Is there a role for potential supervised injection facilities in Victoria, British Columbia, Canada?

Abstract

Supervised injection facilities (SIFs) are medical facilities where injection drug users can inject their illicit drugs under the supervision of nurses and doctors. Currently, there is only one legal SIF in operation in North America and it has been operating in Vancouver, British Columbia for over a decade. The purpose of this study is to determine whether the current facility needs to be expanded to other locations in British Columbia, Canada. We employ mathematical modeling to estimate the number of new human immunodeficiency virus (HIV) and hepatitis C infections prevented based on the available secondary data. Additionally, we also estimate the number of prevented overdose deaths attributable to the SIF. With very conservative estimates, it is predicted that establishing two SIFs locations outside Vancouver in British Columbia’s capital city, Victoria, is cost-effective, with a benefit-cost ratio of 1.25:1. It appears that expanding SIFs to Victoria could offer significant savings for local health care institutions.