opposed to syringe exchange programs have frequently invoked the California Environmental Quality Act (CEQA) as a means to bar syringe exchange programs from operating, citing the environmental impact of improper syringe disposals. Most notably SEP opposition within Santa Cruz, and Orange County—whose only syringe exchange program The Orange County Needle Exchange Program (OCNEP) was blocked from operating in October, 2019 by an Orange County lawsuit which charged the program with creating hazardous conditions and litter for residents. The OCNEP contests that public needle litter still exists after the shutdown of their program. Legislation in California signed by governor Gavin Newsom in 2021, AB-1344, aimed to block the use of CEQA to challenge SEPs. The provision states that "Needle and syringe exchange services application submissions, authorizations, and operations performed pursuant to this chapter shall be exempt from review under the California Environmental Quality Act, Division 13 (commencing with Section 21000) of the Public Resources Code." The provision was passed on the basis of curtailing the Opioid epidemic. There is no part of the bill which explicitly addresses the environmental concerns of the plaintiffs. Scope In a 1993 mortality study among 415 injection drug users in the Philadelphia area, over four years, 28 died: 5 from HIV-related causes; 7 from overdose, 5 from homicide, 4 from heart disease, 3 from renal failure, 2 from liver disease, 1 from suicide and 1 from cancer. Community issues NSP effectiveness studies usually focused on addict health effects; the United States National District Attorneys Association argues that they neglect effects on the broader community. NSPs may concentrate drug activity into communities in which they operate. Only a small number of short-term studies considered whether NSPs have such effects. To the extent that this happens, they may negatively affect property values, increase localized crime rates and damage broader perceptions about the host community. In 1987 in Platzspitz Park. "...authorities chose to allow illegal drug use and sales at the park, in an effort to contain Zurich's growing drug problem. Police were not allowed to enter the park or make arrests. Clean needles were given out to addicts as part of the Zurich Intervention Pilot Project, or ZIPP-AIDS program. However, lack of control over what went on in the park caused a multitude of problems. Drug dealers and users arrived from all over Europe, and crime became rampant as dealers fought for control and addicts (who numbered up