A man injects drugs in Vancouver’s Downtown Eastside, Wednesday, Feb. 6, 2019. Canada needs a new approach to tackle its overdose crisis, says the lead author of a new study that highlights a prevalence of overdoses involving non-prescribed fentanyl and stimulants in British Columbia. THE CANADIAN PRESS/Jonathan Hayward

A man injects drugs in Vancouver’s Downtown Eastside, Wednesday, Feb. 6, 2019. Canada needs a new approach to tackle its overdose crisis, says the lead author of a new study that highlights a prevalence of overdoses involving non-prescribed fentanyl and stimulants in British Columbia. THE CANADIAN PRESS/Jonathan Hayward

New study calls for new approach to tackling overdose crisis

There have been more than 15,000 apparent opioid-related deaths in Canada since 2016

Canada needs a new approach to tackle its overdose crisis, says the lead author of a new study that highlights a prevalence of overdoses involving non-prescribed fentanyl and stimulants in British Columbia.

There have been more than 15,000 apparent opioid-related deaths in Canada since 2016.

British Columbia has recorded more than 5,000 deaths from illicit drug overdoses since declaring a public health emergency in 2016.

The study, published on Monday in the Canadian Medical Association Journal, looked at 1,789 overdose deaths in British Columbia between 2015 and 2017 in which the coroner was able to determine the substances relevant to the deaths.

It reported that despite decreases in the prescription of opioids across the province, the death rate from illegal drug overdoses has continued to rise.

Dr. Alexis Crabtree, the study’s lead author and resident physician in public health and preventative medicine at the University of British Columbia, says it highlights what isn’t working when it comes to tackling the overdose crisis.

“What we found is that this overdose crisis is not driven by prescribed medications and de-prescribing initiatives alone won’t solve the overdose crisis,” she said in an interview.

In most cases where prescribed opioids were implicated in a death, the toxicology report also flagged the non-prescribed opioids in the person’s system, Crabtree added.

The study’s findings also highlight the declining role of prescription opioids and heroin in the overdose crisis and the rise of synthetic opioids and stimulants.

The current strategies on battling the overdose crisis “must do much more” than target de-prescribing opioids, the study concludes.

READ MORE: Talks needed on decriminalizing hard drugs to address opioid crisis, Tam says

Men continue to dominate the overdose death toll, making up more than 80 per cent of deaths, with people between the ages of 31 to 49 making up the predominant number of deaths.

One aspect that is often overlooked is the efficacy of methadone and buprenorphine, opioids used to treat opioid addiction, Crabtree said.

The study showed that few overdoses involved people with those opioids in their system, which Crabtree said she believes should make doctors feel more comfortable in prescribing them to drug users.

In B.C., the provincial government expanded the access to a safe supply of prescription drugs near the start of the COVID-19 pandemic due to concerns about the number of overdose deaths arising from isolated drug users.

That program, and subsequent concerns raised over the prescribing of illicit-alternative drugs, prompted the decision to publish the study in the Canadian Medical Association Journal, Crabtree said.

“A question or concern physicians have is ‘is the medication I’m prescribing contributing to overdoses?’” said Crabtree. ”I can understand why people have that concern. I think these results are really reassuring that prescribed medications are not a driver of overdose risks and supports physicians to prescribe under those risk mitigation guidelines.”

She said she agrees with the recommendations of provincial health officer Dr. Bonnie Henry who called for the decriminalization of people who possess small amounts of drugs in a 2019 report.

At the time, Henry wrote that the province “cannot wait for action at the federal level.”

She reiterated those recommendations in June 2020, which saw 175 suspected overdose-related deaths.

“COVID-19 has made clear the government can act in a very fast and effective way when it prioritizes a response to a public health emergency,” said Crabtree. “I would love to see that same effectiveness applied to responding to the overdose emergency and protecting the health of people who use drugs.”

More access to overdose prevention and supervised inhalation sites should be some of the next steps forward both in B.C. and across the country, she added.

The federal government launched a national consultation on supervised-consumption sites last week, seeking comments from a variety of Canadians, including those who operate the sites and those who use them.

