nys sif letter of support - org endorsers (04!10!16)

8/18/2019 NYS SIF Letter of Support - Org Endorsers (04!10!16)

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Support Supervised Injection Facilitiesfor a Safe and Healthy New York

We call on New York ocials to take all necessary steps toauthorize and establish supervised injection facilities as a

public health intervention to reduce HI and viralhepatitis trans!ission and overdose deaths" pro!ote

access to dru# dependency treat!ent and othersupportive care" and increase public safety$

Supervised injection facilities (SIFs) are controlled health care settingswhere people can more safely inject pre-obtained drugs in a hygienic

environment with access to sterile injecting equipment and under thesupervision of trained healthcare sta SIFs provide an array of supportincluding health care! counseling! and referrals to health and socialservices! including drug treatment

"here are at least ## SIFs operating in $$ cities around the world in tencountries (Swit%erland! &ermany! the 'etherlands! 'orway!uembourg! Spain! *enmar+! &reece! ,ustralia and anada) . butnone in the /nited States0 1ore SIFs are planned to soon open inseveral other anadian cities as well as in Ireland and France

'umerous peer-reviewed scienti2c studies have proven the positiveimpacts of SIFs "hese bene2ts include3

• Increased access to drug treatment! especially among peoplewho distrust the treatment system and are unli+ely to see+treatment on their own 4

• 5educed public disorder! reduced public injecting! and increasedpublic safety 6

• 5educed 7I8 and viral hepatitis ris+ behavior (eg syringe andother injection equipment sharing! unsafe se) 9

• 5educed bacterial infections (eg staph infection! endocarditis) :

• 5educed overdose deaths $

• ost savings resulting from reduced disease! overdose! and needfor emergency medical services and increased preventivehealthcare and drug treatment utili%ation ;

In addition! research has shown that SIFs do '


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• Increase drug use in the surrounding community =

• Increase initiation into injection drug use #

• Increase drug-related crime 0>

• ,ttract new drug users to the area 00

SIFs are a vital part of a comprehensive public health approach toreducing the harms of drug use 'ew ?or+ policyma+ers should eplorethe implementation of supervised injection facilities to reduce overdosedeaths! increase access to health services including drug treatment!and further epand access to safer injection equipment to prevent thetransmission of 7I8! hepatitis ! and other infectious disease

SIFs cannot prevent all ris+y drug use or related harms 7owever!evidence demonstrates that they can be remar+ably eective and cost-saving! and improve the lives of people who inject drugs and the safetyand health of our communities

%ndorsin# &r#anizations'

1. ACRIA2. ACT UP New York3. BOOM!Health4. Bronx een"er#$. Co%%&n't( A))e##*. r&+ Pol')( All'an)e,. Har% Re"&)t'on Coal't'on-. Heat't'# C Mentor / 0&ort ro& In).

. H'#an') Health Network1. Ho'n+ 5ork#11. In6e)t'on r&+ U#er# Health All'an)e12. 7at'no Co%%'##'on on AI013. Metrool'tan Co%%&n't( Ch&r)h o New York14. New York A)a"e%( o Me"')'ne1$. New York Har% Re"&)t'on 8"&)ator#1*. Peer Network o New York1,. Po#'t'9e Health Pro6e)t1-. 0o&thern T'er AI0 Pro+ra%1. 0t. Ann:# Corner o Har% Re"&)t'on2. Treat%ent A)t'on ro&21. ;OCA7 New York22. 5a#h'n+ton He'+ht# CORN8R Pro6e)t

(eferences


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0 International *rug @olicy onsortium! *rug onsumption 5ooms3 Avidence and @ractice (4>04)!http3BBidpcnetBpublicationsB4>04B>$Bidpc-brie2ng-paper-drug- consumption-rooms-evidence-and-practiceC *agmar 7edrich el al! D*rug consumption facilities in Aurope and beyond!E in 7armreduction3 evidence! impacts and challenges (Auropean 1onitoring entre for *rugs and *rug,ddiction! 4>0>)! http3BBwwwemcddaeuropaeuBattachementscfmBatt0>04;6A' emcdda-harmG4>red-mon-ch00-webpdf C and 'anna &ottfredsen! personal communication! 'ov! ;! 4>06

