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"content": "\u003cp>Local, national and international media have \u003ca href=\"https://www.dailymail.co.uk/news/article-10439965/Photos-new-linkage-SF-facility-populated-drug-users-shooting-broad-daylight.html\">documented unhoused people using drugs in San Francisco’s Tenderloin\u003c/a> for decades, and residents critical of how the city is addressing drug use regularly share images of people using on social media.\u003c/p>\n\u003cp>Those images tend to swell in number as discussion of the Tenderloin and public drug use grows, like the public debate surrounding the supervised injection site bill recently vetoed by Gov. Gavin Newsom. Recent videos of people living on the streets shared by Michael Shellenberger, \u003ca href=\"https://calmatters.org/california-voter-guide-2022/governor/michael-shellenberger/\">a frequent critic of the city\u003c/a>, who wrote a book called “San Fransicko,” \u003ca href=\"https://mobile.twitter.com/ShellenbergerMD/status/1568237548274864128\">racked up millions of views\u003c/a>.\u003c/p>\n\u003cp>But sharing videos and photos of people who may be living in poverty, struggling with mental illness, or dealing with addiction has also raised ethical and privacy concerns with some advocates. After being seen on social media living on the streets and using drugs, people risk added difficulties getting jobs, or being seen by people they’re trying to escape.[pullquote size=\"medium\" align=\"right\" citation=\"Tracey Helton Mitchell, Daly City resident\"]‘The pictures that you really see a lot of are people just suffering, just suffering. If you really cared about them, you could black out their faces.’[/pullquote]\u003c/p>\n\u003cp>Tracey Helton Mitchell knows what it’s like to be shown on film in her worst moments. In the late ’90s, Mitchell was living in San Francisco and deep in the throes of a heroin addiction.\u003c/p>\n\u003cp>It’s a painful part of her past that millions of people have also seen. That experience was documented in Steven Okazaki’s documentary film “\u003ca href=\"https://www.youtube.com/watch?v=um4iziAIZck&t=1s\">Black Tar Heroin: The Dark End of the Street\u003c/a>.”\u003c/p>\n\u003cp>She agreed to participate in the film because she was convinced she was going to die of an overdose anonymously in a hotel or an alleyway somewhere in San Francisco.\u003cbr>\n\u003cb>\u003cbr>\n\u003c/b>“I was on heroin the whole time, really on heroin. There’s a part of the film where [the filmmaker] shows me doing laundry and I’d asked him, like, ‘Why was I doing laundry?’ Because I never did laundry,” Mitchell said. “And he said, ‘Because you always shot heroin. We had to film you doing something else.'”\u003c/p>\n\u003cp>Mitchell was sober by the time the film premiered in 1999. But she did not expect how popular it would be, or that she would lose her privacy.\u003c/p>\n\u003cp>“People were offering me drugs. People fell in love with this [person], you know, they had this relationship with this person that was in this movie,” she said. “And I do mean fall in love. I had weird stalkers, like I’m not exaggerating. And it has sort of a cult following now, people contact me every week about it still.”\u003c/p>\n\u003cp>Now more than two decades after the premiere of the documentary that changed Mitchell’s life, images, photos and videos of San Franciscans using drugs, or passed out, are regularly shared on social media.\u003c/p>\n\u003cp>Mitchell can understand why people want to capture what they see on the streets of San Francisco, because those images are one way to get the attention of political leaders.\u003c/p>\n\u003cp>But she’s also troubled that people seem to be using images for their own political gain without considering the person’s humanity.\u003c/p>\n\u003cp>“The pictures that you really see a lot of are people just suffering, just suffering. If you really cared about them, you could black out their faces,” Mitchell said. “It very simply boils down to, ‘Are we dehumanizing people by highlighting them at the worst moments of their life?'”\u003c/p>\n\u003cp>Navigating issues around social media and informed consent can also be complicated, Mitchell said. Someone might agree to be photographed one day, go into rehab, and no longer want the image online for the public to see. Family members might want the photos taken down.\u003c/p>\n\u003cp>It is \u003ca href=\"https://www.acludc.org/en/know-your-rights/know-your-rights-if-stopped-photographing-public\">generally legal to take photographs of people in public settings without their consent\u003c/a>. But advocates for people who are unhoused or use drugs say there are also privacy and ethical concerns when images of people are shared widely.\u003c/p>\n\u003cfigure id=\"attachment_11911803\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11911803\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Tracey Helton Mitchell talks with her son in their backyard in Daly City on April 5, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>People in the images could be fleeing domestic violence or other dangerous situations, said Jennifer Friedenbach, executive director of the Coalition on Homelessness.\u003c/p>\n\u003cp>Friedenbach said the way images are used to call for more criminalization of people who use drugs feels exploitative, like trolling.\u003c/p>\n\u003cp>“That could negatively impact them as they walk through life having better moments or [when they] are trying to get work,” Friedenbach said. “I just don’t think it’s ethical to do that to people.”\u003c/p>\n\u003cp>Ricci Wynne, who describes himself as in recovery, shared a video on Twitter in July showing kids getting off a bus amid a scene of apparent drug use in the Tenderloin. He said in an interview with CBS Bay Area that he was angered by what he saw and wants city leaders to take action.\u003c/p>\n\u003cp>The video garnered over 10,000 likes, and was featured in the Daily Mail tabloid in the U.K. and TMZ. Other accounts that regularly post videos showing despair on San Francisco streets focus on specific blocks or neighborhoods.\u003c/p>\n\u003cp>Adam Mesnick, who runs a controversial Twitter account called @bettersoma, said images are a way to bring attention to an ongoing problem.\u003c/p>\n\u003cp>He’s posted or shared videos of people using drugs, and people lying on the streets and suffering. Mesnick said he understands the criticism but his Twitter account is not the problem.\u003c/p>\n\u003cp>“It is a very valid opinion that you have a problem with the photo. But I have a bigger problem with the way the situation is being handled now,” he said.\u003c/p>\n\u003cp>Mesnick said the images he photographs are what he sees every day in San Francisco, and he gives people 10 dollars to take their photos and often tries to have conversations with them.\u003c/p>\n\u003cp>He said that personal interaction is more than what he’s seen a lot of the public do.\u003c/p>\n\u003cp>“I probably check on every single person underneath a blanket that I’ve ever seen in San Francisco since as far as I can remember backwards. And the reality is people just walk right by,” he said.\u003c/p>\n\u003cp>There are \u003ca href=\"https://niemanreports.org/articles/images-of-addiction-and-recovery/\">ways to ethically photograph or film people\u003c/a> who use drugs, said Graham MacIndoe, a photographer and teacher who documented his own active heroin addiction in a series of self-portraits entitled “\u003ca href=\"https://www.grahammacindoe.com/SOCIAL-JUSTICE/Coming-Clean/17\">Coming Clean\u003c/a>.” He said when asking for consent, it’s important to use plain language explaining how the photograph will be used and what it is for.\u003c/p>\n\u003cp>“I do think we should show all sides of the war on drugs and the crisis that’s happening right now,” he said, adding that that should include giving agency to people who use drugs or who are in treatment, and asking them what the solutions are.\u003c/p>\n\u003cp>“We’ve all seen those pictures, we’ve all seen people … in the Tenderloin or wherever, lying in corners, homeless, using drugs, whatever,” he said. “You add another picture to that pile of pictures and what does it do? Nothing. It just reinforces that there’s a problem. But it doesn’t bring us closer to a solution.”\u003c/p>\n\u003cp>He said too few photographs focus on solutions, particularly given that the country is far past the point of needing photos to raise awareness about the epidemic.\u003c/p>\n\u003cp>After the premiere of “Black Tar Heroin,” Tracey Helton Mitchell focused on caring for and treating people who use drugs. She went on to write a memoir, “\u003ca href=\"https://www.sealpress.com/titles/tracey-helton-mitchell/the-big-fix/9781580056045/\">The Big Fix: Hope After Heroin\u003c/a>,” and said she doesn’t regret being in the film because it helped so many people.\u003c/p>\n\u003cp>And she also doesn’t have many photos to remember that time in her life, which is why it’s also important to ask people being photographed if they’d like copies of their own images. People who are homeless often get their belongings stolen or thrown away, and lose everything.\u003c/p>\n\u003cp>The people Mitchell knew who took photos of her during that time in her life are no longer alive.\u003c/p>\n\u003cp>“The only pictures I have from the age of 18 to the age of 27 are mug shots and [photos from] ‘Black Tar Heroin.’ That’s it,” she said. “If I didn’t have that, it would be almost like I didn’t exist for 10 years\u003ci>.” \u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Local, national and international media have \u003ca href=\"https://www.dailymail.co.uk/news/article-10439965/Photos-new-linkage-SF-facility-populated-drug-users-shooting-broad-daylight.html\">documented unhoused people using drugs in San Francisco’s Tenderloin\u003c/a> for decades, and residents critical of how the city is addressing drug use regularly share images of people using on social media.\u003c/p>\n\u003cp>Those images tend to swell in number as discussion of the Tenderloin and public drug use grows, like the public debate surrounding the supervised injection site bill recently vetoed by Gov. Gavin Newsom. Recent videos of people living on the streets shared by Michael Shellenberger, \u003ca href=\"https://calmatters.org/california-voter-guide-2022/governor/michael-shellenberger/\">a frequent critic of the city\u003c/a>, who wrote a book called “San Fransicko,” \u003ca href=\"https://mobile.twitter.com/ShellenbergerMD/status/1568237548274864128\">racked up millions of views\u003c/a>.\u003c/p>\n\u003cp>But sharing videos and photos of people who may be living in poverty, struggling with mental illness, or dealing with addiction has also raised ethical and privacy concerns with some advocates. After being seen on social media living on the streets and using drugs, people risk added difficulties getting jobs, or being seen by people they’re trying to escape.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tracey Helton Mitchell knows what it’s like to be shown on film in her worst moments. In the late ’90s, Mitchell was living in San Francisco and deep in the throes of a heroin addiction.\u003c/p>\n\u003cp>It’s a painful part of her past that millions of people have also seen. That experience was documented in Steven Okazaki’s documentary film “\u003ca href=\"https://www.youtube.com/watch?v=um4iziAIZck&t=1s\">Black Tar Heroin: The Dark End of the Street\u003c/a>.”\u003c/p>\n\u003cp>She agreed to participate in the film because she was convinced she was going to die of an overdose anonymously in a hotel or an alleyway somewhere in San Francisco.\u003cbr>\n\u003cb>\u003cbr>\n\u003c/b>“I was on heroin the whole time, really on heroin. There’s a part of the film where [the filmmaker] shows me doing laundry and I’d asked him, like, ‘Why was I doing laundry?’ Because I never did laundry,” Mitchell said. “And he said, ‘Because you always shot heroin. We had to film you doing something else.'”\u003c/p>\n\u003cp>Mitchell was sober by the time the film premiered in 1999. But she did not expect how popular it would be, or that she would lose her privacy.\u003c/p>\n\u003cp>“People were offering me drugs. People fell in love with this [person], you know, they had this relationship with this person that was in this movie,” she said. “And I do mean fall in love. I had weird stalkers, like I’m not exaggerating. And it has sort of a cult following now, people contact me every week about it still.”\u003c/p>\n\u003cp>Now more than two decades after the premiere of the documentary that changed Mitchell’s life, images, photos and videos of San Franciscans using drugs, or passed out, are regularly shared on social media.\u003c/p>\n\u003cp>Mitchell can understand why people want to capture what they see on the streets of San Francisco, because those images are one way to get the attention of political leaders.\u003c/p>\n\u003cp>But she’s also troubled that people seem to be using images for their own political gain without considering the person’s humanity.\u003c/p>\n\u003cp>“The pictures that you really see a lot of are people just suffering, just suffering. If you really cared about them, you could black out their faces,” Mitchell said. “It very simply boils down to, ‘Are we dehumanizing people by highlighting them at the worst moments of their life?'”\u003c/p>\n\u003cp>Navigating issues around social media and informed consent can also be complicated, Mitchell said. Someone might agree to be photographed one day, go into rehab, and no longer want the image online for the public to see. Family members might want the photos taken down.\u003c/p>\n\u003cp>It is \u003ca href=\"https://www.acludc.org/en/know-your-rights/know-your-rights-if-stopped-photographing-public\">generally legal to take photographs of people in public settings without their consent\u003c/a>. But advocates for people who are unhoused or use drugs say there are also privacy and ethical concerns when images of people are shared widely.\u003c/p>\n\u003cfigure id=\"attachment_11911803\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11911803\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS54977_004_KQED_TraceyHeltonMitchell_04052022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Tracey Helton Mitchell talks with her son in their backyard in Daly City on April 5, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>People in the images could be fleeing domestic violence or other dangerous situations, said Jennifer Friedenbach, executive director of the Coalition on Homelessness.\u003c/p>\n\u003cp>Friedenbach said the way images are used to call for more criminalization of people who use drugs feels exploitative, like trolling.\u003c/p>\n\u003cp>“That could negatively impact them as they walk through life having better moments or [when they] are trying to get work,” Friedenbach said. “I just don’t think it’s ethical to do that to people.”\u003c/p>\n\u003cp>Ricci Wynne, who describes himself as in recovery, shared a video on Twitter in July showing kids getting off a bus amid a scene of apparent drug use in the Tenderloin. He said in an interview with CBS Bay Area that he was angered by what he saw and wants city leaders to take action.\u003c/p>\n\u003cp>The video garnered over 10,000 likes, and was featured in the Daily Mail tabloid in the U.K. and TMZ. Other accounts that regularly post videos showing despair on San Francisco streets focus on specific blocks or neighborhoods.