The ongoing public health crisis associated with injection drug use highlights the failure of prohibitionist policies. In contrast, harm reduction approaches aim to protect and promote the health of drug users. Supervised injection facilities (SIFs) are one important component of this approach. This article considers the international legal implications of establishing SIFs. It argues that implementing trials of SIFs is an appropriate measure that states should take pursuant to their international legal obligations to realize progressively the right of their nationals to the highest attainable standard of health. It argues that international drug control treaties do not prevent such measures, as is commonly claimed. The authors conclude that successful trials in Europe and Australia should be emulated elsewhere, in accordance with states' international obligations.
Academy for Educational Development2002Fact sheet: Substance abuse treatment for injection drug users: A strategy with many benefits. Retrieved October 28, 2002, from http://www.cdc.gov/idu/facts/Treatment.htm.
6.
BrewerP.2002International law and the right to the highest attainable standard of health care: Using safe injection facilities to control and prevent epidemics. Pivot Legal. Retrieved October 28, 2002, from http://www.pivotlegal.org.
7.
BroadheadR.KerrT.GrundJ.-P.AlticeF.2002Safer injection facilities in North America: Their place in public policy and health initiatives. Journal of Drug Issues, 32(1), 329–356.
8.
BrownlieI.1998Principles of public international law (5th ed). Oxford: Oxford University Press.
9.
BulaF.2001Safe-injection site a go if BC wants it: Health minister praises Vancouver mayor for his courage to develop drug policy. (2001, November 15). Vancouver Sun.
ChapmanA.1998Conceptualizing the right to health: A violations approach. Tennessee Law Review, 65, 389–418.
12.
de JongW.WeberU.1999The professional acceptance of drug use: A closer look at drug consumption in the Netherlands, Germany, and Switzerland. International Journal of Drug Policy, 10(2), 99–108.
13.
DolanK.KimberJ.FryC.FitzgeraldJ.McDonaldD.TrautmannF.2000Drug consumption facilities in Europe and the establishment of supervised injecting centers in Australia. Drug and Alcohol Review, 19, 337–346. Retrieved October 28, 2002, from http://www.lindesmith.org/doc.
14.
DufourM.2001Une approche révolutionnaire. (November 20). Le journal de Québec, p. 3.
15.
Editorial2001Harm reduction: Closing the distance. Canadian Medical Association Journal, 165(4), 389.
16.
Editorial2000Injecting room fears and reality. (June 16). The Age (Melbourne), p. 14.
17.
ElliottR.MalkinI.GoldJ.2002Establishing safe injection facilities in Canada: Legal and ethical issues. Montreal: Canadian HIV/AIDS Legal Network. Retrieved October 28, 2002, from http://www.aidslaw.ca.
18.
FischerB.1997The battle for a new Canadian drug law: A legal basis for harm reduction or a new rhetoric for prohibition? A chronology. In EricksonP.CheungY.RileyD. (Eds.), Harm reduction: A new direction for drug policies and programs (pp. 47–68). Toronto: University of Toronto Press.
19.
FoleyB.ToyM.A.2001UN hits heroin room attempts. (February 21). The Age (Melbourne), p. 2.
20.
FyfeM.2001Injecting room to go ahead. (April 6). The Age (Melbourne), p. 2.
GilmourG.1995The international covenants “prohibiting” drug activities. Paper submitted to Canada's Senate Standing Committee on Legal and Constitutional Affairs, December 14. Retrieved June 11, 2003, from http://www.cfdp.ca./gilmour.html.
23.
GruskinS.1999Geneva98: Law, ethics, and human rights. Canadian HIV/AIDS Policy and Law Newsletter, 4(2/3), 78–81.
Health Canada (Office of Controlled Substances, Drug Strategy and Controlled Substances Programme)2002Application for an exemption under section 56 of the Controlled Drugs and Substances Act for a scientific purpose for a pilot supervised injection site: Interim guidance document (December 29, 2002). Retrieved June 12, 2003, from http://www.hc-sc.gc.ca/hecs-sesc/ocs/pdf/.SIS_guidance_e.pdf.
26.
House of Commons Special Committee on the Non-Medical Use of Drugs2002Policy for the new millenium: Working together to redefine Canada's drug strategy (Report of the Special Committee on the Non-Medical Use of Drugs, December 12, 2002). Retrieved June 12, 2003, from http://www.parl.gc.ca/InfoComDoc/37/2/SNUD/Studies/Reports/snudrp02-e.htm.
27.
JamarS.1994The international human right to health. Southern University Law Review, 22, 1–68.
28.
KaldorJ.LapsleyH.MattickR.P.WeatherburnD.2002Six month process report on the medically supervised injecting center [Kings Cross, NSW] [unpublished, on file].
29.
