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A public center to inject safely? Overdose epidemic in US leads to desperate solutions

The epidemic of deaths from drug overdoses in the United States, which for the first time exceeds 100,000 per year, has led to desperate solutions, such as a project to create in San Francisco (California) the first public center to inject safe, which is against federal law.

The venue will be located in a low, bricked-up, graffiti-covered premises between a small art gallery and a residential building, which the mayor of San Francisco, London Breed, wants drug addicts to go to inject fentanyl and methamphetamine. under supervision and safely, rather than on the street.

In the surroundings of this place, the problem is evident: dozens of people crowd lying on the sidewalk, in tents, under cardboard or outdoors, with visible signs of abusing drugs, in the heart of a city where More than twice as many people died from overdoses in 2020 than from COVID-19.

“Last year, people were isolated, and if you have a drug problem and are isolated, the problem worsens,” says in an interview with Efe Sam Quinones, freelance journalist and author of several books on the opiate epidemic in the United States. .UU., Including “The Least of Us,” which was published in November.

USE ILLEGAL DRUGS UNDER SUPERVISION

The main stumbling block for the safe injection center to be created by the San Francisco City Council, which can be used to use illegal drugs under the supervision of trained personnel and with clean syringes, is that it is against federal and California law. But, even so, the city considers that it can no longer take it.

In San Francisco, a city that does not reach 900,000 inhabitants, more than two people die every day from overdoses, according to figures compiled by the local press, of which more than 70% die from the consumption of fentanyl, an opiate synthetic 50 times more powerful than heroin and lethal in even the smallest doses.

“What is happening now has never happened before. Fentanyl is made with chemicals in Mexico. They don’t need crops or rain or anything. And from there it crosses the border and is distributed in the US through networks that reach absolutely every corner of the country, from the cities to the countryside ”, Quinones points out.

The strength of these networks is demonstrated by data such as those published on Wednesday by the Centers for Disease Control (CDC, for its acronym in English), which indicates that between April 2020 and April 2021 the United States suffered 100,306 deaths from overdoses , the first time that 100,000 are exceeded.

Quinones highlights that, despite being alarming, this figure is even below the real one, since it is very difficult to determine all deaths from this cause, especially in small and rural counties with which the epidemic is growing and that hardly have of resources for conducting forensic toxicology examinations.

According to their estimates, the real death toll from overdoses is between 20% and 30% higher than the official ones.

A CENTRAL NEIGHBORHOOD EPICENTER OF THE DRUG

In San Francisco, the future public injection space is located in the Tenderloin neighborhood, which for years has been the epicenter of drugs and the homeless, despite being in the nerve center of the city.

Just one block from the old second-hand clothing store that the Mayor has chosen for her project, on Leavenworth Street, a young man lies on his side on the ground in the middle of the sidewalk in broad daylight, with Appearance of being conscious, but not moving.

Passersby avoid you by going down to the road or crossing the street, without anyone approaching you.

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