\u003c/p>\n\u003cp>Adam Mesnick, who runs a controversial Twitter account called @bettersoma, said images are a way to bring attention to an ongoing problem.\u003c/p>\n\u003cp>He’s posted or shared videos of people using drugs, and people lying on the streets and suffering. Mesnick said he understands the criticism but his Twitter account is not the problem.\u003c/p>\n\u003cp>“It is a very valid opinion that you have a problem with the photo. But I have a bigger problem with the way the situation is being handled now,” he said.\u003c/p>\n\u003cp>Mesnick said the images he photographs are what he sees every day in San Francisco, and he gives people 10 dollars to take their photos and often tries to have conversations with them.\u003c/p>\n\u003cp>He said that personal interaction is more than what he’s seen a lot of the public do.\u003c/p>\n\u003cp>“I probably check on every single person underneath a blanket that I’ve ever seen in San Francisco since as far as I can remember backwards. And the reality is people just walk right by,” he said.\u003c/p>\n\u003cp>There are \u003ca href=\"https://niemanreports.org/articles/images-of-addiction-and-recovery/\">ways to ethically photograph or film people\u003c/a> who use drugs, said Graham MacIndoe, a photographer and teacher who documented his own active heroin addiction in a series of self-portraits entitled “\u003ca href=\"https://www.grahammacindoe.com/SOCIAL-JUSTICE/Coming-Clean/17\">Coming Clean\u003c/a>.” He said when asking for consent, it’s important to use plain language explaining how the photograph will be used and what it is for.\u003c/p>\n\u003cp>“I do think we should show all sides of the war on drugs and the crisis that’s happening right now,” he said, adding that that should include giving agency to people who use drugs or who are in treatment, and asking them what the solutions are.\u003c/p>\n\u003cp>“We’ve all seen those pictures, we’ve all seen people … in the Tenderloin or wherever, lying in corners, homeless, using drugs, whatever,” he said. “You add another picture to that pile of pictures and what does it do? Nothing. It just reinforces that there’s a problem. But it doesn’t bring us closer to a solution.”\u003c/p>\n\u003cp>He said too few photographs focus on solutions, particularly given that the country is far past the point of needing photos to raise awareness about the epidemic.\u003c/p>\n\u003cp>After the premiere of “Black Tar Heroin,” Tracey Helton Mitchell focused on caring for and treating people who use drugs. She went on to write a memoir, “\u003ca href=\"https://www.sealpress.com/titles/tracey-helton-mitchell/the-big-fix/9781580056045/\">The Big Fix: Hope After Heroin\u003c/a>,” and said she doesn’t regret being in the film because it helped so many people.\u003c/p>\n\u003cp>And she also doesn’t have many photos to remember that time in her life, which is why it’s also important to ask people being photographed if they’d like copies of their own images. People who are homeless often get their belongings stolen or thrown away, and lose everything.\u003c/p>\n\u003cp>The people Mitchell knew who took photos of her during that time in her life are no longer alive.\u003c/p>\n\u003cp>“The only pictures I have from the age of 18 to the age of 27 are mug shots and [photos from] ‘Black Tar Heroin.’ That’s it,” she said. “If I didn’t have that, it would be almost like I didn’t exist for 10 years\u003ci>.” \u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco health clinic leaders are livid with Gov. Gavin Newsom over \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">his veto Monday of a safe-drug-consumption bill\u003c/a> that would have piloted sites where people could use illegal drugs under the supervision of health care workers.\u003c/p>\n\u003cp>“Newsom owns every overdose death in San Francisco, Oakland and Los Angeles,” said Vitka Eisen, CEO of HealthRIGHT 360, a San Francisco community health care nonprofit, referencing the three cities that would have participated in the pilot program.\u003c/p>\n\u003cp>Despite Newsom’s veto, HealthRIGHT 360 and the San Francisco AIDS Foundation say they will move to set up at least one safe consumption site in the city. [pullquote size=\"medium\" align=\"right\" citation=\"David Chiu, SF city attorney\"]‘Every day we don’t act, two more people will die tragically on our streets.’[/pullquote]\u003c/p>\n\u003cp>“We are ready, we’ve done the work,” said Laura Thomas, director of harm reduction policy at the SF AIDS Foundation, the city’s largest provider of harm-reduction services.\u003c/p>\n\u003cp>It’s unclear when a site would open, however, as the groups still need to find a location and seek out funding to run it.\u003c/p>\n\u003cp>If Newsom had signed SB 57, it would have provided legal protections for health care workers who operate the sites. But the two organizations are confident they can run the clinic without interference from law enforcement, after City Attorney David Chiu on Monday pledged his support for such a site.\u003c/p>\n\u003cp>“The tragedies on our streets have to stop,” Chiu told KQED. “We have to stop the deaths.”\u003c/p>\n\u003cp>“Every day we don’t act, two more people will die tragically on our streets,” he added. “Overdose prevention programs have been proven in over 100 places around the world. There have been 22 studies of these sites that have found that they reduce deaths and improve access to care while not increasing public safety issues to the surrounding community.”\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">More than 1,700 people have fatally overdosed in San Francisco\u003c/a> since 2020, often after inadvertently consuming fentanyl, a synthetic opioid up to 50 times stronger than heroin, according to the latest figures from San Francisco’s medical examiner — far outpacing the number of residents in the city who have died from COVID-19.\u003c/p>\n\u003cp>Federal law still prohibits operating, owning or renting a location for the purpose of using illegal drugs. But the U.S. Department of Justice has allowed two supervised consumption sites to operate in New York, and \u003ca href=\"https://apnews.com/article/business-health-new-york-c4e6d999583d7b7abce2189fba095011\">Attorney General Merrick Garland’s office has said it is “evaluating” the idea\u003c/a> and talking with regulators about “appropriate guardrails.”\u003c/p>\n\u003cp>San Francisco wouldn’t fund or operate a site in the city, Chiu told KQED. But he wouldn’t stop one either, he said, pointing to the model currently in operation in New York, where city leaders authorized the \u003ca href=\"https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html\">New York Harm Reduction Educators and Washington Heights Corner Project to run two sites\u003c/a>.\u003c/p>\n\u003cp>Newsom’s veto message said the unlimited number of sites authorized by SB 57 could create a “world of unintended consequences” and exacerbate current drug problems.[aside label=\"related coverage\" tag=\"fentanyl\"]Jerry Brown vetoed a similar bill in 2018.\u003c/p>\n\u003cp>Newsom, however, still voiced some support for the idea, but in a more limited form, and directed the state’s health agency to study the issue through a working group.\u003c/p>\n\u003cp>But many local leaders say that’s too little, too late.\u003c/p>\n\u003cp>“We don’t need a working group,” said state Sen. Scott Wiener, a San Francisco Democrat who introduced the legislation. The state, he said “lost a huge opportunity” to address one of its most deadly problems.\u003c/p>\n\u003cp>“This coalition has been working to get state legislation passed that does nothing more than give permission to cities to open these sites,” Wiener told KQED. “It’s just very, very devastating to have yet another gubernatorial veto as so many people die on our streets, two people a day in San Francisco alone.”\u003cbr>\n\u003ci>\u003cbr>\n\u003c/i>In Newsom’s veto statement, the governor said he first wanted to see “strong, engaged local leadership and well-documented, vetted, and thoughtful operational and sustainability plans” before throwing his support behind these sites.\u003c/p>\n\u003cp>That statement, in particular, seems to have hit a nerve with San Francisco community health organizers.\u003c/p>\n\u003cp>The AIDS Foundation’s Thomas called it “disingenuous and insulting.”\u003c/p>\n\u003cp>“It clearly wasn’t motivated by a desire to save lives,” she said.\u003c/p>\n\u003cp>“We spent 20 months working on this bill in the Legislature,” Thomas added. “Multiple meetings with the governor’s staff. They never raised any concerns. There was no substance to any of the concerns he raised in the veto. It was entirely a political maneuver.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco health clinic leaders are livid with Gov. Gavin Newsom over \u003ca href=\"https://www.kqed.org/science/1980034/california-allows-supervised-illicit-drug-use-to-prevent-overdoses\">his veto Monday of a safe-drug-consumption bill\u003c/a> that would have piloted sites where people could use illegal drugs under the supervision of health care workers.\u003c/p>\n\u003cp>“Newsom owns every overdose death in San Francisco, Oakland and Los Angeles,” said Vitka Eisen, CEO of HealthRIGHT 360, a San Francisco community health care nonprofit, referencing the three cities that would have participated in the pilot program.\u003c/p>\n\u003cp>Despite Newsom’s veto, HealthRIGHT 360 and the San Francisco AIDS Foundation say they will move to set up at least one safe consumption site in the city. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are ready, we’ve done the work,” said Laura Thomas, director of harm reduction policy at the SF AIDS Foundation, the city’s largest provider of harm-reduction services.\u003c/p>\n\u003cp>It’s unclear when a site would open, however, as the groups still need to find a location and seek out funding to run it.\u003c/p>\n\u003cp>If Newsom had signed SB 57, it would have provided legal protections for health care workers who operate the sites. But the two organizations are confident they can run the clinic without interference from law enforcement, after City Attorney David Chiu on Monday pledged his support for such a site.\u003c/p>\n\u003cp>“The tragedies on our streets have to stop,” Chiu told KQED. “We have to stop the deaths.”\u003c/p>\n\u003cp>“Every day we don’t act, two more people will die tragically on our streets,” he added. “Overdose prevention programs have been proven in over 100 places around the world. There have been 22 studies of these sites that have found that they reduce deaths and improve access to care while not increasing public safety issues to the surrounding community.”\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">More than 1,700 people have fatally overdosed in San Francisco\u003c/a> since 2020, often after inadvertently consuming fentanyl, a synthetic opioid up to 50 times stronger than heroin, according to the latest figures from San Francisco’s medical examiner — far outpacing the number of residents in the city who have died from COVID-19.\u003c/p>\n\u003cp>Federal law still prohibits operating, owning or renting a location for the purpose of using illegal drugs. But the U.S. Department of Justice has allowed two supervised consumption sites to operate in New York, and \u003ca href=\"https://apnews.com/article/business-health-new-york-c4e6d999583d7b7abce2189fba095011\">Attorney General Merrick Garland’s office has said it is “evaluating” the idea\u003c/a> and talking with regulators about “appropriate guardrails.”\u003c/p>\n\u003cp>San Francisco wouldn’t fund or operate a site in the city, Chiu told KQED. But he wouldn’t stop one either, he said, pointing to the model currently in operation in New York, where city leaders authorized the \u003ca href=\"https://www.nytimes.com/2021/11/30/nyregion/supervised-injection-sites-nyc.html\">New York Harm Reduction Educators and Washington Heights Corner Project to run two sites\u003c/a>.\u003c/p>\n\u003cp>Newsom’s veto message said the unlimited number of sites authorized by SB 57 could create a “world of unintended consequences” and exacerbate current drug problems.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Jerry Brown vetoed a similar bill in 2018.\u003c/p>\n\u003cp>Newsom, however, still voiced some support for the idea, but in a more limited form, and directed the state’s health agency to study the issue through a working group.\u003c/p>\n\u003cp>But many local leaders say that’s too little, too late.\u003c/p>\n\u003cp>“We don’t need a working group,” said state Sen. Scott Wiener, a San Francisco Democrat who introduced the legislation. The state, he said “lost a huge opportunity” to address one of its most deadly problems.\u003c/p>\n\u003cp>“This coalition has been working to get state legislation passed that does nothing more than give permission to cities to open these sites,” Wiener told KQED. “It’s just very, very devastating to have yet another gubernatorial veto as so many people die on our streets, two people a day in San Francisco alone.”\u003cbr>\n\u003ci>\u003cbr>\n\u003c/i>In Newsom’s veto statement, the governor said he first wanted to see “strong, engaged local leadership and well-documented, vetted, and thoughtful operational and sustainability plans” before throwing his support behind these sites.\u003c/p>\n\u003cp>That statement, in particular, seems to have hit a nerve with San Francisco community health organizers.\u003c/p>\n\u003cp>The AIDS Foundation’s Thomas called it “disingenuous and insulting.”\u003c/p>\n\u003cp>“It clearly wasn’t motivated by a desire to save lives,” she said.\u003c/p>\n\u003cp>“We spent 20 months working on this bill in the Legislature,” Thomas added. “Multiple meetings with the governor’s staff. They never raised any concerns. There was no substance to any of the concerns he raised in the veto. It was entirely a political maneuver.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "SF Political Leaders Speak at Rally Opposing Safe Injection Sites, Even as Many Privately Say They Support Them",
"title": "SF Political Leaders Speak at Rally Opposing Safe Injection Sites, Even as Many Privately Say They Support Them",
