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Thomas Kerr, Will Small, David Moore, Evan Wood, 2006. Furthermore, 60% of those living/working in the area reported feeling that the site had a positive impact on public order; and more than 80% indicated that In Site should be either expanded, retained or modified. Boyd et al 2008 Vancouver: Health Canada Canada's national police force concludes that supervised injection sites do not increase crime This study, lead by the RCMP, Canada's national police force, analyzed previous research and found that supervised injection sites achieve many of the expected benefits and that there was no evidence that they increased the number of drug users, made drug users more resistant to treatment or decreased public order by expanding drug scenes or attracting drug users and dealers from other locations. Cohen 2006 Potus Consulting, RCMP There has never been a fatal overdose at In Site This study attempted to estimate the number of overdose deaths potentially averted by the implementation of In Site. A micro-environmental intervention to reduce the harms associated with drug-related overdose: Evidence from the evaluation of Vancouver's safer injection facility. Based on a conservative estimate of the local ratio of non-fatal to fatal overdoses, the potentially fatal overdoses in the supervised injection facility during the study period could have resulted in between 8 and 51 deaths had they occurred outside the facility. Jo-Anne Stoltz, Evan Wood, Will Small, Kathy Li, Mark Tyndall, Julio Montaner, Thomas Kerr, 2007. Montaner, Evan Wood, 2007 Addictive Behaviors Limiting Hepatitis C Infection The SIF has attracted injection drug users with a high burden of HCV infection and a substantial proportion of uninfected individuals. Changes in injecting practices associated with the use of a medically supervised safer injection facility. Although crosssectional, this study provides some insight into historical risks for HCV infection among this population, and prospective follow-up of this cohort will be useful to determine if use of the SIF is associated with reduced risk behaviour and HCV incidence. De Beck K, Kerr T, Zhang R, Marsh D, Tyndall M, Montaner J, Wood E. Injection drug use cessation and use of North America's first medically supervised safer injecting facility. Increased Use of Addiction Treatment The Safe Injection Facility's opening was associated independently with a 30% increase in detoxification service use, and this behaviour was associated with increased rates of long-term addiction treatment initiation and reduced injecting at the SIF. Wood E, Kerr T, Montaner JS, Strathdee S, Kerr T, et al. Rationale For Evaluating North America's First Medically Supervised Injecting Facility. Changes In Public Order After The Opening of a Medically Supervised Safer Injection Facility for Injection Drug Users. Wood 2007 Circumstances of First Injection Among Illicit Drug Users Accessing a Medically Supervised Safer Injecting Facility. The study concludes that an expansion of services would decrease public injecting.
More consistent SIF use is associated with positive changes in injecting practices, including less reuse of syringes, use of sterile water, swabbing injection sites, cooking/filtering drugs, less rushed injections, safe syringe disposal and less public injecting. Small 2008 Incarceration experiences in a cohort of active injection drug users. Kerr 2008 Illicit drug addiction, infectious disease spread, and the need for an evidence-based response. Wood 2008 Supervised injecting facilities: Time for scale-up? Harm Reduction Journal In Site reduces mortality rates from injection-related infection This report identifies and summarizes the risks of infection associated with injection drug use.