North America's only safe injection allowed to remain open

Dopamine_Cowboy

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North America's only safe injection site allowed to remain open

from:http://www.cbc.ca/canada/british-columbia/story/2010/01/15/bc-court-ruling-safe-injection-site-vancouver.html

The B.C. Court of Appeal has dismissed an attempt by the federal government to shut down Vancouver's supervised injection site on the city's troubled Downtown Eastside.

The federal government appealed a previous B.C. Supreme Court ruling in favour of Insite, and on Friday morning in Vancouver, the B.C. Appeal Court confirmed the injection site's constitutional right to exist.
Outside the courthouse, Liz Evans, the founder and executive director of the Portland Hotel Society that operates Insite, welcomed the decision.
'While the government respects the court’s decision, it is disappointed with the outcome.' — Health Canada statement
"I'm just so excited. I can't believe it anyway, but today it looks like it was a clean sweep for Insite," said Evans as she wiped back tears.
"I'm so proud of the decision that was made here this morning," Evans said. "It looks like not only have they agreed that it is our constitutional right to have Insite exist, but they've also …weighed in in support of the jurisdictional issue, and that means effectively that Insite is now a provincial issue."
Further appeal not ruled out

The 85-page decision does appear to be a clear victory for the supporters of the site who have fought a long legal battle with the federal Conservative government to keep the facility open, but one of the three judges did write a dissenting opinion.
The supporters of Insite say they hope the federal government does not appeal the ruling to the Supreme Court of Canada, and so far the federal government has not indicated what its next step could be.
A statement released by Health Canada said, "While the government respects the court's decision, it is disappointed with the outcome. The government is reviewing the decision carefully. Until this review is complete, it would be inappropriate to speculate on future action on the part of the Government of Canada."

In the ruling, one of the supporting justices wrote that no serious debate still exists about the need for Insite, while the other expressed her "regret" that Ottawa's desire to prohibit drugs seems to have overtaken respect for B.C.'s approach to solving the crisis of addiction on Vancouver's Downtown Eastside.

The decision was also welcomed by Vancouver Mayor Gregor Robertson, in a statement released by his office.
"With this second consecutive decision in favour of Insite, I hope the federal government will drop its legal efforts so that we can go back to focusing on Insite for what it is — a harm-reduction facility that saves lives and improves health outcomes for those living with addictions," said Robertson.

"As a key component of our city's four-pillars drug strategy, research confirms that Insite connects people to treatment services, counselling and medical help, at the same time as it reduces crime. The science in favour of Insite is clear, and as long as we have people suffering from addiction on our streets we need harm-reduction options in place," said the mayor.
B.C.'s provincial health officer, Dr. Perry Kendall, said the ruling recognizes the province has the right to implement health programs for the benefit of its citizens.
"It recognizes that Insite has been evaluated, forms a critical piece of the treatment prevention program that we offer to people with addictions and mental health issues, and it also recognizes that this is an area of provincial health services delivery, so I think it's a very, very positive result," said Kendall.

World-renowned HIV/AIDS researcher Dr. Julio Montaner was also on hand to welcome the decision.
"They've been wasting my time fighting legal battles that are unnecessary, because the evidence has been there all along that Insite is saving lives," said Montaner.

"Stephen Harper, we told you," said Dean Wilson, the president of the Vancouver Area Network of Drug Users and one of the original plaintiffs in the case. "It should be a non-issue, man."
 
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Here's another article on the same topic.
JEREMY HAINSWORTH
Published: 6 minutes ago

VANCOUVER, British Columbia (AP) - British Columbia's top court on Friday rejected an attempt by the Canadian government to close North America's first safe injection site for drug users.

The site, where people can inject illegal drugs with clean needles under a nurse's supervision, has operated since 2003 under a temporary exemption. It was opened as part of a harm-reduction plan to tackle an epidemic of HIV-AIDS and drug overdose deaths.

The exemption was scheduled to end in 2008, but a trial court allowed it to remain open. The Conservative government appealed Justice Ian Pitfield's ruling last year that allowed Insite, as the site is known, a constitutional exemption from Canadian drug laws.

