American cities look to Vancouver for overdose crisis response model

American cities look to Vancouver for overdose crisis response model

The BC Coroners Service recorded 369 overdose deaths in Vancouver last year

As an overdose crisis began taking shape in Denver, Colo., one of the places the city’s leaders looked for answers was north of the border.

Coun. Albus Brooks says he hopped on a plane to Vancouver last year before putting together a recent proposal to open what could become the first legal supervised consumption site in the United States.

“I went out there personally to meet with council members, the chief of police, community members, business folks — I interviewed them all,” he said.

Last month, Denver council approved a proposal for a two-year pilot project allowing a safe consumption site, which lets people use drugs under the supervision of staff who are trained in overdose response.

The program must win approval from the state legislature, which is now under Democratic control after the November election. Earlier this year, the Republican-controlled state Senate killed similar legislation.

Other U.S. cities, including San Francisco, Seattle, New York and Philadelphia, have also expressed interest in opening supervised injection sites. California lawmakers passed a measure that would have protected workers and participants in a San Francisco pilot program from state prosecution, but Gov. Jerry Brown vetoed it in September.

Brooks said Denver council reviewed models in hundreds of other jurisdictions and also visited Barcelona. But it took several lessons from Vancouver, including the effectiveness of free drug testing and the importance of working across sectors and with many stakeholders.

He said he was struck by the high number of overdose deaths in Vancouver, which has been the epicentre of the crisis in Canada, but also the general consensus on the importance of harm reduction as part of a continuum of care that has been harder to achieve in the United States.

READ MORE: New in-depth report sheds light on who in BC is dying of drug overdoses

The BC Coroners Service recorded 369 overdose deaths in Vancouver last year, while Denver recorded 163 drug-related deaths, according to Colorado’s vital statistics program.

“Everyone seemed to say that harm reduction models were effective and an important part of an overall strategy,” Brooks said. “That’s not understood in the United States.”

Support hasn’t been universal in Canada either. When Insite opened in Vancouver in 2003, making it the first safe consumption site in North America, some argued it would just enable addicts. And as recently as August, the Progressive Conservative government in Ontario under Premier Doug Ford announced it was halting the opening of new overdose prevention sites pending a review.

But data suggests they have been effective. According to the BC Centre on Substance Use, a systematic review of 75 peer-reviewed journal articles on safe consumption sites found that no overdose-related death was ever reported within a site involved in the studies.

A 2011 study in Vancouver also found a 35 per cent decline in overdose deaths in the area around Insite, the centre said.

While the BC Coroners Service does not collect data on “life-saving” measures, spokesman Andy Watson said he believes significantly more people would have died in the crisis if not for harm reduction services.

“We understand the death toll probably would have tripled, based on information we’ve received from other agencies,” he said.

Insite has been a popular destination for both Canadian and American politicians considering the model, with visitors also coming from nearby Seattle, said Carrie Stefanson, spokeswoman for Vancouver Coastal Health, which co-manages the site with non-profit PHS Community Services Society.

“They come on kind of a fact-finding mission or a tour. We have people coming all the time,” she said.

READ MORE: 2,000 Canadians died of an overdose in first 6 months of the year

Sarah Blyth, who runs the Overdose Prevention Society on the city’s Downtown Eastside, said it can be overwhelming to host so many visitors. There are visits almost every other day from politicians, grassroots organizers, nurses, students and others curious about the model — from as far away as Belgium and France and as close as other B.C. cities.

“It’s a bit too much, to be honest, but at the same time it’s so important because they get to bring back education and what we’re doing to other places,” Blyth said.

“And we get to discuss how it’s helpful and answer questions about how you can do it — how it’s easy and affordable and not hard to do.”

Amy Smart, The Canadian Press


Like us on Facebook and follow us on Twitter.

