Safer Injection Sites

FOR IMMEDIATE RELEASE: July 7, 2008 CONTACT: Rev. Harry Herbert, Executive Director, UnitingCare NSW & Tony Trimingham, founder of the Damien Trimingham Foundation. To organise an interview, please call Mardi Stewart on 0402 231 142. Groundbreaking founder says goodbye It's been a long and arduous journey for Dr Ingrid van Beek who as the medical director of Australia's first Medically Supervised Injecting Centre (MSIC) has put her heart and soul into this ground-breaking public health initiative over the past eight years. Today, in an historic announcement, Dr van Beek announces her resignation as its inaugural Medical Director. "It's been a great privilege to work in a field that I have such a strong commitment and passion for. My only disappointment is that the MSIC continues to operate on a trial basis," says Dr van Beek. The Kings Cross service received a four-year trial extension by the NSW Government in June last year, making it a ten and a half year scientific trial. "It's important the MSIC is judged on its health outcomes and it is now well-established the MSIC has been effective in reducing the various drug-related harms associated with street-based injecting to both individual drug users and the greater community," says Dr van Beek. The statistics speak for themselves: - 80 per cent of long term local Kings Cross residents and 68 percent of local business managers support the MSIC. - Over 10,000 injecting drug users have registered to use the MSIC to date. - More than 200 injecting episodes occur at MSIC every day i.e. in a clinical setting where in the event of a medical emergency eg overdose, specially trained registered nurses provide prompt and effective resuscitation. These injecting episodes would have otherwise occurred in unsupervised, often public and squalid circumstances in the local environs where timely help is in the lap of the gods. - 2,458 drug overdoses have been successfully treated onsite in the past seven years. - Ambulance callouts to heroin overdoses in the area have decreased by 80 percent thereby freeing Ambulance services to attend other medical emergencies in the area. - MSIC staff have referred drug users to other services including drug treatment and rehabilitation programs on more than 7,000 occasions to date. "One of the highlights of my time spent at the MSIC is seeing first hand staff helping drug dependent users who are often in desperate personal circumstances and leading socially isolated lives. I am humbled to know we have helped these people get their lives back on track." says Dr van Beek. "My one hope is that the MSIC's trial status is revisited prior to the next State election. The MSIC's apparently endless trial status is a barrier to its integration with the rest of the public health system affecting continuity of care, workforce development and staff morale, especially as the end of each trial period draws near. It also ensures that the service remains politicised; the work we do is too important to be subject to partisan politics," says Dr van Beek. Rev. Harry Herbert, Executive Director, UnitingCare NSW says without the insight, personal dedication, political acumen, tenacity and determination of Dr van Beek, the MSIC would not have succeeded as it has. "Ingrid made the dream a reality. She played an integral part in establishing the MSIC. She has been an inspiration to the staff, clients, businesses and community members associated with the MSIC." "Ingrid is congratulated and should be recognised and admired for her work in preventing and reducing drug-related harm and communicable diseases amongst one of society's most marginalised groups - injecting drug users," says Rev Herbert. Dr van Beek was recently inducted into the National Drug and Alcohol Awards Honour Roll for her tireless and significant contribution to the drug and alcohol field over many years. The Awards are a collaborative effort of the Ted Noffs Foundation, The Australian Drug Foundation, The Alcohol and Other Drugs Council of Australia and the Australian National Council on Drugs. Dr van Beek is returning to her original post as the full time Director of the Kirketon Road Centre in Kings Cross. Dr Marianne Jauncey, a public health physician, will take over as the Medical Director of the MSIC in the coming weeks. Dr Jauncey started her public health career working at the clinical coalface at the nearby Kirketon Road Centre, so she is well placed to take on this important role.

[Courtesy of the Harm Reduction Coalition] By changing San Francisco, we change the world A major part of addressing the expanding HIV/AIDS and overdose mortality rates in the United States is good public policy. The legacy of democracy is that when elected officials falter on implementing public policies that save lives, the public itself must step forward and urge those officials to take a stand. We need 200 signatures by December from organizations and individuals living or working in San Francisco on a petition that will be delivered to the desk of Mayor Gavin Newsom, the San Francisco Board of Supervisors, and the San Francisco Department of Health Director Mitchell Katz demanding that our city create a legal safer injection facility to reduce the number of deaths by overdose and to curb the transmission of HIV and Hepatitis C. Your activism does make a difference. With your support we were able to beat back an amendment in Congress by conservative South Carolina senator Jim DeMint that sought to ban all federal funding from any city that chose to slow the spread of HIV/AIDS and save lives through the creation of a safe injection center. Join our petition to Mayor Newsom and help to save lives. Visit our website and sign our online petition today. http://www.democracyinaction.org/dia/organizations/HRC/petition.jsp?petition_KEY=763 Other nations around the world have built 65-safer injection facilities in twenty-seven cities and eight nation, let's make San Francisco the first city in the U.S. to create one and begin a national trend that starts putting lives above politics. Hilary McQuie, Western Regional Director Harm Reduction Coalition www.harmreduction.org [email protected]