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"content": "\u003cp>San Franciscans rallied against fentanyl Sunday at an event marking National Fentanyl Prevention and Awareness Day — but even as they stood at City Hall in unity over a broader shared goal, opinions split over a bill that would allow the city to create safe injection sites for drug users.\u003c/p>\n\u003cp>The rally was hosted by Mothers Against Drug Deaths, an advocacy group that favors stricter penalties for drug users; group members argue that supervised injection sites will worsen addictions. But local officials are mostly in favor of the sites, arguing that pilot programs in the country and a growing body of science show \u003ca href=\"https://www.npr.org/sections/health-shots/2018/09/07/645609248/whats-the-evidence-that-supervised-drug-injection-sites-save-lives\">they prevent deaths among drug users\u003c/a>.\u003c/p>\n\u003cp>Notably, even District Attorney Brooke Jenkins, who has billed herself as tough on crime, has said she’s in favor of such spaces.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11922301,news_11691210,news_11911092\"]Safe injection sites, which are controversial because they allow drugs to be consumed on-site under the supervision of health care workers, may soon be a reality in California. Senate Bill 57, authored by state Sen. Scott Wiener, D-San Francisco, would allow a pilot program for safe injection sites to move forward in San Francisco, Oakland and Los Angeles. Several elected leaders who took part in Sunday’s event said they support the bill.\u003c/p>\n\u003cp>Gov. Gavin Newsom is expected to announce his decision either to sign or veto the bill on Monday, timing that the rally’s organizers used to deliver their message against it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>San Franciscan Tanya Tilghman told the crowd her son became addicted to drugs after seeking prescription drug treatment for his attention-deficit/hyperactivity disorder. Their family’s life soon spiraled into chaos, she said, including an incident where her son held himself hostage in North Beach until more than 15 SFPD officers managed to talk him down.\u003c/p>\n\u003cp>Her experience sharpened her opposition to SB 57.\u003c/p>\n\u003cp>“I am a mother, and I do kind of have an idea. Maybe we shouldn’t be passing SB 57 and funding it. Maybe we should take the money and put it into residential treatment programs and rehabilitation,” said Tilghman, one of several speakers at the rally who spoke out against the bill. She said putting government resources toward such sites was akin to “saying that it is OK to use illegal drugs.”\u003c/p>\n\u003cfigure id=\"attachment_11923138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg\">\u003cimg class=\"size-full wp-image-11923138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg\" alt=\"a line of women prepare to speak on the steps of San Francisco City Hall at a rally against fentanyl deaths\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Moms Against Drug Deaths hold a City Hall rally to raise awareness for fentanyl deaths in San Francisco on Aug. 21. \u003ccite>(Joe Fitzgerald Rodriguez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City officials who spoke at the rally — including Supervisors Rafael Mandelman and Matt Dorsey in addition to Jenkins — said they support the group's larger aim: to prevent drug deaths. But all three also told KQED they back supervised injection sites.\u003c/p>\n\u003cp>Mandelman, for his part, said speaking at a rally held by Mothers Against Drug Deaths was natural for him as he pushes for more ways to ease suffering on San Francisco streets — even if he does believe in safe injection sites.\u003c/p>\n\u003cp>“We don't have to agree on everything,” he said, “but we're real strong allies around a whole bunch of stuff.”\u003c/p>\n\u003ch2>Walking a fine political line\u003c/h2>\n\u003cp>Jenkins might be in a more sensitive political position as she runs to keep the seat to which she was appointed following the recall of her predecessor, Chesa Boudin. Perhaps in recognition of that, she walked a particularly fine line at the rally.\u003c/p>\n\u003cp>At the podium, Jenkins promised Mothers Against Drug Deaths her support of their broader efforts to curb drug use, and promoted her \u003ca href=\"https://www.sfdistrictattorney.org/press-release/district-attorney-brooke-jenkins-announces-new-policy-to-hold-drug-dealers-accountable-revokes-misdemeanor-plea-offers-for-fentanyl-dealers/\">newly announced policy to revoke misdemeanor plea deals for fentanyl dealers\u003c/a>. She avoided the topic of supervised consumption sites in her speech, while advocates who spoke touched on it repeatedly.\u003c/p>\n\u003cp>“Drug sales is not a victimless crime. And I think today really tells the story of how many people have been victims of this illegal conduct,” Jenkins told the crowd of about 50 people. “Yes, we are in a war against fentanyl. We are in a war against making sure that our children don't get what looks like candy in their hands, but that will kill them.”\u003c/p>\n\u003cp>But when asked if she supports SB 57, Jenkins told KQED in an interview that she does support safe injection sites.\u003c/p>\n\u003cp>“I agree with safe injection sites, safe consumption sites. We need to be saving lives. We're in a different universe right now. You know, 10 years ago, we didn't have as lethal a drug as fentanyl on the market,” she said.[pullquote align=\"right\" size=\"medium\" citation=\"Brooke Jenkins, San Francisco district attorney\"]'I agree with safe injection sites, safe consumption sites. We need to be saving lives.'[/pullquote]Appearing at a rally championed by a group so staunchly against safe consumption sites may be a natural choice for a district attorney who has branded herself as a bastion of law and order, and depends on supporters who value that punishment-focused message. In public statements made against former DA Chesa Boudin, Jenkins criticized his policies as sending a message that San Francisco wouldn’t prosecute crime.\u003c/p>\n\u003cp>Yet she also needs the support of politicos like Mayor London Breed, who has been a longtime champion of legalizing safe injection sites, and Sen. Wiener, who authored the safe injection sites bill and also endorsed Jenkins. Breed appointed Jenkins as district attorney after Boudin was recalled in June.\u003c/p>\n\u003cp>Breed believes in safe injection sites so strongly, she touted them in her \u003ca href=\"https://sfmayor.org/mayor-london-n-breeds-2020-inauguration-speech\">2020 inauguration speech\u003c/a>.\u003c/p>\n\u003cp>“We are working to open meth sobering centers, safe injection sites and managed alcohol facilities so we can stop walking by addiction spilling out on our streets, and start treating it like the health care issue that it is,” Breed said at the steps of City Hall in 2020.\u003c/p>\n\u003cp>Jason McDaniel, associate professor of political science at San Francisco State University, said navigating those differing viewpoints may test Jenkins’ relationships with major supporters.\u003c/p>\n\u003cp>“It is perhaps risky to create the possibility of daylight between her view and important supporters,” McDaniel said. “I think it is a recognition that this is a difficult issue.”\u003c/p>\n\u003ch2>Painful personal histories\u003c/h2>\n\u003cp>It’s also an issue that has affected a growing number of families. There were \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">641 accidental drug overdose deaths in San Francisco in 2021, and more than 300 so far this year\u003c/a>, according to the Office of the Chief Medical Examiner. The majority of those overdoses came from fentanyl use.\u003c/p>\n\u003cp>Keneda Gibson of Oakland, who spoke at the San Francisco rally Sunday, said her younger brother fell into drug addiction after being treated for gunshot wounds with opiates. The medical system failed him, she said, and he found himself in San Francisco seeking drugs.\u003c/p>\n\u003cp>“He had gone to seek heroin in the streets,” she said.\u003c/p>\n\u003cp>At one point, she said, someone mistakenly informed her family that he had died. They searched in San Francisco and Oakland looking for John Doe's who fit his description. Her family mourned him. It was only later that someone reached out and said they had found him alive. But his quality of life and his drug addiction were still daunting, she said, and sent her family into a depression.\u003c/p>\n\u003cp>When asked if she supported SB 57, Gibson said, “I think that Governor Newsom is absolutely insane for even considering such an idea.”\u003c/p>\n\u003cfigure id=\"attachment_11923139\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg\">\u003cimg class=\"size-full wp-image-11923139\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg\" alt='a sign that reads \"What has fentanyl stolen from you?\"' width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign produced by Moms Against Drug Deaths at a City Hall rally to raise awareness for fentanyl deaths in San Francisco on Aug. 21. \u003ccite>(Joe Fitzgerald Rodriguez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gibson hopes California studies the use of psychedelics to aid those suffering from addiction. (Studying the broader benefits of psychedelics is another effort by Sen. Wiener, in the form of \u003ca href=\"https://www.marijuanamoment.net/california-senator-gives-up-psychedelics-reform-push-for-2022-after-bill-gutted-by-key-committee/\">Senate Bill 519\u003c/a>.)\u003c/p>\n\u003cp>Safe consumption sites have long been controversial because they allow drugs to be consumed on-site.\u003c/p>\n\u003cp>Yet because safe consumption sites are usually staffed with medical professionals and social workers — people who can connect drug users to services and administer lifesaving treatments if someone overdoses — the sites have been hailed by proponents for saving lives and for allowing opportunities for drug users to end the cycle of addiction. \u003ca href=\"https://www.sfchronicle.com/projects/2022/supervised-drug-use-sites/\">Two such sites opened in New York City last year\u003c/a> to much fanfare, and more than 100 sites exist around the world. San Francisco has considered the use of safe consumption sites for close to a decade.\u003c/p>\n\u003cp>Ellen Grantz, a co-founder of Mothers Against Drug Deaths, told KQED she believes SB 57 is “premature at best.” The group would prefer the state focus on committing more resources to preventing the epidemic of drug use, instead.\u003c/p>\n\u003cp>“The reality is that there are people who are trying to get clean. They actually have appointments with treatment intake, but they're being turned away from their appointment because there isn't enough staff,” Grantz said. “So before doing something else around helping people to use a safe consumption site, we want these treatment issues to be addressed.”\u003c/p>\n\u003cp>Two years later, Jenkins appeared on those same steps with a group that decries the use of safe injection sites. The day before they met at City Hall’s steps, Grantz of Mothers Against Drug Deaths praised Jenkins for agreeing to appear at their event.\u003c/p>\n\u003cp>“We're super excited to have her, also talking about what her role is in helping to address the fentanyl situation and the drug overdose situation,” Grantz said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Annelise Finney contributed to this report.\u003c/em>\u003c/p>\n\n",
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"excerpt": "At a rally the day before Gov. Newsom is expected to sign or veto a bill allowing safe injection sites to move forward, an advocacy group and elected officials came together to speak out against fentanyl deaths — despite opposing views on the proposed legislation. ",
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"description": "At a rally the day before Gov. Newsom is expected to sign or veto a bill allowing safe injection sites to move forward, an advocacy group and elected officials came together to speak out against fentanyl deaths — despite opposing views on the proposed legislation. ",
"title": "SF Political Leaders Speak at Rally Opposing Safe Injection Sites, Even as Many Privately Say They Support Them | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Franciscans rallied against fentanyl Sunday at an event marking National Fentanyl Prevention and Awareness Day — but even as they stood at City Hall in unity over a broader shared goal, opinions split over a bill that would allow the city to create safe injection sites for drug users.\u003c/p>\n\u003cp>The rally was hosted by Mothers Against Drug Deaths, an advocacy group that favors stricter penalties for drug users; group members argue that supervised injection sites will worsen addictions. But local officials are mostly in favor of the sites, arguing that pilot programs in the country and a growing body of science show \u003ca href=\"https://www.npr.org/sections/health-shots/2018/09/07/645609248/whats-the-evidence-that-supervised-drug-injection-sites-save-lives\">they prevent deaths among drug users\u003c/a>.\u003c/p>\n\u003cp>Notably, even District Attorney Brooke Jenkins, who has billed herself as tough on crime, has said she’s in favor of such spaces.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Safe injection sites, which are controversial because they allow drugs to be consumed on-site under the supervision of health care workers, may soon be a reality in California. Senate Bill 57, authored by state Sen. Scott Wiener, D-San Francisco, would allow a pilot program for safe injection sites to move forward in San Francisco, Oakland and Los Angeles. Several elected leaders who took part in Sunday’s event said they support the bill.\u003c/p>\n\u003cp>Gov. Gavin Newsom is expected to announce his decision either to sign or veto the bill on Monday, timing that the rally’s organizers used to deliver their message against it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>San Franciscan Tanya Tilghman told the crowd her son became addicted to drugs after seeking prescription drug treatment for his attention-deficit/hyperactivity disorder. Their family’s life soon spiraled into chaos, she said, including an incident where her son held himself hostage in North Beach until more than 15 SFPD officers managed to talk him down.\u003c/p>\n\u003cp>Her experience sharpened her opposition to SB 57.\u003c/p>\n\u003cp>“I am a mother, and I do kind of have an idea. Maybe we shouldn’t be passing SB 57 and funding it. Maybe we should take the money and put it into residential treatment programs and rehabilitation,” said Tilghman, one of several speakers at the rally who spoke out against the bill. She said putting government resources toward such sites was akin to “saying that it is OK to use illegal drugs.”\u003c/p>\n\u003cfigure id=\"attachment_11923138\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg\">\u003cimg class=\"size-full wp-image-11923138\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg\" alt=\"a line of women prepare to speak on the steps of San Francisco City Hall at a rally against fentanyl deaths\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57926_20220821_111507-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Moms Against Drug Deaths hold a City Hall rally to raise awareness for fentanyl deaths in San Francisco on Aug. 21. \u003ccite>(Joe Fitzgerald Rodriguez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City officials who spoke at the rally — including Supervisors Rafael Mandelman and Matt Dorsey in addition to Jenkins — said they support the group's larger aim: to prevent drug deaths. But all three also told KQED they back supervised injection sites.\u003c/p>\n\u003cp>Mandelman, for his part, said speaking at a rally held by Mothers Against Drug Deaths was natural for him as he pushes for more ways to ease suffering on San Francisco streets — even if he does believe in safe injection sites.\u003c/p>\n\u003cp>“We don't have to agree on everything,” he said, “but we're real strong allies around a whole bunch of stuff.”\u003c/p>\n\u003ch2>Walking a fine political line\u003c/h2>\n\u003cp>Jenkins might be in a more sensitive political position as she runs to keep the seat to which she was appointed following the recall of her predecessor, Chesa Boudin. Perhaps in recognition of that, she walked a particularly fine line at the rally.\u003c/p>\n\u003cp>At the podium, Jenkins promised Mothers Against Drug Deaths her support of their broader efforts to curb drug use, and promoted her \u003ca href=\"https://www.sfdistrictattorney.org/press-release/district-attorney-brooke-jenkins-announces-new-policy-to-hold-drug-dealers-accountable-revokes-misdemeanor-plea-offers-for-fentanyl-dealers/\">newly announced policy to revoke misdemeanor plea deals for fentanyl dealers\u003c/a>. She avoided the topic of supervised consumption sites in her speech, while advocates who spoke touched on it repeatedly.