Safe injection rooms and police crackdowns in areas with heavy drug dealing. Evaluation by counting discarded syringes collected from the public space
DOI:
https://doi.org/10.20882/adicciones.35Keywords:
harm reduction, drug consumption room, street drugs, program evaluation, police forces, syringesAbstract
The evolution of drug injection in public places is analysed using as indicator the number of syringes collected from public spaces, evaluating as well the influence of public health harm reduction interventions and of police actions, with a before and after quasi experimental study. Monthly syringe counts on the semester before and after each intervention were compared both in the involved district and in the city as a whole, using the U and z tests with a 95% confidence level. The average number of collected syringes drops from 13.132 in 2004 to 3.190 in 2012. Comparing indicators before and after health and police interventions, the opening of a facility with a supervised drug consumption room in the inner city was associated with a huge reduction in the number of abandoned syringes in the city, while its number did not rise in the district where the facility was located.The subsequent opening of another drug consumption room did not have a significant impact in collected syringes in the area. Some police interventions in 2005-2006 and 2011 had a significant impact in the indicators of the involved districts, while others did not. Harm reduction programs might have a favourable impact on drug injection in public spaces and related syringe presence. Some police interventions appear to have an impact while others do not or just have a modest local and temporary effect.References
Babor T., Caulkins J., Edwards G., Fisher B., Foxcroft D., Humpheys K., … Strang, J. (2010). Drug policy and the public good. Oxford: Oxford University Press.
Barrio, G., Bravo, M.J., Brugal, M.T., Díez, M., Regidor, E., Belza, M.J. y de la Fuente, L. (2012). Harm reduction interventions for drug injectors or heroin users in Spain: expanding coverage as the storm abates. Addiction, 107, 1111-1122. doi: 10.1111/j.1360-0443.2011.03759.x.
Bechich, S., Martínez, M., Llorella, G., Rodés, A., De Andrés, M. y Delás, J. (2001). RECOJE: recogida comunitaria de jeringas por usuarios de drogas por vía parenteral como complemento a los programas de intercambio.
Gaceta Sanitaria, 15, 353-355.
Bravo, M.J., Royuela, L., de la Fuente, L., Brugal, M.T., Barrio, G. y Domingo-Salvany, A. (2009). Use of supervised injection facilities and injection risk behaviours among young drug injectors. Addiction, 104, 614-619. doi: 10.1111/j.1360-0443.2008.02474.x
Brugal, M.T., Domingo-Salvany, A., Maguire, A., Caylà, J.A., Villalbí, J.R. y Hartnoll, R. (1993). A small area analysis estimating the prevalence of addiction to opioids in Barcelona. Journal of Epidemiology and Community Health, 53, 488-494.
Brugal, M.T., Espelt, A. y Guitart, A. (2009). Pla d’acció sobre drogues de Barcelona 2009-12. Barcelona: Agència de Salut Pública de Barcelona. Recuperado de http://www.aspb.cat/quefe/docs/Pla_drogues_2009_12.pdf.
Departament de Presidència. Decret 27/1999, de 9 de febrer, de la gestió dels residus sanitaris. Diari Oficial de la Generalitat de Catalunya 2828, 16.2.99.
De la Fuente, L., Brugal, M.T., Ballesta, R., Bravo, M.J., Barrio, G., Domingo, A.,.. y grupo del proyecto ITINERE. (2005). Metodología del estudio de cohortes del proyecto ITINERE sobre consumidores de heroína en tres ciudades españolas y características básicas. Revista Española
de Salud Pública, 79, 475-491.
De la Fuente, L., Bravo, M.J., Toro, C., Brugal, M.T. y Barrio, G. (2006). Injecting and HIV prevalence among young heroin users in three Spanish cities and their association with the delayed implementation of harm reduction programmes. Journal of Epidemiology and Community Health, 60, 537-542.
Espelt, A., Queralt, A., Graugés, D., García, V., Vecino, C. y Brugal, M.T. (2012). Sistema d’Informació de Drogodependències de Barcelona. Actualització dels indicadors de drogues corresponent al 3er i 4rt Trimestre de 2011. Barcelona: Agència de Salut Pública de Barcelona. Recuperado de http://www.aspb.cat/quefem/docs/sidb/default.htm.
García-Algar, O. y Vall, O. (1997). Hepatitis B virus infection from a needle stick. Pediatric Infectious Disease Journal, 16, 1099.
González, M., Cebrián, S., Nadal, C., Sala, L., Vall-llosera, A. y Delás, J. (2003). Ciudadanos del este de Europa consumidores de drogas en Barcelona. Gaceta Sanitaria 17, 256-268.
López, M.J., Marí-Dell’Olmo, M., Pérez-Giménez, A. y Nebot, M. (2011). Diseños evaluativos en salud pública: aspectos metodológicos. Gaceta Sanitaria, 25 (Mon 1), 9-16.
Montigny, L., Vernez-Moudon, A., Leigh, B. y Young, K. (2010). Assessing a drop box programme: A spatial analysis of discarded needles. International Journal of Drug Policy, 21, 208–214. doi: 10.1016/j.drugpo.2009.07.003
Wood, E., Spittal, P., Small, W., Kerr, T., Li, K., Hogg, R.S.,... Schechter, M.T. (2004 a). Displacement of Canada’s largest public illicit drug market in response to a police crackdown. Canadian Medical Association Journal, 170, 1551–1556. doi: 10.1503/cmaj.1031928
Wood, E., Kerr, T., Small, W., Li, K., Marsh, D.C., Montaner, J.S.G. y Tyndall, M.W. (2004 b). Changes in public order after the opening of a medically supervised safer injecting facility for illicit injection drug users. Canadian Medical Association Journal 171, 731-734.
Wood, E., Tyndall, M.W., Montaner, J.S. y Kerr, T. (2006). Summary of findings from the evaluation of a pilot medically supervised safer injecting facility. Canadian Medical Association Journal, 175, 1399-1404.


