NYC OKs Safe Sites for Drug Use, Aiming to Curb Overdoses

By: Jennifer Peltz

The first officially authorized safe havens for people to use heroin and other narcotics have been cleared to open in New York City in hopes of curbing deadly overdoses, officials said Tuesday.

The privately run “overdose prevention centers” provide a monitored place for drug users to partake. Also known as supervised injection sites or safer consumption spaces, they exist in Canada, Australia and Europe and have been discussed for years in New York and some other U.S. cities and states. A few unofficial facilities have operated for some time.

Proponents see the facilities as pragmatic, life-saving tools for stopping overdoses, which are claiming a record number of lives in the U.S. and its most populous city.

“I’m proud to show cities in this country that after decades of failure, a smarter approach is possible,” Mayor Bill de Blasio, a Democrat, said in a statement.

Opponents, however, see the sites as moral failures that essentially sanction people harming themselves and create hubs of drug use. Further, federal law bans operating a place for taking illegal drugs, and the government successfully sued in recent years to block a supervised consumption space in Philadelphia.

The U.S. Justice Department declined Tuesday to comment on New York City’s approach, which is allowing supervised injection sites at existing syringe exchange programs. City Health Commissioner Dr. Dave Chokshi said the supervised consumption sites were open as of Tuesday.

The sites don’t sell drugs — users bring their own — but have monitors who watch for signs of overdose and can administer an antidote if needed. Sterile syringes and other accoutrements are usually on hand. Chokshi said the facilities also would offer referrals to drug treatment and other services.

Proponents say supervised consumption spaces sometimes can gently steer users toward treatment, but it’s not a requirement. The primary aim is just to keep them from overdosing to death.

“This place is about meeting people where they are and giving them the hours and the days and the support that they need to make choices for themselves,” said Kassandra Frederique of the Drug Policy Alliance, a group that advocates for less punitive drug laws.

Advocates and city officials also argue that the sites can help curb drug use in public places.

The U.S. has been contending for years with a boom in opioid use and deaths, fueled at first by increased prescribing, including newly available painkillers, in the 1990s and then by heroin and illicit fentanyl. Nearly 500,000 people nationwide died of opioid overdoses from 1999-2019, according to the federal Centers for Disease Control and Prevention, and the epidemic only worsened last year.

The CDC estimates there were more than 93,300 overdose deaths in 2020, up nearly 30% from the prior year’s number. In New York City, more than 2,060 people died of overdoses last year, the most since reporting began in 2000.

Looking at such statistics, cities from San Francisco to the college town of Ithaca, New York, have sought to open supervised injection sites. In July, Rhode Island became the first state to authorize them. (AP)