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These findings suggest that SIF can play a role in managing overdoses. Harm Reduction Journal Reducing Harms Associated With Drug-Related Overdose Conventional drug overdose prevention strategies have been criticised for failing to address the macro- and micro-environmental factors that shape drug injecting practices and compromise individual ability to reduce the risks associated with drug-related overdose. After program costs are taken into account, this prevention method is generating a societal benefit in excess of million per year and is an effective and efficient use of public health care resources. International Journal of Drug Policy Neighbourhood residents and businesses view In Site as making a positive contribution to public order This report explored the impact of In Site on public order in the surrounding neighbourhood. Wood 2008 Estimated Drug Overdose Deaths Averted by North America's First medically Supervised Safer Injection Facility. The study also considered the health effect of increased use of safe injection practices, the incremental net savings increased to more than million and the number of life-years gained to 1070. Drug users who use In Site for 75% or more of their injections are less likely to overdose than those who use the site less often.
Lancet Infectious Diseases 1-6 Changes in Public Order Reports that the opening of In Site appears to have lead to improvements in public order, including reduced public injection drug use and public syringe disposal. Canadian Medical Association Journal 11-4 Impact on Drug Related Crime Examines crime rates in the neighborhood surrounding In Site during the year before versus the year after In Site opened. Impact of a Medically Supervised Safer Injecting Facility on Drug Dealing and Other Drug- Related Crime. American Journal of Public Health In Site reduces strain on the health care system Specialized and relevant onsite care is proven to reduce ER visits and hospitalizations among local injection drug users. These findings should be useful to other cities considering supervised injecting facilities and to governments considering regulating their use. Kerr 2007 Factors Associated with Public Injecting Among Users of Vancouver's Supervised Injection Facility. AIDS Care In Site provides a variety of integrated health care services This study examined the factors associated with receiving care for cutnaeous injection-related infections among In Site users. Jo-Anne Stoltz, Evan Wood, Will Small, Kathy Li, Mark Tyndall, Julio Montaner, Thomas Kerr, 2007. Montaner, Evan Wood, 2007 Addictive Behaviors Limiting Hepatitis C Infection The SIF has attracted injection drug users with a high burden of HCV infection and a substantial proportion of uninfected individuals. Changes in injecting practices associated with the use of a medically supervised safer injection facility. Although crosssectional, this study provides some insight into historical risks for HCV infection among this population, and prospective follow-up of this cohort will be useful to determine if use of the SIF is associated with reduced risk behaviour and HCV incidence.
De Beck K, Kerr T, Zhang R, Marsh D, Tyndall M, Montaner J, Wood E. Injection drug use cessation and use of North America's first medically supervised safer injecting facility. Increased Use of Addiction Treatment The Safe Injection Facility's opening was associated independently with a 30% increase in detoxification service use, and this behaviour was associated with increased rates of long-term addiction treatment initiation and reduced injecting at the SIF. Wood E, Kerr T, Montaner JS, Strathdee S, Kerr T, et al. Rationale For Evaluating North America's First Medically Supervised Injecting Facility. Changes In Public Order After The Opening of a Medically Supervised Safer Injection Facility for Injection Drug Users. Wood 2007 Circumstances of First Injection Among Illicit Drug Users Accessing a Medically Supervised Safer Injecting Facility. The study concludes that an expansion of services would decrease public injecting.