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The Conversation
Politics
James Nicholls, Senior Lecturer in Public Health, University of Stirling

Drug deaths are rising and overdose prevention centres save lives, so why is the UK unwilling to introduce them?

In late 2020, a converted van appeared in central Glasgow. Inside were clean needles, sterilising equipment, mirrors, “sharps bins” for the disposal of syringes, and supplies of the overdose reversal drug naloxone. There were also boxes containing protein bars, tea, blankets and a defibrillator, as well as two chairs and tables where injections could be prepared.

The van had been converted, and was being driven, by Peter Krykant – an ex-outreach worker with his own history of homelessness and injecting drug use. Frustrated with the fact that no overdose prevention centre (OPC) had yet opened in the city despite calls from the local NHS, he took the law into his own hands and, after a successful crowdfunding campaign, opened one independently.

OPCs are places where people can take illegally purchased drugs in a supervised environment, using clean equipment and with staff able to intervene in the case of an overdose. The first such centre opened in the Swiss capital Bern in 1986, and there are now around 200 across the world from Berlin, Paris and Geneva to Sydney, Vancouver and New York.

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