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MARIJUANA MOMENT

AMERICAN MEDICAL ASSOCIATION SAYS SAFE DRUG CONSUMPTION SITES ‘SAVE LIVES’ BY
REDUCING RISKY BEHAVIORS AND OVERDOSE DEATHS


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SCIENCE & HEALTH


AMERICAN MEDICAL ASSOCIATION SAYS SAFE DRUG CONSUMPTION SITES ‘SAVE LIVES’ BY
REDUCING RISKY BEHAVIORS AND OVERDOSE DEATHS

Published

1 day ago

on

January 24, 2024

By

Ben Adlin

In a little-noticed section of a report on the nation’s worsening drug overdose
epidemic released late last year, the American Medical Association (AMA) urged
states and local communities to consider allowing overdose prevention sites
(OSPs) to operate as a public health strategy.

“At this point in the nation’s epidemic, the AMA urges states and communities to
consider all evidence-based approaches to prevent overdose death and help
connect individuals to health care and treatment,” the report says. “The data
shows that OSPs help reduce risky drug use behaviors, overdose and death while
improving public safety and access to health care.”

The message comes as the Biden administration continues fight against efforts to
open the sites, where people can use drugs in a supervised setting. The Justice
Department has stood in the way of a proposed Philadelphia overdose prevention
site, for example, even as some in New York have begun operation with approval
from local officials. The opposition has chilled some other jurisdictions from
allowing similar centers to open.

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But studies show the sites “save lives,” AMA said in its report: “Whether in
Canada, Europe or the sites in New York City, thousands of overdose reversals
have taken place while there have been no reported fatalities at the sites.”

Additionally, the facilities “increase access to health services,” AMA said,
with more than half (52.5 percent) of participants receiving services “including
naloxone distribution, counseling, hepatitis C testing, medical care and
holistic services.”



Nearly 3 in 4 who used the centers, meanwhile, did so instead of consuming in a
public or semipublic location, the report says.

In November, a separate AMA-published study found that the New York centers have
not led to increased crime, despite a significant decrease in arrests. While
opponents had argued that establishing the harm reduction centers would drive
crime, the study in JAMA Public Health found that “initial data from NYC do not
support these concerns.”

A 2022 JAMA study found additionally that, over the course of two months in the
first year of implementation, trained staff at New York City’s first overdose
prevention center intervened in 125 instances to mitigate overdose risk,
administering naloxone and oxygen and providing other services to prevent a
person’s death.



Even so, a federal prosecutor who has jurisdiction over Manhattan emphasized in
a statement to The New York Times in August that the sites are illegal and that
he is “prepared to exercise all options—including enforcement—if this situation
does not change in short order.”

In 2021, the Supreme Court rejected a request to hear a case on the legality of
establishing the facilities. The following year, the Justice Department said it
was in the process of evaluating possible “guardrails” for safe consumption
sites.

Congressional researchers in 2022 highlighted the “uncertainty” of the federal
government’s position on safe drug consumption sites, while pointing out that
lawmakers could temporarily resolve the issue by advancing an amendment modeled
after the one that has allowed medical marijuana laws to be implemented without
Justice Department interference.



Meanwhile, National Institute on Drug Abuse (NIDA) Director Nora Volkow
has tacitly endorsed the idea of authorizing safe consumption sites, arguing
that evidence has effectively demonstrated that the facilities can prevent
overdose deaths.

Volkow declined to say specifically what she believes should happen with the
ongoing lawsuit, but she said safe consumption sites that have been the subject
of research “have shown that it has saved a significant [percentage of] patients
from overdosing.”

Rahul Gupta, the White House drug czar, has said the Biden administration
is reviewing broader drug policy harm reduction proposals, including the
authorization of supervised consumption sites.



The National Institutes of Health (NIH) put out a pair of requests for
applications in December 2021 to investigate how safe consumption sites and
other harm reduction policies could help address the drug crisis.

Gupta, the director of the White House Office of National Drug Control Policy
(ONDCP), has said it’s critical to explore “any and every option” to reduce
overdose deaths, which could include allowing safe consumption sites for illegal
substances if the evidence supports their efficacy.

> Biden DOJ Tells Federal Court Not To ‘Disrupt’ Marijuana Rescheduling Decision
> By Allowing Industry Lawsuit To Proceed



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Ben Adlin


Ben Adlin, a senior editor at Marijuana Moment, has been covering cannabis and
other drug policy issues professionally since 2011. He was previously a senior
news editor at Leafly, an associate editor at the Los Angeles Daily Journal and
a Coro Fellow in Public Affairs. He lives in Washington State.



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