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  • The Case for Heroin-Assisted Treatment in Canada

    Posted on November 1st, 2013 TimB No comments



    Heroin-Assisted Treatment, or HAT, is a medical intervention that provides prescription, pharmaceutical-grade diacetylmorphine (heroin) to people with long-term opioid dependency who have not responded to traditional treatments.  It is cost-effective, reduces crime, and promotes individual and public health.  Learn more about why HAT is good for Canada in this booklet PIVOT  produced for the  public forum on October 30, 2013.


  • A cost-benefit/cost-effectiveness analysis of proposed supervised injection facilities in Montreal, Canada

    Posted on July 12th, 2013 TimB No comments

    This paper will determine whether expanding Insite (North America’s first and only supervised injection facility) to more locations in Canada such as Montreal, cost less than the health care consequences of not having such expanded programs for injection drug users.

    With very conservative estimates, it is predicted that the addition of each supervised injection facility (up-to a maximum of three) in Montreal will on average prevent 11 cases of HIV and 65 cases of HCV each year. As a result, there is a net cost saving of CDN$0.686 million (HIV) and CDN$0.8 million (HCV) for each additional supervised injection site each year. This translates into a net average benefit-cost ratio of 1.21: 1 for both HIV and HCV.

    The research concluded that  funding supervised injection facilities in Montreal appears to be an efficient and effective use
    of financial resources in the public health domain.


  • Vancouver’s supervised injection facility challenges Canada’s drug laws

    Posted on August 31st, 2010 TimB No comments

    Harm reduction for injection drug users started with community-based programs to provide clean needles and has grown to include supervised injection facilities. Such services have existed for several years in Australia and Europe.1 In 2003, North America’s first sanctioned supervised injection facility, Insite, was opened in the Downtown Eastside of Vancouver, British Columbia. To permit the facility to open, the then Canadian Liberal government exempted Insite from some provisions of the Controlled Drugs and Substances Act relating to trafficking.

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  • Supervised Injection Facilities N412 – Final Revision

    Posted on April 10th, 2010 TimB No comments

    The aim of this paper was to review the literature that explores the effectiveness of harm reduction strategies, specifically supervised injection facilities (SIF). The rates of Hepatitis C (HVC) and Human Immunodeficiency Virus (HIV) have reached startling proportions. In Canada, the realities of illicit drug use have been acknowledged and harm reduction strategies implemented, including North Americas first supervised injection facility (SIF) in 2003, Vancouvers InSite. Given the overwhelming statistics of the prevalence rates of HCV and HIV among intravenous drug users (IDU) within British Columbia, the effectiveness of supervised injection facilities as a harm reduction approach requires investigation.

  • Distributing safer crack use kits in Canada

    Posted on March 6th, 2010 TimB No comments

    A number of public health departments and community organizations in Canada distribute safer crack use kits to people who use crack cocaine. The kits typically include mouthpieces, glass stems and screens, as well as condoms and referral information for other health and support services. This document outlines why such health programs are needed and answers a number of legal questions related to the distribution of safer crack use kits.


  • Harm-reduction advocates say need-exchange efforts have lost ground

    Posted on March 6th, 2010 TimB No comments

    A tearful Bernie Pauly acknowledged Victoria’s street community, including some who have died, as she described Victoria’s stalled harm-reduction efforts to a packed community forum Wednesday night.

    Pauly, an assistant nursing professor and a research fellow at the University of Victoria’s Centre for Addictions Research, said Victoria’s harm-reduction plan had vision but has lost ground — and its fixed needle exchange.

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  • From the ground up : Vancouver’s Supervised Injection Site’s Role in Accessing Treatment and Care

    Posted on February 3rd, 2010 TimB No comments

    Canada has long been regarded as a global leader in health care delivery and innovation. Since September 2003, Insite, North America’s first Supervised Injection Site, has kept that tradition alive by offering care to some of Vancouver’s more than 12,000 injection drug users. Health care providers from around the world are looking to Vancouver as a model for how to treat and care for people with chronic addiction and complex health issues.


  • Conservatives in Canada hold harm reduction scientific research in contempt

    Posted on February 2nd, 2010 TimB No comments

    The recent British Columbia Court of Appeal decision that has allowed Vancouver’s supervised injecting facility for illicit drug users, known as Insite, to remain open is a victory for the scientific research, the people who use this health-care facility and all Canadians who are concerned about reducing the harms associated with drugs in our society.

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  • B.C. court rules Vancouver’s Insite safe injection site can stay open

    Posted on January 16th, 2010 TimB No comments

    Vanouver — The B.C. Court of Appeal has dismissed a federal government appeal, which means InSite, the Vancouver supervised safe-injection site that was the first of its kind in Canada, will remain open.

    The federal government is expected to appeal Friday’s split 2-1 ruling to the Supreme Court of Canada.

    Vancouver Mayor Gregor Robertson reacted by saying he strongly supports the ruling and the continued operation of InSite to improve the lives of drug addicts.

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  • Heroin use rises, spread feared Experts lament injection-drug increasein Canada

    Posted on January 12th, 2010 TimB No comments

    recent surge in the number of inner-city drug users injecting heroin has addiction experts worried the powerful opiate could spread on the streets of Winnipeg.

    Until now, heroin abuse was virtually unheard of in Manitoba. The worrisome trend coincides with a rise in injection-drug use in Winnipeg’s core — a phenomenon that surfaced in the past few months and puts more drug users at higher risk of overdose and infectious diseases such as HIV and hepatitis C.

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