Pubdate: Wed, 02 Sep 2015
Source: Montreal Gazette (CN QU)
Copyright: 2015 Postmedia Network Inc.
Contact:  http://www.montrealgazette.com/
Details: http://www.mapinc.org/media/274
Author: Jennifer Laura Lee
Note: Jennifer Laura Lee is a neuroscience student at McGill University.
Page: A15

SAFE-INJECTION SITES ARE NOT CAUSE FOR ALARM

They are beneficial not only to drug users, but also to the community 
as a whole, Jennifer Laura Lee says.

Having visited a safe-injection site in Europe, I can say with great 
certainty that I would be grateful for, not fearful of, the 
establishment of such sites in Montreal.

As part of McGill's Comparative Health Systems Program, I visited one 
of the longest standing and most effective safe-injection sites in 
the world, in Switzerland, the birthplace of the safe consumption 
room itself. "Quai 9" stands alone in a sea of luxury stores and four 
star hotels, only a few blocks away from scenic Lake Geneva (a 
thriving tourist hot spot). Yes, a safe-injection site exists in the 
heart of Geneva's ritzy commercial district, and the city has yet to 
implode. Surrounding streets are not rife with crime and violence. 
Dirty needles do not litter the sidewalks. Neighbouring stores, 
banks, and restaurants have carried on, business as usual, for years.

The building features couches and a small kitchen in the common area, 
along with a designated room with sterilized tables and chairs for 
safe consumption. In a world that too often leaves them without 
options,drug users are here awarded a few moments of autonomy, 
community and, above all, dignity. Visitors, many of whom are without 
homes and jobs, are able to take a breather from the streets, grab a 
drink of water, shower, nap or just socialize in the common area.

The site receives 130 visits each day. Many visitors express 
intentions of quitting, but some of them do not. All are welcomed by 
the site's competent medical staff, no questions asked.

What many fail to grasp is that drug users who do not wish to quit 
still have an active interest in protecting themselves as much as 
possible. Drug users, even those who do not wish to quit, seek refuge 
in safe-injection sites because they care and worry about their own 
health - a motive many find difficult to understand, given the 
mischaracterization of drug addiction as a conscious decision to 
continually self-harm.

Virtually all injection drug users, whether they intend to quit or 
not, do not want to contract infectious diseases and do not want to 
die by overdose. What communities must understand is that it is in 
both the broader community's interest and that of drug users to help 
them protect themselves against these realities. The alternative is 
alleyway needle-sharing, the rampant spread of infectious diseases 
like HIV and Hepatitis C, and streets and sidewalks littered with 
dirty needles.

Montreal is pushing for three safe injection sites by this fall, 
despite staunch resistance from Conservatives at the federal level. 
The call is no doubt warranted after irrefutable evidence from sites 
like Vancouver's Insite show plummeting rates of transmittable 
diseases by needle sharing and of deaths by overdose.

The fears that safe injection sites significantly alter their 
surrounding neighbourhoods or promote drug use among drug-naive 
individuals are both incredibly overblown and largely 
unsubstantiated. And yet, the positive impact such sites have on the 
health and basic human dignity of drug users, as well as the safety 
and sanitation of public spaces, is immediate, well-documented, and immense.

Like it or not, individuals with these illnesses exist, they do place 
value in their own health and safety, and like all other sick 
citizens, they are deserving of both medical attention and basic 
human dignity. Rona Ambrose believes Montreal citizens would veto the 
construction of these sites were they given the choice, but she seems 
to forget that reaching out to the most vulnerable among us, 
intelligently and with compassion, is what makes our community strong.
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MAP posted-by: Jay Bergstrom