Supervised injection facilities (SIFs) are places where people can inject drugs under supervision. Two SIFs exist in Canada, both in Vancouver. Other cities are considering SIFs.
Do Toronto and Ottawa need SIFs? Is implementing SIFs in these cities feasible? We analyzed evidence from a variety of sources, and developed a mathematical model to predict whether the health beneﬁts of SIFs would balance the ﬁnancial costs.
Toronto and Ottawa would beneﬁt from multiple SIFs. We projected that introducing three SIFs in Toronto and two in Ottawa would:
Public opinion about SIFs has changed in recent years; many more residents now support SIFs.
Although many people who inject drugs also smoke drugs, there is not enough evidence to recommend a supervised smoking facility.
Our report provides an evidence base for discussions about introducing SIFs to Toronto and Ottawa.