub.com/eprint/PJRCKMIXQ86WUCBTGE6Y/full

The North American opioid crisis: how effective are supervised consumption sites?

Kennedy, Mary Clare et al.

The Lancet, Volume 400, Issue 10361, 1403 - 1404 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01593-8/fulltext

NRW. Jahresbericht 2021 - Drogenkonsumräume in Nordrhein-Westfalen

Hrsg.: SuchtKooperation NRW, 2022

https://suchtkooperation.nrw/fileadmin/user_upload/Jahresbericht_2021_final_Korrektur.pdf

Impact of drug consumption rooms on non-fatal overdoses, abscesses and emergency department visits in people who inject drugs in France: results from the COSINUS cohort. 

Roux P, Jauffret-Roustide M, Donadille C, Briand Madrid L, Denis C, Célérier I, Chauvin C, Hamelin N, Maradan G, Carrieri MP, Protopopescu C, Lalanne L, Auriacombe M; COSINUS Study Group. 

Int J Epidemiol. 2022 Jun 12:dyac120. doi: 10.1093/ije/dyac120. Epub ahead of print. PMID: 35690956.

https://idpc.net/publications/2022/09/impact-of-drug-consumption-rooms-on-non-fatal-overdoses-abscesses-and-emergency-department-visits-in-people-who-inject-drugs-in-france

'Why would we not want to keep everybody safe?' The views of family members of people who use drugs on the implementation of drug consumption rooms in Scotland. 

Parkes T, Price T, Foster R, Trayner KMA, Sumnall HR, Livingston W, Perkins A, Cairns B, Dumbrell J, Nicholls J. 

Harm Reduct J. 2022 Aug 29;19(1):99. doi: 10.1186/s12954-022-00679-5. PMID: 36038919; PMCID: PMC9421633.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421633/

Australien. Inside the clinic helping heroin users ‘break that cycle’

Adelaide's heroin consumption reached the highest levels on record last year. From within Clinic H in the city, Dr Benny Tang is helping hundreds of people to stop using the street drug. (CityMag, Australien, 23.08.2022)

https://citymag.indaily.com.au/happening/people/inside-the-clinic-giving-heroin-users-a-chance-to-break-that-cycle/

USA. California Becomes Second State to Defy Federal Law and Authorize Safe Consumption Sites

This week the California State legislature passed and sent to the Governor’s desk SB57, introduced by Senator Scott Wiener, which authorizes the County and City of San Francisco, the County and City of Los Angeles, and the City of Oakland to approve safe consumption sites, dubbed “Overdose Prevention Programs” (OPPs). The authorization remains in effect until January 1, 2028. Any jurisdiction that establishes an OPP must contract with an independent third party, using private funds, to conduct a peer‐​reviewed study on the impacts of the program and submit results to the Governor’s office no later than January 15, 2027.

This bill was passed almost exactly one year after Rhode Island’s Governor signed similar legislation. Last November, the City of New York authorized two safe consumption sites. A privately‐funded organization in Philadelphia, authorized by the City Council, has been attempting to establish a site called Safehouse since 2018, but the organization’s efforts have thus far been thwarted by the U.S. Department of Justice (DOJ). (CATO Institute, USA, 02.08.2022)

https://www.cato.org/blog/california-becomes-second-state-defy-federal-law-authorize-safe-consumption-sites

Acceptability of supervised injection facilities among persons who inject drugs in upstate New York. 

Duncan E, Shufelt S, Barranco M, Udo T. 

Harm Reduct J. 2022 Jul 30;19(1):87. doi: 10.1186/s12954-022-00665-x. PMID: 35907854; PMCID: PMC9338679.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338679/

Overdose Prevention Centers: An Essential Strategy to Address the Overdose Crisis. 

Samuels EA, Bailer DA, Yolken A. 

JAMA Netw Open. 2022 Jul 1;5(7):e2222153. doi: 10.1001/jamanetworkopen.2022.22153. PMID: 35838675.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794326

Finnland. Finnish Drug Consumption Rooms Gain Popular and Political Support

According to the latest EMCDDA Drug Report, there were 258 drug-induced deaths in Finland in 2020, one of the highest rates in Europe considering the population size is about 5 and half million. To prevent increasing drug deaths, the city of Helsinki tried to introduce in 2019 a separate law reform that would allow for drug consumption rooms (DCRs) in the city. Late last year, Veronika Honkasalo from the Left Party Alliance with several other members of the Finnish Parliament inquired from the minister in charge when the government would act on the proposed initiative by the city of Helsinki as they had failed to do so. Earlier this year the National Institute of Health Social Affairs (THL) also recommended DCRs as one of many ways to prevent drug-induced deaths, but the Finnish government has not yet managed to implement such a law, nor has it signalled willingness to do so. Drug use and possession have been considered criminal acts in Finland since 1972 and this half a century old law is now preventing the implementation of DCRs and thereby an effective harm reduction measure that could save lives. (Talking Drugs, UK, 03.08.2022)

https://www.talkingdrugs.org/finnish-drug-consumption-rooms-gain-popular-and-political-support

First 2 Months of Operation at First Publicly Recognized Overdose Prevention Centers in US. 

Harocopos A, Gibson BE, Saha N, McRae MT, See K, Rivera S, Chokshi DA. 

