Heroin Should Be Implemented Safe Sites

In August of 2016, twenty-six people lives changed, and may never be fixed. In only one week these twenty-six people overdosed on heroin, which three of them died (Police). This is the unseen epidemic because of how unaware people are. People are blind to the prevalence in our community, rising rate of deaths, and seizures, lastly that Narcan will become counterproductive. This unseen epidemic is growing faster than anyone knows, and has to be addressed head on.

Attention Getter: Imagine 60,000 people in one city, all dealing with the same problem, addiction. According to an article written by Carter M. Yang for ABC news on March 14th of this year, there are 60, 000 people in Baltimore alone that are addicted to illicit drugs. These numbers are disheartening and unfortunate. I can relate to every one of these people struggling with substance abuse, because I am an addict. A program called Narcotics Anonymous has

A huge epidemic that is obtaining a lot of attention from Congress and medical professionals across the county is the spiking heroin overdoses that are rising at alarming rates. (Krisberg, 2014). My question to everyone that is researching this topic is this:

Safe injection sites are places where chronic users of drugs such as morphine, cocaine, and heroin can go to inject drugs in a safe and sanitary environment. The site itself does not supply the drugs, but offers addiction and mental health treatment, first aid in case of overdose or injury, and sanitary means to inject drugs safely. These sites apply what is known as the harm reduction model. In her

Results of safe injection site studies have shown that an expansion may have a greater impact. This may reduce the chance of dangerous encounters between users of these safe injection sites and the public. Children not even out of elementary school, were getting involved in the drug scene. These runaways were a concern to the residents, who witnessed overdoses in the past decade. Over 2,000 lives were lost due to the Downtowns East side’s “drug-fuelled spiral” (MacQueen et al., 2003). Persisting the safe injection site can help in lowering risk behaviors by the drug users of SIS’s and community concerns that are related to public injection of drugs (McKnight et al,. 2007). Overall, SIS’s may have the ability to change the drug users and transform them into potential productive members of society.

Imagine for a moment being able to walk down the street without seeing used needles or other drug equipment. Although it will not completely eradicate the problem, safe injection sites will allow users to have a safe and clean environment that they do not have access to now; not just to inject their drugs, but also to dispose of their used syringes. When given a 3-year trial at the first facility in Canada, it was found that fatal overdoses within 500 metres of the facility were reduced by 35 percent, and a 9 percent decrease in the rest of the city (Stueck, 2011). Thus proving the effectiveness of injection facilities not only in Vancouver, but nationwide. Giving access to support can significantly increase the quality of life for intravenous drug users. By providing sterile equipment the

Depending on the source, some would term the heroin and opioid problem in the United States a crisis, while others would use the word epidemic. Regardless of which expression is more accurate, the situation regarding heroin and opioid use, abuse and dependence has ignited national, if not global concern. History shows us that pervasive dilemmas have a tendency to cultivate a variety of intervention and the heroin and opioid crisis is no different.

There are many ways in which people who are addicted to intravenous drugs are perceived by our society. People sometimes believe the addicted person is to blame for their circumstance and substance dependence and some feel serious drug addicts are a “lost cause” due to a lack of values or flawed character. “Persons who struggle with addictions often are depicted as criminals or prostitutes, weak, lazy and morally corrupt” (Bartlett, R., Brown, L., Shattell, M., Wright, T., Lewallen, L. (2013). These stereotypes paint people with addiction negatively; a percentage of people who live with serious addiction are capable of recovery with the right attitude, support and healthcare. Street level healthcare services such as; safe injection sites, provide accessable resources at street level for people to make the choice to live healthier lifestyles. Govement funding and support is needed to make these projects possible to improve the health of Canadians. Safe injection sites are proven to be positive contributions to communities, save lives, reduce harm and open doors towards recovery for people from the grip of addiction.

