Title: Seattle plans to open safe spaces for addicts to use heroin — and that's smart Source:
Vice News URL Source:https://news.vice.com/article/seatt ... pervised-injection-consumption Published:Oct 6, 2016 Author:Keegan Hamilton Post Date:2016-10-06 19:35:15 by Hondo68 Keywords:None Views:17237 Comments:70
(Photo by John Moore/Getty Images)
Nearly every major city across the United States has been affected by a wave of heroin abuse and overdoses in recent years, but none have responded with the radical but proven approach that Seattle-area officials now plan to take.
A county-level heroin task force recommended Thursday that the city and surrounding municipalities open places where addicts can inject or smoke opioids without fear of arrest and with access to clean needles and treatment.
After unveiling a 99-page report on the subject, which outlined the myriad public health benefits from similar experiments elsewhere in the world, King County Executive Dow Constantine told reporters why he decided to endorse "safe consumption" sites.
"If this is a strategy that saves lives, if there are people who are going to die if we do not do this," he said, "then regardless of the political discomfort, I think it is something we have to move forward with."
Nearly every key local official and agency is on board with the plan, including Seattle Mayor Ed Murray, who reportedly did not say precisely when or where the facilities would open, but vowed to fight the potential "blowback" at the neighborhood level.
Lindsay LaSalle, a senior staff attorney at the Drug Policy Alliance, said that while cities such as New York, Boston, San Francisco, and Baltimore have all inched in the same direction with harm reduction programs, Seattle is the first to fully commit to establishing supervised injection sites.
"It's thrilling," LaSalle said. "The support of someone like a mayor is pretty groundbreaking."
Heroin and illicit opioid use will still technically be illegal at the facilities, but police and prosecutors are willing to stop arresting people there and pressing charges. It's the same principal that led to the establishment of syringe exchanges, which are now fairly common across the US. But while some syringe swaps have what LaSalle called "an active bathroom," where users are tacitly allowed to get high, this will the first local government to sanction use.
"It's just an exercise of discretion we see law enforcement make all the time," said Patricia Sully, a member of the task force and a staff attorney at Seattle's Public Defender Association. "The public health authority has the power to operate a facility like this as a public health emergency measure."
The argument for safe spaces is that it's better for both users and the public to have addicts injecting indoors in a place where they won't die, rather than in a high-risk place like a park, alley, sidewalk, or indoors alone. In addition to providing sterile needles, staff members at safe injection sites typically carry the overdose antidote naloxone.
Just a few hours north of Seattle in Vancouver, British Columbia is Insite, North America's first and only supervised injection facility. Insite has seen its guests inject more than 3 million doses of street drugs since it opened in 2003, according to spokesperson Anna Marie D'Angelo, and it has not had a single fatal overdose. Insite also works closely with Vancouver's police, D'Angelo said.
"They'll put out resources saying 'There's a bad batch, go to Insite, don't inject alone,'" she said. "There's a partnership."
But as advocates like Sully point out, "supervised consumption sites don't exist to prevent just overdoses." Insite visitors are offered comprehensive medical care under Canada's public health system, and, beyond reducing fatal overdoses in Vancouver by nearly 10 percent, the program reversed what one researcher called "the most explosive epidemic of HIV infection that had been observed outside of sub-Saharan Africa." British Columbia now has one of Canada's lowest HIV infection rates.
Seattle is expected to place its facilities at locations where users can already access rehab programs, clean syringes, and basic health care. A recent survey of Washington syringe exchange participants found that 75 percent were interested in getting help reducing or stopping their use, but only 14 percent were enrolled in treatment. The city and nearby areas saw 132 overdose deaths last year, a slight decrease from 2014 but still way up from 49 opioid-related deaths just five years prior.
The supervised consumption sites in Seattle aren't being pitched as a panacea the heroin task force report suggests a comprehensive approach that includes county-wide expansions of treatment and prevention programs but the Drug Policy Alliance's LaSalle says that if the facilities prove successful, they could catch on nationwide.
The mayor of Ithaca, New York proposed opening injection facilities earlier this year, but his plan has faced resistance from some local officials and state lawmakers. Opponents claim giving addicts a place to get their fix will only lead to more drug use, but research from Vancouver's Insite has shown this fear to be largely unfounded.
"It seems like a really radical idea, but we need to help people to understand that it's an incremental step," LaSalle said. "[Users] are already going to exchanges to get clean needles, [but] they're still walking out the door and using somewhere. It makes a lot of sense both medically and politically to reduce all the nuisances around public injection. You improve public safety, and there's all these health benefits for the users themselves."
Nearly every major city across the United States has been affected by a wave of heroin abuse and overdoses in recent years, but none have responded with the radical but proven approach that Seattle-area officials now plan to take.
The problem is its the abuse and addiction. Hard drugs are those that you lose control and have not clue what you have done or will do. Heroin is a hard drug that is extremely addictive. Its not like Cocaine or Pot. Once people are hooked on it they become useless and to feed their habit they steal or prostitute themselves or children to get more hard drugs. Im seeing a major disaster heading their way.
So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?
So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?
Yep.
What they are waiting for is someone to give them the drugs so they can kill themselves with this poison. Druggies can think of nothing but the next high. They will pay any price to get it.
It blows my mind that they think pot is on the same level as heroin and meth.
"So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
Yep.
Why do you think so? Do you know any such people?
What they are waiting for is someone to give them the drugs so they can kill themselves with this poison.
Drugs are not given away (nor even sold) by safe injection sites.
