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Dublin's supervised injecting facility: An assessment of its impact on discarded needles
1Department of Public Health, HSE West and North West, Merlin Park Hospital Campus, Galway, Ireland.
Background:
Medically Supervised Injecting Facilities (MSIFs) are locations where illicit drugs can be injected using sterile equipment under professional supervision. They aim to reduce risks associated with public injecting and injecting alone such as overdose and related harms. Evidence shows that MSIFs reduce overdoses, public injecting and related litter, and increase service engagement. Ireland's first MSIF opened in December 2024. The study assesses its impact during its first four months.
Methods:
All publicly accessible areas within 500 metres of the facility were patrolled weekly before and after it opened (September 2024-April 2025). Discarded needles, crack pipes, public injecting, loitering, and weight of discarded items were recorded. Weather data was controlled for and client uptake (number of unique clients using MSIF) was obtained. Generalised linear models and bivariate correlations compared pre and post changes.
Results:
Attendance increased almost fivefold during the study period. The average number of discarded needles per patrol decreased by 20 % (from 3.14 before to 2.50 after, p = 0.288). Each additional client attending was associated with a 5 % reduction in discarded needles (IRR = 0.95, 95 % CI: 0.92-0.99, p = 0.008). Crack pipes declined by 20 % (p = 0.545), with a 59 % reduction in the weight of drug-related litter (p < 0.001). Loitering declined by 45 % (p = 0.002) while public injecting remained rare (one before, one after).
Conclusions:
Early evidence suggests community level benefits after four months including reduced drug-related litter and public loitering. Continued monitoring is required to assess long-term impact.
Insights
Ireland's first Medically Supervised Injecting Facility (MSIF) led to reduced drug litter and public loitering in its initial four months. Increased client attendance correlated with fewer discarded needles, showing community benefits.
Area of Science:
- Public Health
- Harm Reduction
- Urban Health
Background:
- Medically Supervised Injecting Facilities (MSIFs) provide sterile equipment and professional supervision for drug use.
- They aim to mitigate risks like overdose and harms from public or solitary injecting.
- Evidence supports MSIFs in reducing overdoses, public injecting, litter, and increasing service engagement.
Purpose of the Study:
- To evaluate the impact of Ireland's first MSIF during its initial four months of operation.
- To assess changes in public drug litter, loitering, and public injecting in the vicinity of the facility.
Main Methods:
- Weekly patrols of areas within 500m of the MSIF were conducted before and after its opening.
- Data collected included discarded needles, crack pipes, public injecting incidents, loitering, and weight of litter.
- Statistical analyses, including generalized linear models, compared pre- and post-opening data, controlling for weather and client uptake.
Main Results:
- MSIF attendance increased nearly fivefold.
- Discarded needles per patrol decreased by 20%, with each additional client associated with a 5% reduction.
- Drug-related litter weight decreased by 59%, loitering by 45%, and public injecting remained rare.
Conclusions:
- The MSIF demonstrated early community-level benefits, including reduced drug litter and public loitering.
- These findings suggest a positive impact on the local environment and public safety.
- Long-term monitoring is recommended to fully ascertain the sustained effects of the MSIF.
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