4.2 Editorial Material

Using passive surveillance technology for overdose prevention: Key ethical and implementation issues

Journal

DRUG AND ALCOHOL REVIEW
Volume 41, Issue 2, Pages 406-409

Publisher

WILEY
DOI: 10.1111/dar.13373

Keywords

technology; surveillance; ethics; overdose; opioid

Funding

  1. Michael Smith Foundation for Health Research Collaborating and Convening grant

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Passive surveillance technology has the potential to increase safety by monitoring spaces where people are at risk of overdose, particularly in preventing overdose fatalities. However, uncertainties remain regarding informed consent, data privacy, social and legal implications, and responsibility issues. Transparency and accountability are needed to address these challenges before these solutions can be widely accepted and utilized.
Passive surveillance technology has the potential to increase safety through monitoring spaces where people are at risk of overdose. One key opportunity for the use of passive surveillance technology to prevent overdose fatality is in bathrooms where people may be using drugs. However, uncertainty remains with regards to how to attain informed consent, implications for data storage and privacy and potential negative socio-legal ramifications for people who use drugs. In addition, there are issues regarding responsibility and liability for the devices. Transparency with regards to data privacy and security may also be needed before bathroom users will feel comfortable with such solutions. In this article, we discuss these issues and offer recommendations to provide a foundation for future research and policy development.

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