Restricting mobile health vans in Philadelphia will lead to more overdose deaths

Mobile health vans in the Kensington neighborhood of Philadelphia are primarily known for serving people who use drugs through harm reduction services like overdose reversal and syringe exchange. Yet their role in the community is broader than that. For many Kensington residents, these vans are their only access to lifesaving care. That lifeline is now under threat. 

Philadelphia Mayor Cherelle Parker signed a law that would restrict mobile health vans providing critical support, such as clean syringe access and naloxone for overdose emergencies, from operating in Kensington. The measure limits vans to just two pre-approved sites, caps each stop at 45 minutes, and requires providers to obtain a permit to operate. Groups that violate the rules face fines of up to $1,000—and if they incur three violations, they become permanently ineligible to obtain the required permits. 

Though the Philadelphia City Council has described the ordinance as a response to congestion and litter, many community complaints center on concerns about people who use drugs gathering near the vans. Regardless of the framing, these restrictions undermine the very purpose of making care mobile, which is to deliver care where it is most urgently needed.

Mobile health units exist mainly to serve people who use drugs, who often struggle to access traditional healthcare. But they also offer other kinds of support, like basic medical care and community outreach, to anybody, not just drug users, who would otherwise go without care. Between July 2022 and June 2023, Prevention Point Philadelphia’s mobile and stationary syringe services reached more than 30,000 people, provided 1,103 wound care visits, enrolled 357 new participants in medication-assisted treatment for drug addiction, and distributed over 95,000 doses of naloxone, the medication that reverses opioid overdoses. Demand for these services has surged, with the organization’s client numbers more than tripling over the past three years. 

Restricting vans to two fixed locations undermines their core strength: mobility. Outreach teams deploy based on real-time need. Much of Kensington falls within the 19134 zip code, where the Philadelphia Department of Public Health recorded 193 overdose deaths in 2022. A rigid permit system will leave many blocks without timely access to care. 

This policy also disrupts the trust and continuity that are the foundation of successful harm reduction services. Patients who might avoid hospitals or doctors’ offices because of past mistreatment—an exceptionally common experience for people who use drugs—might be willing to accept naloxone from a familiar outreach worker. That small act of trust may also allow the patient to receive wound care and, perhaps later, a discussion about treatment options. 

Philadelphia can address legitimate quality-of-life concerns without constraining lifesaving services. For example, it could establish rotating service zones for mobile vans to prevent clustering in one area, set voluntary sanitation and reporting standards, and offer grants to providers that meet sanitation standards. Programs like Project Reach already work alongside mobile harm-reduction providers to remove thousands of bags of trash and tens of thousands of discarded syringes from city streets each year, showing that public health and public space improvements can go hand in hand. 

The city can also better address the root causes of the problems mobile units seek to address by expanding low-threshold treatment programs and supportive housing. 

As a strategy, mobile outreach has demonstrated effectiveness in saving lives, building community trust, and improving neighborhood safety. Limiting these services to just two fixed locations—especially when Philadelphia is still losing nearly four residents a day to overdose—risks reversing the marked decrease in overdoses that the city has seen. Mayor Parker and city councilmembers should amend this new ordinance and collaborate with providers and the community to design a better approach that can preserve both neighborhood dignity and access to the types of flexible care on which our most vulnerable neighbors rely.

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