Just Posted

The District of Kitimat will be awarding business owners with a store front up to $5,000 to cover up to 50 per cent of exterior renovations. (Norhtern Development logo)
The District of Kitimat is awarding $5,000 to storefront owners for exterior renovations

The district has set aside $20,000 this year and non-profits are also eligible

Ron getting loose and sipping a glass of the family’s favourite greek amber spirit, Metaxa. (Photo supplied)
In Our Valley: Ron Lechner

Retired part-time singer and Rio Tinto lifer: Ron Lechner

Map of the road work that will be completed this summer. The streets highlighted in red are what the district planned on completing before additional funding, and the streets highlighted in orange is the road works that will be done with the additional funding. (District of Kitimat photo)
$1.1 million allocated for road work this year in Kitimat

Kitimat council has added $470,000 for more work by deferring four other projects.

Hirsch Creek Golf Course Volunteer, Augie Penner, talking about how he continues the tradition, set by Joe Atamchuck, to catch and release fry that keep spawning at the course. (Jacob Lubberts photo)
VIDEO: Kitimat golf course volunteers making moves for the fishlings

During the highwater season, salmon are known to lay their eggs in the ponds at the golf course

Ocean Wise’s cetacean photogrammetry research program uses aerial images collected by boat-launched drones to measure the body condition of whales. (Ocean Wise Marine Mammal License MML-18 photo)
LNG Canada commits $750K to whale research, conservation initiative

Ocean Wise education team will work alongside educational and Indigenous leaders in the area

People line up to get their COVID-19 vaccine at a vaccination centre, Thursday, June 10, 2021 in Montreal. THE CANADIAN PRESS/Ryan Remiorz
Vaccines, low COVID case counts increase Father’s Day hope, but risk is still there

Expert says people will have to do their own risk calculus before popping in on Papa

John Furlong told the Vancouver Board of Trade on Feb. 20, 2020 that he thinks the city could and should bid for the 2030 Winter Games. (CP photo)
PODCAST: John Furlong lays out a ‘provincial’ plan to host the 2030 Winter Olympics

Podcast: Chat includes potential role for Vancouver Island communities

The pilot of this single-engine propeller plane was unhurt after crash-landing in a Como Road orchard Friday, June 18. Photo: Laurie Tritschler
Plane crash lands into Grand Forks orchard, pilot injured

RCMP have secured the crash site, pending investigation by Transport Canada

A tenant walks in front of her home on Boundary Road on Friday, June 18, 2021 after it was destroyed by fire the night before in Chilliwack. (Jenna Hauck/ Chilliwack Progress)
Family homeless after fire rips through Chilliwack house

Turtle rescued, no one seriously hurt following Boundary Road fire in Chilliwack

BC Ferries’ newest Island Class vessel is experiencing an issue with one of its thrusters off the Algerian coast. Photo courtesy patbaywebcam.com.
BC Ferries newest vessel having mechanical issues in Mediterranean

Island 4 will be repaired in Spain before crossing Atlantic

Wild rabbits are all over Chilliwack, but people often think they’re someone’s lost pet and try to ‘save’ them. But the owner of Chilliwack’s Reptile Room says good intentions can have bad consequences for wild animals. (Photo by THE CANADIAN PRESS)
Owner of Chilliwack’s Reptile Room asks people to leave wild animals in the wild

Amber Quiring says people who think they’re helping are actually doing more harm than good

Thousands of protesters make their way through the downtown core during a Black Lives Matter protest in Ottawa, Friday June 5, 2020. THE CANADIAN PRESS/Adrian Wyld
MPs’ study of systemic racism in policing concludes RCMP needs new model

Chair of the House public safety committee says it’s time for a reckoning on ‘quasi-military’ structure

A case filled with packages of boneless chicken breasts is shown in a grocery store Sunday, May 10, 2020, in southeast Denver. THE CANADIAN PRESS/AP-David Zalubowski
One million chickens euthanized during labour dispute at Quebec slaughterhouse

Premier says waste amounts to 13 per cent of the province’s chicken production thrown in the garbage

Most Read