Discover and read the best of Twitter Threads about #overdose

Most recents (14)

Here @jasonluan88 responds to arguments for #safesupply brought forward by advocates on social & mainstream media, but it appears that he needs help with understanding and interpretation of the arguments and data in support of safe supply.
Thread: 1/
#Abpoli #Ableg
In the headline @jasonluan88 continues to use stigmatizing language with the word “addict”. People who use drugs are people first!
Stigma causes people to to use and die alone.

Here are helpful resources on stigma for the minsiter.

#ableg #abpoli
2/
canada.ca/en/health-cana…
A person with lived and living experience is free to chose how they self-identify, but unless @jasonluan88 has lived experience he should stick to #PersonFirstLanuage
#Abpoli #Ableg
3/
Read 17 tweets
1/6: Talking to PWUD and prescribers over the past few weeks I've learned there's a huge disconnect between #safesupply and what we can call pandemic prescribing
(a thread)
2/6: Pandemic prescribing is providing pharmaceutical alternatives to street drugs to help reduce #overdose risk and let people isolate during #COVID. It's a life saving approach now, but it's not the long-term solution to the overdose crisis, #Safesupply is.
3/6: Offering drug users the least sought-after drugs through pandemic prescribing is playing it as safe as possible, it's the equivalent of providing an alcoholic with light beer when what they've been consuming is 40 proof liquor. It's not #Safesupply
Read 6 tweets
(1/x) Day 7: Pinch hitting for @BonuraErin on this tweetatorial for the #COVID intercession she masterfully designed! On 5/6, we had me discussing the international pandemic responses (2-9) & Dr. Kelsey Priest (@kelseycpriest) talking #syndemics Re addiction dz & COVID19 (10-18).
(2/x) Session 7.1 (Strnad): COVID - Comparing the World’s Responses: We attempted to discuss this topic w/ language highlighting the ways that understandable and changeable actions that countries, businesses, & people perform have influenced different national stories of COVID.
(3/x) Comparing data like national deaths, or even national deaths/per capita can be misleading during a pandemic that is influencing different countries at different times. When did #COVID really hit the countries? Where are you in the epidemiological curve? Eg)
Read 20 tweets
The BC government had 4 years to implement #safesupply for 1 public health emergency. It didn't. Now we're dealing with 2 public health emergencies and seeing more overdoses, more deaths, and more complex overdose responses. A thread ↘️
#bcpoli #bcnews #overdose #safesupply
1 ) March 27: 2 months after the first case of COVID-19, BC introduced new safe supply guidelines. At that time, frontline workers and people who use drugs (PWUD) were already sounding the alarm on overdoses rising due a toxic and disrupted drug supply. globalnews.ca/news/6744401/c…
2) March 31: DTES workers and nurses send an open letter to Horgan, Dix, Henry, Daly, Stewart, and Darcy. They call for 5 immediate actions including adequate PPE, safe supply, supervised consumption services, shelter and housing support, food and water.
straight.com/covid-19-pande…
Read 15 tweets
🔥🔥OPEN LETTER to @govbc

Re: “Twelve Points for Action to Prevent and Manage #COVID19 for People who are Homeless/At Risk of Homelessness and People who use Drugs”

@adriandix @DarcyJudy @BC_Housing @ShaneLSimpson

#bcpoli #harmreduction
1. Handwashing stations immediately needed in public locations.

Today there were over 150 people on Pandora avenue in #Victoria; how are we prioritizing hand washing without access to clean water and sinks?
2. Immediately identify spaces for homeless and unstable housed people to stay at home and to self-isolate when symptomatic.

HOUSING IS FRONTLINE PROTECTION. ✅
Read 16 tweets
And here we are...
#10yearsofTESD in #TESDquotes!

Happy birthday and 10 years #TellEmSteveDave!!!
¡Feliz cumpleaños!

[opens thread] 👇🏻🐜🎧💜🎉
#TESD #TESDlove #TESDTEN
Walt (about the podcast) "Once it became important to you, it became important to me."
Bry "Oh, you're so full of shit!"
#TESD1
Walt to Bry "We can close the show with a little Steve-Dave rant."
#TESD2
Read 449 tweets
Excited to share study ⁦@LarochelleMarc⁩ ⁦@darshaksanghavi⁩, others & I did comparing effectiveness of different #opioid use disorder treatments. Bottom line- only methadone or buprenoprhine associated w/ reduced #overdose at 3 and 12 months jamanetwork.com/journals/jaman…
We looked at claims data for nearly 41,000 individuals w/ OUD and compared outpatient counseling, IOP, detox/residential, naltrexone, or methadone/buprenorphine to no treatment on outcomes of overdose or opioid-related ED or hospitalization at 3 months.
1st takeaway: despite evidence supporting MOUD w/ opioid agonist therapy, in this insured population only 12.5% of cohort received methadone/buprenorphine and average treatment duration was shorter than would be recommended at ~150 days.
Read 9 tweets
Everyone: we need more activism in this #overdose crisis.

