The northern North Americans in Canada are taking another cautious step for drug policy reform. NAOMI, the North American Opiate Maintenance Project, will shortly begin providing maintenance doses of heroin to addicts in Vancouver, moving later in the year to Toronto and Montreal as well. Drug warriors in the US and Canada alike are likely to characterize the project as reckless or wrongheaded. In reality it is a cautious first step only, but an urgently needed one.
In Vancouver's Downtown East Side, where many of the city's hard drug users congregate, the addicted each day face unnecessary levels of risk from overdose, spread of infectious diseases such as Hepatitis or HIV, marginalization from society and the health system, a wearing and time consuming search for money to pay for expensive street drugs, general destabilization of their lives, and all the obstacles to survival, recovery or prosperity these conditions present.