Illicit Drug Use and Safe Injection Sites: A Risk or a Benefit?
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
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202). SIS provides an upstream approach thanks to investing in solving the current complications of IDUs. Overdoses are one of the high-risk problems when working with IDUs. Marshall et al. recorded that “[b]etween Jan 1, 2001, and Dec 31, 2005, 290 accidental illicit drug overdoses occurred within the city boundaries of Vancouver—an average of 1·1 per week” (1432). With SIS, the lack of understanding can first be addressed, followed by the precautions and knowledge the individuals can take away to prevent an overdose occurring personally or to another individual. Resources and support are available from the staff working at SIS, which would be lost without these injection sites creating relationships with health care workers. With the capability for healthcare providers to interact with this population, the ability to directly improve individual lives, and progress quality of life is researched and argued by authorities on the matter to occur.
Sites such as ‘Insight’ were originally opened because of the growing awareness surrounding the high rates of diseases intravenous drug use is known to cause, such as HIV and the Hepatitis C virus. With these sites leveraged as a harm reduction strategy, the purpose is to provide education about safe drug injection practices and the ways to prevent avoidable diseases and health threatening outcomes. SIS provides clean needles which reduce the risk of reusing needles
Although these clients will still be abusing illegal substances, Sheon (2004) indicated that any reduction of harm is a step in the right direction, and the amount of success is measured by the client’s quality of life and well-being (as cited in Brown et al., 2005). “Harm reduction is about being respectful in somebody else’s world” (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). By not respecting somebody else’s choices, the clients feel they must lie about their unhealthy lifestyles, which prevents the clients from getting assistance because they were trying to protect themselves from the real situation (Georgina Perry, Service manager and co-author, England as cited in Cusick et al., 2010). A way to reduce the harm from illegal substance abuse is clean needle exchange, and teaching clients how to properly inject themselves (Brown et al., 2005). The needle exchange is a program where clients exchange their used needles for clean ones, which helps reduce the spread of diseases such as HIV/AIDS (Brown et al., 2005). With continuation of these programs the harm from abusing illegal substances is reduced and the spread of life threatening diseases, such as HIV,
Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).
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.
It is suggested that since Insite was created, it has been sending the wrong message to the youth of Vancouver stating that injection drug use is acceptable and has support. This approach is unlikely and naïve. There is evidence shown that the total number of drug users in cities with SIS’s has decreased. The introduction of SISs is being understood as that drug use is right. Rather than it is limited, self-contained, and is a
Drug abuse and addiction is something that is still overlooked throughout the United States. This issue is real and life threatening; it should be treated as so. “Safe injection sites” are not valid responses to the widespread occurrence that takes more lives each
Children, starting as early as elementary school, are being educated on substance abuse. As of 2013, Drug Abuse Resistance Education, D.A.R.E., administers a school-based substance abuse, gang, and violence prevention program in 75 percent of the United States school districts. Since 1983, 70,000 police officers have taught the D.A.R.E. program to approximately 114 million elementary through high school students in the United States alone ("Is the D.A.R.E. Program Good for America's Kids K-12?"). This program is aimed at preventing drug use in elementary, middle, and high school students. A needle-exchange program implicitly encourages the exact opposite message, condoning immoral and illicit behavior. Governments should focus on discouraging drug use, providing more productive treatment for recovery, and punishing drug users instead of supplying the materials to continue their addiction. Young children have the potential to take more risks and must receive a clear message on drugs, which should coincide with the no tolerance policy they are being taught in school with implementation of the D.A.R.E. program. A needle-exchange program is more of a hopeful harm reduction campaign that sends the wrong message to young children and society as a whole. If there is to be a positive change in America regarding intravenous drug use, then the government and school programs all need to be on the same page; we
Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of
Health services for people who inject drugs are subject to ‘considerable community concern and media and political attention’ (MSIC Evaluation Committee, 2003, p. 177). The development of a policy network, in July 1997 involved a multiplicity of actors who played an important role in the policy process. A NSW Parliamentary Joint Select Committee of ‘public and private spheres’ (Dennis, 2013, p. 78) was established to consider the feasibility for a trial of a MSIC. The Committee extensively reviewed the arguments contending for and arguing against proposals for a trial, and a suitable location. Copious submissions and evidence was put forward to the Committee with many advocators endorsing the action commenting that ‘injecting rooms may contribute to the reduction in the number of fatal and non-fatal overdoses by providing access to resuscitation and disseminating information about safer using practices’ (Parliament of New South Wales, 1998, p. 82).
