Crack Pipes Handed Out in Vancouver

In an effort to reduce the spread of infectious diseases and gather public health data related to Hepatitis C and HIV, the city of Vancouver, in British Columbia, Canada will distribute $50,000 to $60,000 worth of crack pipes to local drug users. Crack cocaine is one of the more commonly used substances for drug addicts in both Vancouver and Victoria. It has been estimated there are 15,000 drug users in a downtown section of Vancouver called Eastside. About 60 to 80 percent of drug users inthe whole cityare estimated to have Hepatitis C.

Because drugs users share needles for injecting drugs and pipes for smoking, they have higher rates of infectious diseases. If the city is providing clean drug paraphernalia, they can reduce the transmission of potentially fatal diseases. The strategy is called harm reduction, and it includes safe drug consumption facilities, but these are rare. In such facilities medical staff are present when drug users inject drugs to make sure they are not transmitting diseases at the same time. Clearly this type of facility is controversial with some people, “Despite being the subject of 30 peer-reviewed studies by the BC Centre for Excellence in HIV/AIDS, which showed a significant reduction in public injections and in HIV and hepatitis C infections, as well as an increase in the number of users seeking treatment, Insite is in danger of being shut down by the Canadian federal government, which cites moral and ethical issues with safe injection.” (Source:

Reducing the transmission of diseases saves lives, and decreases the number of potential transmissions, as each infected individual can infect many others. It is somewhat common for drug addicts to turn to prostitution in order to make money to support their drug habit. If they are infected, they easily could be spreading diseases to customers. The cost of treating people with Hepatitis C, which destroys the liver, and can cause death, and HIV which destroys the immune system also resulting in death, can be enormous. So though on the surface it seems like helping drug addicts do something that is only destructive, it actually reduces the risk of contracting these diseases, and prevents them from spreading into the community even more.

Consider the case of an individual who is curious but unaware, who tries crack or heroin several times, then quits, but contracts HIV from a contaminated needle. If the needle was clean, the person wouldn’t have contracted a potentially life-threatening disease requiring an expensive regimen of medication.

One reason people turn to regular drug use is depression and contracting a serious disease would only add to it, further discouraging the purpose from quitting drug use.

It isn’t just crack pipes that will be distributed, the pipes are in a small kit also containing a mouthpiece and condoms. It is believed Hepatitis C and HIV can be transmitted from the mouthpieces of dirty crack pipes.

Image Credit: Matthew Field / Wikimedia Commons

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Aud Nordby
Aud nordby4 years ago


Angela N.
Angela N5 years ago

thank you =]

Teresa Wlosowicz
Teresa W5 years ago

A lesser evil, but, first of all, they should prevent drug-addiction.

Debbie Bush
Debbie Bush5 years ago


Lydia Price

Drug addiction is not merely psychological, it is physical too and thus of medical concern. I cannot see any health professional in good conscience refusing to give access to clean equipment if they know that the lack of it will enable the spread of life-threatening disease. Yes, it was a personal choice to start drug use, but it is probably beyond these people's control now without support and intervention. It is truly a medical concern and until there is availability of treatment options to these people, I would not be able to refuse them these sanitary items in good conscience.

Chad A.
Chad Anderson5 years ago

So far, harm reduction strategies have worked much better than abstinence, so I will be very curious how this policy works out. It is obvious it will not be popular so this should be studied very carefully so that it can be clearly accepted or rejected on the basis of effectiveness, but it is pretty clear that policy needs to be structured better to be fair in the eyes of the public.

Sandi C.
Sandi C5 years ago


Robert O.
Robert O5 years ago

That's insane!

K s Goh
KS Goh6 years ago

Thanks for the article.

heather g.
heather g6 years ago

People with drug dependence, alcohol dependence, or single and having several babies from different fathers, all receive a lot of governmental financial support.
There are many Canadian retirees who would be so appreciative of even a small increase to their pensions - unfortunately, it's the last thing on the Govt's agenda.