Downtown Eastside

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The Downtown Eastside (DTES) is a neighbourhood in Vancouver, British Columbia, Canada. One of the city's oldest neighbourhoods, the DTES is the site of a complex set of social issues, including disproportionately high levels of drug use, homelessness, poverty, crime, mental illness and sex work. Around the beginning of the 20th century, the DTES was Vancouver's political, cultural and retail centre. Over several decades, the city centre gradually shifted westwards, and the DTES became a poor, albeit relatively stable, neighbourhood. In the 1980s, the area began a rapid decline due to several factors, including an influx of hard drugs, policies that pushed sex work and drug-related activity out of nearby areas, and the cessation of federal funding for social housing. By 1997, an epidemic of HIV infection and drug overdoses in the DTES led to the declaration of a public health emergency. As of 2018, critical issues include opioid overdoses, especially those involving the drug fentanyl; decrepit and squalid housing; a shortage of low-cost rental housing; and mental illness, which often co-occurs with addiction. The population of the DTES is estimated to be around 7,000 people. Compared to the city, the neighbourhood is home to a significant Indigenous population, which reflects the ongoing impacts of colonial displacement and systemic inequities that have shaped the area’s demographics. Additionally, historical factors such as de-institutionalization, housing shortages, and limited access to mental health care have contributed to the concentration of poverty and substance use in the community. Residents experience Canada's highest rate of death from encounters with police, and there is mutual mistrust between police and many residents experiencing homelessness. Since Vancouver's real-estate boom began in the early 21st century, the area has been increasingly experiencing gentrification. Some see gentrification as a force for revitalization, while others believe it has led to higher...