Global Health Asia-Pacific May 2020 | Page 56

Medical News America’s first supervised narcotics injection site gets green light from judge But the US federal government wants to thwart plans for the Philadelphia facility A case to allow America’s first safe house for drug users is making its way through the Philadelphia legal system amid strong opposition from residents and the US federal government. In late February, a district court judge ruled that facilities that allowed the supervised injection of illegal drugs did not violate federal law, paving the way for both the opening of a Philadelphia “safe” heroin injection site and a judicial appeal. 54 MAY 2020 Following the ruling, attention moved to where to locate the facility. After initially considering a depressed neighbourhood, the city government caused an outcry when it announced that an upwardly mobile district in South Philadelphia had been picked by the non-profit that had been fighting a campaign to open up the facility. Residents of the area, which houses a day care centre, the South Philadelphia High School, and hundreds of middle-class apartments and houses, spoke out at a chaotic press conference to announce the location in March. “I care about what my children have to see at 6 and 10 years old… that I have to explain hardened drug addiction,” screamed one attendee, according to the minutes of the meeting. Under the plans by Safehouse, the local non- profit hoping to usher in the facility, drug addicts will be monitored as they inject at the centre, with teams standing ready to revive them in the event of an overdose. The long-term goal of the project is to eventually steer addicts into some type of treatment plan. Safehouse boasts a glittering line-up of supporters, including a former Pennsylvania governor and the executive director of a legal charity made famous in the Tom Hanks movie Philadelphia. Although the judge in the case, a liberal appointed by President Obama, ruled in favour of the safe house, the decision has since been appealed by the federal government which is determined to shut down the concept of safe houses for drug users and deem them illegal throughout America. “We’re gratified that the judge found that federal law doesn’t prohibit Safehouse from operating a facility for the purpose of saving lives and preventing overdose deaths. This is a major step forward and lays the legal groundwork to enable us to proceed with this critical public health intervention,” the group said in a statement. “Safehouse’s overdose prevention services are designed to save lives, which is consistent with the intent of federal drug laws,” it said. The world’s first government-authorised supervised safe house opened more than 30 years ago in Switzerland. Today, more than 120 supervised consumption sites are operating in Europe, Australia, and Canada, the group believes. Currently, no such programme exists in the United States. GlobalHealthAndTravel.com