🍉 Nurse Ranger 💊 Profile picture
Jan 15, 2023 11 tweets 5 min read Read on X
11,000+ British Columbians

On April 14, 2016 BC declared a public health emergency in response drug poisoning deaths.

Since that time, the unregulated drug supply has become more toxic and more unpredictable.

Since that time, at least 11,000 people in BC have died.

#bcpoli “A graph showing the increase of illicit drug deaths as th
Our most recent @bccoroners data is from October 2022. There is no doubt that we will get year-end update in the coming weeks.

And with that update, we will get another round of staged placations.

More grim milestones announced.

More “we’re doing our best”. “179 or 5.8 per day - that’s the number of British Colum
It’s important to note that we are not doing our best. In fact, our incrementalist approach to unregulated drugs is causing harm.

Many outside of BC believe we have widespread access to #SafeSupply.

That is lie.

BC’s “safe supply” is not accessible to the majority in need. “Tell your MLA that safe supply is not effective unless it
The lie of BC’s #SafeSupply has far-reaching impacts.

Other provinces/jurisdictions are looking at BC, eager to deem safe supply a failure, and they’re getting exactly what they want.

Our half-measured approach to safe supply is preventing the scale up of safe supply elsewhere.
There are a number of great safe supply initiatives operating right now.

But they are small, highly medicalized programmatic settings.

Capacity in these programs are limited. The overly-clinical approach creates accessibility barriers. Scalability is questionable.
These programs demonstrate a host of benefits. You can learn more about @SaferVic in this case study here 👇👇
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. “Number of new RMG clients by month shows a decline in new
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. “The safe supply continuum includes clinical programmatic
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.

#bcpoli “We must replace the entire illicit drug supply with regul

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More from @CoreyRanger

Oct 31
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 Substances detected in expedited toxicology among unregulated drug deaths.
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.
Read 8 tweets
Sep 16
A desperate campaign promise from a leader feeling the ground shrink beneath his feet.

A promise lacking proof. A callous approach touted as dignified.

Involuntary care won’t keep us safe. This new idea is an old failed idea.

🧵

#bcpoli #cdnpoli

cbc.ca/news/canada/br…
We’re going to cover a lot of ground in this 🧵 about involuntary care.

First, let’s acknowledge that today’s announcement was the opposite of novel or innovative.

Involuntary care has been implemented in many iterations and has shown to do more harm than good.
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.
Read 20 tweets
Aug 31
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
Read 11 tweets
Feb 1
Have you read this review of #SafeSupply from PHO Dr Bonnie Henry yet?

Here’s a 🧵 of my key takeaways.

#Bcpoli A review of prescribed safer supply programs across British Columbia: recommendations for future actions
Yes, the biggest takeaway is that prescribed safer supply is here to stay. Or at least that it should be.

And we are not going to call it that anymore. Dr. Henry has recommended the term now is “prescribed alternatives”
There’s a lot of unpack in this review but we now have the Provincial Health Officer and @bccoroners aligned on safe sup—prescribed alternatives.

✅it saves lives
✅it reduces harms
✅it improves life physical + mental health
✅we need improved access

www2.gov.bc.ca/assets/gov/bir…
Read 18 tweets
Jan 11
📣NEW📣

Very important evaluation for #SafeSupply in BC

Effect of Risk Mitigation Guidance opioid and stimulant dispensation on mortality and acute care visits during dual public health emergencies: retrospective cohort study



#bcpolibmj.com/content/384/bm…
“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. Graphical depiction of the protection provided by at least one day of RMG dispensation. One graph shows reduction in all cause mortality and the other graph shows reduction in overdose mortality related to access to RMG.
“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”

cmaj.ca/content/194/36…
Read 9 tweets
Apr 17, 2023
Did you know?

1️⃣BC’s #SafeSupply is accessible to around 4,535 people

2️⃣BC has around 101,000 people who would qualify for an ‘opioid use disorder’ diagnosis

3️⃣That’s an accessibility rate of <5%

4️⃣It’s year 7 of this public health emergency

Source: news.gov.bc.ca/factsheets/esc… A sweet graphic Corey made ...
That 101,000 doesn’t even include people who use episodically, recreationally, or first time users

Which makes that <5% estimate GENEROUS, at best

Meanwhile, the carnage worsens and the drug supply volatility kills our loved ones

#SafeSupply now

#bcpoli From January 1st to Decembe...
We act like BC has a viable and accessible #SafeSupply, but we don’t

The cons will say the streets are flooded with safe supply, but it isn’t

The BC Gov will say they are different from the callous Alberta government, but they aren’t

Alberta Model™️=BC Model™️ Freddy from scooby doo unma...
Read 4 tweets

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