Canadian Press (01.15.10) - Tuesday, January 19, 2010
On Friday, British Columbia's Court of Appeal (COA) upheld a
lower court ruling that allowed Vancouver's supervised
injection facility, Insite, to continue operations. The
Conservative government had appealed the lower court's
determination that Insite is a health care facility and
therefore under provincial, rather than federal, jurisdiction
In COA's decision is a clear message for Prime Minister
Stephen Harper, said Dr. Julio Montaner, director of the B.C.
Center for Excellence in HIV/AIDS. Harper should cease "his
draconian, ideologically motivated public health policy-
making" and embrace evidence-based health care, Montaner said.
Since 2003, Insite has offered a clinic in Downtown Eastside
where injection drug users can shoot up their own drugs under
the supervision of a nurse. Among the aims of Insite are to
reduce blood-borne infections and overdoses, and to link IDUs
to health services including treatment for addiction. Insite
supporters had launched the preemptive court action to ensure
its exemption from federal drug laws did not expire as
scheduled in June 2008.
"There is tremendous interest in a number of cities around the
world based on the fact that not only have we piloted this
initiative, but the supervised injection site is the best
studied in the world," Montaner said. Since Insite's launch,
detox admissions among addicts have climbed 30 percent, he
noted. Officials in Montreal, Toronto, Victoria, and San
Francisco have discussed creating interventions modeled on
Insite, he said.
"While the government respects the court's decision, it is
disappointed with the outcome," said David Thomas, a
spokesperson for Health Canada, whose government minister
initiated the appeal along with the attorney general. Federal
officials are reviewing the decision carefully, Thomas said,
and the government can still press its appeal to the Supreme
Court of Canada.