RT Journal Article SR Electronic T1 Summary of findings from the evaluation of a pilot medically supervised safer injecting facility JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 1399 OP 1404 DO 10.1503/cmaj.060863 VO 175 IS 11 A1 Evan Wood A1 Mark W. Tyndall A1 Julio S. Montaner A1 Thomas Kerr YR 2006 UL http://www.cmaj.ca/content/175/11/1399.abstract AB 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.