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A Procedure to Study Stress-Induced Relapse of Heroin Seeking after Punishment-Imposed Abstinence

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Published on: March 23, 2022

Is Vancouver Canada's supervised injection facility cost-saving?

Steven D Pinkerton¹

¹Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 2071 North Summit Avenue, Milwaukee, WI 53202, USA. pinkrton@mcw.edu

Addiction (Abingdon, England)

|July 27, 2010

Summary

Vancouver's Insite supervised injection facility and syringe exchange programs are cost-saving. The savings from averted HIV medical costs significantly exceed the facility's operating expenses, demonstrating its economic value.

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Area of Science:

Public Health
Health Economics
Infectious Disease Prevention

Background:

Vancouver's Insite facility provides supervised injection and syringe exchange services.
The economic impact of these harm reduction programs requires evaluation.

Purpose of the Study:

To assess if Insite's programs are cost-saving.
To determine if averted HIV medical costs offset operational expenses.

Main Methods:

Mathematical modeling to estimate HIV infections if Insite closed.
Comparison of lifetime HIV medical costs for new infections versus Insite's operating costs.

Main Results:

Closing Insite would increase annual HIV infections among Vancouver IDUs by 83.5.
These infections represent $17.6 million in lifetime HIV medical costs.
Insite's annual operating costs are approximately $3 million.

Conclusions:

Insite's programs significantly reduce HIV incidence in the IDU community.
Averted HIV medical care costs substantially exceed Insite's operating costs.
The facility is a cost-saving public health intervention.