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=== Latin America ===
The first site opened in Latin American was in Bogota, Colombia during October 2024.<ref>{{Cite news |title= La titánica labor de acompañar a usuarios de heroína: "Le hacemos la tarea a salud pública"|date=7 October 2024 |url=https://elpais.com/america-colombia/2024-10-07/la-titanica-labor-de-acompanar-a-usuarios-de-heroina-le-hacemos-la-tarea-a-salud-publica.html}}</ref><ref>{{Cite web |last=Espectador |first=El |title=ELESPECTADOR.COM |url=https://www.elespectador.com/investigacion/heroina-en-bogota-asi-es-la-primera-sala-de-consumo-supervisado-de-bogota/ |access-date=2024-12-02 |website=ELESPECTADOR.COM |language=spanish}}</ref>
===North America===
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An organization called Safehouse was hoping to open a safe consumption site in [[Philadelphia]] in February 2020 with the support of the city government. Immediate neighbors strongly objected to the site, and the owner of the first proposed ___location withdraw a lease offer under pressure.<ref>{{Cite web |title=Safehouse drops South Philly plans, looks to Kensington after judge suspends launch |url=https://billypenn.com/2020/06/26/safehouse-drops-south-philly-plans-looks-to-kensington-after-judge-suspends-launch/ |access-date=2020-10-07 |website=Billy Penn |date=26 June 2020 |language=en-US}}</ref><ref>{{Cite web |author=Lauren del Valle and Dakin Andone |title=Plans are on hold for a Philadelphia safe-injection site to combat overdoses |url=https://www.cnn.com/2020/02/28/us/philadelphia-safe-injection-site-on-hold/index.html |access-date=2020-10-07 |website=CNN|date=28 February 2020 }}</ref><ref>{{Cite web|last=Tanenbaum |first=Michael |date=February 26, 2020|title=Safehouse's plan to open overdose prevention site in South Philly sparks contentious reaction|url=https://www.phillyvoice.com/safehouse-south-philly-supervised-injection-site-heroin-overdose-prevention-community-protest/|access-date=2020-10-07|website=www.phillyvoice.com}}</ref> [[United States District Attorney]] William McSwain sued to stop the Safehouse project, losing in district court in October 2019, but winning an injunction in January 2021 from a 3-judge panel of the [[United States Court of Appeals for the Third Circuit]].<ref>[https://www.npr.org/sections/health-shots/2021/01/14/956428659/in-philadelphia-judges-rule-against-opening-a-medical-site-to-safely-inject-hero In Philadelphia, Judges Rule Against Opening 'Supervised' Site To Inject Opioids]</ref> Safehouse said its proposed operation was "a legitimate medical intervention, not illicit drug dens" and claimed protection under the [[Free Exercise Clause]] because "religious beliefs compel them to save lives at the heart of one of the most devastating overdose crises in the country".<ref>{{Cite web|url=https://www.philly.com/health/supervised-injection-site-religious-beliefs-safehouse-lawsuit-philadelphia-20190403.html|title=Supervised injection site supporters countersue feds, saying their Philly mission comes from religious and medical imperatives|last=Whelan|first=Aubrey|date=April 3, 2019|website=The Inquirer Daily News|language=en-US|access-date=2019-04-20}}</ref>
In May 2023, Pennsylvania senate passed a bill to ban supervised injection sites anywhere within the State of Pennsylvania with a 41-9 vote and it is pending house approval. The Pennsylvania governor [[Josh Shapiro]] expressed support for the bill.<ref>{{Cite web |
===== San Francisco, California =====
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