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

Heroin addiction is one of the leading killers of adolescents and adults in the United States. In recent years, addiction has skyrocketed, and “the rate of heroin-related overdose deaths increased by 286 percent between 2002 and 2013.” In 2002, “100 people per 100,000 were addicted to heroin, and that number has doubled by 2013” (The National Institute on Drug Abuse 2013). The most affected populations include low income males, adolescents, and those who have a family history of addiction, due to their increased susceptibility and crime-ridden environment. While it may seem as though heroin addiction is “just another drug problem” in the U.S., it is actually a problem of major public health importance because there are numerous physical, economic, and social risks associated with heroin dependence. Heroin dependence in the United States accounts for brain damage, increased homelessness, crime, and incarceration rates, as well as economic decline.

Heroin, methamphetamine, and opioids have been around for centuries and the use of these drugs is not a new phenomenon. The use of injection drugs causes individual’s serious harm and have placed large expenses on the health care system. “Heroin, cocaine and other drugs kill around 0.2 million people each year, shattering families and bringing misery to thousands of other people” (United Nations iii); Because of-these incidents harm reduction strategies have been put in place to create a safer and more educated population, but it has only been a start. ‘Safe injection sites’ has become a well talked about term in the last decade. The term itself refers to a physical place

Today, experts in public health policy have been advocated for harm reduction, which is a philosophy that attempts to reduce the negative outcomes of drug use. Safe injection sites (SISs) follow this ideology. They are facilities where addicts are legally able to use opioids, such as heroin, under medical supervision. To stop reusing and sharing of needles, Opioid users will be given access to clean needles, which will prevent hospitalizations from serious infections and the spread of sexually transmitted diseases. Furthermore, opioid addicts will have a clean space and will not fear being arrested by the police. This will eliminate additional anxiety and stress. Advocates for SISs believe that SISs will reduce public drug use and provide a safe space for addicts to consume illicit drugs. They have been successful in many developed countries. In many studies, it has been shown that SISs save taxpayers money and reduce the number of opioid-related deaths.

Needle exchange programs have long been a controversial subject with both the general population and government lawmakers. The primary objective for needle exchange programs (NEPs) is to prevent the spread of blood-borne disease and is very successful in doing so. But, issues of morality due to the perception of drug enablement and the stigma of intravenous drug users (IDUs) and their potential effects on the decline of society are continually used as arguments for those against NEPs. It has been proven through many studies that these programs not only reduce harms associated with intravenous drug use, they are also cost effective and reduce the circulation of used syringes to the general population. Beyond epidemiological efforts, NEPs also provide a de-stigmatized center for gathering and offers health services such as HIV testing, counselling and referrals to treatment for drug addiction. This paper aims to highlight the efficacy of needle exchange programs, safe injection sites and address the social and political issues associated with them.

Even though there are already harsh penalties toward those who contain and use illicit drugs, it would not be possible to give them these sentences without their presence. Many legal drugs such as alcohol and tobacco have relatively dangerous affects that could lead to death in the same ways illegal substances can, which brings upon the question of why an individual’s well-being would ever be put before the law. INSITE has proven to the world that providing a secure and reliable facility for addicts to inject drugs will not only prevent them from harm and provide safety for the public, but it will also encourage users to seek recovery. Research shows that associations with the safe-injection site has caused a 30 percent increase in rehabilitation programs, and an estimate of $14 million in savings and 1000 HIV preventions through the course of 10 years (Mosher, 2011: 377). With the significant amount of evidence that INSITE has positively impacted toward society and its members, there is no reason not to launch additional safe-injection sites in areas where they are

Heroin use and overdose related deaths have increased considerably in the United States in recent years (Jones, Logan, Gladden, & Bohm, 2015). The results of the National Survey on Drug Use and Health [NSDUH] (2014), showed in the year 2013, approximately 517,000 Americans abused heroin, which was almost a 150 percent increase since 2007 (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). According to the National Institute on Drug Abuse [NIDA] (2014), in the year 2011, 4.2 million people who were twelve years of age or older said they used heroin at least once in their lifetime. Furthermore, data from NSDUH showed approximately 460 people, twelve years of age or older, used heroin each day in 2013 (Lipari and Hughes, 2015). An even more frightening statistic is death rates doubled for people who were twelve years of age or older as a result of heroin overdose in the years 2010 through 2012 (Hedegaard, Chen, and Warner, 2015).