Atender la crisis de sobredosis desde un enfoque de salud pública

The 12 suspected overdose deaths in Arecibo represent a crisis demanding an immediate and decisive response rooted in human rights and the dignity of those affected by substance use disorders. Approaching this issue from a punitive lens has proven insufficient and unjust for the most vulnerable communities and individuals. The criminalization of substance users perpetuates a cycle of stigmatization and exclusion, making it harder for them to access essential services.

It is urgent to adopt a public health perspective that prioritizes harm reduction and decriminalization, recognizing the right to health and wellness. Harm reduction is an effective strategy that not only prevents deaths but also respects the right of individuals to receive support without stigma. Evidence-based actions, such as distributing naloxone (an antidote for reversing overdoses), creating supervised consumption spaces, and ensuring access to treatment for substance use disorders, align with human rights principles. This approach is not about punishment or criminalization but ensuring that health services reach people where they are most needed—whether in the streets or their communities.

Moreover, fostering the participation of communities and those directly affected in the search for solutions is crucial. A multisectoral approach that includes the health sector, government, and civil society organizations is essential to building an inclusive, supportive, and effective support system.

The overdose crisis is a public health emergency and a human rights issue requiring an immediate response rooted in solidarity, compassion, and coordinated action. Preventing overdose deaths is possible if we act from the standpoint of defending human rights, human dignity, and social justice, ensuring that responses are aligned with public health principles.

(This content was originally published in the Opinion section of El Nuevo Día.)