PUT ASIDE POLITICS AND MAINTAIN INSITE FUNDING

To the editor:

Re: "Insite, Onsite both deserve support," Letters, July 4.

In September of 2003, Insite was opened to provide support for
injection-drug users in the Downtown Eastside of Vancouver. This
facility, the first of its kind to be created in North America, has
resulted in fewer overdose deaths and open usage of drugs in the
downtown area. Due to a recent political shift, the closure of Insite
is seen as imminent. Conservative politicians have stated they are
not supportive of harm reduction and believe addiction is a criminal
matter. They also believe government money should not be used to fund
activities related to drug use. We feel it is imperative to share
some significant information with the citizens of Vancouver before
any conclusions are made about the fate of Insite.

Vancouver Coastal Health reports that, between 2004 and 2006, over
7,278 individuals registered at Insite. Over 18,000 safe injections
occur at Insite each month. Of the 453 overdoses that occurred within
the facility, none resulted in fatalities. During this time, 6,227
nursing interventions were provided at Insite. As well, over 4,084
clients of Insite had referrals to alternative health care resources
with 40 per cent referred to addictions councillors.

Insite acts as the first point of contact for many I.V. drug users
(IDU) in the Downtown Eastside. During visits to Insite, health care
professionals provide educational services on how to self-inject in a
safe, cleaner method. These educational interventions are provided to
reduce the risk of abscesses, as well as reduce the incidence of
related health challenges. In addition, Insite offers addiction
counselling and referrals to other health services. Insite employees,
as well as peers who have accessed treatment, are readily available
to discuss treatment options and to help facilitate an individual's
transition towards abstinence. Although the goal of Insite is to
achieve harm reduction, treatment is seen as another primary goal to
reduce the likelihood of negative health consequences associated with
IV drug use.

In conclusion, should Insite close, the health consequences for those
living with injection addictions would be unfavourable. Fatal
overdoses and sharing of syringes would likely increase again, thus
elevating the spread of dangerous infections. As well, the open use
of drugs in the area will also likely increase.

As nursing students who share an interest in working with
marginalized populations, we encourage Prime Minister Stephen Harper
and Health Minister Tony Clement to put aside their political agenda
and maintain funding to Insite. We encourage concerned citizens to
contact their local MLAs or MPs, Vancouver Mayor Sam Sullivan,
Canada's Minister of Health Tony Clement and to show your support by
emailing Prime Minister Stephen Harper.

Shannon Grant, Aimee Iverson and Charlene Savoie,

New Westminster