Canada

Years into a drug overdose crisis, Canada is facing backlash against government-sanctioned programs such as legal injection sites designed to keep users alive without curtailing drug use.

The British Columbia government has walked back a pilot project to decriminalize small quantities of illicit drugs in public places in the province. Police there also are prosecuting activists seeking to make safe drugs available.

And the man who may become Canada's next prime minister, Conservative Pierre Poilievre, has said he wants to shut down some sites where users can legally consume illicit drugs under supervision, calling them "drug dens."

The backlash reflects growing fears in Canada over the use of narcotics in public spaces, encampments where drug use is seen as common, and the specter of needles in playgrounds. Some critics of the so-called harm reduction programs see a rising number of overdose deaths in Canada as evidence that existing measures are not working.

But public health experts worry that dialing back the programs would endanger the health and lives of drug users, contributing to even more deaths.