🍉 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

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
Apr 16, 2023
Alright, as promised, I will now begin the penultimate #HR23 thread.

Be prepared for many typos. “Opening ceremonies for Har...
First, last night’s opening ceremonies was fantastic. In particular the opening land acknowledgement was a perfect way to get us started.

Watch this video from @Talkingdrugs to see for yourself (my phone was dead at the time 😩)
The opening ceremonies was very inspirational, especially the awards ceremonies.

People like Gabby Bruning, Diane Lloyd, and Andriy Yarovoi are beacons of hope.
Read 29 tweets
Jan 25, 2023
The #AlbertaModel at work. 🧵

“A Medicine Hat-based recovery organization, which has to date received six-figures in government funding, has endorsed an anti-supervised consumption site ad campaign in the U.S.”

First, a must read from @JeremyAppel1025

open.substack.com/pub/theorchard…
This attack on supervised consumption services is not a one-off. It’s a pattern of misinformation.

From @ehyshka:

“It is unfortunate to see an Alberta-based organization lobbying the United States government against supporting this intervention,”

#ableg
Unfortunate, but not surprising. There is a coordinated movement underway to shift public opinion away from #HarmReduction. A movement heavily influenced by the misinformation machine in #Alberta.
Read 15 tweets
Dec 3, 2022
Death by Toxic Drug Policy in BC

179 British Columbians were killed by political indifference in October 2022

That’s nearly 6 people per day dying preventable deaths due to government inaction and cowardice.

#SafeSupply remains inaccessible.

#bcpoli #cdnpoli A infographic that highlights the following information ‘D
Year after year in so-called #Canada, we see more of our loved ones, friends, neighbours, and community members killed by a failure to address the volatility of the unregulated drug supply. ‘Bar graph showing increases in drug poisoning deaths in C
This is not a crisis of ‘opioids’ or ‘overdose’—people are being poisoned.

We are talking about drug regulation, consumer rights, and bodily autonomy.

@kwardvancouver says it best:
“We must replace the entire illicit drug supply with regulated substances accessible to all”
Read 5 tweets

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