\u003c/p>\n\u003cp>“Drug sales is not a victimless crime. And I think today really tells the story of how many people have been victims of this illegal conduct,” Jenkins told the crowd of about 50 people. “Yes, we are in a war against fentanyl. We are in a war against making sure that our children don't get what looks like candy in their hands, but that will kill them.”\u003c/p>\n\u003cp>But when asked if she supports SB 57, Jenkins told KQED in an interview that she does support safe injection sites.\u003c/p>\n\u003cp>“I agree with safe injection sites, safe consumption sites. We need to be saving lives. We're in a different universe right now. You know, 10 years ago, we didn't have as lethal a drug as fentanyl on the market,” she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Appearing at a rally championed by a group so staunchly against safe consumption sites may be a natural choice for a district attorney who has branded herself as a bastion of law and order, and depends on supporters who value that punishment-focused message. In public statements made against former DA Chesa Boudin, Jenkins criticized his policies as sending a message that San Francisco wouldn’t prosecute crime.\u003c/p>\n\u003cp>Yet she also needs the support of politicos like Mayor London Breed, who has been a longtime champion of legalizing safe injection sites, and Sen. Wiener, who authored the safe injection sites bill and also endorsed Jenkins. Breed appointed Jenkins as district attorney after Boudin was recalled in June.\u003c/p>\n\u003cp>Breed believes in safe injection sites so strongly, she touted them in her \u003ca href=\"https://sfmayor.org/mayor-london-n-breeds-2020-inauguration-speech\">2020 inauguration speech\u003c/a>.\u003c/p>\n\u003cp>“We are working to open meth sobering centers, safe injection sites and managed alcohol facilities so we can stop walking by addiction spilling out on our streets, and start treating it like the health care issue that it is,” Breed said at the steps of City Hall in 2020.\u003c/p>\n\u003cp>Jason McDaniel, associate professor of political science at San Francisco State University, said navigating those differing viewpoints may test Jenkins’ relationships with major supporters.\u003c/p>\n\u003cp>“It is perhaps risky to create the possibility of daylight between her view and important supporters,” McDaniel said. “I think it is a recognition that this is a difficult issue.”\u003c/p>\n\u003ch2>Painful personal histories\u003c/h2>\n\u003cp>It’s also an issue that has affected a growing number of families. There were \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">641 accidental drug overdose deaths in San Francisco in 2021, and more than 300 so far this year\u003c/a>, according to the Office of the Chief Medical Examiner. The majority of those overdoses came from fentanyl use.\u003c/p>\n\u003cp>Keneda Gibson of Oakland, who spoke at the San Francisco rally Sunday, said her younger brother fell into drug addiction after being treated for gunshot wounds with opiates. The medical system failed him, she said, and he found himself in San Francisco seeking drugs.\u003c/p>\n\u003cp>“He had gone to seek heroin in the streets,” she said.\u003c/p>\n\u003cp>At one point, she said, someone mistakenly informed her family that he had died. They searched in San Francisco and Oakland looking for John Doe's who fit his description. Her family mourned him. It was only later that someone reached out and said they had found him alive. But his quality of life and his drug addiction were still daunting, she said, and sent her family into a depression.\u003c/p>\n\u003cp>When asked if she supported SB 57, Gibson said, “I think that Governor Newsom is absolutely insane for even considering such an idea.”\u003c/p>\n\u003cfigure id=\"attachment_11923139\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg\">\u003cimg class=\"size-full wp-image-11923139\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg\" alt='a sign that reads \"What has fentanyl stolen from you?\"' width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57927_20220821_105401-1536x1152.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign produced by Moms Against Drug Deaths at a City Hall rally to raise awareness for fentanyl deaths in San Francisco on Aug. 21. \u003ccite>(Joe Fitzgerald Rodriguez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gibson hopes California studies the use of psychedelics to aid those suffering from addiction. (Studying the broader benefits of psychedelics is another effort by Sen. Wiener, in the form of \u003ca href=\"https://www.marijuanamoment.net/california-senator-gives-up-psychedelics-reform-push-for-2022-after-bill-gutted-by-key-committee/\">Senate Bill 519\u003c/a>.)\u003c/p>\n\u003cp>Safe consumption sites have long been controversial because they allow drugs to be consumed on-site.\u003c/p>\n\u003cp>Yet because safe consumption sites are usually staffed with medical professionals and social workers — people who can connect drug users to services and administer lifesaving treatments if someone overdoses — the sites have been hailed by proponents for saving lives and for allowing opportunities for drug users to end the cycle of addiction. \u003ca href=\"https://www.sfchronicle.com/projects/2022/supervised-drug-use-sites/\">Two such sites opened in New York City last year\u003c/a> to much fanfare, and more than 100 sites exist around the world. San Francisco has considered the use of safe consumption sites for close to a decade.\u003c/p>\n\u003cp>Ellen Grantz, a co-founder of Mothers Against Drug Deaths, told KQED she believes SB 57 is “premature at best.” The group would prefer the state focus on committing more resources to preventing the epidemic of drug use, instead.\u003c/p>\n\u003cp>“The reality is that there are people who are trying to get clean. They actually have appointments with treatment intake, but they're being turned away from their appointment because there isn't enough staff,” Grantz said. “So before doing something else around helping people to use a safe consumption site, we want these treatment issues to be addressed.”\u003c/p>\n\u003cp>Two years later, Jenkins appeared on those same steps with a group that decries the use of safe injection sites. The day before they met at City Hall’s steps, Grantz of Mothers Against Drug Deaths praised Jenkins for agreeing to appear at their event.\u003c/p>\n\u003cp>“We're super excited to have her, also talking about what her role is in helping to address the fentanyl situation and the drug overdose situation,” Grantz said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Annelise Finney contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Newsom May Soon Approve Supervised Drug Injection Sites. How Will They Work?",
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"headTitle": "Newsom May Soon Approve Supervised Drug Injection Sites. How Will They Work? | KQED",
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"content": "\u003cp>Establishing supervised drug injection sites has been a long-standing goal for some progressive California leaders looking to address the burgeoning overdose crisis. Efforts to launch such programs have come close, but never to the finish line.\u003c/p>\n\u003cp>Now, as the latest legislation seeking to sanction these sites heads to the governor’s desk, proponents are gearing up to make these injection sites a reality — and, they hope, a success — in the Golden State.\u003c/p>\n\u003cp>Senate Bill 57 would authorize these overdose prevention pilot programs in Oakland, San Francisco and Los Angeles, which would operate through Jan. 1, 2028.\u003c/p>\n\u003cp>While former \u003ca href=\"https://www.kqed.org/news/11695653/brown-rejects-supervised-injection-site-for-san-francisco\">Gov. Jerry Brown rejected similar legislation in 2018\u003c/a>, supporters are hopeful Gov. Gavin Newsom will sign this one after he said he was open to the idea during his campaign for governor.\u003c/p>\n\u003cp>“We have been engaging with the governor’s office for the past four years on this measure. We haven’t heard that he’s not going to sign it, so we’re hopeful that he’ll stick to his word from 2018,” said Jeannette Zanipatin, California state director of the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and a co-sponsor of the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alex Stack, a spokesperson for the governor’s office, said they don’t comment on pending legislation.\u003c/p>\n\u003cp>But if Newsom does sign it, what exactly would these sites look like? Who would be responsible for staffing them and how will they be funded? The details and logistics will be left to local officials.[pullquote align=\"right\" size=\"medium\" citation=\"State Senator Scott Wiener\"]‘They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California’[/pullquote]Because San Francisco has been considering this idea for almost a decade, it would likely be the first city ready to launch a program in early 2023, Zanipatin said. Supervised injection sites could cost a couple of million dollars per year to run, and cities and counties that choose to establish these programs will have to find their own source of funding.\u003c/p>\n\u003cp>Last year, New York City became the first to establish supervised injection sites in the U.S. Cities in other countries have operated such centers for years, including \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites\">Vancouver\u003c/a>, \u003ca href=\"https://www.eluniversal.com.mx/english/mexicali-offers-safe-spot-for-heroin-addicts\">Mexicali\u003c/a> and \u003ca href=\"https://ssir.org/articles/entry/Wary_of_an_Opioid_Epidemic_Europe_Pushes_Safe_Sites_for_Drug_Use#\">Barcelona\u003c/a>. The Vancouver site is often \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">referenced as a model\u003c/a> — with about 1,700 individuals using it each month, the center is credited with \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/fulltext\">reducing overdose deaths\u003c/a> in its neighborhood and city. Switzerland was the first country to open a supervised injection site in 1986.\u003c/p>\n\u003cp>The goal of these programs, supporters say, is to provide drug users a safe, hygienic space where they can get clean needles and administer their own drugs under the supervision of trained staff. Staff members would monitor users and be ready to administer overdose reversal medications if needed, which could ultimately save lives. Medical groups in support of these programs have pointed out injection sites could also \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2022/0500/p454.html\">help reduce the risk of Hepatitis C and HIV infections\u003c/a> associated with intravenous drug use.\u003c/p>\n\u003cp>Sen. Scott Wiener, author of the bill, said the jurisdictions that would pilot the programs asked to be included in the bill. “They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California,” Wiener, a San Francisco Democrat, said during an Aug. 1 legislative hearing.\u003c/p>\n\u003cp>Those in opposition to Wiener’s bill, including Republican legislators and law enforcement groups, argue these programs are a type of addiction maintenance that normalize illegal behavior.\u003c/p>\n\u003cp>Before setting up their overdose prevention programs, the cities and counties must provide local health and law enforcement officials the opportunity to weigh in. Once set up, these centers must make referrals to substance-use-disorder treatment programs and other social services if the user wishes to access them. The bill would also protect people from criminal charges for using the sites.\u003c/p>\n\u003cp>The overdose crisis has become one of the most pressing public health issues, with deaths and emergency room visits spiking in recent years, in large part due to the infiltration of the synthetic opioid fentanyl. Overdose deaths from fentanyl jumped from 1,603 in 2019 to 3,946 in 2020, and then to 5,722 in 2021, according to the \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=Home\">California Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d37b51d7-b97d-4947-b813-0653e3bf0ff7?src=embed\" title=\"overdose deaths - all drugs\" width=\"550\" height=\"820\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California’s second swing at this policy comes as the \u003ca href=\"https://www.whitehouse.gov/ondcp/briefing-room/2022/03/28/president-biden-calls-for-increased-funding-to-address-addiction-and-the-overdose-epidemic/\">Biden administration is also embracing “harm reduction” strategies\u003c/a> — which focus on keeping drug users alive and safe rather than punishing them. Needle exchange programs and programs that distribute the overdose reversal drug naloxone are some examples.\u003c/p>\n\u003cp>Among those urging the governor to veto the bill is the Senate Republican Caucus. “Fueling the drug epidemic with drug dens and needle supplies is like pouring gasoline on a forest fire. It merely worsens the problem,” the caucus wrote in an \u003ca href=\"https://cssrc.us/sites/default/files/SB%2057%20%28Wiener%29%20Senate%20Republican%20Caucus%20Veto%20Letter%20FINAL.pdf\">Aug. 1 letter to Newsom\u003c/a>.\u003c/p>\n\u003cp>Law enforcement organizations have stated their opposition to the bill, saying it sends the wrong message to the public and fails to address addiction at its root.\u003c/p>\n\u003cp>Wiener and supporters of the bill say supervised injection sites will not solve the overdose crisis. Rather, the goal is to prevent deaths.\u003c/p>\n\u003cp>Opponents have also raised concerns about the bill not providing a “cognizable strategy for figuring out how to get the addict to the injection site,” John Lovell, a lobbyist with the California Narcotic Officers’ Association, said during last week’s hearing. “What injection sites do is there is a magnet effect so that people come into the area,” but that doesn’t mean they will actually go inside the facility, he said.\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation, another co-sponsor of the bill, said she doesn’t think getting people into these centers will be a challenge. “Overwhelmingly, people would prefer to use in a clean space. No one wants to be using drugs on the sidewalk. If we give people a better option they will use it,” she said.\u003c/p>\n\u003cp>An often-referenced \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885552/\">survey of 602 injection drug users in San Francisco\u003c/a> showed that 85% would use a supervised injection site. About 75% of them said they would use it at least three days per week.\u003cspan style=\"font-weight: 400\">[aside label=\"Related Stories\" postID=\"news_11909484,news_11910405,news_11922249\" align=\"left\"]\u003c/span>The idea, according to supporters, is to build trust with people who come in, prompting them to spread the word and eventually link people to treatment when they are ready. These centers often look like a clinic, and people usually go through a brief interview when they first walk in.\u003c/p>\n\u003cp>Thomas said that while it would be ideal for such centers to be open 24/7, realistically, hours of operation would be dependent on funding. That same San Francisco study showed that 62% of the drug users surveyed preferred a supervised injection site to be open from 8 a.m. to 4 p.m.