MétaCan
Menu
Back to cohort
Record W4411123746 · doi:10.1016/j.drugpo.2025.104869

Necropolitics of the North: A rapid ethnography examining the effects of the closure of one of Northern Ontario’s only supervised consumption sites

2025· article· en· W4411123746 on OpenAlexafffundabout
Lucas Tucker, Francisco Ibáñez-Carasco, Brooke Legault, Guy Seguin, Emily Groot, Amreetha Jayathilake, Kaela Pelland, Amber Fritz, Heidi Eisenhauer, Geoff Bardwell

Bibliographic record

VenueInternational Journal of Drug Policy · 2025
Typearticle
Languageen
FieldMedicine
TopicHIV, Drug Use, Sexual Risk
Canadian institutionsUniversity of TorontoHealth Sciences NorthCanadian Respiratory Research NetworkNOSM UniversityPublic Health OntarioUniversity of Waterloo
FundersCanadian Institutes of Health Research
KeywordsEthnographyClosure (psychology)Consumption (sociology)SociologyGeographyPolitical scienceSocial scienceAnthropologyLaw

Abstract

fetched live from OpenAlex

• Northern, rural, and smaller urban cities in Canada are disproportionately impacted by overdose. • There exists minimal research on harm reduction efforts in these communities. • Very few smaller communities have access to supervised consumption sites. • Closure of supervised consumption sites in Northern Ontario have negative individual and community impacts. • Necropolitical agendas deem people who use drugs unworthy of living. People who use drugs (PWUD) in Northern, rural, and smaller urban Canadian communities are disproportionately affected by drug-related harms and face barriers such as limited resources and heightened stigma. Supervised consumption sites (SCS) are intended to address individual and community harms. In 2024, the only SCS in Sudbury, a small city in Northern Ontario, Canada, closed due to a lack of provincial funding. In this paper, we explore the impact of this closure on PWUD. We conducted a community-based rapid ethnography inclusive of naturalistic observations and qualitative semi-structured interviews ( n = 27). Data were analyzed thematically using a participatory analytic approach and analysis was informed by theories of necropolitics and structural violence. Following the closure of the SCS site, participants perceived a reduction in access to harm reduction services, as well as negative impacts on personal well-being. Participants reported that the SCS’s closure forced local PWUD to begin unsafe consumption practices, resulting in increased overdose risk, physical health issues, and social stigma. The closure negatively affected safety, social connectedness, availability, and ease of access to harm reduction supplies. The SCS closure has exacerbated already limited support for PWUD in Sudbury and increased their exposure to a variety of risks and harms. Necropolitics of the state deem PWUD as unworthy of living, resulting in structural violence and the creation of death worlds for PWUD.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.005
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.190
Threshold uncertainty score0.382

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.005
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0200.013
Scholarly communication0.0030.002
Open science0.0020.005
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.038
GPT teacher head0.334
Teacher spread0.296 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2025
Admission routes3
Has abstractyes

Explore more

Same venueInternational Journal of Drug PolicySame topicHIV, Drug Use, Sexual RiskFrench-language works237,207