Not any more do I know those people. I stopped hanging around them along time ago. Human waste. All it takes is one bad day and they are on a binge and you have to step in and get them straight. What a life.
Right now I got a cousin hooked on meth. OMG even his parents have given up. What a waste. We met a few years ago after not seeing each other for nearly 20 years. He seemed his old goofing way. If he does not move from where he lives he will die there by OD. He has been busted and put in the pen at least 3 times now for a year at a time. He is in the pen right now while he has a 2 year old. I wish I could just drop kick his ass into being sane but as soon as he meets his old friends he will start using again. Such as a junkies life.
"So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
Yep.
"Why do you think so? Do you know any such people?"
Not any more do I know those people. I stopped hanging around them along time ago. Human waste. All it takes is one bad day and they are on a binge and you have to step in and get them straight.
No, I'm asking about people who have refrained from heroin use only because of the previous lack of safe injection sites. The people you're talking about did not refrain from heroin use.
"No, I'm asking about people who have refrained from heroin use only because of the previous lack of safe injection sites."
So you're asking if more people would use heroin if it was safer to use. Sure they would.
"However, several sources indicate an increase in new, young users across the country who are being lured by inexpensive, high-purity heroin that can be sniffed or smoked instead of injected."
You knew that, right? Yet you asked the question anyways. Typical troll.
"No, I'm asking about people who have refrained from heroin use only because of the previous lack of safe injection sites."
So you're asking if more people would use heroin if it was safer to use. Sure they would.
So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
"However, several sources indicate an increase in new, young users across the country who are being lured by inexpensive, high-purity heroin that can be sniffed or smoked instead of injected."
No evidence that this is about "safety" rather than an instinctual aversion to needles.
You knew that, right? Yet you dragged in the red herring anyways. Typical troll.
[misterwhite #17] So you're asking if more people would use heroin if it was safer to use. Sure they would.
[ConservingFreedom #22] So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
"So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
Provide evidence that any junkies quit because of lack of state sponsored shooting galleries.
"So your theory is that there are a substantial number of people who have been thinking they'd like to become homeless, helpless, worthless bums ... if only there were safe injections sites to shoot up at?"
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
Provide evidence that any junkies quit because of lack of state sponsored shooting galleries.
Unscramble your drug addled brain.
Addicted junkies do not quit because of a lack of state sponsored shooting galleries. Addicts look for their next fix wherever they can get it.
[nolu chan #18] What addict has ever refrained from shooting up because he lacked a "safe" injection site?
Read it again. Where does your bullshit question come from?
What you are avoiding:
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
Come on, you little weasel. Deny it. You would just keep them addicted until they die.
They develop tolerance and need more and more to achieve the same effect. They destroy various body organs in the process. They die young.
In one of the less glorious aspects of being a junkie, heroin is a very powerful anti-diarrhea medication. Junkies get to suffer fecal impactions. They may help each other in pairs at manual removal. Perhaps you could volunteer to help a junkie out.
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
"Provide evidence that any junkies quit because of lack of state sponsored shooting galleries."
Addicted junkies do not quit because of a lack of state sponsored shooting galleries.
Exactly my point: the number of those who remain homeless, helpless, worthless addicted bums has nothing to do with state sponsored shooting galleries.
Addicted junkies do not quit because of a lack of state sponsored shooting galleries.
Exactly my point: the number of those who remain homeless, helpless, worthless addicted bums has nothing to do with state sponsored shooting galleries.
You only prove that druggies can rationalize anything.
More people would remain homeless, helpless, worthless addicted bums if encouraged to use state sponsored shooting galleries to continue their addiction until they die.
That's what you would do. You would encourage them to stay addicted until they die.
Come on, you little weasel. Deny it. You would just keep them addicted until they die.
And you would knowingly have a state-sponsored shooting gallery take in a pregnant woman to shoot up heroin, druggie rationalizing that would be better for the baby than taking the expectant mother into custody. You are sick.
Portugal decriminalized the use of all drugs in 2001. Weed, cocaine, heroin, you name it -- Portugal decided to treat possession and use of small quantities of these drugs as a public health issue, not a criminal one. The drugs were still illegal, of course. But now getting caught with them meant a small fine and maybe a referral to a treatment program -- not jail time and a criminal record.
Whenever we debate similar measures in the U.S. -- marijuana decriminalization, for instance -- many drug-policy makers predict dire consequences. If you make any attractive commodity available at lower cost, you will have more users," former Office of National Drug Control Policy deputy director Thomas McLellan once said of Portugal's policies. Joseph Califano, founder of the Center for Addiction and Substance Abuse at Columbia University, once warned that decriminalization would "increase illegal drug availability and use among our children."
But in Portugal, the numbers paint a different story. The prevalence of past-year and past-month drug use among young adults has fallen since 2001, according to statistics compiled by the Transform Drug Policy Foundation, which advocates on behalf of ending the war on drugs. Overall adult use is down slightly too. And new HIV cases among drug users are way down.
Now, numbers just released from the European Monitoring Centre for Drugs and Drug Addiction paint an even more vivid picture of life under decriminalization: drug overdose deaths in Portugal are the second-lowest in the European Union.
Addicted junkies do not quit because of a lack of state sponsored shooting galleries.
"Exactly my point: the number of those who remain homeless, helpless, worthless addicted bums has nothing to do with state sponsored shooting galleries."
You only prove that druggies can rationalize anything.
Logical consequences are not "rationalizations." You argue incoherently in support of your predetermined conclusion; have fun with that, but you'll have to play without me.