4 "yndall! 1! Herr! "! hang! 5! Hing! A! 1ontaner! J! K Lood! A (4>>$) ,ttendance! drug use

patterns! and referrals made from 'orth ,mericaMs 2rst supervised injection facility Drug and Alcohol Dependence! 0#6-0#=C Lood et al (4>>$) Service upta+e and characteristics of injectiondrug users utili%ing 'orth ,mericaNs 2rst medically supervised injection facility American Journal of Public Health, #$3 ;;>-;;6C Lood! A! "yndall! 1! hang! 5! Stolt%! J! 1ontaner! J! K Herr! "(4>>$) ,ttendance at supervised injecting facilities and use of detoi2cation services NewEngland Journal of Medicine, 354(46)

6 Ooyd et al (4>>=) @ublic order and supervised injection facilities3 8ancouverNs sis Healthanada, 4#C *eOec+ et al (4>>=) @olice and public health partnerships3 evidence from theevaluation of 8ancouverNs supervised injection facility !ub"tance Abu"e #reatment, Pre$entionand Polic%, 3&'(5)

9 Herr! et al (4>>:) Safer injecting facility use and syringe sharing among injection drug users*ancet, 6$$3 60$-60=C Herr et al (4>>;) "he role of safer injection facilities in the response to7I8B,I*S among injection drug users urrent H+-A+D! .eport", 93 0:=-0$9C 1illoy et al (4>>#)

Amerging role of supervised injecting facilities in human immunode2ciency virus prevention Addiction, 0>93 $4>-$40

: loyd-Smith et al (4>>=) 5is+ factors for developing a cutaneous injection-related infectionamong injection drug users3 a cohort study /M Public Health, =3 9>:C loyd-Smith et al (4>>#)*eterminants of cutaneous injection-related infection care at a supervised injecting facility Annal"of Epidemiolog%, 0#3 9>9-9>#

$ 1arshall et al (4>00) 5eduction in overdose mortality after the opening of 'orth ,mericaNs 2rstmedically supervised safer injecting facility3 a retrospective population-based study *ancet, 6;;3094#-096;C Herr et al (4>>;) , micro-environmental intervention to reduce harms associatedwith drug-related overdose! evidence from the evaluation of 8ancouverNs safer injection facility+nternational Journal of Drug Polic%, 0=3 6;-9:C 1illoy et al (4>>=) 'on-fatal overdose among acohort of acting injection drug users recruited from a supervised injection facility American Journalof Drug and Alcohol Abu"e, 693 9##-:>#C 1illoy! 1-J! Herr! "! "yndall! 1! 1ontaner! J! K Lood! A

(4>>=) Astimated drug overdose deaths averted by 'orth ,mericaMs 2rst medically-supervisedsafer injection facility P*0! 0NE, 3(0>)! 0-$

; ,ndresen! 1! K Ooyd! ' (4>0>) , cost-bene2t and cost-eectiveness analysis of 8ancouverNssupervised injection facility +nternational Journal of Drug Polic% ! ;>-;$C Oayoumi et al (4>>=)ost-eectiveness of the 8ancouver safe injection facility andian Medical A""ociation Journal)

= Herr! "! Stolt%! J! "yndall! 1! i! H! hang! 5! 1ontaner! J! K Lood! A (4>>$) Impact of amedically supervised safer injection facility on community drug use patterns3 a before and afterstudy /riti"h Medical Journal! 44>-444

# Herr! "! "yndall! 1! hang! 5! ai! ! 1ontaner! J! K Lood! A (4>>;) ircumstances of 2rstinjection among illicit drug users accessing a medically supervised safer injection facility American

Journal of Public Health, 12(;)! 044=-046>C Herr! "! Stolt%! J! "yndall! 1! i! H! hang! 5!1ontaner! J! K Lood! A (4>>$) Impact of a medically supervised safer injection facility on

community drug use patterns3 a before and after study /riti"h Medical Journal! 44>-4440> Lood et al (4>>$) Impact of a medically supervised safer injecting facility on drug dealing andother drug-related crime !ub"tance Abu"e #reatment, Pre$ention and Polic%, 03 0-9

00 Lood! A! Herr ! "! Small! L! i! H! 1arsh! *! 1ontaner! J! K "yndall! 1 (4>>9) hanges inpublic order after the opening of a medically supervised safer injecting facility for illicit injectionusers Medical A""ociation Journal! ;60-;69

nys sif letter of support - org endorsers (04!10!16)

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