Does evidence support supervised injection sites?

Dr. Sutherland is a medical director of Portland Hotel Association, a non-profit organization that operates the Vancouver Safety Injection Site (InSite) in partnership with the Vancouver Coastal Health Department. Other authors have no potential conflicts of interest.

The views in the article "Practice Tools" are authors and do not necessarily reflect the views and policies of Alberta Family Doctors College.

Discussions on the effectiveness and ethics of injection site monitoring have begun in relation to the US opioid crisis. These facilities, also known as safe injection locations and over-prevention centers, provide individuals with hygiene space to inject illegal drugs already owned under the supervision of trained medical personnel . There are about 100 monitored injection sites worldwide, mainly operated in Europe, Australia and Canada. It is noteworthy that the United States is not on the list. 2 However, some American cities, such as San Francisco, Seattle, New York, Philadelphia and others, are seeking open facilities as some examples. These cities were opposed by the US Department of Justice and the US Department of Justice promised to take prompt and aggressive legal action against those who opened the monitored injection facility.

A safe injection place, or a space where people can inject medicines pre-acquired under medical supervision of medical facilities is a controversial idea in the United States. Safety injection sites are prohibited by federal law, but in cities such as New York, Philadelphia, Seattle, even if you face the threat of Rosenstein and the Justice Department, you can see sites modeled in Canada, Europe and Australia I am studying. Kathleen Frydl, a historian and writer of American Drug Wars, explains as follows. "Both Rosenstein's articles are very good."