In the May 2008 ruling, Pitfield said Insite - operated by the Portland Hotel Society in conjunction with the Vancouver Coastal Health Authority - provided important health care resources to addicts.

The British Columbia Court of Appeal rejected the federal government's bid to overturn the lower court's ruling that said Insite provided a needed medical service.

The three-member appeals court panel, which was split in its ruling, said Insite is a health facility and falls under provincial and not federal Canadian jurisdiction.

"Like palliative care, it is a form of harm reduction with benefits for both the patient and the community," said Justice Carol Huddart in the split decision. "The lure of safe injection gets those addicts into Insite so health care may be delivered."

David Thomas, a spokesman for Health Canada, said that while the federal government respects the court's decision, it is disappointed with the outcome.

Thomas said the government is reviewing the decision carefully. He did not indicate whether the government planned to appeal to the Supreme Court of Canada.

"Until this review is complete, it would be inappropriate to speculate on future action on the part of the Government of Canada," said Thomas.

Insite spokesman Mark Townsend said the ruling means "chronic addiction is not a death sentence."

Insite sits in the middle of Vancouver's notoriously squalid Downtown Eastside, a neighborhood riddled with addicts, prostitutes and people carrying conditions such as HIV-AIDS and hepatitis C.

Insite opened in September 2003 under the approval of the former federal Liberal Party government. That approval made it exempt from drug possession and trafficking laws.

Dr. Julio Montaner, director of the B.C. Centre for Excellence in HIV-AIDS, said the decision sends a clear message that Prime Minister Stephen Harper should abandon "his draconian, ideologically motivated public health policy-making."

Montaner, who is also president of the International AIDS Society, said he has had discussions with officials in Montreal, Toronto, Victoria, B.C., and San Francisco about opening clinics modeled after Insite.

"There is tremendous interest in a number of cities around the world based on the fact that not only have we piloted this initiative but the supervised injection site is the best studied in the world," he said.

Insite supervises about 500 injections a day. Addicts shoot up at 12 booths with mirrors on the walls so nurses on a raised platform can see them.

There have been about 1,200 overdoes since Insite opened. No one has died.

This is awesome. 1200 overdoses since the place opened and no one died. And that doesn't even include the number of people who didn't contract Hep C or HIV. Sadly I don't think this would ever fly in the US...at least not anytime soon.
 
This is awesome. 1200 overdoses since the place opened and no one died. And that doesn't even include the number of people who didn't contract Hep C or HIV. Sadly I don't think this would ever fly in the US...at least not anytime soon.


InSite has saved so many lives and STILL the Conservative federal government (Canada's version of the Republican Party) want to shut it down.

So far they are losing the fight...:)
 
Awesome news, theres no good reason why this shouldn't stay open. Bloody Governments and their attempts to appear tough on drugs are ridiculous, it shows how fucked politics are when they will do shit like this that ultimately costs the taxpayer more and does more damage to society but as long as it gets them the votes pollies see it as the right thing to do.
 
Excellent news indeed, these are great programs. Any major US city could really benefit if these spread. Provide a safe clean environment, slow the spread of disease and reduce violence, have a place to distribute emergency information about bad batches, be able to instantly handle any kind of OD situation.. there is no reason to shut these types of ops down unless you believe drug users deserve to die.
 
InSite has saved so many lives and STILL the Conservative federal government (Canada's version of the Republican Party) want to shut it down.

So far they are losing the fight...:)


yeh , it is too bad, that we are still so many deaths, and diseases away from this happening in the US
 
This is a reassuring trend. Today Vancouver- tommorow San Francisco. They have had a heroin addicts union/activist group there for a long time. We saw a video about it at my old clinic in San Jose. One off the progressive counselors was trying to teach us concepts of patient advicacy. I was surprised to see how well organized they were over there (were talking 02' or 03'). It has been working so well in Switzerland that the pragmatic swiss voted for maintaining heroin maintenance even though they voted against legalizing cannabis. Seeing addicts shooting up in the park in Zurich in the late 80s-92 and excavating 1 meter of syringe encrusted earth during the clean up of needle park was enough to bring them to their senses.
 
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