REGIONAL OVERVIEW: NORTH AMERICA

Thomas Kerr, PhD, is Head of the Division of Social Medicine in the Department of Medicine at the University of British Columbia. [...] However, it was with the consumption of drugs in public, closed after one year for vague political reasons.16 and increased uptake of substance use The DCRs in New York were opened by OnPoint treatment.5,6 NYC in November 2021.17 Both DCRs operate within a Harm Reduction Wellness Hub which The success of Insite prompted the establishment provides a range of wrap-around services under of DCRs throu. [...] of overdose death in 2022 was 45.6 per 100,000 A range of interventions and policies designed to for males and 19.4 per 100,000 for females.59 In prevent overdose deaths have been implemented, Canada, males accounted for 72% of those who but they remain limited in terms of scale and died of an overdose in 2023.60 In the USA, Black coverage. [...] THE GLOBAL STATE OF HARM REDUCTION 2024 “ Aside from the growing contamination and toxicity of the drug supply, other factors continue to drive overdose deaths, including various social and economic conditions such as poverty and economic disadvantage, structural racism, pain, drug market policing, unstable housing and people experiencing homelessness.” THE GLOBAL STATE OF HARM REDUCTION 2024 REFE. [...] S., et al., (2020), ‘Safer injection facilities in North perspectives on strategies to mobilize public and political support for America: Their place in public policy and health initiatives’, Journal of overdose prevention centers in the United States of America’, Harm Drug Issues, vol.