Mr. Speaker, I am pleased to speak today to Bill C-2, An Act to amend the Controlled Drugs and Substances Act. It is important to say it again and again: Bill C-2 is a thinly veiled attempt to shut down safe injection sites.
This legislation is in direct opposition to a 2011 ruling by the Supreme Court of Canada that called on the minister to consider exemptions for safe injection sites as a way to reconcile public health and safety issues.
I would like to spend a few minutes talking about the only supervised injection site we have in Canada, in Vancouver’s sadly infamous Downtown Eastside. InSite was developed as part of a public health project by the City of Vancouver, and its community partners, of course, in response to a twelve-fold increase in overdose-related deaths in Vancouver between 1987 and 1993. It took years for InSite to be up and running, and it went under incredible local and national scrutiny.
In Vancouver, not only do the police support the safe injection site, which is already quite something, but so do local businesses, the business district, the board of trade and municipal politicians. The project has been the focus of over 30 scientific reports and studies that have described the benefits of InSite. These findings have been peer-reviewed and published in journals such as The New England Journal of Medicine and the British Medical Journal. As well, studies of more than 70 supervised injection sites in Europe and Australia have reported similar benefits.
InSite first received an exemption in 2003 for conducting activities for a medical and scientific purpose, under the Controlled Drugs and Substances Act. Since then, InSite has seen good results. This is important. It helps save lives, prevents accidental overdoses and makes the neighbourhood safer for everyone.
However, in 2008, InSite’s exemption under the legislation expired, and the Conservative government rejected InSite’s renewal request. The debate went as far as the Supreme Court, which decided that InSite was a very important health facility. The ruling urged the minister to examine all of the evidence in light of the benefits of safe injection sites, not to devise a long list of principles on which to base his decisions.
I would like to quote a critically important excerpt from the Supreme Court of Canada's decision, since the bill now before us is supposedly based on this ruling. Here is what the Supreme Court had to say in its decision:
On future applications, the Minister must exercise that discretion within the constraints imposed by the law and the Charter, aiming to strike the appropriate balance between achieving public health and public safety. In accordance with the Charter, the Minister must consider whether denying an exemption would cause deprivations of life and security of the person that are not in accordance with the principles of fundamental justice. Where, as here, a supervised injection site will decrease the risk of death and disease, and there is little or no evidence that it will have a negative impact on public safety, the Minister should generally grant an exemption.
I think that the ruling is quite clear. In my riding of Québec, I have had the opportunity to meet several times with stakeholders and volunteers, including those from an organization called Point de repères. That organization's mission consists of health promotion, prevention and the delivery of care and services, especially for people dealing with addiction. It is important to understand this difference: an organization like Point de repères does not encourage drug use, but, rather, it advocates a harm reduction approach.
As the Point de repères website indicates:
The harm reduction approach is a community-based approach to health that focuses on helping people with addictions develop ways to mitigate the negative consequences of their behaviour, rather than on eliminating the use of psychotropic drugs.
I think it is important to understand the fine points of this often sensitive subject. As explained on the Point de repères website:
Drug use has a significant impact on both the user and the community. Often, lack of knowledge, misconceptions and prejudices about people who use drugs lead to a series of inappropriate actions that cause additional harm to the user and the community.
I had the opportunity to watch a documentary made in Quebec City by people from Quebec City entitled Pas de piquerie dans mon quartier. They realized the effects that drugs were having on the people using them. They wanted to make sure that they would not find syringes in the streets or in the parks where children played. We do not want a shooting gallery in our neighbourhood, but at the same time, we have to help these people.
The documentary sheds light on the addiction issue in Quebec City. Let me quote the opening sequence, which reflects the glaring truth:
The war on drugs is often turned into a war on drug users. It is a bit like the war on poverty—we have to be careful not to turn it into a war on the poor.
It is full of common sense. It is a way of entering into that world, which we do not know very well at all, in an attempt to finally come up with good solutions.
We must ask ourselves why the government is so lacking in objectivity when it comes to this issue. Why are the Conservatives refusing to recognize the facts laid out before them?
The NDP believes that decisions about programs that could enhance public health should be based on facts, not ideological stances. We are not alone in thinking that. According to the Canadian Medical Association, supervised injection programs are an important harm reduction strategy. Harm reduction is a central pillar in a comprehensive public health approach to disease prevention and health promotion.
For its part, the Canadian Nurses Association said:
Evidence demonstrates that supervised injection sites and other harm reduction programs bring critical health and social services to vulnerable populations—especially those experiencing poverty, mental illness and homelessness. A government truly committed to public health and safety would work to enhance access to prevention and treatment services—instead of building more barriers.
Evidence has shown that supervised injection sites effectively reduce the risk of contracting and spreading blood-borne diseases, such as HIV and hepatitis C, and reduce deaths from overdoses. Evidence has also shown that these sites do not adversely affect public safety and that, in certain cases, they actually promote it by reducing the injection of drugs in public, the violence associated with such behaviour, and waste related to drug use.
Safe injection sites strike a balance between public health and public safety goals. They also connect people in urgent need of health care with the services they need, such as primary health care and addiction treatment.
The NDP believes that any new legislation concerning safe injection sites must respect the spirit of the Supreme Court ruling, which this bill does not do.
As my colleague from Vancouver East has said, Bill C-2 contains as many criteria as there are letters in the alphabet, and those 26 criteria are so restrictive and biased that they are practically impossible to comply with.
The NDP believes that harm-reduction programs, including safe injection sites, should benefit from exemptions based on evidence that they improve community health and save people's lives, not on ideological beliefs.
To conclude, I would once again like to highlight the exceptional work that my colleague from Vancouver East has done on this. She has moved it forward step by step. We will not give up. We believe in working on this issue, because the lines are too vague, and the Supreme Court ruling is not being honoured.