MalkinI.2001Establishing supervised injecting facilities: A responsible way to help minimise harm. Melbourne University Law Review; 25(3), 680–756.
30.
MannJ.1997Health and human rights: If not now, when?Health and Human Rights, 2, 113.
MorrisR.2001PM blocks heroin law for gallery. (April 6). The Daily Telegraph, p. 5.
34.
North American Syringe Exchange Network2002 Retrieved October 28, 2002, from http://www.nasen.org.
35.
OscapellaE.ElliottR.1999Injection drug use and HIV/AIDS: A legal analysis of priority issues. Injection drug use and HIV/AIDS: Legal and ethical issues – background papers. Montreal: Canadian HIV/AIDS Legal Network. Retrieved October 28, 2002, from http://www.aidslaw.ca.
36.
PowellS.2001aAddiction in a Safer Vein. (April 6). The Australian, p. 14.
37.
PowellS.2001bHeroin injecting room can open doors today. (April 6). The Australian, pp. 1–2.
38.
PowellS.2001cFirst addicts shoot up in center. (May 8). The Australian (Sydney), p. 5.
39.
RileyD.1999Injection drug use and HIV/AIDS: Policy issues. Injection drug use and HIV/AIDS: Legal and ethical issues – background papers. Montreal: Canadian HIV/AIDS Legal Network.
40.
RileyD.OscapellaE.1996Canada's new drug law: Implications for HIV/AIDS. The International Journal of Drug Policy, 7(3), 180–182.
41.
RobinsonG.2002Injecting center no “honey pot.” (May 25). The Age (Melbourne), p. 8.
42.
StavrinosA.2001Addicts keeping away from the spotlight. (May 8). The Age (Melbourne), p. 2.
43.
StronachB.2000World drug body ignores injecting objectives. (July 13). The Australian (Sydney), p. 10.
44.
Swiss Institute of Comparative Law2000Use of narcotic drugs in public injection rooms under public international law. (January 7). AVIS, pp. 99–121c.
45.
TotaroP.TaylorK.2000UN fails to veto needle rooms. (July 11). The Age (Melbourne), p. 5.
YaminA.E.2000Protecting and promoting the right to health in Latin America: Selected experiences from the field. Health and Human Rights, 5(1), 117.
48.
Advisory Committee on Population Health, 2001.
49.
Canadian HIV/AIDS Legal Network1999Injection drug use: Legal and ethical issues. Montreal: Canadian HV/AIDS Legal Network.
50.
Interdepartmental Working Group on Substance Abuse1998Canada's drug strategy. Ottawa: Public Works and Government Services Canada. Retrieved June 11, 2003, from http://www.hc-sc.gc.ca.
51.
NSW Joint Select Committee into Safe Injecting Rooms1998Report on the establishment of or trial of safe injecting rooms.
52.
Victoria Drug Policy Expert Committee2000aDrugs: Responding to the issues, engaging the community – stage one report.
53.
Victoria Drug Policy Expert Committee2000bDrugs: Responding to the issues, engaging the community – stage two report.
54.
WoodE.TyndallM.W.SpittalP.M.LiK.AnisA.H.HoggR.S.MontanerJ.S.G.O'ShaughnessyM.V.SchechterM.T.2003Impact of supply-side policies for control of illicit drugs in the face of the AIDS and overdose epidemics: investigation of a massive heroin seizure. Canadian Medical Association Journal, 168(2), 165–169.
55.
WoodE.KerrT.SpittalP.M.LiK.SmallW.TyndallM.W.HoggR.S.O'ShaugnessyM.V.SchechterM.T.2003The potential public health and community impacts of safer injecting facilities: evidence from a cohort of injection drug users. Journal of Acquired Immune Deficiency Syndromes, 32(1), 2–8.
56.
WoodE.KerrT.SpittalP.M.TyndallM.W.O'ShaugnessyM.V.SchechterM.T.2003The health care and fiscal costs of the illicit drug use epidemic: The impact of conventional drug control strategies, and the potential of a comprehensive approach. British Columbia Medical Journal, 45(3), 130–136.
57.
Case Concerning Military and Paramilitary Activities in and against Nicaragua [1986] ICJ Rep 14.
58.
Inter-American Commission on Human Rights, Report No 29/01, Jorge Odir Miranda Cortez et al. v El Salvador, Case 12.249, 7 March 7.
59.
Kings Cross Chamber of Commerce and Tourism Inc v The Uniting Church of Australia Property Trust (NSW) [2001] NSWSC 245.
60.
Legality of the Use by a State of Nuclear Weapons in Armed Conflict, Advisory Opinion, [1996] ICJ Rep 66.
61.
Minister for Health v Treatment Action Campaign, Case SCCT 8/02, Constitutional Court of South Africa, decided July 5, 2002.
62.
