CARBC report: lack of fixed-site services, 2 years in

Victoria's Street Drug Users Share Needles More Often Than Those in Vancouver

A new report by the University of Victoria’s Centre for Addictions Research (CARBC) reveals that Victoria’s drug users continue to share dirty needles after the closure of the city’s only needle-exchange facility.

About 400 people a month used the facility, which opened more than 20 years ago. In May 2008, the needle-exchange was evicted from its downtown location after months of complaints from businesses and residents about noise, crime, garbage and human waste on the two-block street on which it was located.

CARBC’s report on patterns of substance use among street-involved injecting drug users finds that rates of needle sharing have remained significantly higher in Victoria than Vancouver over the past three years. By late 2009, 23 per cent of injection drug users interviewed in Victoria reported needle sharing compared with only eight per cent in Vancouver. Also by late 2009, 89 per cent of Victoria respondents injected daily or more often compared with 29 per cent in Vancouver.

Study co-author Andrew Ivsins is a UVic sociology graduate student and a research assistant at CARBC. “The closure of the fixed site needle exchange in May 2008 and the subsequent 15,000 fewer clean needles distributed each month in Victoria since then likely explain these results.” He also notes that Vancouver has several fixed site needle exchanges located throughout the metropolitan area.

The report, Drug Use Trends in Victoria and Vancouver, is available online at It recommends reinstating at least one fixed site needle exchange in Victoria as part of a comprehensive range of services to maintain the health of injecting drug users and to minimize the spread of HIV and Hepatitis C. For the same reasons, provision of clean crack pipes is recommended as one response to the high prevalence of crack cocaine use, an increasing trend in cities across Canada.

“Frequent injection drug use is significantly increasing in Victoria and decreasing in Vancouver. These opposite trends may have been worsened by the closure of the needle exchange in Victoria,” says study co-author Dr. Scott Macdonald, CARBC assistant director.

[from CARBC press release, Sept 1, 2010:]