B.C.’s overdose prevention strategy sets blueprint for rest of world: study

Reseachers at University of Victoria call opening of overdose prevention sites ‘novel and nimble’

Supplies like clean needles are available at the Overdose Prevention Society’s safe-injection site. MUST CREDIT: Photo for The Washington Post John Lehmann

A new study out of the University of Victoria says B.C.’s “unprecedented” response to the overdose crisis can and should be expanded worldwide.

The study, led by researchers with the Canadian Institute for Substance Use Research, involved working with a number of Island-based community groups that were opening overdose prevention sites and monitoring the roll out process and effectiveness.

“We found that these sites were a novel and nimble response to the overdose crisis which has affected communities not just across B.C., but around the world,” said institute scientist Bruce Wallace Thursday.

“Our hope is that the international community will look to this model as a way to quickly and effectively save lives – and use it beyond a public-health emergency context.”

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In 2016, 20 overdose prevention sites opened in B.C. without federal approval. In 2017, the federal government announced it would allow provinces and territories to open temporary sites as applications for permanent setups awaited what was criticized by advocates as a lengthy approval process by Health Canada.

The province has since launched more than 20 more overdose prevention sites – either as brick-and-mortar facilities or mobile units – and 11 supervised consumption sites.

More than 2,800 people have died of an illicit drug overdose in B.C. since 2017.

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Overdose prevention sites were up and running within weeks of approval, the UVic study found, and people who used drugs were involved in planning, implementing and delivering the services.

The researchers said these sites combined the benefits of state-sanctioned injection services with community-driven implementation.

“This research questions the federal governments’ restrictive sanctioning processes, which have limited the expansion of SCS [Supervised Consumption Sites] internationally and are not necessarily aligned with the needs of people who use drugs,” said researcher Bernie Pauly.

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“These sites should be seen as not just a stopgap until a SCS receives approval in an area, but as an alternative or complementary service to the SCS model.”

B.C. remains the only jurisdiction in the world to create legislation to support overdose prevention sites.

While similar sites exist in Ontario, that province recently announced it would not allow any new sites to open, and existing sites would be rolled in with supervised consumption sites.


@ashwadhwani
ashley.wadhwani@bpdigital.ca

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