Editing Supervised injection site (section)

=== Impact on community levels of overdose ===

Over a nine-year period the Sydney MSIC managed 3,426 overdose-related events with not one fatality<ref>name=KPMG {{cite web |url= http://www.health.nsw.gov.au/resources/mhdao/pdf/msic_kpmg.pdf |title=Further Evaluation of the Medically Supervised Injecting Centre during its extended Trial period (2007-2011) |access-date=2010-10-23}} p. 2</ref> while Vancouver’s Insite had managed 336 overdose events in 2007 with not a single fatality.

The 2010 MSIC evaluators found that over 9 years of operation it had made no discernible impact on heroin overdoses at the community level with no improvement in overdose presentations at hospital emergency wards.<ref name="KPMG">{{cite web |url= http://www.health.nsw.gov.au/resources/mhdao/pdf/msic_kpmg.pdf |title=Further Evaluation of the Medically Supervised Injecting Centre during its extended Trial period (2007-2011) |access-date=2010-10-23}}</ref>{{rp|19–20}}

Research by injecting room evaluators in 2007 presented statistical evidence that there had been later reductions in ambulance callouts during injecting room hours,<ref>{{Cite journal |last1= Salmon |first1= Allison |last2= Van Beek |first2= Ingrid |last3= Amin |first3= Janaki |last4=Kaldor |first4= John |last5= Maher |first5= Lisa |author-link5=Lisa Maher |date=February 2010 | title = The impact of a supervised injecting facility on ambulance call-outs in Sydney, Australia | journal = Addiction | volume = 105 | issue = 4 | pages = 676–683| doi = 10.1111/j.1360-0443.2009.02837.x | url =http://www3.interscience.wiley.com/journal/123278060/abstract?CRETRY=1&SRETRY=0 | archive-url =https://archive.today/20130105111346/http://www3.interscience.wiley.com/journal/123278060/abstract?CRETRY=1&SRETRY=0 | url-status =dead | archive-date =2013-01-05 |pmid=20148794 |url-access= subscription }}</ref><ref name="pmid18172151">{{cite journal
| last1 = Beletsky |first1= Leo |last2= Davis |first2= Corey S |last3= Anderson |first3= Evan |last4= Burris |first4= Scott
| title = The law (and politics) of safe injection facilities in the United States
| journal = American Journal of Public Health
| volume = 98
| issue = 2
| pages = 231–7
|date=February 2008
| pmid = 18172151
| pmc = 2376869
| doi = 10.2105/AJPH.2006.103747
}}</ref><ref name="pmid17689337">{{cite journal
| last1 = Kerr |first1= Thomas |last2= Kimber |first2= Jo |last3= Rhodes |first3= Tim
| title = Drug use settings: an emerging focus for research and intervention
| journal = The International Journal on Drug Policy
| volume = 18
| issue = 1
| pages = 1–4
|date=January 2007
| pmid = 17689337
| doi = 10.1016/j.drugpo.2006.12.016
}}</ref> but failed to make any mention of the introduction of sniffer dog policing, introduced to the drug hot-spots around the injecting room a year after it opened.<ref>{{cite web |url=http://www.abc.net.au/news/newsitems/200205/s558480.htm|title=Police to crack down on Kings Cross drug trade |website=[[Australian Broadcasting Corporation]] |access-date=2010-01-09}} 2003</ref>

A March 2025 study exploring the association of safer supply and decriminalization policy with opioid overdose outcomes in British Columbia, Canada, found that neither policy "appeared to mitigate the opioid crisis, and both were associated with an increase in opioid overdose hospitalizations."<ref>{{Cite journal |last=Nguyen |first=Hai V. |last2=Mital |first2=Shweta |last3=Bugden |first3=Shawn |last4=McGinty |first4=Emma E. |date=2025-03-21 |title=Safer Opioid Supply, Subsequent Drug Decriminalization, and Opioid Overdoses |url=https://jamanetwork.com/journals/jama-health-forum/fullarticle/2831562 |journal=JAMA Health Forum |volume=6 |issue=3 |pages=e250101 |doi=10.1001/jamahealthforum.2025.0101 |issn=2689-0186|pmc=11929020 }}</ref><ref>{{Cite news |last=JOANNOU |first=ASHLEY |date=2025-03-25 |title=B.C. drug decriminalization and safer supply associated with more overdoses, study shows |url=https://www.theglobeandmail.com/canada/british-columbia/article-bc-drug-decriminalization-and-safer-supply-associated-with-more/ |access-date=2025-04-02 |work=The Globe and Mail |publisher=The Canadian Press |language=en-CA}}</ref>