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Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia.
Roxburgh, Amanda; Jauncey, Marianne; Day, Carolyn; Bartlett, Mark; Cogger, Shelley; Dietze, Paul; Nielsen, Suzanne; Latimer, Julie; Clark, Nico.
  • Roxburgh A; Health Risks Program, Burnet Institute, Melbourne, Australia. amanda.roxburgh@burnet.edu.au.
  • Jauncey M; Discipline of Addiction Medicine, the Central Clinical School, Sydney Medical School, the Faculty of Medicine and Health, University of Sydney, Sydney, Australia. amanda.roxburgh@burnet.edu.au.
  • Day C; National Drug and Alcohol Research Centre, UNSW, Sydney, Australia. amanda.roxburgh@burnet.edu.au.
  • Bartlett M; Monash Addiction Research Centre, Monash University, Melbourne, Australia. amanda.roxburgh@burnet.edu.au.
  • Cogger S; Discipline of Addiction Medicine, the Central Clinical School, Sydney Medical School, the Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
  • Dietze P; National Drug and Alcohol Research Centre, UNSW, Sydney, Australia.
  • Nielsen S; Uniting Medically Supervised Injecting Centre, Sydney, Australia.
  • Latimer J; Discipline of Addiction Medicine, the Central Clinical School, Sydney Medical School, the Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
  • Clark N; Uniting Medically Supervised Injecting Centre, Sydney, Australia.
Harm Reduct J ; 18(1): 20, 2021 02 17.
Article in English | MEDLINE | ID: covidwho-1088598
ABSTRACT
The COVID-19 crisis has had profound impacts on health service provision, particularly those providing client facing services. Supervised injecting facilities and drug consumption rooms across the world have been particularly challenged during the pandemic, as have their client group-people who consume drugs. Several services across Europe and North America closed due to difficulties complying with physical distancing requirements. In contrast, the two supervised injecting facilities in Australia (the Uniting Medically Supervised Injecting Centre-MSIC-in Sydney and the North Richmond Community Health Medically Supervised Injecting Room-MSIR-in Melbourne) remained open (as at the time of writing-December 2020). Both services have implemented a comprehensive range of strategies to continue providing safer injecting spaces as well as communicating crucial health information and facilitating access to ancillary services (such as accommodation) and drug treatment for their clients. This paper documents these strategies and the challenges both services are facing during the pandemic. Remaining open poses potential risks relating to COVID-19 transmission for both staff and clients. However, given the harms associated with closing these services, which include the potential loss of life from injecting in unsafe/unsupervised environments, the public and individual health benefits of remaining open are greater. Both services are deemed 'essential health services', and their continued operation has important benefits for people who inject drugs in Sydney and Melbourne.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Substance Abuse, Intravenous / Infection Control / Needle-Exchange Programs / Harm Reduction / Personal Protective Equipment / Physical Distancing / COVID-19 / Opioid-Related Disorders Type of study: Diagnostic study / Prognostic study Limits: Humans Country/Region as subject: Oceania Language: English Journal: Harm Reduct J Year: 2021 Document Type: Article Affiliation country: S12954-021-00471-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Substance Abuse, Intravenous / Infection Control / Needle-Exchange Programs / Harm Reduction / Personal Protective Equipment / Physical Distancing / COVID-19 / Opioid-Related Disorders Type of study: Diagnostic study / Prognostic study Limits: Humans Country/Region as subject: Oceania Language: English Journal: Harm Reduct J Year: 2021 Document Type: Article Affiliation country: S12954-021-00471-x