Is InSite Really All It’s Cracked Up To Be?

Ten years ago this week, Insite, North America’s first supervised drug injection site, opened at 139 East Hastings in Vancouver’s Downtown Eastside, thanks mainly to two men, Dr. Julio Montaner and Thomas Kerr of the British Columbia Centre for Excellence in HIV/AIDS.

It’s an amazing story.

Since 2003, folks in Canada’s most drug-infested neighbourhood have been buying heroin, cocaine and crystal meth on the street, strolling into InSite and shooting-up under the watchful eye of government nurses. All in the name of harm reduction, a philosophy of addiction treatment through enablement.

How’d they do it?

Early last decade, Montaner and Kerr lobbied for an injection site. In 2003, the Chretien Liberals acquiesced, gave the greenlight to B.C.’s Ministry of Health, which, through Vancouver Coastal Health, gave nearly $1.5 million to the BC Centre (that’s Montaner and Kerr, you remember them) to evaluate a three-year injection site trial in Vancouver.

Voila! InSite was born.

If the three-year trial was successful, or in other words, if InSite’s chief lobbyists, who received $1.5 million from taxpayers to study its pros and cons, concluded that InSite was a good fit for Vancouver, the provincial government would consider funding it in perpetuity. Amazing.

Mark Hasiuk
Huffington Post
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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’.
For more details and example reports, please click on the button below