Question 6340 — health

Summary

Mr. Pouria Amirshahi questions the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, about the future of “addiction care centers” (HSA) formerly called lower risk consumption rooms (SCMR), one of which is located in the 10th arrondissement of Paris. Since 2016, two lower risk consumption rooms (SCMR) have existed in Paris and Strasbourg in order to offer a secure environment to the most vulnerable drug users. These devices aim to reduce the risks of death and serious illness linked to drug use. They also aim to offer social support promoting the reintegration of users and the restoration of their dignity, while improving the safety and living environment of neighborhoods exposed to the nuisances of street consumption. By Elsewhere, social support is offered to assist them in their administrative, legal or housing-related procedures. The establishment of a consumption room is thought out strategically, its objective is to contain drug consumption in public space: the “open scene”, like the Gare du Nord district in Paris, where wandering users have been present since the 1980s. The opening of the room made it possible to reduce outdoor consumption and cut the number of abandoned syringes by three, results comparable to those observed in other cities on a European and global scale. France remains significantly behind its European neighbors, who have around 80 structures of this type, including 24 in Germany. However, the INSERM reports from 2021 and the IGA-IGAS from 2024 show the positive effects of these structures: improvement in the health of users, in particular a reduction in the transmission of HIV and HCV, reduction in public nuisances, stabilization of local delinquency. These reports validate the usefulness of these HSAs and advocate for their sustainability as well as for the opening of new sites. The experimentation of these structures expires on December 31, 2025. He therefore asks him if he intends to extend the experimentation of HSAs beyond this date and in the longer term, if it envisages their sustainability, as well as the deployment of new structures on the national territory.

Machine translation from French. The official text remains authoritative.

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