Philadelphia Could Be the First U.S. City to Open a Sanctioned Safe Injection Site

Facing the highest rate of deaths of any major city in the U.S. opioid epidemic, the city of Philadelphia is preparing to take drastic measures.

1 minute read

January 24, 2018, 7:00 AM PST

By James Brasuell @CasualBrasuell


Risk Reduction

Elvert Barnes / Flickr

"Philadelphia, with the highest opioid death rate of any major American city, on Tuesday announced plans to encourage the opening of sites where people can inject drugs under medical supervision," reports Aubrey Whelan.

According to Whelan, an authorized safe injection site would put Philadelphia at the forefront of public health policy responding to the opioid epidemic. Canada cities have sanctioned injection sites. In the United States, Seattle is closest to opening a site. "Cities like San Francisco, New York, Ithaca and Denver have begun to seriously consider sites," according to Whelan. "A study in Baltimore found that the city would save $6 million on medical costs connected with overdoses by opening one site."

The city will still need to select locations for the sites, currently referred to as Comprehensive User Engagement Sites (CUES). According to city officials presents at a recent press conference announcing the new facilities, the CUES are only one part of what will become a large, coordinated effort to combat the opioid epidemic.

The article includes a lot more context about the legal and political controversies surrounding harm reduction practices.

Tuesday, January 23, 2018 in The Philadelphia Inquirer

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Get top-rated, practical training

Concrete Brutalism building with slanted walls and light visible through an atrium.

What ‘The Brutalist’ Teaches Us About Modern Cities

How architecture and urban landscapes reflect the trauma and dysfunction of the post-war experience.

February 28, 2025 - Justin Hollander

Complete Street

‘Complete Streets’ Webpage Deleted in Federal Purge

Basic resources and information on building bike lanes and sidewalks, formerly housed on the government’s Complete Streets website, are now gone.

February 27, 2025 - Streetsblog USA

Green electric Volkswagen van against a beach backdrop.

The VW Bus is Back — Now as an Electric Minivan

Volkswagen’s ID. Buzz reimagines its iconic Bus as a fully electric minivan, blending retro design with modern technology, a 231-mile range, and practical versatility to offer a stylish yet functional EV for the future.

March 3, 2025 - ABC 7 Eyewitness News

View of mountains with large shrubs in foreground in Altadena, California.

Healing Through Parks: Altadena’s Path to Recovery After the Eaton Fire

In the wake of the Eaton Fire, Altadena is uniting to restore Loma Alta Park, creating a renewed space for recreation, community gathering, and resilience.

March 9 - Pasadena NOw

Aerial view of single-family homes with swimming pools in San Diego, California.

San Diego to Rescind Multi-Unit ADU Rule

The city wants to close a loophole that allowed developers to build apartment buildings on single-family lots as ADUs.

March 9 - Axios

Close-up of row of electric cars plugged into chargers at outdoor station.

Electric Vehicles for All? Study Finds Disparities in Access and Incentives

A new UCLA study finds that while California has made progress in electric vehicle adoption, disadvantaged communities remain underserved in EV incentives, ownership, and charging access, requiring targeted policy changes to advance equity.

March 9 - UCLA Luskin Center for Innovation