\u003c/p>\n\u003cp>Funding could prove to be a challenge in the long term. In New York City, where two safe injection sites opened last fall, \u003ca href=\"https://www.npr.org/2022/06/04/1103114131/supervised-injection-sites-in-nyc-have-saved-lives-but-officials-wont-provide-fu\">the city and state do not pay for them\u003c/a>. The nonprofits running the programs seek private donations, making it difficult for the centers to extend their hours or expand into other neighborhoods.\u003c/p>\n\u003cp>A supervised injection site in San Francisco is \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">estimated to cost about $2.6 million a year\u003c/a>, according to RTI International, a nonprofit research institute.\u003c/p>\n\u003cp>Thomas said California community organizations that already work in the field of substance use disorders would be best-equipped to run the programs, but funding should come from public health departments because they are a public benefit.\u003c/p>\n\u003cp>Some of the cities and counties included in the bill have potential public funding streams. For example, Los Angeles County \u003ca href=\"https://ceo.lacounty.gov/wp-content/uploads/2021/06/Updated_MeasureJ_Report-Revised-06.14.21.pdf\">voters in 2020 passed Measure J\u003c/a>, which allows the county to use at least 10% of its locally generated, unrestricted funding for community investment programs, which could include overdose prevention programs.\u003c/p>\n\u003cp>“We’re also hoping that these pilot projects serve as a catalyst and identify some private-public partnerships,” Zanipatin said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/addiction/2022/08/supervised-injection-sites/\">This story first appeared in CalMatters.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Establishing supervised drug injection sites has been a long-standing goal for some progressive California leaders looking to address the burgeoning overdose crisis. Efforts to launch such programs have come close, but never to the finish line.\u003c/p>\n\u003cp>Now, as the latest legislation seeking to sanction these sites heads to the governor’s desk, proponents are gearing up to make these injection sites a reality — and, they hope, a success — in the Golden State.\u003c/p>\n\u003cp>Senate Bill 57 would authorize these overdose prevention pilot programs in Oakland, San Francisco and Los Angeles, which would operate through Jan. 1, 2028.\u003c/p>\n\u003cp>While former \u003ca href=\"https://www.kqed.org/news/11695653/brown-rejects-supervised-injection-site-for-san-francisco\">Gov. Jerry Brown rejected similar legislation in 2018\u003c/a>, supporters are hopeful Gov. Gavin Newsom will sign this one after he said he was open to the idea during his campaign for governor.\u003c/p>\n\u003cp>“We have been engaging with the governor’s office for the past four years on this measure. We haven’t heard that he’s not going to sign it, so we’re hopeful that he’ll stick to his word from 2018,” said Jeannette Zanipatin, California state director of the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and a co-sponsor of the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alex Stack, a spokesperson for the governor’s office, said they don’t comment on pending legislation.\u003c/p>\n\u003cp>But if Newsom does sign it, what exactly would these sites look like? Who would be responsible for staffing them and how will they be funded? The details and logistics will be left to local officials.\u003c/p>\u003c/div>",
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"content": "‘They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Because San Francisco has been considering this idea for almost a decade, it would likely be the first city ready to launch a program in early 2023, Zanipatin said. Supervised injection sites could cost a couple of million dollars per year to run, and cities and counties that choose to establish these programs will have to find their own source of funding.\u003c/p>\n\u003cp>Last year, New York City became the first to establish supervised injection sites in the U.S. Cities in other countries have operated such centers for years, including \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites\">Vancouver\u003c/a>, \u003ca href=\"https://www.eluniversal.com.mx/english/mexicali-offers-safe-spot-for-heroin-addicts\">Mexicali\u003c/a> and \u003ca href=\"https://ssir.org/articles/entry/Wary_of_an_Opioid_Epidemic_Europe_Pushes_Safe_Sites_for_Drug_Use#\">Barcelona\u003c/a>. The Vancouver site is often \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">referenced as a model\u003c/a> — with about 1,700 individuals using it each month, the center is credited with \u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/fulltext\">reducing overdose deaths\u003c/a> in its neighborhood and city. Switzerland was the first country to open a supervised injection site in 1986.\u003c/p>\n\u003cp>The goal of these programs, supporters say, is to provide drug users a safe, hygienic space where they can get clean needles and administer their own drugs under the supervision of trained staff. Staff members would monitor users and be ready to administer overdose reversal medications if needed, which could ultimately save lives. Medical groups in support of these programs have pointed out injection sites could also \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2022/0500/p454.html\">help reduce the risk of Hepatitis C and HIV infections\u003c/a> associated with intravenous drug use.\u003c/p>\n\u003cp>Sen. Scott Wiener, author of the bill, said the jurisdictions that would pilot the programs asked to be included in the bill. “They are asking us to help them address the escalations and crisis of overdose deaths that we’re experiencing in California,” Wiener, a San Francisco Democrat, said during an Aug. 1 legislative hearing.\u003c/p>\n\u003cp>Those in opposition to Wiener’s bill, including Republican legislators and law enforcement groups, argue these programs are a type of addiction maintenance that normalize illegal behavior.\u003c/p>\n\u003cp>Before setting up their overdose prevention programs, the cities and counties must provide local health and law enforcement officials the opportunity to weigh in. Once set up, these centers must make referrals to substance-use-disorder treatment programs and other social services if the user wishes to access them. The bill would also protect people from criminal charges for using the sites.\u003c/p>\n\u003cp>The overdose crisis has become one of the most pressing public health issues, with deaths and emergency room visits spiking in recent years, in large part due to the infiltration of the synthetic opioid fentanyl. Overdose deaths from fentanyl jumped from 1,603 in 2019 to 3,946 in 2020, and then to 5,722 in 2021, according to the \u003ca href=\"https://skylab.cdph.ca.gov/ODdash/?tab=Home\">California Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d37b51d7-b97d-4947-b813-0653e3bf0ff7?src=embed\" title=\"overdose deaths - all drugs\" width=\"550\" height=\"820\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California’s second swing at this policy comes as the \u003ca href=\"https://www.whitehouse.gov/ondcp/briefing-room/2022/03/28/president-biden-calls-for-increased-funding-to-address-addiction-and-the-overdose-epidemic/\">Biden administration is also embracing “harm reduction” strategies\u003c/a> — which focus on keeping drug users alive and safe rather than punishing them. Needle exchange programs and programs that distribute the overdose reversal drug naloxone are some examples.\u003c/p>\n\u003cp>Among those urging the governor to veto the bill is the Senate Republican Caucus. “Fueling the drug epidemic with drug dens and needle supplies is like pouring gasoline on a forest fire. It merely worsens the problem,” the caucus wrote in an \u003ca href=\"https://cssrc.us/sites/default/files/SB%2057%20%28Wiener%29%20Senate%20Republican%20Caucus%20Veto%20Letter%20FINAL.pdf\">Aug. 1 letter to Newsom\u003c/a>.\u003c/p>\n\u003cp>Law enforcement organizations have stated their opposition to the bill, saying it sends the wrong message to the public and fails to address addiction at its root.\u003c/p>\n\u003cp>Wiener and supporters of the bill say supervised injection sites will not solve the overdose crisis. Rather, the goal is to prevent deaths.\u003c/p>\n\u003cp>Opponents have also raised concerns about the bill not providing a “cognizable strategy for figuring out how to get the addict to the injection site,” John Lovell, a lobbyist with the California Narcotic Officers’ Association, said during last week’s hearing. “What injection sites do is there is a magnet effect so that people come into the area,” but that doesn’t mean they will actually go inside the facility, he said.\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation, another co-sponsor of the bill, said she doesn’t think getting people into these centers will be a challenge. “Overwhelmingly, people would prefer to use in a clean space. No one wants to be using drugs on the sidewalk. If we give people a better option they will use it,” she said.\u003c/p>\n\u003cp>An often-referenced \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885552/\">survey of 602 injection drug users in San Francisco\u003c/a> showed that 85% would use a supervised injection site. About 75% of them said they would use it at least three days per week.\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>The idea, according to supporters, is to build trust with people who come in, prompting them to spread the word and eventually link people to treatment when they are ready. These centers often look like a clinic, and people usually go through a brief interview when they first walk in.\u003c/p>\n\u003cp>Thomas said that while it would be ideal for such centers to be open 24/7, realistically, hours of operation would be dependent on funding. That same San Francisco study showed that 62% of the drug users surveyed preferred a supervised injection site to be open from 8 a.m. to 4 p.m.\u003c/p>\n\u003cp>Funding could prove to be a challenge in the long term. In New York City, where two safe injection sites opened last fall, \u003ca href=\"https://www.npr.org/2022/06/04/1103114131/supervised-injection-sites-in-nyc-have-saved-lives-but-officials-wont-provide-fu\">the city and state do not pay for them\u003c/a>. The nonprofits running the programs seek private donations, making it difficult for the centers to extend their hours or expand into other neighborhoods.\u003c/p>\n\u003cp>A supervised injection site in San Francisco is \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">estimated to cost about $2.6 million a year\u003c/a>, according to RTI International, a nonprofit research institute.\u003c/p>\n\u003cp>Thomas said California community organizations that already work in the field of substance use disorders would be best-equipped to run the programs, but funding should come from public health departments because they are a public benefit.\u003c/p>\n\u003cp>Some of the cities and counties included in the bill have potential public funding streams. For example, Los Angeles County \u003ca href=\"https://ceo.lacounty.gov/wp-content/uploads/2021/06/Updated_MeasureJ_Report-Revised-06.14.21.pdf\">voters in 2020 passed Measure J\u003c/a>, which allows the county to use at least 10% of its locally generated, unrestricted funding for community investment programs, which could include overdose prevention programs.\u003c/p>\n\u003cp>“We’re also hoping that these pilot projects serve as a catalyst and identify some private-public partnerships,” Zanipatin said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/addiction/2022/08/supervised-injection-sites/\">This story first appeared in CalMatters.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "us-attorney-threatens-legal-action-if-san-francisco-opens-supervised-injection-sites",
"title": "US Attorney Threatens Legal Action if San Francisco Opens Supervised Injection Sites",
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"content": "\u003cp>The federal government threatened legal action against San Francisco on Tuesday if the city follows through on a proposal to open supervised drug injection sites.\u003c/p>\n\u003cp>“Facilitating or tolerating illicit intravenous drug use may feel compassionate in the moment, but it is not compassionate,” David Anderson, the U.S. Attorney for Northern District of California, said in a statement. “Adding medical supervision to such inherently destructive conduct does not change poison into medicine. The U.S. Attorney’s Office will respond to supervised injection sites by enforcing federal law.”\u003c/p>\n\u003cp>The warning comes in response to a bill recently proposed by San Francisco Mayor London Breed and Supervisor Matt Haney that would allow nonprofits in the city to open and operate the injection sites, where drug users could also receive medical assistance and rehabilitation services.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"safe-injection-sites\"]Breed, who has long advocated for safe injection sites in the city, said she is “very clear” in understanding “the threat posed by the federal administration,” but still intends to move forward with the measure, which she formally introduced at a Board of Supervisors meeting Tuesday. Steps would be taken, she said, to shield city workers from any ramifications should the Trump administration pursue legal action.\u003c/p>\n\u003cp>“[This] is an opportunity to do something different that may make people uncomfortable but could actually turn things around for this city and for the people we’re trying to help,” Breed said during a press conference last Wednesday at Glide Memorial Church in the Tenderloin District.\u003c/p>\n\u003cp>But even if San Francisco passes the proposed measure, the city still can’t legally open any sites unless the state Legislature approves a separate bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB362\">AB 362\u003c/a> — that would grant legal protection to facility operators. That measure is expected to be taken up later this year.\u003c/p>\n\u003cp>The city’s legislation comes amid a notable uptick in drug overdose deaths in San Francisco, with a \u003ca href=\"https://www.sfdph.org/dph/hc/HCAgen/HCAgen2020/Feb%2018/0218%202020%20Health%20Commission%20Overdose%20FinalF.pdf\">27% increase\u003c/a> in 2019 over the previous year, according to the city’s Department of Public Health. Particularly alarming has been the spike in fatal heroin and fentanyl overdoses, which more than doubled — from 90 in 2018 to 234 last year, the \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Fentanyl-heroin-overdoses-in-San-Francisco-more-14993628.php\">San Francisco Chronicle reported\u003c/a>, based on preliminary statistics from the city’s medical examiner’s office.\u003c/p>\n\u003cp>Roughly 24,500 people in San Francisco inject drugs, city officials estimate, many in public.