TY - JOUR T1 - Summary of findings from the evaluation of a pilot medically supervised safer injecting facility JF - Canadian Medical Association Journal JO - CMAJ SP - 1399 LP - 1404 DO - 10.1503/cmaj.060863 VL - 175 IS - 11 AU - Evan Wood AU - Mark W. Tyndall AU - Julio S. Montaner AU - Thomas Kerr Y1 - 2006/11/21 UR - http://www.cmaj.ca/content/175/11/1399.abstract N2 - In many cities, infectious disease and overdose epidemics are occurring among illicit injection drug users (IDUs). To reduce these concerns, Vancouver opened a supervised safer injecting facility in September 2003. Within the facility, people inject pre-obtained illicit drugs under the supervision of medical staff. The program was granted a legal exemption by the Canadian government on the condition that a 3-year scientific evaluation of its impacts be conducted. In this review, we summarize the findings from evaluations in those 3 years, including characteristics of IDUs at the facility, public injection drug use and publicly discarded syringes, HIV risk behaviour, use of addiction treatment services and other community resources, and drug-related crime rates. Vancouver's safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts. These findings should be useful to other cities considering supervised injecting facilities and to governments considering regulating their use. ER -