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USA. What's Next For 'Safe Injection' Sites In Philadelphia?

Philadelphia is a step closer to opening what could be the nation's first supervised site for safe drug injection. But turning the idea into reality won't be easy. (npr, USA, 24.01.2018)

https://www.npr.org/sections/health-shots/2018/01/24/580255140/whats-next-for-safe-injection-sites-in-philadelphia

USA. Safe injection sites to fight opioid overdose deaths get green light from Philadelphia officials

After a year in which overdoses outstripped the murder rate by 4-1, librarians ran outside to save people from overdosing, and makeshift heroin camps sprawled under bridges and on street corners, Philadelphia city officials Tuesday took their most radical step yet against the opioid crisis.

It’s time, they declared, to do what no other U.S. city has done: Establish medically supervised facilities where people can inject drugs, be revived if they overdose, and then be helped into treatment. (The Philadelphia Inquirer, USA, 23.01.2018)

http://www.philly.com/philly/health/addiction/safe-injection-sites-overdose-deaths-opioids-philadelphia-officials-support-20180123.html

USA. New York City Program Takes Controversial Approach to Opioid Crisis (Audio)

There's no single solution to the opioid crisis, but a New York City program is taking a controversial approach to fighting the epidemic.

It's called "harm reduction,” and it's not new. The non-punitive approach aims to reduce the harmful consequences of drug use. For some programs around the country that means giving access to sterile needles, and, in the case of The Washington Heights Corner Project, a bathroom where users can inject drugs knowing that if they overdose, someone will come to their aid. (WNYC – The Takeaway, 15.01.2018, Audio, 07:26)

https://www.wnyc.org/story/harm-reduction-how-one-new-york-city-program-tackles-opioids/

USA. Study finds benefits, trade offs to legal supervised injection sites for drug users

SAN FRANCISCO (BCN) As San Francisco develops plans for authorized safe injection sites for drug users, a study of an underground site already in operation released today suggests that there are potential tradeoffs in bringing such services out into the open. (Fox-KTVU, 27.12.2017)

http://www.ktvu.com/news/study-finds-benefits-trade-offs-to-legal-supervised-injection-sites-for-drug-users

Kanada. Calgary supervised consumption site sees close to 1,000 visits in first month

After opening the doors of a temporary facility outside the Sheldon M. Chumir Health Centre on Oct. 30, staff at Calgary’s supervised drug consumption site responded to 26 overdoses during the service’s first month of operation. (Calgary Herald, 14.12.2017)

http://calgaryherald.com/news/local-news/calgary-supervised-consumption-site-sees-close-to-1000-visits-in-first-month

Drug consumption rooms : issues of social acceptability in French public debate

Marie Jauffret-Roustide, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6753/12H45_1_Marie Jauffret-Roustide.pptx

Frequency and severity of non-fatal opioid overdoses among clients attending the Sydney Medically Supervised Injecting Centre

Amanda Roxburgh, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6759/12H45_3_Amanda Roxburgh.pptx

Drug consumption rooms in Porto, Portugal: listening to the concerned voices

Paula Meireles, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6755/12H45_2_Paula Meireles.pptx

Drug Consumption Rooms in Catalonia: Major impact on HIV-HCV risk behaviors and engagement in care

Cinta Folch, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6761/12H45_4_Cinta Folch.pptx

Factors Concerning Access to a Potential Drug Consumption Room in Dublin, Ireland

Emma Atkin-Brenninkmeyer, Lisbon Addictions 2017, Second European Conference on Addictive Behaviours and Dependencies, Lissabon, 24.-26.10.2017

http://www.emcdda.europa.eu/system/files/attachments/6763/12H45_5_Emma Atkin-Brenninkmeyer.pptx

Drogenkonsumräume: Standorte und Informationen zu Konsumräumen in Deutschland

DAH – Deutsche AIDS-Hilfe

https://www.drogenkonsumraum.net/

Australien. Meet the women behind the injecting clinic that changed Kings Cross

Directly across the road from the Kings Cross train station you'll find the only medically supervised injecting centre in the southern hemisphere — but that's set to change.

After a spike in drug-related deaths in Melbourne's North Richmond, a trial safe injecting room has been green-lit by the Victorian Government.

Initially the state Labor Government was reluctant to support the facility and there has been resistance from some local businesses.