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/9269214\" target=\"_blank\" rel=\"noopener noreferrer\">Multiple studies\u003c/a> have shown the effectiveness of supervised injection sites in reducing fatal drug overdoses and the spread of injection-related diseases. There are currently \u003ca href=\"https://www.npr.org/sections/health-shots/2018/09/07/645609248/whats-the-evidence-that-supervised-drug-injection-sites-save-lives\">at least 100 sites\u003c/a> worldwide — mostly in Europe — but none within the United States, where the treatment approach remains highly controversial and has been staunchly opposed by the Trump administration. Still, San Francisco is among at least a dozen cities that have considered opening supervised injection sites to stem recent jumps in overdose deaths.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>San Francisco’s proposed legislation comes just days after a Philadelphia nonprofit \u003ca href=\"https://www.nbcphiladelphia.com/news/local/supervised-injection-site-no-longer-opening-at-south-philly-plaza/2309477/\">postponed plans\u003c/a> to open what would have been the first supervised injection site in the United States, amid \u003ca href=\"https://6abc.com/5978005/\">mounting pushback\u003c/a> from residents and local lawmakers.\u003c/p>\n\u003cp>The cancellation marks an about-face following a significant court ruling handed down by a federal judge in late February determining that the Philadelphia site would not violate federal drug laws, despite efforts by federal prosecutors to block it.\u003c/p>\n\u003cp>Corey Davis, director of the Harm Reduction Legal Project in Los Angeles, said the judge’s ruling may foreshadow what’s to come in California if federal prosecutors pursue litigation.\u003c/p>\n\u003cp>“Judges have found weight in precedent cases from their peers, so they may look to what fellow judges have ruled,” Davis said. He noted, however, that San Francisco’s district court would not be legally bound to the ruling in Philadelphia. “There is no clear legal answer as of yet.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The federal government threatened legal action against San Francisco on Tuesday if the city follows through on a proposal to open supervised drug injection sites.\u003c/p>\n\u003cp>“Facilitating or tolerating illicit intravenous drug use may feel compassionate in the moment, but it is not compassionate,” David Anderson, the U.S. Attorney for Northern District of California, said in a statement. “Adding medical supervision to such inherently destructive conduct does not change poison into medicine. The U.S. Attorney’s Office will respond to supervised injection sites by enforcing federal law.”\u003c/p>\n\u003cp>The warning comes in response to a bill recently proposed by San Francisco Mayor London Breed and Supervisor Matt Haney that would allow nonprofits in the city to open and operate the injection sites, where drug users could also receive medical assistance and rehabilitation services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Breed, who has long advocated for safe injection sites in the city, said she is “very clear” in understanding “the threat posed by the federal administration,” but still intends to move forward with the measure, which she formally introduced at a Board of Supervisors meeting Tuesday. Steps would be taken, she said, to shield city workers from any ramifications should the Trump administration pursue legal action.\u003c/p>\n\u003cp>“[This] is an opportunity to do something different that may make people uncomfortable but could actually turn things around for this city and for the people we’re trying to help,” Breed said during a press conference last Wednesday at Glide Memorial Church in the Tenderloin District.\u003c/p>\n\u003cp>But even if San Francisco passes the proposed measure, the city still can’t legally open any sites unless the state Legislature approves a separate bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB362\">AB 362\u003c/a> — that would grant legal protection to facility operators. That measure is expected to be taken up later this year.\u003c/p>\n\u003cp>The city’s legislation comes amid a notable uptick in drug overdose deaths in San Francisco, with a \u003ca href=\"https://www.sfdph.org/dph/hc/HCAgen/HCAgen2020/Feb%2018/0218%202020%20Health%20Commission%20Overdose%20FinalF.pdf\">27% increase\u003c/a> in 2019 over the previous year, according to the city’s Department of Public Health. Particularly alarming has been the spike in fatal heroin and fentanyl overdoses, which more than doubled — from 90 in 2018 to 234 last year, the \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Fentanyl-heroin-overdoses-in-San-Francisco-more-14993628.php\">San Francisco Chronicle reported\u003c/a>, based on preliminary statistics from the city’s medical examiner’s office.\u003c/p>\n\u003cp>Roughly 24,500 people in San Francisco inject drugs, city officials estimate, many in public.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/9269214\" target=\"_blank\" rel=\"noopener noreferrer\">Multiple studies\u003c/a> have shown the effectiveness of supervised injection sites in reducing fatal drug overdoses and the spread of injection-related diseases. There are currently \u003ca href=\"https://www.npr.org/sections/health-shots/2018/09/07/645609248/whats-the-evidence-that-supervised-drug-injection-sites-save-lives\">at least 100 sites\u003c/a> worldwide — mostly in Europe — but none within the United States, where the treatment approach remains highly controversial and has been staunchly opposed by the Trump administration. Still, San Francisco is among at least a dozen cities that have considered opening supervised injection sites to stem recent jumps in overdose deaths.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>San Francisco’s proposed legislation comes just days after a Philadelphia nonprofit \u003ca href=\"https://www.nbcphiladelphia.com/news/local/supervised-injection-site-no-longer-opening-at-south-philly-plaza/2309477/\">postponed plans\u003c/a> to open what would have been the first supervised injection site in the United States, amid \u003ca href=\"https://6abc.com/5978005/\">mounting pushback\u003c/a> from residents and local lawmakers.\u003c/p>\n\u003cp>The cancellation marks an about-face following a significant court ruling handed down by a federal judge in late February determining that the Philadelphia site would not violate federal drug laws, despite efforts by federal prosecutors to block it.\u003c/p>\n\u003cp>Corey Davis, director of the Harm Reduction Legal Project in Los Angeles, said the judge’s ruling may foreshadow what’s to come in California if federal prosecutors pursue litigation.\u003c/p>\n\u003cp>“Judges have found weight in precedent cases from their peers, so they may look to what fellow judges have ruled,” Davis said. He noted, however, that San Francisco’s district court would not be legally bound to the ruling in Philadelphia. “There is no clear legal answer as of yet.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Gov. Jerry Brown rejected legislation on Sunday that would have allowed San Francisco to open what would’ve been the nation’s first supervised drug injection site under a pilot program.\u003c/p>\n\u003cp>Advocates of “safe injection” sites say the locations would save lives by preventing drug overdoses and providing access to counseling. But the U.S. government and other critics say taxpayers should not be helping users shoot up heroin, methamphetamine or other illegal drugs.\u003c/p>\n\u003cp>“Fundamentally I do not believe that enabling illegal drug use in government sponsored injection centers — with no corresponding requirement that the use undergo treatment — will reduce drug addiction,” Brown said in his \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/AB-186-veto-9.30.pdf\" rel=\"noopener\" target=\"_blank\">announcement of the veto\u003c/a>.\u003c/p>\n\u003cp>San Francisco Mayor London Breed has vowed to \u003ca href=\"https://www.kqed.org/news/11690409/s-f-safe-injection-site-supporters-urge-gov-brown-to-sign-bill\" rel=\"noopener\" target=\"_blank\">open a supervised injection site\u003c/a>, saying the status quo is not acceptable in a city known for rampant drug use. It’s not uncommon to see people injecting drugs in public, and used needles are a major source of trash.\u003c/p>\n\u003cp>“Safe injection sites save lives,” she said Sunday. “If we are going to prevent overdoses and connect people to services and treatment that they badly need to stop using drugs in the first place, we need safe injection sites.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The country is struggling with an opioid epidemic that has led to rising overdose deaths. The increase has been attributed to the painkiller fentanyl and similar drugs that are powerful but relatively cheap and cut into street drugs without buyers’ knowledge.\u003c/p>\n\u003cp>San Francisco has reported about 200 overdose deaths annually in recent years, largely from opioids. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB186\" rel=\"noopener\" target=\"_blank\">AB 186\u003c/a> would have protected staff and participants from state prosecution related to illegal narcotics. But it gave no legal cover from federal laws, including a “crack house” statute that makes it a felony to knowingly maintain a place for using a controlled substance.\u003c/p>\n\u003cp>San Francisco has not shied away from confronting the U.S. government and has repeatedly sued the Trump administration, including one lawsuit over sanctuary protections for people in the country illegally. The issue of drug injection sites would likely wind up before a federal judge if San Francisco opens a clinic, legal experts say.\u003c/p>\n\u003cp>Robert Mikos, who teaches federalism and drug law at Vanderbilt Law School, said a quasi-medical facility where the goal is to reduce harm sounds well-intentioned but appears to violate a statute used to go after people who run drug dens.\u003c/p>\n\u003cp>“It would depend on whether federal prosecutors are willing to prosecute this violation,” he said. “Federal prosecutors always have some discretion, and they have some independence from Washington, D.C., and the attorney general, but this is a tricky situation.”\u003c/p>\n\u003cp>Leo Beletsky, an associate professor of law and health sciences at Northeastern University, said a federal judge might find in San Francisco’s favor.\u003c/p>\n\u003cp>“If you got it before a judge, it’s anyone’s guess,” he said. “You can make a very reasonable argument that a health care facility of this sort is not something that was ever intended to be covered under the crack house statute.”\u003c/p>\n\u003cp>There are supervised injection sites in Canada and Europe, but none in the United States.\u003c/p>\n\u003cp>Days after California lawmakers sent the legislation to the governor in August, U.S. Deputy Attorney General Rod Rosenstein \u003ca href=\"https://www.nytimes.com/2018/08/27/opinion/opioids-heroin-injection-sites.html\" rel=\"noopener\" target=\"_blank\">wrote in The New York Times\u003c/a> that the federal government would take aggressive action against any supervised injection sites.\u003c/p>\n\u003cp>“Americans struggling with addiction need treatment and reduced access to deadly drugs. They do not need a taxpayer-sponsored haven to shoot up,” he wrote.\u003c/p>\n\u003cp>State Sen. Scott Wiener (D-San Francisco) who co-authored the legislation, says the city has no qualms about taking on the federal government over what he calls a failed war on drugs. He noted that the city has long led the country on health and safety policy as well as on challenging the federal government.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We implemented needle exchange before it was legal. We implemented medical cannabis before it was legal, and we have always been on the forefront of the sanctuary city movement,” he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown rejected legislation on Sunday that would have allowed San Francisco to open what would’ve been the nation’s first supervised drug injection site under a pilot program.\u003c/p>\n\u003cp>Advocates of “safe injection” sites say the locations would save lives by preventing drug overdoses and providing access to counseling. But the U.S. government and other critics say taxpayers should not be helping users shoot up heroin, methamphetamine or other illegal drugs.\u003c/p>\n\u003cp>“Fundamentally I do not believe that enabling illegal drug use in government sponsored injection centers — with no corresponding requirement that the use undergo treatment — will reduce drug addiction,” Brown said in his \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/AB-186-veto-9.30.pdf\" rel=\"noopener\" target=\"_blank\">announcement of the veto\u003c/a>.\u003c/p>\n\u003cp>San Francisco Mayor London Breed has vowed to \u003ca href=\"https://www.kqed.org/news/11690409/s-f-safe-injection-site-supporters-urge-gov-brown-to-sign-bill\" rel=\"noopener\" target=\"_blank\">open a supervised injection site\u003c/a>, saying the status quo is not acceptable in a city known for rampant drug use. It’s not uncommon to see people injecting drugs in public, and used needles are a major source of trash.\u003c/p>\n\u003cp>“Safe injection sites save lives,” she said Sunday. “If we are going to prevent overdoses and connect people to services and treatment that they badly need to stop using drugs in the first place, we need safe injection sites.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The country is struggling with an opioid epidemic that has led to rising overdose deaths. The increase has been attributed to the painkiller fentanyl and similar drugs that are powerful but relatively cheap and cut into street drugs without buyers’ knowledge.\u003c/p>\n\u003cp>San Francisco has reported about 200 overdose deaths annually in recent years, largely from opioids. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB186\" rel=\"noopener\" target=\"_blank\">AB 186\u003c/a> would have protected staff and participants from state prosecution related to illegal narcotics. But it gave no legal cover from federal laws, including a “crack house” statute that makes it a felony to knowingly maintain a place for using a controlled substance.\u003c/p>\n\u003cp>San Francisco has not shied away from confronting the U.S. government and has repeatedly sued the Trump administration, including one lawsuit over sanctuary protections for people in the country illegally. The issue of drug injection sites would likely wind up before a federal judge if San Francisco opens a clinic, legal experts say.\u003c/p>\n\u003cp>Robert Mikos, who teaches federalism and drug law at Vanderbilt Law School, said a quasi-medical facility where the goal is to reduce harm sounds well-intentioned but appears to violate a statute used to go after people who run drug dens.\u003c/p>\n\u003cp>“It would depend on whether federal prosecutors are willing to prosecute this violation,” he said. “Federal prosecutors always have some discretion, and they have some independence from Washington, D.C., and the attorney general, but this is a tricky situation.”\u003c/p>\n\u003cp>Leo Beletsky, an associate professor of law and health sciences at Northeastern University, said a federal judge might find in San Francisco’s favor.\u003c/p>\n\u003cp>“If you got it before a judge, it’s anyone’s guess,” he said. “You can make a very reasonable argument that a health care facility of this sort is not something that was ever intended to be covered under the crack house statute.”\u003c/p>\n\u003cp>There are supervised injection sites in Canada and Europe, but none in the United States.