The Alberta government is permanently closing #yeg's @boylestreet supervised consumption service (SCS) at a time when more people than ever are dying of overdose. This closure will result in a 35% drop in #yeg's current SCS capacity (booths). #ableg edmontonjournal.com/news/local-new…
For background, 3 small SCS were set up in central #yeg in 2018. Instead of opening 1 large SCS, the required capacity was spread across 3 health and social services (a primary clinic, overnight shelter, and a day drop-in) where people who use drugs were already going for help.
This plan was based on a comprehensive needs assessment that included an epidemiological study with 320 people who use drugs (which I conducted), a detailed business case, and large community consultation. More details here: crismprairies.ca/amsise/
Since 2018, the 3 SCS have reversed 1300+ overdose (OD) events, and @edmontonpolice say opening of the SCS coincided with a decrease in crime in the areas adjacent the sites. cbc.ca/news/canada/ed…
The closure of the @boylestreet SCS comes as Edmonton-Eastwood (central #yeg) has been dealing w/ a doubling in its OD death rate, which at the start of #COVID19AB, increased from 57.9 per 100k to a horrific *121 per 100k* .
I don't have a 2021 OD death rate for Edmonton-Eastwood because Alberta Health quietly stopped publishing all neighbourhood or catchment-level overdose data last year 🤔. Nevertheless, to date, I haven't found a higher OD death rate in Canada (if you have, lmk).
Early 2021 data indicate that OD deaths remain extremely high in #yeg. In Jan and Feb, 73 people died of an OD (more than 1 per day, and a 157%+ in deaths y/y). We should be EXPANDING access to proven interventions like SCS in #yeg, not cutting their capacity or reach!
Minister Luan's staff have said that they could deploy the @BoyleStreet SCS to a new location in #yeg. While this is promising, in the interim, we are likely to see more OD deaths, more public drug use, and more improperly discarded injection supplies in central #yeg.

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More from @ehyshka

19 Dec 20
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…
Read 14 tweets
18 Dec 20
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.
Read 7 tweets
22 Jan 20
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.
Read 15 tweets
26 Sep 19
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.
Read 6 tweets

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