“…Vancouver, Canada’s Downtown Eastside (DTES) neighbourhood is the site of complex social-structural tensions inherent to neoliberal policies, with entrenched poverty and drug use occurring in the context of rapid gentrification and economic restructuring. Social-structural inequality stemming from neoliberal urbanism, including federal disinvestment in low-income housing, increased contract and temporary work, insufficient and stagnant levels of income assistance and the emergence of new forms of carceral control (e.g., surveillance expansion, targeted policing), shape the everyday lives of PWUD in this neighbourhood (Boyd et al, 2016; Krebs et al, 2016). Over the past several decades, these forms of structural violence have driven epidemics of gendered violence (Bungay, 2010; Culhane, 2003; Jiwani & Young, 2006; Oppal, 2012; Shannon et al, 2008b), fatal and non-fatal overdose and infectious disease outbreaks (HIV, Hepatitis C) (BC Coroners Service 2017; Wood et al, 2007), while disproportionately impacting women, gender minorities, and Indigenous peoples (Amnesty International 2009; Inter-American Commission of Human Rights, 2014; Lyons et al, 2016).…”