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WHY OPIOID OVERDOSE PREVENTION PROGRAMS WORK AS NYC LEADS NATION WITH 1ST CENTER

The center has already intervened in 134 overdoses that could have been fatal.

ByKiara Alfonseca andMary Kekatos
19 February 2022, 15:14
• 8 min read
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3:25


On Location: February 21, 2022

Catch up on the developing stories making headlines.
Erik McGregor/LightRocket via Getty Images, FILE

It's been two months since New York City opened the first-ever overdose
prevention center (OPC) in the United States, and public health experts said the
clinic is already saving lives.

OPCs are a form of harm reduction, which is a set of strategies to minimize the
negative effects and consequences linked to drug use, and "keeping people who
use drugs alive and as healthy as possible," according to the U.S. government's
Substance Abuse and Mental Health Services Administration.



In this case, OPCs are place where people can use drugs in a setting with nurses
or other clinical staff members present and who can help avert fatal overdoses.

MORE: Drug overdose deaths hit new high in US during the pandemic

As of Feb. 8, the center has served nearly 700 New Yorkers and intervened in 134
overdoses, according to OnPoint NYC, which staffs the site.

Critics said OPCs are places that allow people to use drugs without attempting
to help them get clean and that state and local governments are forced to pay
for materials including crack pipes and meth pipes to feed people's addictions.

Erik McGregor/LightRocket via Getty Images, FILE
In this May 3, 2019, file photo, community leaders and drug policy activists
returned to t...Read MoreRead More

But anti-drug war advocates and other experts said these centers are vital in
reducing opioid deaths, destigmatizing drug misuse and connecting people to
resources for their substance abuse -- all in a safe environment.



"We are now creating safe spaces for people to use that are not -- they're no
longer feeling criminalized," Emily Kaltenbach, the senior director of criminal
legal & policing reform at the Drug Policy Alliance, a non-profit seeking to
reduce the harms of drug use, told ABC News. "People can come and feel safe to
use. They're no longer using in alleys or by themselves."

She said OPCs prevent drug users from other harmful behaviors that could
increase their risk of death, such as taking contaminated drugs or injecting
with dirty or shared syringes. Staff can also administer naloxone, a medication
to reverse overdoses.

"In these centers, there's immediate access to life-saving, overdose prevention
interventions there," Kaltenbach said. "People are not sharing syringes, for
example. So, the prevention of the spread of diseases by reducing HIV and
hepatitis C is huge."

OPCs also traditionally have connections to services such as mental health
therapy, drug treatment programs and housing.

"This is a step forward in making, in really treating drug use as a health issue
and not as a criminal issue," Kaltenbach added.

It comes as the nation hit its most sobering milestone in the ongoing opioid
epidemic.

MORE: Sacklers 'close' to deal to contribute additional cash in opioid
settlement

According to data from the Centers for Disease Control and Prevention, more than
100,000 Americans died of drug overdoses between May 2020 and April 2021.

This means roughly 1,923 people died of drug overdoses every week.

Of the total deaths, about 75,000 were due to opioids, including oxycodone and
hydrocodone, and synthetic opioids such as fentanyl -- most of which is
trafficked into the U.S. through China -- according to the U.S. Drug Enforcement
Administration.

The problem is widespread across the United States, including in New York City,
according to Dr. Dave Chokshi, commissioner of the city's Department of Health
and Mental Hygiene:

"In the year 2020, over 2,000 New Yorkers died of an overdose," he told ABC
News. "That means every four hours, a New Yorker died of an overdose and the
total number is more than deaths due to homicides, suicides and motor vehicle
crashes combined. So this is a five-alarm fire in public health."

Erik McGregor/LightRocket via Getty Images, FILE
In this Aug. 28, 2019, file photo, overdose prevention activists protest at Gov.
Andrew C...Read MoreRead More

There are currently two sites in the city, one each in the Manhattan
neighborhoods of East Harlem and Washington Heights, and are staffed by OnPoint
NYC, which merged from non-profits New York Harm Reduction Educators and
Washington Heights Corner Project.

"We are humanizing and giving hope to people that far too often society sees as
disposable and defines them by their mistakes," Sam Rivers, Executive Director
of OnPoint NYC, told ABC News in a statement.

OPCs are not without their critics, which argue the centers enable drug users,
who will just die of overdoses in other settings.

Dr. David Murray, co-director for the Center for Substance Abuse Policy Research
at the Hudson Institute in Washington, D.C., said illicit drug users will take
drugs " beyond the facility borders."

"Not uncommonly, drug users inject multiple times a day, and … the consumption
site simply becomes one more place in which to consume drugs, providing for only
a fraction of an addict's aggregate exposure," he wrote in a column for the
Hudson Institute in August 2020.

MORE: 100 bags of fentanyl found in bedroom of 13-year-old who died from
overdose

But Kaltenbach and others say OPCs reduce the amount and frequency that people
use drugs and reduce public disorder and public injection while increasing
public safety.

At Insite Supervised Injection Site, the first overdose prevention facility in
North America, which began operating in Vancouver, British Columbia, Canada, in
2003, one study found that the fatal overdose rate in the area around the site
fell by 35% after it opened.

Additionally, the programs help increase entry into substance use disorder
treatment programs, according to Kallenach. Another study found that more than
half of users at Insite entered addiction treatment within two years.

There are currently 120 OPCs operating in ten countries around the world, and
the Drug Policy Alliance says there has not been a single overdose fatality at
any OPC.

"No one is claiming that they are a silver bullet for all of what we're seeing
with respect to the overdose crisis or the broader set of issues surrounding
drug use," Chokshi said. "For that, it involves investments like the ones that
we have made in New York City around lowering barriers to accessing treatment …
investing in syringe service programs so that people have access, not just to
safe and clean supplies, but also all of the wraparound services, whether it's
housing or job placement, or food and medical care, basic human needs, that are
provided in those programs."

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