Insite survives 10 years on

The procedure is hard to watch: A 52-year-old woman takes a syringe filled with heroin and carefully inserts it into a vein in the side of her neck.

As she pulls out the syringe, she checks herself in the mirror and notices a trickle of blood coming from the tiny wound. She wipes it with a sterile pad and she’s done.

People suffering from infectious diseases are receiving better treatment and another report released last week by the B.C. Centre showed 29 injection drug users in the province were diagnosed with HIV/AIDS in 2012 compared to more than 400 per year prior to 1996.
When asked what role Insite played in the remarkable drop in HIV/AIDS cases, Dr. Julio Montaner, director of the B.C. Centre, pointed to a progressive province-wide strategy to stop the spread of the deadly virus, including access to free antiretroviral therapy drugs that can reduce HIV transmission.

That strategy, he said, coupled with the services of Insite and its detox facilities – called Onsite and spread over two floors above the injection room -play a big part in preventing drug users from contracting HIV/AIDS.
Insite, which has more than 12,000 registered users, is stocked with clean injection equipment and staffed with nurses and counselors that educate clients about safe injection practices.
 At Onsite, doctors, nurses, mental health workers and counselors work together to help stabilize recently sober users and plan their next steps in life.

“Why are we the only jurisdiction in the world that is seeing dramatic decreases in HIV cases all together, but more so in the intravenous injection use?” Montaner said, then answered his own question by again pointing to “low-threshold” services such as Insite which serves street-entrenched drug users prone to infectious disease.

Mike Howell
Vancouver Courier
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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (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 has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
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