\u003c/p>\n\u003cp>Days after California lawmakers sent the legislation to the governor in August, U.S. Deputy Attorney General Rod Rosenstein \u003ca href=\"https://www.nytimes.com/2018/08/27/opinion/opioids-heroin-injection-sites.html\" rel=\"noopener\" target=\"_blank\">wrote in The New York Times\u003c/a> that the federal government would take aggressive action against any supervised injection sites.\u003c/p>\n\u003cp>“Americans struggling with addiction need treatment and reduced access to deadly drugs. They do not need a taxpayer-sponsored haven to shoot up,” he wrote.\u003c/p>\n\u003cp>State Sen. Scott Wiener (D-San Francisco) who co-authored the legislation, says the city has no qualms about taking on the federal government over what he calls a failed war on drugs. He noted that the city has long led the country on health and safety policy as well as on challenging the federal government.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We implemented needle exchange before it was legal. We implemented medical cannabis before it was legal, and we have always been on the forefront of the sanctuary city movement,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As drug-related deaths rise to record numbers, at least a dozen U.S. cities are considering \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/12/628136694/harm-reduction-movement-hits-obstacles\" rel=\"noopener\" target=\"_blank\">opening supervised injection sites\u003c/a>, where people can use illicit drugs with trained staff present, ready to respond in case of an overdose.\u003c/p>\n\u003cp>The future of such proposals in the U.S. is uncertain. A California bill that would greenlight a pilot injection site in San Francisco awaits the governor's signature, but a representative of the Justice Department vowed to crack down on any such site \u003ca href=\"https://www.npr.org/sections/health-shots/2018/08/30/642735759/justice-department-promises-crackdown-on-supervised-injection-sites\" rel=\"noopener\" target=\"_blank\">in recent public statements\u003c/a>. \u003c/p>\n\u003cp>Critics say supervised injection sites encourage drug use and bring crime to surrounding communities. Proponents argue that they save lives and can help people in addiction reconnect with society and get health services. \u003c/p>\n\u003cp>Out with the dark alley, fear and shame, they say, in with a safe space, clean injection supplies, care and compassion. It's an approach that falls under the umbrella of harm reduction, a public health philosophy that emphasizes lessening the harms of drug use.\u003c/p>\n\u003cp>But what does evidence say? If the policy goal is to save lives and eventually curb opioid addiction, do these sites work?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It's a tricky question to answer, although many of these sites have been studied for years. \u003c/p>\n\u003cp>At least 100 supervised injection sites operate around the world, mainly in Europe, Canada and Australia. Typically, drug users come in with their own drugs and are given clean needles and a clean, safe space to consume them. Staff are on hand with breathing masks and naloxone, the overdose antidote, and to provide safer injection advice and information about drug treatment and other health services. \u003c/p>\n\u003cp>But most have grown out of community and grassroots efforts, according to \u003ca href=\"https://gph.ucsd.edu/people/core/Pages/davidson.aspx\" rel=\"noopener\" target=\"_blank\">Peter Davidson\u003c/a>, a researcher specializing in harm reduction at the University of California San Diego who is \u003ca href=\"https://www.ajpmonline.org/article/S0749-3797(17)30316-1/fulltext\" rel=\"noopener\" target=\"_blank\">researching an underground supervised injection site\u003c/a> in the United States. They lack big budgets for comprehensive services or for conducting high level evaluations, he says.\u003c/p>\n\u003cp>Still, he says the research – both \"the grey\" and the robust - point to the benefits, especially in preventing deaths among society's most vulnerable. No death has been reported in an injection site. A \u003ca href=\"https://www.drugandalcoholdependence.com/article/S0376-8716(14)01875-4/fulltext\" rel=\"noopener\" target=\"_blank\">2014 review of 75 studies\u003c/a> concluded such places promote safer injection conditions, reduce overdoses and increase access to health services. Supervised injection sites were associated with less outdoor drug use, and they did not appear to have any negative impacts on crime or drug use. \u003c/p>\n\u003cp>\"If there had been unintended consequences, I suspect that would have been picked up by now,\" says Davidson. \"It's reassuring.\"\u003c/p>\n\u003cfigure id=\"attachment_11691212\" class=\"wp-caption aligncenter\" style=\"max-width: 669px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc.jpg\" alt=\"At safe injection sites like Insite, in Vancouver, Canada, drug users can inject drugs under the watch of trained medical staff who will help in case of overdose.\" width=\"669\" height=\"502\" class=\"size-full wp-image-11691212\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc.jpg 669w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-520x390.jpg 520w\" sizes=\"(max-width: 669px) 100vw, 669px\">\u003cfigcaption class=\"wp-caption-text\">At safe injection sites like Insite, in Vancouver, Canada, drug users can inject drugs under the watch of trained medical staff who will help in case of overdose. \u003ccite>(Elana Gordon/WHYY)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Research debates\u003c/strong>\u003c/p>\n\u003cp>However, \u003ca href=\"https://www.ijdp.org/article/S0955-3959(18)30180-4/abstract\" rel=\"noopener\" target=\"_blank\">in another review of studies\u003c/a> published in August in the International Journal of Drug Policy, the researchers, criminologists from the University of South Wales in the United Kingdom, found that the evidence for supervised injection is not as strong as previously thought. Only eight studies met the researchers' standards for high quality design. And of those, the findings on the effectiveness of supervised injection were uncertain, with no effect on overdose mortality or needle sharing.\u003c/p>\n\u003cp>\"Nobody should be looking at this literature making confident conclusions in either direction,\" says Keith Humphreys, an addiction researcher and psychiatry professor at Stanford University who wasn't involved in the study. \u003c/p>\n\u003cp>Humphreys says he'd welcome better tools to address the drug crisis. He doesn't think the latest analysis points to supervised injection as being harmful, though. The real problem is, the analysis found there just are not a lot of good studies, period, on supervised injection. \u003c/p>\n\u003cp>\"They can't rule out no effect, they can't rule [in] an effect,\" he said. \"So I think we should be pretty cautious.\" \u003c/p>\n\u003cp>\u003ca href=\"https://www.bccsu.ca/?team=m-j-milloy-phd\" rel=\"noopener\" target=\"_blank\">M-J Milloy\u003c/a>, an epidemiologist with the British Columbia Centre on Substance Use and an associate editor of the International Drug Policy Journal which published the UK analysis, doesn't think this review reflects the evidence. \u003c/p>\n\u003cp>\"Their decision to exclude all but eight studies is in my view one of the methodological flaws,\" he says, adding that the analysis looked at measures beyond the scope of some of what individual studies set out to assess.\u003c/p>\n\u003cfigure id=\"attachment_11691213\" class=\"wp-caption aligncenter\" style=\"max-width: 911px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1.jpg\" alt=\"Insite's clinic coordinator, Tim Gauthier, demonstrates how staff respond to an overdose in the main injection room. No one has ever died in here or any other injection site.\" width=\"911\" height=\"683\" class=\"size-full wp-image-11691213\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1.jpg 911w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-520x390.jpg 520w\" sizes=\"(max-width: 911px) 100vw, 911px\">\u003cfigcaption class=\"wp-caption-text\">Insite's clinic coordinator, Tim Gauthier, demonstrates how staff respond to an overdose in the main injection room. No one has ever died in here or any other injection site. \u003ccite>(Elana Gordon/WHYY)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Canadian model\u003c/strong>\u003c/p>\n\u003cp>Much of the existing research for the effects of supervised injection sites comes from two places: the \u003ca href=\"https://uniting.org/who-we-help/for-adults/sydney-medically-supervised-injecting-centre\">Medically Supervised Injecting Centre\u003c/a> in Sydney, Australia and \u003ca href=\"http://www.vch.ca/locations-services/result?res_id=964\" rel=\"noopener\" target=\"_blank\">Insite, a facility in Vancouver,\u003c/a> which public health officials have operated and researched for 15 years.\u003c/p>\n\u003cp>When Insite opened, supervised injection was contentious in Canada. After years of drug-user-led activism, the government approved it as a pilot, creating a place with wrap-around addiction services under the same roof, and mandated scientific evaluations on the impact from the start. \u003c/p>\n\u003cp>Milloy, who is part of a team that researches Insite, says it points to the benefits of supervised injection. The research was observational, drawing from unique datasets. Since 1996, well before Insite, researchers had followed 1500 active drug users in the city as part of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC535533/\" rel=\"noopener\" target=\"_blank\">one of the largest long-term studies\u003c/a> of drug users in North America. They then recruited 1,050 people at Insite, and \u003ca href=\"https://www.bccsu.ca/seosi/\" rel=\"noopener\" target=\"_blank\">followed them over time\u003c/a> as well.\u003c/p>\n\u003cp>Since opening in 2003, the \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites/insite-user-statistics\" rel=\"noopener\" target=\"_blank\">facility has supervised\u003c/a> more than 3.6 million injections and responded to more than 6,000 overdoses. No one has ever died there.\u003c/p>\n\u003cp>They \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/19378451\" rel=\"noopener\" target=\"_blank\">found no signs\u003c/a> of a so called \"honey pot effect,\" at Insite, meaning it didn't increase or encourage drug use.\u003c/p>\n\u003cp>In \u003ca href=\"//www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/abstract?code=lancet-site\" rel=\"noopener\" target=\"_blank\">a study published in Lancet\u003c/a>, and included in the most recent review of evidence by criminologists, Milloy and other researchers found that the fatal overdose rate sharply decreased in and around the immediate area of the site. Additional evaluations from Milloy's group and \u003ca href=\"http://www.health.gov.bc.ca/library/publications/year/2011/decreasing-HIV-in-IDU-population.pdf\" rel=\"noopener\" target=\"_blank\">the regional health ministry\u003c/a> found that Insite \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0003351\" rel=\"noopener\" target=\"_blank\">averted about 50 deaths\u003c/a> in the first three to four years of operation; that people were less likely to engage in behaviors that would lead to HIV infections; and, that those who used Insite were \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1360-0443.2007.01818.x\" rel=\"noopener\" target=\"_blank\">more likely to initiate detoxing\u003c/a> from drugs and access treatment like methadone, compared to those who weren't using the facility. \u003c/p>\n\u003cp>\"That might seem odd to people. You know, you give someone a safer, cleaner, warmer drier place to inject and they end up going into addiction treatment,\" Milloy says. \"It's a place where they can access healthcare, and where their exposure to an increasingly toxic drug supply can be managed and mitigated in an effective sense.\"\u003c/p>\n\u003cp>For people working in the field, the value of supervised injection facilities transcends the debate over death or crime statistics, because it offers something people who use drugs may not have experienced before: a non-judgmental place that accepts them for who they are. \u003c/p>\n\u003cp>\"It's about making a space where drug users are allowed to feel like people,\" says Darwin Fisher, Insite's longtime program coordinator. \"We're also mindful that this is a respite from the street and at times it might be difficult for people to leave the only situation that feels vaguely safe for them in a day.\"\u003c/p>\n\u003cp>Milloy concurs, describing Insite as \"a place which is an official healthcare setting which is not judgmental, which does not stigmatize them for their drug use, and which accepts that they are people first and foremost.\" \u003c/p>\n\u003cp>Milloy says studying supervised injection presents challenges. Early on, they considered setting up the gold standard for a study — a randomized trial — but that would mean separating a sample of drug users into two groups, one that gets access to Insight, and one that doesn't. He says denying a potentially life-saving service to some people seemed unethical. \u003c/p>\n\u003cp>\"It's the reason we chose the observational framework,\" he says. \u003c/p>\n\u003cp>For Sharon Larson, a longtime public health researcher who recently reviewed the evidence on supervised injection and assessed their potential impact for the city of Philadelphia, questions still remain. \u003c/p>\n\u003cp>Insite, she says \"was a great pioneering start.\" It demonstrated making a difference for those who used the site. But, is it generalizable and directly replicable in other places?\u003c/p>\n\u003cp>Larson, a professor at Thomas Jefferson University and director of the Main Line Health Center for Population Health Research at Lankenau Institute for Medical Research, \u003ca href=\"https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf\" rel=\"noopener\" target=\"_blank\">concluded in a report\u003c/a> that the science is still limited. In part, she says, that stems from the challenge of studying an illicit behavior.\u003c/p>\n\u003cp>\"I think it's a really hard population to count,\" she says. \u003c/p>\n\u003cp>At a citywide level, it's hard to know the size of the actual baseline population of drug users. That leaves unanswered how many sites would be needed to have a broader community impact. Plus, where should they go? Who might benefit most from a site, and what's the most effective way to bring them in? \u003c/p>\n\u003cp>Larson's models estimate a supervised injection site in Philadelphia could prevent dozens overdose deaths annually.\u003c/p>\n\u003cp>\"It does not give me pause about developing these injection sites,\" Larson says. \"What it tells me is if we want to demonstrate that this is an effective strategy for harm reduction, one of many, that we ought to be very thoughtful about how we develop data to answer the important questions.\"\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership with NPR, WHYY's health show \u003c/em>\u003ca href=\"https://whyy.org/episodes/crisis-mode/\" rel=\"noopener\" target=\"_blank\">\u003cem>The Pulse\u003c/em>\u003c/a>\u003cem> and Kaiser Health News. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Elana Gordon is 2018-19 Knight Science Journalism Fellow at MIT. You can follow her on twitter at @elana_gordon. \u003c/em>\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What%27s+The+Evidence+That+Supervised+Drug+Injection+Sites+Save+Lives%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "Proposals in several cities to offer drug users access to a safe space to consume drugs have caused a political stir, but what do we really know about the effectiveness of safe injection sites?