North Sea Continental Shelf Cases (Judgment) [1969] ICJ Rep 3.
63.
Canadian Charter of Rights and Freedoms, Part 1 of the Constitution Act 1982, being Schedule B to the Canada Act 1982 (UK) c 11.
64.
Constitution of the State of Wyoming.
65.
Drug Summit Legislative Response Act 1999 (NSW).
66.
Drug Summit Legislative Response Amendment (Trial Period Extension) Act 2002 (NSW).
Injecting facilities trial framework for service agreements, reproduced in Victoria, Parliamentary Debates, Legislative Assembly, 1 June 2000, p. 2151.
69.
Alaska State Constitution.
70.
Constitution of the State of Hawaii.
71.
Della BoscaJ., NSW, Parliamentary Debates, Legislative Council, 21 October 1999, p. 1773.
72.
Della BoscaJ., NSW, Parliamentary Debates, Legislative Council, 2 May 2000, p. 4913.
73.
KerrM., NSW, Parliamentary Debates, Legislative Council, 18 November 1999.
74.
NileF., NSW, Parliamentary Debates, Legislative Council, 9 September 1999.
75.
ShawJ., NSW, Parliamentary Debates, Legislative Council, 9 September 1999.
76.
StanhopeJ., Australian Capital Territory, Parliamentary Debates, Legislative Assembly, 7 December 1999.
77.
TuckerK., Australian Capital Territory, Parliamentary Debates, Legislative Assembly, 1 March 2000, p. 422–3.
78.
African Charter on Human and People's Rights, OAU Doc. CAB/LEG/67/3 rev. 5, 21 ILM 58 1982.
79.
American Convention on Human Rights, OAS Treaty Series No. 36, 1144 UNTS 123.
80.
Charter of the Organization of American States, 119 UNTS 3 (entered into force 13 December 1951), amended by the Protocol of Buenos Aires, 721 UNTS 324 (entered into force 27 February 1970).
81.
Charter of the United Nations, TS 993 (entered into force 24 October 1945).
82.
Constitution of the World Health Organization, 14 UNTS 185 (entered into force 7 April 1948).
83.
Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances, 1988. UN Document. E/CONF.82/15, Corr. 1 and Corr. 2. (adopted 20 November 1988, entered into force 11 November 1990).
84.
Convention on Psychotropic Substances, 1971. 1019 UNTS 175 (adopted 21 February 1971, entered into force 16 August 1976).
85.
Declaration of Commitment on HIV/AIDS, GA Res S-26/2, 26th special session, 8th plen mtg, UN Doc A/Res/S-26/2 (2001).
86.
International Covenant on Civil and Political Rights, 999 UNTS 171 (entry into force 23 March 1976).
87.
International Covenant on Economic, Social and Cultural Rights, 999 UNTS 3 (entry into force 3 January 1976).
88.
European Social Charter. (ETS No. 35), 529 UNTS 89 (adopted by Council of Europe 18 October 1961, entered into force 26 February 1965); and European Social Charter (revised), (adopted by Council of Europe 3 May 1996, entered into force 1999).
89.
International Health Regulations (1969) adopted by the member states of the World Health Assembly.
INCB2002bReport of the International Narcotics Control Board for 2001. E/INCB/2001/1. Vienna: INCB, 2002. Retrieved October 28, 2002, from http://www.incb.org.
92.
INCB2001Report of the International Narcotics Control Board for 2000. E/INCB/2000/1. Vienna: INCB. Retrieved October 28, 2002, from http://www.incb.org.
93.
INCB2000aReport of the International Narcotics Control Board for 1999. E/INCB/1999/1. Vienna: INCB. Retrieved October 28, 2002, from http://www.incb.org.
94.
INCB2000bThe International Drug Control Treaties, Background Note No 1 (February 23, 2000). Retrieved October 28, 2002, from www.incb.org.
95.
Single Convention on Narcotic Drugs, 1961. 976 UNTS 105 (entry into force 8 August 1975), as amended by Protocol of 25 March 1972.
96.
UN GAOR1993 World Conference on Human Rights, 78th Session, 22nd plenary meeting, UN Doc. A/CONF157/23 (1993): Part I, Article 1.
97.
UN Committee on Economic, Social & Cultural Rights.2000 The right to the highest attainable standard of health: CESCR General Comment 14 (11 August 2000), UN Doc. E/C.12/2000/4.
98.
UN Human Rights Committee 1982 The Right to Life (Art 6): 30/07/82 – CCPR General Comment 6, UN Doc HRI/GEN/1/Rev.1, 6 (1982) (1982).
99.
Universal Declaration of Human Rights, UN GA Resolution 217 A(III), UN Doc. A/810 (10 December 1948).
100.
Vienna Convention on the Law of Treaties, 1155 UNTS 331, 8 ILM 679.
