But the problem isn’t about efficacy, it’s about reach.
A medicalized approach is only one part of a broader strategy. We cannot expect a prescriber-driven approach to meet the needs of tens of thousands of British Columbians at risk of fatal drug poisoning.
And these programs are primarily funded by Health Canada, not the province.
The incoming fiscal cliff of this funding stream is deeply concerning.
Many programs have no idea if funding will be extended beyond March 2023. That’s less than three months from now.
But on the outside we have provinces like #Alberta saying “BC has flooded its streets with safe supply, and it’s not working”.
The lie of BC’s #SafeSupply is fuelling anti-safe supply rhetoric outside BC.
Meanwhile, by all accounts, safe supply dispensations in BC is declining.
And that is how incrementalism and government misinformation kills a movement.
We need a #SafeSupply that includes a range models.
We need to support the scale up of existing medical models.
We need a public health model.
We need visible support for non-medical models.
So when the next report on drug poisoning deaths gets released, do not settled for lies.
We must replace the entire unregulated drug supply with regulated drugs accessible to all.
I’ve been reviewing the @bccoroners most recent report on unregulated drug poisoning deaths.
When I filtered expedited toxicology to only include 2024 results, I was shocked.
This is a mass poisoning situation. A crisis that can only be solved with legal regulation.
#bcpoli
This is not an opioid crisis or a fentanyl emergency—this most recent update shows four different benzodiazepine analogues being regularly detected in toxicology. Bromazolam alone is being found in 39% of unregulated drug deaths.
Couple this with variable concentrations of fentanyl + fentanyl analogues and we have a toxic mix with no quality control or predictability.
Benzodiazepines + opioids produce a synergism, profoundly increasing sedation and respiratory depression.
The concept of involuntary care, or forced treatment, is often flouted as compassionate. Coupled with weaponizing “public safety” language, people who use drugs are framed as incapable of making their own decisions and as dangers to the community at large.
Driving home from #IOAD2024 event in #PortAlberni today and noticed someone slumped against a building with another person standing over them looking anxious.
I decided to pull over and check things out.
🧵
#bcpoli
When I arrived on scene I saw the person on the ground was motionless and the other person was calling 911.
I introduced myself and let her know I was a nurse, asked her if I could take over.
“Yes” she said nervously.
As I assessed, I explained to the bystander what I would be doing.
S - stands for stimulate
A - stands for airway
V - stands for ventilation
E - stands for evaluation
M - stands for medication (naloxone)
E - stands for evaluation
Effect of Risk Mitigation Guidance opioid and stimulant dispensation on mortality and acute care visits during dual public health emergencies: retrospective cohort study
“This study found that RMG opioid dispensations were associated with a reduced likelihood of all cause and overdose related mortality among people with a diagnosis of opioid use disorder.”
This is a massive study of almost 12,000 people.
“The protective effect of RMG opioid dispensations on mortality is congruent with findings from an evaluation of a prescribed opioid safer supply programme in Ontario in which mortality was rare among participants receiving medications”