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As drug-related deaths rise to record numbers, at least a dozen U.S. cities are considering \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/12/628136694/harm-reduction-movement-hits-obstacles\" rel=\"noopener\" target=\"_blank\">opening supervised injection sites\u003c/a>, where people can use illicit drugs with trained staff present, ready to respond in case of an overdose.\u003c/p>\n\u003cp>The future of such proposals in the U.S. is uncertain. A California bill that would greenlight a pilot injection site in San Francisco awaits the governor's signature, but a representative of the Justice Department vowed to crack down on any such site \u003ca href=\"https://www.npr.org/sections/health-shots/2018/08/30/642735759/justice-department-promises-crackdown-on-supervised-injection-sites\" rel=\"noopener\" target=\"_blank\">in recent public statements\u003c/a>. \u003c/p>\n\u003cp>Critics say supervised injection sites encourage drug use and bring crime to surrounding communities. Proponents argue that they save lives and can help people in addiction reconnect with society and get health services. \u003c/p>\n\u003cp>Out with the dark alley, fear and shame, they say, in with a safe space, clean injection supplies, care and compassion. It's an approach that falls under the umbrella of harm reduction, a public health philosophy that emphasizes lessening the harms of drug use.\u003c/p>\n\u003cp>But what does evidence say? If the policy goal is to save lives and eventually curb opioid addiction, do these sites work?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It's a tricky question to answer, although many of these sites have been studied for years. \u003c/p>\n\u003cp>At least 100 supervised injection sites operate around the world, mainly in Europe, Canada and Australia. Typically, drug users come in with their own drugs and are given clean needles and a clean, safe space to consume them. Staff are on hand with breathing masks and naloxone, the overdose antidote, and to provide safer injection advice and information about drug treatment and other health services. \u003c/p>\n\u003cp>But most have grown out of community and grassroots efforts, according to \u003ca href=\"https://gph.ucsd.edu/people/core/Pages/davidson.aspx\" rel=\"noopener\" target=\"_blank\">Peter Davidson\u003c/a>, a researcher specializing in harm reduction at the University of California San Diego who is \u003ca href=\"https://www.ajpmonline.org/article/S0749-3797(17)30316-1/fulltext\" rel=\"noopener\" target=\"_blank\">researching an underground supervised injection site\u003c/a> in the United States. They lack big budgets for comprehensive services or for conducting high level evaluations, he says.\u003c/p>\n\u003cp>Still, he says the research – both \"the grey\" and the robust - point to the benefits, especially in preventing deaths among society's most vulnerable. No death has been reported in an injection site. A \u003ca href=\"https://www.drugandalcoholdependence.com/article/S0376-8716(14)01875-4/fulltext\" rel=\"noopener\" target=\"_blank\">2014 review of 75 studies\u003c/a> concluded such places promote safer injection conditions, reduce overdoses and increase access to health services. Supervised injection sites were associated with less outdoor drug use, and they did not appear to have any negative impacts on crime or drug use. \u003c/p>\n\u003cp>\"If there had been unintended consequences, I suspect that would have been picked up by now,\" says Davidson. \"It's reassuring.\"\u003c/p>\n\u003cfigure id=\"attachment_11691212\" class=\"wp-caption aligncenter\" style=\"max-width: 669px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc.jpg\" alt=\"At safe injection sites like Insite, in Vancouver, Canada, drug users can inject drugs under the watch of trained medical staff who will help in case of overdose.\" width=\"669\" height=\"502\" class=\"size-full wp-image-11691212\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc.jpg 669w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/insite-booths2-768x512-85ff32d915d2cc242428388d9f299e8af9e83cdc-520x390.jpg 520w\" sizes=\"(max-width: 669px) 100vw, 669px\">\u003cfigcaption class=\"wp-caption-text\">At safe injection sites like Insite, in Vancouver, Canada, drug users can inject drugs under the watch of trained medical staff who will help in case of overdose. \u003ccite>(Elana Gordon/WHYY)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Research debates\u003c/strong>\u003c/p>\n\u003cp>However, \u003ca href=\"https://www.ijdp.org/article/S0955-3959(18)30180-4/abstract\" rel=\"noopener\" target=\"_blank\">in another review of studies\u003c/a> published in August in the International Journal of Drug Policy, the researchers, criminologists from the University of South Wales in the United Kingdom, found that the evidence for supervised injection is not as strong as previously thought. Only eight studies met the researchers' standards for high quality design. And of those, the findings on the effectiveness of supervised injection were uncertain, with no effect on overdose mortality or needle sharing.\u003c/p>\n\u003cp>\"Nobody should be looking at this literature making confident conclusions in either direction,\" says Keith Humphreys, an addiction researcher and psychiatry professor at Stanford University who wasn't involved in the study. \u003c/p>\n\u003cp>Humphreys says he'd welcome better tools to address the drug crisis. He doesn't think the latest analysis points to supervised injection as being harmful, though. The real problem is, the analysis found there just are not a lot of good studies, period, on supervised injection. \u003c/p>\n\u003cp>\"They can't rule out no effect, they can't rule [in] an effect,\" he said. \"So I think we should be pretty cautious.\" \u003c/p>\n\u003cp>\u003ca href=\"https://www.bccsu.ca/?team=m-j-milloy-phd\" rel=\"noopener\" target=\"_blank\">M-J Milloy\u003c/a>, an epidemiologist with the British Columbia Centre on Substance Use and an associate editor of the International Drug Policy Journal which published the UK analysis, doesn't think this review reflects the evidence. \u003c/p>\n\u003cp>\"Their decision to exclude all but eight studies is in my view one of the methodological flaws,\" he says, adding that the analysis looked at measures beyond the scope of some of what individual studies set out to assess.\u003c/p>\n\u003cfigure id=\"attachment_11691213\" class=\"wp-caption aligncenter\" style=\"max-width: 911px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1.jpg\" alt=\"Insite's clinic coordinator, Tim Gauthier, demonstrates how staff respond to an overdose in the main injection room. No one has ever died in here or any other injection site.\" width=\"911\" height=\"683\" class=\"size-full wp-image-11691213\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1.jpg 911w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/tim-gauthier-1024x683-591486527c131b9abb00e8cd4be12660dc03d7e1-520x390.jpg 520w\" sizes=\"(max-width: 911px) 100vw, 911px\">\u003cfigcaption class=\"wp-caption-text\">Insite's clinic coordinator, Tim Gauthier, demonstrates how staff respond to an overdose in the main injection room. No one has ever died in here or any other injection site. \u003ccite>(Elana Gordon/WHYY)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Canadian model\u003c/strong>\u003c/p>\n\u003cp>Much of the existing research for the effects of supervised injection sites comes from two places: the \u003ca href=\"https://uniting.org/who-we-help/for-adults/sydney-medically-supervised-injecting-centre\">Medically Supervised Injecting Centre\u003c/a> in Sydney, Australia and \u003ca href=\"http://www.vch.ca/locations-services/result?res_id=964\" rel=\"noopener\" target=\"_blank\">Insite, a facility in Vancouver,\u003c/a> which public health officials have operated and researched for 15 years.\u003c/p>\n\u003cp>When Insite opened, supervised injection was contentious in Canada. After years of drug-user-led activism, the government approved it as a pilot, creating a place with wrap-around addiction services under the same roof, and mandated scientific evaluations on the impact from the start. \u003c/p>\n\u003cp>Milloy, who is part of a team that researches Insite, says it points to the benefits of supervised injection. The research was observational, drawing from unique datasets. Since 1996, well before Insite, researchers had followed 1500 active drug users in the city as part of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC535533/\" rel=\"noopener\" target=\"_blank\">one of the largest long-term studies\u003c/a> of drug users in North America. They then recruited 1,050 people at Insite, and \u003ca href=\"https://www.bccsu.ca/seosi/\" rel=\"noopener\" target=\"_blank\">followed them over time\u003c/a> as well.\u003c/p>\n\u003cp>Since opening in 2003, the \u003ca href=\"http://www.vch.ca/public-health/harm-reduction/supervised-consumption-sites/insite-user-statistics\" rel=\"noopener\" target=\"_blank\">facility has supervised\u003c/a> more than 3.6 million injections and responded to more than 6,000 overdoses. No one has ever died there.\u003c/p>\n\u003cp>They \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/19378451\" rel=\"noopener\" target=\"_blank\">found no signs\u003c/a> of a so called \"honey pot effect,\" at Insite, meaning it didn't increase or encourage drug use.\u003c/p>\n\u003cp>In \u003ca href=\"//www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/abstract?code=lancet-site\" rel=\"noopener\" target=\"_blank\">a study published in Lancet\u003c/a>, and included in the most recent review of evidence by criminologists, Milloy and other researchers found that the fatal overdose rate sharply decreased in and around the immediate area of the site. Additional evaluations from Milloy's group and \u003ca href=\"http://www.health.gov.bc.ca/library/publications/year/2011/decreasing-HIV-in-IDU-population.pdf\" rel=\"noopener\" target=\"_blank\">the regional health ministry\u003c/a> found that Insite \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0003351\" rel=\"noopener\" target=\"_blank\">averted about 50 deaths\u003c/a> in the first three to four years of operation; that people were less likely to engage in behaviors that would lead to HIV infections; and, that those who used Insite were \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1360-0443.2007.01818.x\" rel=\"noopener\" target=\"_blank\">more likely to initiate detoxing\u003c/a> from drugs and access treatment like methadone, compared to those who weren't using the facility. \u003c/p>\n\u003cp>\"That might seem odd to people. You know, you give someone a safer, cleaner, warmer drier place to inject and they end up going into addiction treatment,\" Milloy says. \"It's a place where they can access healthcare, and where their exposure to an increasingly toxic drug supply can be managed and mitigated in an effective sense.\"\u003c/p>\n\u003cp>For people working in the field, the value of supervised injection facilities transcends the debate over death or crime statistics, because it offers something people who use drugs may not have experienced before: a non-judgmental place that accepts them for who they are. \u003c/p>\n\u003cp>\"It's about making a space where drug users are allowed to feel like people,\" says Darwin Fisher, Insite's longtime program coordinator. \"We're also mindful that this is a respite from the street and at times it might be difficult for people to leave the only situation that feels vaguely safe for them in a day.\"\u003c/p>\n\u003cp>Milloy concurs, describing Insite as \"a place which is an official healthcare setting which is not judgmental, which does not stigmatize them for their drug use, and which accepts that they are people first and foremost.\" \u003c/p>\n\u003cp>Milloy says studying supervised injection presents challenges. Early on, they considered setting up the gold standard for a study — a randomized trial — but that would mean separating a sample of drug users into two groups, one that gets access to Insight, and one that doesn't. He says denying a potentially life-saving service to some people seemed unethical. \u003c/p>\n\u003cp>\"It's the reason we chose the observational framework,\" he says. \u003c/p>\n\u003cp>For Sharon Larson, a longtime public health researcher who recently reviewed the evidence on supervised injection and assessed their potential impact for the city of Philadelphia, questions still remain. \u003c/p>\n\u003cp>Insite, she says \"was a great pioneering start.\" It demonstrated making a difference for those who used the site. But, is it generalizable and directly replicable in other places?\u003c/p>\n\u003cp>Larson, a professor at Thomas Jefferson University and director of the Main Line Health Center for Population Health Research at Lankenau Institute for Medical Research, \u003ca href=\"https://dbhids.org/wp-content/uploads/2018/01/OTF_LarsonS_PHLReportOnSCF_Dec2017.pdf\" rel=\"noopener\" target=\"_blank\">concluded in a report\u003c/a> that the science is still limited. In part, she says, that stems from the challenge of studying an illicit behavior.\u003c/p>\n\u003cp>\"I think it's a really hard population to count,\" she says. \u003c/p>\n\u003cp>At a citywide level, it's hard to know the size of the actual baseline population of drug users. That leaves unanswered how many sites would be needed to have a broader community impact. Plus, where should they go? Who might benefit most from a site, and what's the most effective way to bring them in? \u003c/p>\n\u003cp>Larson's models estimate a supervised injection site in Philadelphia could prevent dozens overdose deaths annually.\u003c/p>\n\u003cp>\"It does not give me pause about developing these injection sites,\" Larson says. \"What it tells me is if we want to demonstrate that this is an effective strategy for harm reduction, one of many, that we ought to be very thoughtful about how we develop data to answer the important questions.\"\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership with NPR, WHYY's health show \u003c/em>\u003ca href=\"https://whyy.org/episodes/crisis-mode/\" rel=\"noopener\" target=\"_blank\">\u003cem>The Pulse\u003c/em>\u003c/a>\u003cem> and Kaiser Health News. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Elana Gordon is 2018-19 Knight Science Journalism Fellow at MIT. You can follow her on twitter at @elana_gordon. \u003c/em>\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What%27s+The+Evidence+That+Supervised+Drug+Injection+Sites+Save+Lives%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"order": 9
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"masters-of-scale": {
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"on-the-media": {
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"perspectives": {
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"order": 14
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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"politicalbreakdown": {
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5Nzk2MzI2MTEx",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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