Harm reduction has made significant inroads in the U.S. as well. San Francisco will soon be the first American city officially to open a supervised injection site; unofficially such facilities already operate. The idea, as Dr. Henry, British Columbia’s provincial health officer, says, “is to keep people alive until we can actually build a system that can help people with substance use and addiction and mental health [matters]. As your book points out, we don’t have a system that can prevent people from becoming addicted, nor one that can meet them where they are in their journey and can
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