The Cosmologist Mermaid

Monday, April 30, 2012

Vancouver, Canada is the only city in North America that provides a legal facility for drug addicts to push heroin and cocaine and other types of substances into their veins. It’s called InSite, and it’s both government-sanctioned and government-funded.

Located in Vancouver’s notorious Downtown Eastside—often called Canada’s poorest postal code—the supervised injection site opened as a 3-year experiment back in 2003 to curb the neighborhood’s high levels of disease spread through shared needles and death from overdose. Now, after nearly a decade of academic research, political debate, public scrutiny and a Canadian Supreme Court ruling last September that stated InSite should remain open indefinitely, Montreal, Toronto, Ottawa and other cities across the nation are contemplating opening their own injection facilities. According to InSite’s own records, between 2004 and 2010 they had 1418 overdoses without a single one resulting in death. No one has ever died there.

I spoke with Tim Gauthier, InSite’s current clinical coordinator and registered nurse, about the difficulty of maintaining order in a room where most people are high, the significance of whether addicts live or die, and what hope can look like in such an unusual place.