Overdose deaths were increasing in March before people could even apply for CERB payments. The United Nations Office on Drugs and Crimes has reported that border closures are disrupting illegal drug supplies, leading to a more dangerous and volatile market.
Toxiciology data from the BC Coroner's office during COVID-19 shows that people are dying with higher than average fentanyl concentrations in their bloodstream.
Drug checking data from Toronto and Vancouver also shows more dangerous substances are circulating.
At the onset of the pandemic, the number of people accessing SCS dropped significantly and has not rebounded to pre-COVID levels
Can't rule out that CERB had an influence but highly unlikely it is the main driver, IMO. The provincial gov't is advancing this simplistic narrative at the expense of emergency action to connect people reliant on opioids to pharmaceutical alternatives to the illegal drugs.
*Crime, there is always a typo
Also worth noting that CERB wasn’t a huge bump in income for those accessing Alberta’s income support programs, as provincial benefits were clawed back. google.ca/amp/s/www.cbc.…
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Yesterday, Alberta's premier announced 904 opioid overdose deaths from Jan. to Oct. 2020 (66% increase in the death rate y/y). He attributed this increase to CERB and reduced treatment access. I tweeted already about why it is not CERB, today let's look at treatment. #ableg
According to the Premier: “As part of our initial series of restrictions...the gov't suspended the operation of residential treatment centres and reduced the number of people who could stay within them and also suspended the operation of opioid dependency clinics."
I'm glad access to residential treatment has been restored, but that isn't really relevant here, because shorter-term inpatient stays alone are not typically recommended for opioid use disorder. crism.ca/wp-content/upl…
Since 2017 Alberta heavily invested in new *treatment, prevention AND harm reduction* programs. Now in 2019, OD deaths are steadily declining. Cutting effective interventions could undo this progress and put more lives at risk [thread] globalnews.ca/news/6443265/a…
Between 2015 and 2019 the # of Albertans engaged in (gold standard) medication treatments for opioid use disorder grew from ~4200 to ~11,000; and AHS added 4000 new treatment spaces across the province. open.alberta.ca/dataset/f4b74c…
The province also opened 7 community-based supervised consumption services, which have collectively supervised over 307,793 visits with 0 deaths and 4587 overdoses reversed as of Sept. 30 2019.
Our new qualitative research study examining acute care patient perspectives on a novel addiction medicine consultation team is now available for download [free access until November 7, 2019]. authors.elsevier.com/a/1ZlT81LiD2-f…
Patients felt the team improved their care experience overall, and that a harm reduction orientation to care--emphasizing non-judgement, compassion, autonomy, and shared decision-making--was critical.
Other aspects that facilitated the success of the team included: their expert knowledge, wraparound health and social supports and an informal peer referral process.