Drug-related overdoses within a medically supervised safer injection facility

@article{Kerr2006DrugrelatedOW,
  title={Drug-related overdoses within a medically supervised safer injection facility},
  author={Thomas Kerr and Thomas Kerr and Mark Tyndall and Mark Tyndall and Calvin Lai and Julio S. G. Montaner and Julio S. G. Montaner and Evan Wood and Evan Wood},
  journal={International Journal of Drug Policy},
  year={2006},
  volume={17},
  pages={436-441}
}
  • T. KerrT. Kerr E. Wood
  • Published 1 September 2006
  • Medicine
  • International Journal of Drug Policy

Figures and Tables from this paper

Non-Fatal Overdose Among a Cohort of Active Injection Drug Users Recruited from a Supervised Injection Facility

The findings indicate that a sub-population of IDU might benefit from overdose prevention interventions and refute the suggestion that the SIF may increase the likelihood of overdose.

Estimated Drug Overdose Deaths Averted by North America's First Medically-Supervised Safer Injection Facility

Based on a conservative estimate of the local ratio of non-fatal to fatal overdoses, the potentially fatal overdoses in the SIF during the study period could have resulted in between 8 and 51 deaths had they occurred outside the facility, or from 6% to 37% of the total overdose mortality burden in the neighborhood during theStudy period.

Is there a role for potential supervised injection facilities in Victoria, British Columbia, Canada?

Supervised injection facilities (SIFs) are medical facilities where injection drug users can inject their illicit drugs under the supervision of nurses and doctors. Currently, there is only one legal

A Cost-Benefit Analysis of a Potential Supervised Injection Facility in San Francisco, California, USA

The economic costs and benefits of establishing a potential supervised injection facilities in San Francisco using mathematical models that combine local public health data with previous research on the effects of existing SIFs are estimated.

M Program and Evaluation Methods

Vancouver’s safer injecting facility was opened in September 2003 as a pilot study and the legal exemption by the federal government that allowed operation of the facility was limited to 3 years and was granted on the condition that an external 3-year scientific evaluation of its impacts be conducted.

Mitigating the heroin crisis in Baltimore, MD, USA: a cost-benefit analysis of a hypothetical supervised injection facility

It is concluded that a SIF would be both extremely cost-effective and a significant public health and economic benefit to Baltimore City.
...

References

SHOWING 1-10 OF 36 REFERENCES

Methodology for evaluating Insite: Canada's first medically supervised safer injection facility for injection drug users

Preliminary observations suggest that the SIF in Vancouver, Canada has been successful in attracting IDUs into its programs and in turn helped to reduce public drug use, but it will take several years before the site's impacts can be appropriately examined.

The Sydney Medically Supervised Injecting Centre: reducing harm associated with heroin overdose

It is likely that the early intervention provided by the supervised setting of the MSIC reduced the morbidity and mortality that would have otherwise been associated with these drug overdoses had they occurred elsewhere.

Rationale for evaluating North America's first medically supervised safer-injecting facility.

Fatal heroin-related overdose in San Francisco, 1997–2000: a case for targeted intervention

It is recommended the development of overdose response training targeted at heroin users and those close to them, including the staff of residential hotels, are developed.

Morbidity associated with non-fatal heroin overdose.

There appears to be extensive morbidity associated with non-fatal overdose in heroin users, and more research is needed to document the prevalence and nature of these harms, and factors associated with them.

Accidental overdose among injecting drug users in Dorset, UK.

Since IDUs often witness overdose, training them in first aid may be valuable, and tackling the reasons that delay their seeking help is crucial, there is potential for preventing overdose by promoting protective behaviours.

Needle exchange is not enough: lessons from the Vancouver injecting drug use study

Despite having the largest NEP in North America, Vancouver has been experiencing an ongoing HIV epidemic and NEP are crucial for sterile syringe provision, they should be considered one component of a comprehensive programme including counselling, support and education.

Mortality of intravenous drug users in Rome: a cohort study.

A large excess of mortality in both sexes was found for infectious, circulatory, respiratory, and digestive diseases as well as for violence, overdose, AIDS, and unknown or ill-defined causes, which document serious health consequences of drug abuse in Italy.

Attitudes about prescribing take-home naloxone to injection drug users for the management of heroin overdose: a survey of street-recruited injectors in the San Francisco Bay Area

Prescribing take-home naloxone to IDUs with training in its use and in resuscitation techniques may represent a life-saving, peer-based adjunct to accessing emergency services.

Opiates, cocaine and alcohol combinations in accidental drug overdose deaths in New York City, 1990-98.

Data suggest that interventions to prevent accidental overdose mortality should address the use of drugs such as heroin, cocaine and alcohol in combination, suggesting different patterns of multi-drug use among different subpopulations.