*Jess asks for help

Everyone: *crickets

#Calgary wake up! This person is trying to help your community and is doing all of the leg work!

#yyc twitter champions, can we get some traction on this cause?
#ABLeg #ABpoli
#Calgary has been significantly impacted by the overdose crisis in Canada—in fact this city has, year over year, been the most impacted out of all #Alberta municipalities.
This awesome human (@_Jessica______M) is trying to augment #hamreduction services in this community and could use some help.

She needs help finding a space—she also needs some funding. In a time when your #UCP government is freezing funding for pending sites, anything will help.
Read 5 tweets
Alberta Q2 Opioid Reporting fresh off the press!

As previously noted by @ehyshka, this quarter demonstrates an increase in fentanyl-related overdose compared to Q1 2019.
#AbLeg #ABpoli

open.alberta.ca/dataset/f4b74c…
This is one of many reasons why it’s important to avoid overgeneralizing from a single data point—overdose deaths occur in ebbs and flows.

Sometimes a single bad batch can make the difference between a low point vs a surge in deaths.
Opioid related overdose deaths in the province related to fentanyl—important to note we are STILL in CRISIS. We are STILL LOSING 2 people everyday.

We are not doing enough to protect the vulnerable.

A reminder that there are still three communities waiting for SCS funding.
Read 8 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
Over half way through the year and, at long last, Alberta Q1 2019 opioid reporting is made available. Let’s have a look at the stats shall we?

#abpoli #AbLeg

alberta.ca/opioid-reports…
“There continues to be a high number of accidental fentanyl related poisoning deaths in the province,
however, the number in the most recent quarter is comparatively less than the previous.”

Sounds like the harm reduction and overdose response initiatives are helping.
This begs the question, if we are in fact seeing a decline in overdose deaths, why are we pausing these services in communities that clearly still need them?

Now is not the time defund, delay, or discontinue supervised consumption services.
Read 10 tweets
I debated sharing but decided there are important lessons within. Yesterday, I came face-to-face w/ the #overdose epidemic. Shortish story... I was one of the first people on the scene of two 40-ish men slumped over in their work van that was stopped on the hwy.
Alone with kids in the car, I was waved down by a panicked commuter. I stopped & was joined by two other men. Both driver & passenger were unresponsive. Driver had shallow breathing but passenger had no pulse or respiration. We pulled him out of the car & I started 2-person CPR.
It was evident they had overdosed. While I keep a trauma/GSW kit in the car, I do not carry #Naloxone. So all we could do is continue CPR (about 6 cycles) before EMTs arrived, at which point he had a weak radial pulse. Shaken, I shook hands & went on my way. So lessons/thoughts:
Read 9 tweets
Thanks for the call @bctoday appreciate the time to talk about the @BCCSU report on "Strategies to Strengthen the Recovery System in BC." An overall review is long overdue, given the situation - #overdose #bcpoli #harmreduction
and there is much to be encouraged by in the report. Dr. Wood states clearly that recovery is a process, by definition long-term, so more is needed beyond harm reduction and acute care. bccsu.ca/news-release/n…
This is the bit that troubles me. I read the report closely and remember seeing a very early version of it well over a year ago. It's about "Therapeutic Communities":
Read 16 tweets
Hmmm. “Surprising #VA Data About Opioid Discontinuation, #Overdose and #Suicide: Clinical Implications” Abstract is sobering. This may challenge some policy initiatives regarding #opioids. Can’t wait to see the presentation! vendome.swoogo.com/2018-rx-summit…
“Due to these concerns, the Veterans Affairs (VA) conducted analyses of national data:
1. In fiscal year 2013, patients prescribed less than 90 morphine equivalent daily dose accounted for 95.8% of the sample & 85.7% of overdose/suicide-related deaths
2. In two sets of fiscal years — 2010-2011 and 2013-2014 — opioid discontinuation was NOT associated with overdose mortality but was associated with INCREASED suicide mortality.
Read 5 tweets

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