Pubdate: Fri, 27 Mar 2015
Source: Vancouver Courier (CN BC)
Copyright: 2015 Vancouver Courier
Contact:  http://www.vancourier.com/
Details: http://www.mapinc.org/media/474
Author: Mike Howell

HEALTH CANADA GRANTS EXEMPTION TO INJECTION SITE

Health Canada has granted Vancouver's Insite supervised drug injection
site an exemption to operate for another year, Vancouver Coastal
Health announced in a statement Wednesday.

But the city's former drug policy coordinator is worried legislation
passed by the Harper government this week in the House of Commons will
make it difficult for more injection sites to open in Vancouver and
across the country.

"That's the problem with all this," said Donald Macpherson, the
director of the Canadian Drug Policy Coalition. "I know how much work
it is to apply for one of those exemptions. So this is really a
make-work project by the federal government for health authorities,
community groups and provincial governments. It's a lot of work."

The legislation passed in the House of Commons is known as the Respect
for Communities Act. Health officials and harm reduction advocates
described the bill as setting out an onerous list of criteria that
makes opening another injection site in Canada very difficult, if not
impossible.

Under the bill, criteria an applicant must meet to get an exemption
includes providing information outlining the views of police,
municipal leaders, public health officials and provincial health ministers.

The applicant is also required to provide documentation that shows the
site's expected impact on crime rates, treatment options for drug
users, the public health reasons for needing such a site and evidence
there are resources to sustain the site's operations.

Dr. Patricia Daly, the chief medical health officer for Vancouver
Coastal Health, wasn't available for comment this week but said in a
statement the health authority was "troubled by the numerous
conditions set out in the new legislation, which will make it much
more difficult for Insite to apply for an exemption in the future, and
near impossible for a new supervised injection site to receive
exemption under the Controlled Drugs and Substances Act."

Daly pointed out Insite, which is staffed with nurses supervising
injections at the East Hastings facility, prevented thousands of
overdose deaths, reduced the spread of infectious diseases such as HIV
and hepatitis C and connected drug users to detox, health care and
housing.

Studies published in various medical journals, including the Lancet
and the New England Journal of Medicine, concluded Insite saves health
care dollars and does not increase crime or perpetuate active drug
use.

Federal Health Minister Rona Ambrose told the Courier in October 2013
the Supreme Court of Canada ruling in 2011 to allow Insite to operate
indefinitely "does compel the government to ensure that whenever an
application is made for a supervised injection site, that certain
parameters are met. That's exactly what our legislation is about and,
as health minister, not only am I compelled but I'm obligated to do
that."

When asked about the scientific research done at Insite, which has
shown no overdose drug deaths, a decrease in the spread of infectious
diseases and drug users being referred to treatment, Ambrose said she
was "not interested in having a debate about harm reduction."

Added Ambrose: "Let's talk about harm elimination. We do need to 
recognize that there are thousands of Canadians across the country that 
I don't think we've done enough to reach out to - to talk about recovery 
and talk about treatment and prevention. I want to see us do more of 
that and you will see us do more of that."

Since the Supreme Court of Canada ruling in 2011, in which the court
said Insite has "proven to save lives with no discernible negative
impact on the public safety and health objectives of Canada," the
federal government said the health authority must apply for an annual
exemption from Health Canada to operate Insite.

The matter landed in the Supreme Court because of the federal
government's appeal aimed at shutting down the facility that began as
a three-year scientific experiment when the Liberal government was in
power.

The health authority says no one has died of a drug overdose at
Insite, where nurses have supervised more than 1.8 million injections
since it opened 12 years ago. Up to 800 clients visit Insite each day.

Health Canada, meanwhile, still hasn't decided whether to grant an
exemption to the Dr. Peter Centre, which has operated a three-booth
injection room for its registered clients since February 2002. The
injection room is a small component of the centre, which houses a day
health program and a 24-hour care residence. The facility caters to
people with AIDS and those dealing with mental health and addictions
issues.
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MAP posted-by: Matt