B.C. nurses to argue in support of Insite at Supreme Court

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      As a Supreme Court hearing on Vancouver’s safe injection site approaches later this week, the B.C. Nurses' Union is preparing to intervene in support of what they say is a life-saving health service.

      The union held a press conference today (May 9) to outline the arguments their legal counsel plans to make in the country’s highest court this week.

      “It is simply disgraceful that the federal government continues to try and outlaw this legitimate health care service, and in the process, attempts to make criminals out of nurses, who are saving lives and providing quality care to this vulnerable population,” Janice Buchanan, the vice-president of the B.C. Nurses' Union, told reporters.

      “We’re hoping that once and for all, the Conservative federal government will be forced to stop fighting the evidence, both medical and legal, that proves that the Insite clinic is a legitimate health care service that saves lives, and improves conditions for hundreds of people suffering from the disease of addiction,” she added.

      The provincially funded Insite facility is the first legal supervised-injection site in Canada. The clinic offers clients primary care services, addictions counseling and treatment.

      While decisions from both the B.C. Supreme Court and the B.C. Court of Appeal have favoured Insite, the Harper government wants to see the facility shut down.

      Federal justice minister Rob Nicholson has said the case “raises important questions regarding the doctrine of interjurisdictional immunity and the division of powers between the federal and provincial governments.”

      Tim Gauthier, a registered nurse and the clinical coordinator at Insite, said if the facility is shut down, “people are going to die”.

      “People are still going to be using drugs whether Insite’s there or not, they’re just going to be using behind dumpsters, in the alleys and in their hotel rooms”¦and that equals dead people,” he said.

      Gauthier said Insite has managed over 1,000 overdoses without any fatalities since it opened in 2003.

      “The services provided at Insite are not controversial, from a medical, scientific or even a humanitarian standpoint,” he argued. “The only controversial thing about this issue is the Conservative government’s attempts to close it down.”

      Marjorie Brown, the legal counsel representing the BCNU at the Supreme Court, noted Insite users are 30 percent more likely to access treatment than drug users who do not use the facility.

      “Contrary to the argument that Insite encourages or allows drug use to continue, the evidence is that Insite contributes to a reduction in drug use and to drug users accessing treatment and detox,” said Brown.

      Russ Maynard, the program coordinator for the Portland Hotel Society, which operates the clinic, said an Insite user is taken to detox everyday. In addition to the safe injection site, the facility also includes 30 detox and recovery beds.

      Maynard described the clinic as “too busy” and wants to see a second safe injection site opened.

      The facility typically receives about 800 to 850 visits per day. Maynard said the number of people seeking detox services has increased since the clinic opened.

      “The only numbers that are trending up are referrals to detox,” he said, noting the detox facility has a success rate of about about 58 percent.

      Maynard added that B.C. has been successful at reducing HIV infection rates, a reduction he said Insite has played a role in.

      A report released by B.C.'s chief medical officer in March recommended that efforts to prevent HIV infection among injection drug users, such as supervised injection services, be expanded.

      “Insite’s a part of the establishment, it’s part of the health care continuum in Vancouver,” said Maynard. “Is that acceptable that a governing party in Ottawa is going to tell British Columbia to close that program? I don’t think so.”

      You can follow Yolande Cole on Twitter at twitter.com/yolandecole.

      Comments

      3 Comments

      Keep it Real

      May 10, 2011 at 10:47am

      anyone who supports insite are supporting the addicts' criminal lifestyles that they lead to enable them to buy the illegal drugs they are using. This whole experiment is ass-backwards. Why would we, as a society, support the possession of illegal drugs (tiself a criminal offence) and the robberies, break-ins, thefts, frauds and prostituion offences that help to pay for it? it simply does not make sense. We should be spending society's money on treatment - real long-term, multi-faceted treatment (not short-term detox), and for any healthcare providers not to see how hypocrytical they are to support insite is mystifying and disappointing. Get off the banwagon and grab a brain. These addicts deserve real solutions.

      beelzebub

      May 10, 2011 at 5:44pm

      Referrals to detox are just that, referrals. How many have actually attended and are drug free as a result? Zero. Force them into rehab, education, housing, and then jail if they fall off the train.

      glen p robbins

      May 10, 2011 at 6:06pm

      Keep it Real - you are right - however Insite is not about a solution to addiction - its about mitigating against the spread of disease -dirty needles etc.

      As someone who has spent two decades clean from alcohol addiction - I have encountered many who have gotten clean from other substance abuse including heroin and other substances.

      An addicted person needs to be placed in an environment for many weeks where proper medication - facilities (rest) etc are necessary. Thereafter, addiction therapy is required (12 step etc) or the addicted person will remain addicted. All addicted persons will do what they must to acquire their drugs (or alcohol). They will do anything - steal from family, friends, you --- there is nothing more powerful than addiction - except God - but people who are in their addiction--cannot realize this until they have been made clean.

      50% of all alcohol consumed in BC is by 10-15% of the public. It remains a 'rich man's' sport.

      The Conservative party - opposed to Insite would by demographic norms have at least 15-20 elected MP's going to Parliament for the next session who are or have been addicted to some substance - most likely alcohol.

      There must be at least one MP of these nearly 2 dozen who understands addiction from a perspective of recovery. Any such person - -a person who was sufficiently evolved to not see the world JUST from their own experience-- only---without empathy for the ugly and awful suffering of other people/our brothers and sisters/-- would understand that maintaining Insite is very important - not to stop the use of drugs (no one stops without proper intervention - no one)------in order to ensure that the environment does not become worse with dirty needles. A dirty needle to a junky is like a dirty glass to a chronic alchoholic - they don't give a shit that it is dirty - they will use it. Disease spreads - like the plague and soon enough regular people may become affected by carriers.

      I am sufficiently confident in my knowledge of such things - and my knowledge of politics to state unequivocally - that Insite is necessary-no more than that--essential--- as a clear response to a horrific community health issue - short of immediately creating hundreds and hundreds of spaces for treatment which is ultimately what is required.

      Former Surrey Mayor Doug McCallum promised me land in Surrey if the province would build a hospital for addiction--not just for the elite. The prison models the Conservatives are considering must be contemplated with minimum security prisons for addicted criminals in mind.

      There is no other way to solve the problem - but getting rid of Insite will only exacerbate the problem on the downtown eastside and create the conditions for epidemic. A civic tomb in progress.

      Frankly, I am sad that this serious and dangerous medical problem is not understood by Prime Minister Harper--

      I believed I knew him better.