Pubdate: Thu, 07 Oct 2004 Source: Gazette, The (London, CN ON Edu) Copyright: 2004 The Gazette Contact: http://www.gazette.uwo.ca Details: http://www.mapinc.org/media/2548 Authors: Nancy Dzaja & Daren Lin Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) Bookmark: http://www.mapinc.org/find?142 (Safe Injecting Rooms) DRUG CLINICS HAVE PLENTY OF BENEFITS Re: "Shooting down, shooting up," Sept. 29, 2004 To the Editor: Your editorial "Shooting down shooting up" stated that the safe injection facility in Vancouver condones drug use by creating "a sanctuary to experiment," and law enforcement is needed instead. We disagree. Although intravenous drug use is illegal and the ideal goal is to stop its use entirely, your suggestion that police should use the safe injection facility as a means to arrest drug users and traffickers would not be productive. In 2003, a police crackdown on illicit drug use in Vancouver, costing 2.3-million tax dollars, did not decrease the frequency of drug use or increase enrollment in rehabilitation programs. Safe injection facilities do not provide sanctuaries for experimentation because drug use can and will occur anywhere. Substance dependence and abuse are medical disorders that are prevalent worldwide; individuals will use drugs irrespective of the presence of safe injection facilities. Social disadvantage, pre-existing psychiatric illness and family history -- along with personal choice -- are much more important risk factors. Research done in Vancouver's safe injection facility shows no increase in the number of drug dealers in the area of the clinic over the year it has been open. The new safe injection facility neither condones drug use nor creates a market for increased drug trafficking, but simply addresses an ongoing societal problem. Safe injection facilities reduce the transmission of HIV and treat onsite medical emergencies such as overdoses, thereby saving taxpayers' money. Social services are also able to counsel the most marginalized drug users, referring them to rehabilitation programs which normally reach a much smaller fraction of drug users directly. Elimination of drug use is difficult, but until we figure out how to effectively address the issue, harm reduction through safe injection clinics is an essential supplement to rehabilitation programs. Nancy Dzaja & Daren Lin, Medicine II - --- MAP posted-by: Derek