Several studies have shown that injection drug users lower their risk of transmitting infectious diseases when there is a needle exchange program available. There has not been a valid study of whether or not the amounts of time needles are returned to the exchange programs are harmful to communities. The Journal of Public Health, conducted surveys, evidence from needle exchange sites, jails, and institutions that needle exchange programs are effective in reducing illnesses such as HIV and AIDS (Burt & Theide, 2016). Furthermore, Reepalu, Blome, Bjork, Widell, & Bjorkman (2012), researched the same individuals for 20 years, with no breaks. Their studies concluded that injection drug use, not only heightens the risk for HIV and AID’s, there is also an increase in Hepatitis B and Hepatitis C. However, there studies showed that there is not an increase rate of cancer diagnoses due to injection drug use. In a study conducted by Bonar and Rosenberg (2014), they wanted to see if self-initiated harm strategies, such as: proper needle sterilization techniques, proper disposal of needles, and cleaning of the pre injected skin, could help improve the health of those that use drugs intravenously. Their study was conducted over an eight-month period, results showed that their
On the other hand, people who are against of needle exchange programs claim that the needle exchange programs don’t save lives but instead it can cause drug-related deaths. Even though NEPs help reduce the transmission of HIV and other diseases, they still encourage people to use more drugs, which could lead to death. Addicts are prone to death, perhaps not from HIV, but from overdosed, collapsed veins, poisoned dope, or the violence and criminality that go along with the illicit drug trade. According to the Centers for Disease Control (CDC), there are more than 33,000 people who died from drug overdose in 2005. As a result, drug overdose become the second
The opium epidemic is leading many Americans down a path that will ruin not only their lives but their loved ones also. “Safe Injections Sites” will only raise addiction rates and opium consumption in the United
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.
Supervised consumption sites are seen as an effective means of reducing harm associated with illicit opioid consumption. Generally these are sites where drug users can inject or consume drugs under the observation of trained personal. The first of such consumption sites in Canada “Insite” was established in Vancouver in 2003. So far there has not been a single reported case of overdose fatality at the site. The success of Insite as a harm reduction approach has encouraged jurisdictions across Canada to adopt or contemplate similar systems. In 2017, the federal government passed Bill C-37 with the aim of streamlining the application process for communities who wish to operate supervised consumption sites. In Alberta, there are five proposed supervised injection sites, four in Edmonton and another in Calgary.
Regardless of its legality, heroin remains an ever popular drug and continues to be an issue many cities face. Heroin deaths continue to rise each year; Seattle reported 156 deaths in 2014, 99 deaths in 2013, and 49 in 2009 (Beekman). Heroin isn’t a problem that is going away, rather it is a problem that grows annually. Deaths from an overdose, the spread of disease, and the improper disposal of dirty needles all rise with the popularity of heroin. To combat this, heroin safe-sites have been established across the world. Germany, Switzerland, the Netherlands, Canada, Spain, and more countries have all implemented safe-sites for the consumption of hard drugs under certain legal pretext which is typically an age requirement (Haemmig and Beek. 160-169). The first site proposed in the United States is here in Seattle, but unsurprisingly it is highly controversial. Despite any negative sentiment towards heroin and the consumption thereof, these sites should be implemented. This is not to say that the abuse of heroin should be endorsed and widely accepted however. The aim of these sites is to open a channel of dialogue between drug abusers and medical professionals to offer treatment, to prevent deaths and disease, and to keep needles off the street and out of public. It is for these reasons that heroin safe-sites need to be more widely established and that the proposed frontrunner site in Seattle needs to happen.
In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.