But Ingrid Van Beek says if her experience setting up the Kings Cross room in the 1990s is any guide, the community will come to support the room. (abc.net.au, Australien, 01.12.2017)

http://www.abc.net.au/news/2017-12-01/whats-it-really-like-inside-a-safe-injecting-room/9198274

Australien. What goes on inside a medically supervised injection facility?

The Victorian government recently announced a medically-supervised injecting centre for North Richmond, an inner-city area plagued by drug overdoses. While some may argue the establishment of such facilities normalises drug use, the centres offer an essential service to keep people who use drugs and the community safe. (The Conversation „Academic rigour – journalistic flair“, Australien, 28.11.2017)

https://theconversation.com/what-goes-on-inside-a-medically-supervised-injection-facility-87341

UK. Back Yard – An Investigation into the Feasability of Establishing Drug Consumption Rooms

Liz McCulloch

The time is right to look at new ways of reducing mortality among people who use illicit drugs. Across the UK, we are seeing record levels of drug-related deaths. These deaths often occur among people who use heroin, as well as alcohol and tobacco. The appearance of synthetic opioids like fentanyl and carfentanil in the UK drug markets threatens to cause even more harm.Many of the most vulnerable people are not well served by existing models of treatment. So we need new ways of engaging these people in services that can save their lives. The need for drug consumption rooms is urgent. (Volte Face, UK, November 2017)

http://volteface.me/publications/back-yard/

https://smmgp.org.uk/news/2017/care-and-prevent-skin-infections-and-aa-amyloidosis-kidney-disease-among-pwid/

Kanada. Lowertown's new supervised injection site sees 'overwhelming' demand

Average of 122 clients per day visit injection trailer at Shepherds of Good Hope. (CBC News, Ottawa, 18.11.2017)

http://www.cbc.ca/news/canada/ottawa/supervised-injection-trailer-ottawa-overwhelming-demand-1.4405216

Schottland. Glasgow drugs 'fix room' setback leads to call for urgent action

SCOTTISH drug charities are calling for urgent action to help those in need after a major legal setback to plans for the UK's first “fix room”.

Last week, Lord Advocate James Wolffe chose to decline to issue guidance on the legality of a drug consumption room.

The Glasgow facility, which would have been the first of its kind in the UK, would allow users a safe space to take drugs, reducing the risks of spreading disease through dirty needles and preventing overdose deaths. (The National, Schottland, 15.11.2017)

http://www.thenational.scot/news/15661039.Drugs__fix_room__setback_leads_to_call_for_urgent_action/

Schottland. Lord Advocate blocks plan for safer drug consumption facility that would have helped contain Glasgow’s HIV outbreak

It has been reported in the media that Scotland’s Lord Advocate has blocked plans for a safer drug consumption facility in Glasgow, which was approved by Glasgow’s Integrated Joint Board in October 2016.

David Liddell, CEO of Scottish Drugs Forum, said: ‘This is a hugely depressing decision.  It means that a drug consumption room cannot be delivered in a timescale that will respond to the pressing needs of a group who are among the most vulnerable in our society. (SDF – Scottish Drugs Forum, November 2017)

http://www.sdf.org.uk/lord-advocate-blocks-plan-safer-drug-consumption-facility-helped-contain-glasgows-hiv-outbreak

Use of on-site detoxification services co-located with a supervised injection facility.

Gaddis A, Kennedy MC, Nosova E, Milloy MJ, Hayashi K, Wood E, Kerr T.

J Subst Abuse Treat. 2017 Nov;82:1-6. doi: 10.1016/j.jsat.2017.08.003.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/29021106

Kanada. Toronto's first permanent supervised injection site opens downtown

First of three permanent safe-injection sites is located at The Works at 277 Victoria St. (CBC, 08.11.2017)

http://www.cbc.ca/news/canada/toronto/first-permanent-safe-injection-site-1.4392720

Australien. Melbourne heroin injecting room trial gets green light

The Andrews government has approved a trial run of a safe injecting room for heroin addicts. (The Age, Australien, 31.10.2017)

http://www.theage.com.au/victoria/melbourne-heroin-injecting-room-trial-gets-green-light-20171030-gzb6ky.html

Kanada. Canada's first supervised inhalation site for meth, crack cocaine users to open in Lethbridge

