A plan to open a supervised injection site for hard drug users in Ottawa is being applauded by some who say the facility would cut down on the city’s high HIV infection rate.

“People will start learning how to use clean needles. There will be less overdoses and many are infected with HIV,” said Crystal O’Hara, who started injecting morphine three years ago and but is now on methadone.

O’Hara said that she sometimes smokes crack and recently nodded off while using and woke to find she left her stove burner on with a radio nearby.

A research team has quietly taken to the streets to survey Ottawa drug users.

It’s part of an effort, by Participatory Research in Ottawa Understanding Drugs, to create a profile of the situation in the capital.

Volunteers are reaching out to hard drug users in the most vulnerable situations, many of whom regularly use IV drugs.

Over the past several months, they’ve interviewed more than 400 addicts on a range of topics, including drug use, homelessness, education and supervised injection sites.

The push for Ottawa to get a controversial supervised injection site is gaining speed.

The Sandy Hill Community Health Centre on Wednesday said they are working to submit an application for an exemption from federal drug laws in order to open a "safer consumption site."

"We think we could do more for people in the community and drug users themselves," said Rob Boyd, director of the Oasis program at the Sandy Hill Community Health Centre.

"We feel it's important to move forward."

Comments on the Supervised Injection Services in Toronto Report
Submission to members of the Toronto Board of Health
by David B. Gibson, Executive Director, on behalf of the Sandy Hill Community Health Centre.

I have travelled from Ottawa to be here before you because I have finally heard publically for the first time in this Province, the courage of a Public Health Organization to challenge what I call - the Politics of Harm – the silence of indifference, moral indignation, fear, ignorance, misinformation and outright discrimination of a small minority of people who live in our communities.

For much too long in this country, I have witnessed political ideology and expediency dismissing the available scientific evidence that over 90 sites around the world have been sharing for decades - that supervised injection services work as part of a continuum of health and well-being services.Time and time again we hear public officials who oppose supervised injection services on public health or safety grounds, make assertions that supervised injection services have a negative impact on the communities in which they operate.

They have been doing so it seems with impunity and yet they make these public statements without any evidence to support their assertions. Just saying no is not good enough anymore – not when people’s lives are at stake.

Instead of the Politics of Harm why can’t we reframe the discussions to the politics of hope and opportunity – where saving lives is more important than fixating on just one service intervention, namely, supervised injection services.

Toronto Public Health has recently come forward calling for a supervised injection site in their city, as well as publicly speaking out against Bill C-65. Bill C-65 is the proposed legislation putting further barriers towards opening more sites across Canada. Toronto Public Health clearly sees that their community is suffering due to inadequate service for their population of people who use drugs.

Ottawa Public Health has long been an advocate for community health. OPH describes its role as advocating for “public policies that make our city and its residents healthier”, however their voice has been notably absent in the recent discussion of the health of people that use drugs. Ottawa needs OPH to be at the forefront of the push for safer consumption sites.

A leading infection–control expert is urging public health officials to speak out about the benefits of safe injection sites instead of staying silent about new federal legislation that will make it harder for communities across Canada to establish new locations.

“There’s been a lack of leadership across the board, not just from the federal government,” says Dr. Mark Tyndall, chief of the Division of Infectious Diseases at The Ottawa Hospital in Ontario.

The government continues to oppose effective harm reduction with its ‘Respect for Communities Act,’ writes Dr. Mark Tyndall. Meanwhile, lives are being destroyed.

On Sept. 29, 2011, the Supreme Court of Canada (SCC) ruled that the federal government could not close down Insite — North America’s only supervised injection facility. The ruling was clear: “applying the Controlled Drugs and Substances Act (CDSA) to Insite was arbitrary, undermining the very purposes of the CDSA, which include public health and safety. It is also grossly disproportionate: the potential denial of health services and the correlative increase in the risk of death and disease to injection drug users outweigh any benefit that might be derived from maintaining an absolute prohibition on possession of illegal drugs on Insite’s premises.”