For Immediate Release: October 17, 2007 Contact: Laura Thomas 415-846-4614 Public Heath Officials, Injection Drug Users and Advocates Join to Explore Solutions to Injection Drug Use in San Francisco October 18 Symposium Will Examine Needs, Feasibility, Support and Options for Legal Safe-Injection Facility 27 Cities in Eight Countries Have Adopted Safe Injecting Sites; Evidence Shows they Reduce HIV, Crime and Drug Use Public health officials, injection drug users, drug war reform adovocates and others will convene for a day-long symposium to examine the needs, feasibility, support, and various options for a legal Safe Injection Facility in San Francisco. The envisioned Safe Injection Facility would serve homeless and marginally housed injection drug users, and the communities most affected by them. The symposium, which is free of charge, will be held on October 18, from 9:30 a.m. to 4:00 p.m., at the Women's Building auditorium, 3543 18th St. & Valencia in San Francisco. Speakers include public health officials, service providers, legal experts, injection drug users, community groups, leaders in the faith community and evaluators from InSite, a safe injection facility in Vancouver, Canada. San Francisco has several large concentrations of injection drug users (IDUs), and while prevalence of HIV/AIDS remains relatively low among IDUs, rates of hepatitis C have reached epidemic levels, and fatal opiate overdose remains one of the leading causes of death in San Francisco. Community concerns regarding public drug use and improperly discarded syringes have been raised repeatedly over the last few decades. Twenty-seven other cities in eight countries around the world facing similar issues have opened Safe Injection Facilities, and this symposium will open a broad discussion about this option. The symposium is sponsored by the San Francisco Department of Public Health, and the Alliance for Saving Lives (ASL), a community consortium working to promote community and individual health through legal safer substance use sites. ASL members include the Harm Reduction Coalition, Tenderloin Health, Mission Neighborhood Resource Center, Homeless Youth Alliance, Drug Policy Alliance, and individual researchers and service providers throughout San Francisco. Continuing Education Units are available for a small fee for RN's, Certified Addiction Treatment Specialists, LCSW's and MFT's. As seating is limited, please RSVP to [email protected] to reserve a space. ###

For Immediate Release: June 14, 2007 Contact: David Hurford, Director of Communications, City of Vancouver - Office of the Mayor, T: 604.873.7410 or 604.561.3970 Vancouver Mayor Sam Sullivan and City Councillors today voted for a City Council resolution to support two important drug policy measures, including: a.. Vancouver Coastal Health Authority's federal application for a 3.5 year extension of Vancouver's safe injection site b.. the general principles and objectives of the Inner Change Society's Chronic Addiction Substitution Treatment (CAST) research trial The measures were introduced by Vancouver City Councillor Kim Capri and seconded by Mayor Sullivan. "The resolution passed by City Council further supports the development of compassionate solutions to the social challenges we face," said Mayor Sullivan. "In addition to supporting the five goals I have established for my government, the extension of the safe injection site and the CAST research trial will help us meet the objectives of Project Civil City." A complete copy of the approved resolution and a background document regarding CAST general objectives and principles are included below. In addition to supporting these measures, Council has asked City Staff to report back to City Council on how the CAST goals and objectives can support Vancouver's drug policy. -END- Test of the Vancouver Drug Policy Resolution: WHEREAS The Vancouver Coastal Health Authority's Safe Injection Site: a.. was first formally introduced by former Mayor Philip Owen with Vancouver's Four Pillars strategy to improve conditions in the Downtown Eastside; b.. is one element of a drug strategy that also includes prevention, treatment and enforcement; c.. has been successfully operating for the last 3.5 years under a federal regulatory exemption which expires this year; d.. has been the subject of research studies that support its effectiveness in reducing the harm associated with drug use and addiction; e.. supports the City of Vancouver's goal of civility on our streets and finding compassionate solutions to challenging social issues; f.. supports Vancouver's objectives as identified in Project Civil City; g.. complements the groundbreaking North American Opiate Medication Initiative (NAOMI) heroin assisted treatment trials led by researchers at the University of British Columbia and University of Montreal, and funded by the Canadian Institutes of Health Research; h.. will be an important agenda item on Mayor Sam Sullivan's meeting next month with the Four Pillars Coalition; i.. has submitted an application to Health Canada for a 3.5 year extension of their federal exemption. AND WHEREAS The Inner Change Society's Chronic Addiction Substitute Treatment (CAST) research trial: a.. will work with addicted people to change their drug addiction from illegal street drugs to legally available, orally-administered prescription medications; b.. will analyze the effects on both the user's health and the community at large; c.. will include regular interaction with health professionals and facilitate interventions to help users develop an "exit strategy" to end their drug dependency; d.. proposes to help reduce the open drug market and other illegal activity, improve health, increase access to housing and more employment opportunities for individual addicts; e.. is being developed by some of the most experienced health researchers in the field of mental health and addiction; f.. is based in Vancouver and has garnered support from a broad range of key stakeholders and an experienced Board of Directors; g.. is consistent with the drug substitution elements of the Four Pillars strategy; h.. supports the City of Vancouver's goal of civility on our streets and finding compassionate solutions to challenging social issues; i.. supports Vancouver's objectives as identified in Project Civil City; j.. is one element of a drug strategy that also includes prevention, treatment and enforcement; k.. will be an important agenda item on Mayor Sam Sullivan's meeting next month with the Four Pillars Coalition; l.. will also require a federal regulatory exemption; m.. complements the objectives of Vancouver's safe injection site and NAOMI heroin assisted treatment trials; n.. is likely to receive referrals from Vancouver Coastal Health's supervised injection site. THEREFORE BE IT RESOLVED THAT Vancouver City Council formally express its support for the Vancouver Coastal Health Authority's federal application for a 3.5 year extension of Vancouver's Safe Injection Site. BE IT FURTHER RESOLVED THAT Vancouver City Council formally express its support for the general principles and objectives of the Inner Change Society's Chronic Addiction Substitute Treatment (CAST) research trial as part of a comprehensive plan with additional effort to support the Four Pillars strategy and request that staff report back on the CAST program and how it would be incorporated into the City's drug policy. -END-

Perry Kendall (British Columbia's Provincial Health Officer) sent the following to the Vancouver Sun on March 2, 2007: Subject: INCB and SIS I am writing in respect of the front page story (Friday march 2nd 2007) concerning the International Narcotic Control Board's (INCB) assertion that countries permitting supervised injection facilities are in breach of international drug control treaties.