Safe-injection sites: Seeking a solution to public IV drug use

As public drug injection draws criticism in Portland, other U.S. cities fight for a controversial solution

On the concrete floor of a public restroom, inside a parking garage in Portland’s Old Town, a heroin addict took his last breaths. He was overdosing while his “street brother” pounded aggressively on the locked door that stood between them.

“I don’t know if it was stronger or if he did more than usual,” says Raymond Thornton, as he recounts his 40-year-old friend’s untimely death. He had been a couple of blocks away from the SmartPark garage on Northwest Naito Parkway and Davis Street when he heard news of the overdose. When he arrived, he saw an ambulance, “but he was already gone,” Thornton says.

This was one of 60 heroin-related deaths in Multnomah County in 2010. There would be 284 more over the next four years. All deaths where heroin is found present in the bloodstream are categorized as heroin-related deaths by the state medical examiner.

“There’s been a significant increase in heroin use in the last few years in the Portland area,” says Kim Toevs, Multnomah County Health Department harm reduction manager.

In 2014, there were 122 heroin-related deaths in Oregon, 80 of which were in Portland’s tri-county area – three fewer than the year prior, although Multnomah County’s heroin-related deaths were down significantly, from 65 to 54, according to Oregon State Police medical examiner reports.

This decrease is a sign Oregon lawmakers’ 2014 move to allow for wider distribution of the overdose-reducing drug naloxone is helping reduce deaths from overdose in places where it’s available to users, Toevs says.

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Canada Post has provided notification of restarting their operations on December 17, 2024. As Canada Post ramps up and stabilizes their services, the BC-CfE will continue the following measures on an interim basis to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory will utilize private courier for delivery of outgoing reports and documents. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy will utilize private courier for delivery of medications. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)