Abstract

BACKGROUND:

Police presence within street-based drug scenes has the potential to disrupt injection drug users' (IDUs) access to health services and prompt increased injection-related risk behaviour. We examined street-level policing in the Downtown Eastside (DTES) of Vancouver during the Olympic Winter games, to assess the potential impact on access to harm reduction services and injection-related risk behaviour.

METHODS:

We analysed data from observational activities documenting police and drug user behaviour, unstructured interviews with drug users in street settings (n=15), expert interviews with legal and health professionals (n=6), as well as utilisation statistics from a local supervised injection facility (SIF).

RESULTS:

Although police presence was elevated within the DTES during the Olympics, there was little evidence to suggest that police activities influenced IDUs' access to health services or injection-related risk behaviour. SIF attendance during the Olympics was consistent with regular monthly patterns.

CONCLUSION:

Police presence during the Olympics did not reduce access to health services amongst local IDUs or prompt increased injection-related risk behaviour. Increased cooperation between local law enforcement and public health bodies likely offset the potential for negative health consequences resulting from police activity.

Copyright © 2011 Elsevier B.V. All rights reserved.