JAMA Netw Open. 2022 Jul 1;5(7):e2222149. doi: 10.1001/jamanetworkopen.2022.22149. PMID: 35838672; PMCID: PMC9287749.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287749/

Kanada. Agency looking to open overdose prevention site in Saint John amid 'poisoned' drug supply

‘We just want to keep people alive,’ Avenue B executive director Julie Dingwell says. (CBC, Kanada, 20.07.2022)

https://www.cbc.ca/news/canada/new-brunswick/saint-john-overdose-prevention-site-1.6525303

Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis. 

Yoon GH, Levengood TW, Davoust MJ, Ogden SN, Kral AH, Cahill SR, Bazzi AR. 

Harm Reduct J. 2022 Jul 5;19(1):73. doi: 10.1186/s12954-022-00655-z. PMID: 35790994; PMCID: PMC9255520.

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00655-z

USA/Kalifornien. Senator Wiener’s Safe Consumption Sites Legislation Passes Assembly

Sacramento - Senate Bill 57, authored by Senator Scott Wiener (D-San Francisco), passed the Assembly by a vote of 42-28. It will now return to the Senate for a concurrence vote — the bill previously passed the Senate but was amended in the Assembly — and then will go to the Governor’s desk to be signed. (Scott Wiener Representing Senate District 11, USA, 30.06.2022)

https://sd11.senate.ca.gov/news/20220630-senator-wiener%E2%80%99s-safe-consumption-sites-legislation-passes-assembly

USA. A Look Inside America's First Overdose Prevention Centre (Video)

Look around the Overdose Prevention Centre (OPC) that opened in New York at the end of 2021. This is the first of its kind in the whole of the USA. The OPC opened with permission from the police and local authorities, but not from the federal US government. These centres are also known as Drug Consumption Rooms or Supervised Injection Sites. OPCs prevent overdose deaths, reduce needle-sharing and public injecting, help increase numbers entering treatment, and are cost-effective reducing costs to health services and police. There are currently approaching 200 OPCs in operation across the world in fourteen countries including Canada, Germany, Switzerland, France, Portugal, Ukraine, Norway, the Netherlands, Australia, Belgium, Spain, Denmark, Iceland and the US. (Transform, UK, 20.06.2022, Video, 04:32)

https://www.youtube.com/watch?v=Ms9CV2m59MA

Belgien. Drugs: Brussels opens a supervised consumption room

Brussels, Belgium, May 2022 – As part of an approach to drugs based on harm reduction, and resulting from years of preparatory work by the City of Brussels with the support of the Brussels Capital Region, the Gate Supervised Drug Consumption Facility (SDCF) opened on 5 May in Brussels.

It will be Belgium’s second SDCF after that of Liège, which opened in 2018 (see box below). There are currently about 100 SDCFs in Europe1. (EFUS - European Forum for Urban Security, Frankreich, 22.05.2022)

https://efus.eu/topics/drugs/drogue-ouverture-historique-dune-salle-de-consommation-a-moindre-risque-a-bruxelles/

EMCDDA webinar: Drug consumption rooms in Europe (02.06.2022) - Video

Objective: The main objective of this webinar is to provide an overview of the different types of drug consumptions rooms (DCRs) in Europe. It will describe the challenges and current reality, as well as look towards the future and consider how this service could adapt and evolve. (EMCDDA, Lissabon, 09.06.2022, Videom 01:34:49)

https://www.youtube.com/watch?v=Z6ZI8IOS73c

Australien. Injecting room has not only saved lives, it has protected clients from violence

Violence is no stranger in the world of illicit drugs. But Sydney’s injection room gives its users a much-needed respite from it. (UNSW – University of New South Wales, Sydney, Australien, 03.06.2022)

https://newsroom.unsw.edu.au/news/business-law/injecting-room-has-not-only-saved-lives-it-has-protected-clients-violence

Acceptability of Overdose Prevention Sites in the Business Community in Baltimore, Maryland. 

Sherman SG, Rouhani S, White RH, Weicker N, Morris M, Schneider K, Park JN, Barry C. 

J Urban Health. 2022 May 24:1–10. doi: 10.1007/s11524-022-00647-1. Epub ahead of print. PMID: 35610474; PMCID: PMC9129898.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129898/

Drug Consumption Rooms and Public Health Policy: Perspectives of Scottish Strategic Decision-Makers. 

Nicholls J, Livingston W, Perkins A, Cairns B, Foster R, Trayner KMA, Sumnall HR, Price T, Cairney P, Dumbrell J, Parkes T. 

International Journal of Environmental Research and Public Health. 2022; 19(11):6575. doi.org/10.3390/ijerph19116575 

https://www.mdpi.com/1660-4601/19/11/6575/htm

Kanada. Expanding overdose prevention sites in Vancouver, Canada, has beneficial health impacts

To help combat the record-breaking rates of drug overdose deaths, Canada implemented 20 overdose prevention sites across British Columbia, with 5 in Vancouver. Overdose prevention sites are a type of supervised injection service that are less regimented and have fewer barriers than traditional supervised injection services. The researchers in this study investigated the impact of this implementation in Vancouver on health outcomes. (Recovera Research Institute, USA, Mai 2022)

https://www.recoveryanswers.org/research-post/expanding-overdose-prevention-vancouver-canada-beneficial-health-impacts/

USA. California debates opening supervised sites for people to use drugs

Lawmakers in California are debating whether to open sites where people can inject or snort illegal drugs under the watchful gaze of a health care worker. These facilities are an effort to save lives as overdoses skyrocket across the country. (npd – National Public Radio, USA, 23.05.2022)

https://www.npr.org/sections/health-shots/2022/05/23/1099478640/california-safe-injection?t=1653297578927&t=1653582538357