Approved by Health Canada, the site allows drug users to smoke drugs like methamphetamine (crystal meth), as well as crack cocaine and heroin in specially ventilated rooms at the site. (National Post, Kanada, 27.10.2017)

http://nationalpost.com/news/local-news/canadas-first-inhalation-site-for-addicts-to-open-in-lethbridge/wcm/9c2a65b4-8651-4f7d-b3d9-401a2b1e2cbe

Glasgow. Health Needs of Drug Injectors - Glasgow Alcohol & Drugs Partnership looking at the health needs of people who inject in public places

The Glasgow City Alcohol and Drug Partnership (ADP) is setting up a working group to explore the potential of piloting a drug injecting facility and heroin-assisted treatment within the city centre. (NHS Greater Glasgow and Clyde, 2016)

http://www.nhsggc.org.uk/your-health/public-health/reports/health-needs-of-drug-injectors/

Australien. Ice won't be allowed in Melbourne safe injecting room

Addicts will have to give their full names to get access to the safe injecting room in North Richmond, as the Victorian government starts work on what it hopes will be a politically palatable solution to the heroin overdose crisis. 

While heroin users willing to identify themselves will be able to inject under medical supervision, the government has vowed to keep the drug ice out of the two-year trial at the North Richmond Community Health Centre. (The Age, Australien, 31.10.2017)

http://www.theage.com.au/victoria/ice-wont-be-allowed-in-melbourne-safe-injecting-room-20171031-gzbydr.html

Australien. Victoria approves safe injecting room trial after spate of heroin deaths

Premier reverses government’s opposition to harm-minimisation approach as proposed North Richmond centre set to be second of its kind in Australia. (The Guardian, UK, 30.10.2017)

https://www.theguardian.com/australia-news/2017/oct/31/victoria-approves-safe-injecting-room-trial-after-spate-of-heroin-deaths

Critics of controversial heroin consumption rooms have hit back after MP Caroline Lucas suggested that the increasing numbers of needles being found on the city's streets should prompt a renewed debate about safe places for addicts to take drugs. (...)"We are already seen as a tolerant city, and if we had centres like this we would have all the waifs and strays from all over the country flocking here.“ (The Argus, UK, 24.10.2017)

http://www.theargus.co.uk/news/15613895.Heroin_shooting_galleries_would_encourage_more_drug_addicts/

There is a substantial amount of street based injecting taking place on an ongoing basis in Dublin city centre. This carries with it risks, both specifically to those injecting and more generally to all using the public domain. Ireland’s National Drug Strategy1 emphasises a health-led response to drug use in Ireland, and consistent with this focus, a pilot supervised injecting facility (SIF) will open shortly in Dublin City Centre. (Ana Liffey Drug Project, September 2017)

http://aldp.ie/downloads/2017/At%20the%20dark%20end%20of%20the%20street-Street%20Based%20Injecting%20Report_2017.pdf

How close is Britain to creating places where all drugs are legal?

What does the Home Office really think about drug consumption rooms - safe and supervised places where addicts can inject or inhale illicit substances without fear of prosecution? (BBC, 12.10.2017)

http://www.bbc.com/news/uk-41596222

Kanada. Supervised Consumption Service Operational Guidance

British Clumbia – Ministry of Health, BC Centre on Substance Use, 2017

http://www.bccsu.ca/wp-content/uploads/2017/07/BC-SCS-Operational-Guidance.pdf

The BC Centre on Substance Use (BCCSU) has released the first-ever provincial guidelines for operating supervised consumption services to provide guidance to health authorities establishing new services.

“As new supervised consumption services open in B.C. and across the country, the BCCSU guidelines released today will help sites to provide the best possible care to vulnerable people,” said Judy Darcy, Minister of Mental Health and Addictions. “The guidelines are another example of the work BCCSU is doing to transform and strengthen our approach to the overdose crisis and help save lives.” (bccsu.ca, 11.08.2017)

https://www.bccsu.ca/news-release/bc-centre-on-substance-use-releases-new-provincial-guidelines-for-operating-supervised-consumption-services/

California will not legalize safe injection sites for drug users this year after a state bill failed to pass the Senate on the last day of the legislative session Friday. (San Francisco Examiner, 15.09.2017

http://www.sfexaminer.com/bill-allow-safe-injection-sites-drug-users-fails-california-senate/