Nick Wells, The Canadian Press


Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

Drugsopioid crisisopioidsoverdoseoverdose crisis

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Colin J.D. Crooks has published his debut novel, a fantasy titled “The Shards of Etherious: Arisen.” (headshot photo courtesy Joslyn Kilborn Photography)
Cumberland author delves into fantasy world with debut novel

The Shards of Etherious: Arisen is the first book of a five-book series

Cathy Browne is very proud of her new front door. All the new doors are lovely and create an individual look for each room. Photo submitted
Courtenay’s Glacier View Lodge dressing up its doorways for residents

Glacier View Lodge’s vision of ‘feels like home’ has been enhanced this… Continue reading

Ginette Matthews shows off some of the wares at The Local Refillery. Photo by Femke Overmaat
Pandemic meant going digital quickly for Courtenay’s Local Refillery

Owner Ginette Matthews says system keep business open in its early months

A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic January 7, 2021. THE CANADIAN PRESS/Nathan Denette
Employers might be able to require COVID-19 vaccination from employees: B.C. lawyer

‘An employer must make the case’ using expert science, explains lawyer David Mardiros

Comox Valley RCMP are looking for witnesses after the theft of a generator worth thousands of dollars. Photo supplied
Comox Valley RCMP asking public to watch for stolen generator

Vehicle may have been travelling on Highway 19

U.S. Senator Bernie Sanders sits in on a COVID-19 briefing with Dr. Bonnie Henry, provincial health officer, and Adrian Dix, B.C. minister of health. (Birinder Narang/Twitter)
PHOTOS: Bernie Sanders visits B.C. landmarks through the magic of photo editing

Residents jump on viral trend of photoshopping U.S. senator into images

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Wet’suwet’en supporters and Coastal GasLink opponents continue to protest outside the B.C. Legislature in Victoria, B.C., on Thursday, February 27, 2020. THE CANADIAN PRESS/Chad Hipolito
‘We’re still in it’: Wet’suwet’en push forward on rights recognition

The 670-km Coastal GasLink pipeline was approved by B.C. and 20 elected First Nations councils on its path

The sky above Mt. Benson in Nanaimo is illuminated by flares as search and rescuers help an injured hiker down the mountain to a waiting ambulance. (Photo courtesy Nanaimo Search and Rescue)
Search plane lights up Nanaimo mountain with flares during icy rope rescue

Rescuers got injured hiker down Mt. Benson to a waiting ambulance Saturday night

Jennifer Cochrane, a Public Health Nurse with Prairie Mountain Health in Virden, administers the COVID-19 vaccine to Robert Farquhar with Westman Regional Laboratory, during the first day of immunizations at the Brandon COVID-19 vaccination supersite in Brandon, Man., on Monday, January 18, 2021. THE CANADIAN PRESS/Tim Smith - POOL
Top doctor urges Canadians to keep up with COVID measures, even as vaccines roll out

More than 776,606 vaccines have been administered so far

From the left: Midway RCMP Csts. Jonathan Stermscheg and Chris Hansen, Public Servant Leanne Mclaren and Cpl. Phil Peters. Pictured in the front are Mclaren’s dog, Lincoln and Peters’ dog, Angel. Photo courtesy of BC RCMP
B.C. Mounties commended for bringing firewood to elderly woman

Cpl. Phil Peters said he and detachment members acted after the woman’s husband went to hospital

Dr. Jerome Leis and Dr. Lynfa Stroud are pictured at Sunnybrook Hospital in Toronto on Thursday, January 21, 2021.THE CANADIAN PRESS/Frank Gunn
‘It wasn’t called COVID at the time:’ One year since Canada’s first COVID-19 case

The 56-year-old man was admitted to Toronto’s Sunnybrook Health Sciences Centre

An Uber driver’s vehicle is seen after the company launched service, in Vancouver, Friday, Jan. 24, 2020. Several taxi companies have lost a court bid to run Uber and Lyft off the road in British Columbia. THE CANADIAN PRESS/Darryl Dyck
Taxi companies lose court bid to quash Uber, Lyft approvals in British Columbia

Uber said in a statement that the ruling of the justice is clear and speaks for itself

Nanaimo Regional General Hospital. (News Bulletin file photo)
COVID-19 outbreak declared at Nanaimo hospital

Two staff members and one patient have tested positive, all on the same floor

Most Read