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

RedRover talks animal care

Nicole Forsyth, Executive Director of RedRover, spoke in the Burns Lake Public… Continue reading

Alternative arts fest at LDSS

Lakes District Secondary School held its Alternative Arts Festival on May 28.… Continue reading

Smithers man receives two-year sentence for fatal car crash

Over a year after a fatal crash, a Smithers man has been sentenced to two years plus a day in jail.

RDBN opts to join entrepreneur immigration pilot scheme

The Regional District of Bulkley-Nechako (RDBN) will back a candidate under the… Continue reading

Ultrasound for Burns Lake hospital possible, Northern Health says

Northern Health is considering the possibility of bringing ultrasound services to the… Continue reading

PHOTOS: Elusive ‘ghost whale’ surfaces near Campbell River

Ecotourism operator captures images of the rare white orca

Victoria mom describes finding son ‘gone’ on first day of coroners inquest into overdose death

Resulting recommendations could change handling of youth records amidst the overdose crisis

Dash-cam video in trial of accused cop killer shows man with a gun

Footage is shown at trial of Oscar Arfmann, charged with killing Const. John Davidson of Abbotsford

Suicide confirmed in case of B.C. father who’d been missing for months

2018 disappearance sparked massive search for Ben Kilmer

Eight U.S. senators write to John Horgan over B.C. mining pollution

The dispute stems from Teck Resources’ coal mines in B.C.’s Elk Valley

Threats charge against Surrey’s Jaspal Atwal stayed

Atwal, 64, was at centre of controversy in 2018 over his attendance at prime minister’s reception in India

Anti-vaxxer Robert F. Kennedy Jr. to speak in Surrey

He’s keynote speaker at Surrey Environment and Business Awards luncheon by Surrey Board of Trade Sept. 17

Otters devour 150 trout at Kootenay hatchery

The hatchery has lost close to 150 fish in the past several months

B.C. church’s Pride flag defaced for second time in 12 days

Delta’s Ladner United Church says it will continue to fly the flag for Pride month

Most Read