In recent months, the use of crack cocaine has risen sharply in Marseille, with more people using the drug in public spaces. This has led to a visible increase in drug users on the streets, causing concern among local residents. The 1st arrondissement, a central district in the city, has been particularly affected. After enduring an extremely hot summer, residents are now facing a growing number of incidents involving open-air prostitution and drug use, which have become a daily occurrence in some areas. The situation has left many residents feeling overwhelmed and exhausted. They are calling for the establishment of a "Halte soins addiction" (HSA), a type of public health facility designed to provide support and treatment for individuals struggling with addiction. These centers offer services such as medical care, counseling, and referrals to more comprehensive treatment programs. The demand for such a facility comes after a proposal for an HSA in the area was abandoned two years ago, leaving a gap in local addiction services. Local officials have been urged to act on the residents’ concerns, but progress has been slow. Some community leaders argue that without immediate intervention, the situation could worsen, leading to increased public health risks and social instability. They emphasize that addressing the issue requires not only the establishment of an HSA but also broader efforts to tackle the root causes of addiction, such as poverty, unemployment, and lack of access to mental health care. The push for an HSA reflects a broader debate in Marseille about how to manage public health crises related to drug use. While some advocate for more punitive measures, others support harm reduction strategies that prioritize care and support over punishment. As the city continues to grapple with these challenges, the need for a comprehensive approach that addresses both immediate and long-term concerns remains urgent.