Mish Waraksa, a Primary Care Nurse Practitioner with over four years of experience working in safer opioid supply programs in Toronto, discussed how contaminants in the illicit opioid supply chain complicate the job of healthcare workers and the life-threatening side effects that come with Benzodiazepines and other impurities getting mixed into the street supply.
Katie Langille is a Primary Care Nurse Practitioner in the SOS Program at the Parkdale Queen West Community Health Centre. SOS is a Safer Opioid Supply program established in 2020. Clients receive prescriptions for pharmaceutical opioids to decrease their reliance on the toxic, unpredictable street supply.
This episode spotlights harm reduction services provided by Positive Living Niagara. Talia Storm, Director of StreetWorks Services, discusses supervised consumption, safer supply and other services that have saved lives during the toxic drug crisis. As Storm says, the staff at StreetWorks are just the passengers, and the individuals accessing the services are driving the car because harm reduction is an aspect of the treatment continuum that aims to empower and respect a person’s right to self-determination.
There were 36,442 apparent opioid toxicity deaths in Canada between January 2016 and December 2022.
A total of 7,328 apparent opioid toxicity deaths occurred in 2022. This is an average of 20 deaths per day. In 2019, before the COVID-19 pandemic, the average number of deaths per day was 10. The average number of deaths per day peaked at 22 in 2021. However, based on current national data, analyses show no significant decrease in trend, and rates remain high.
On episode 14, Garth Mullins, host of the award-winning Crackdown podcast, drew on his experience as a drug user and activist to discuss harm reduction and the overdose crisis, the challenge of distributing a safe unadulterated drug supply, defunding the police, the positives and negatives of British Columbia’s decriminalization pilot, starting a grassroots drug user activist group, and his new band Low Dead Space.
After six months of operation and over 1 kg of substances provided through the compassion club, there have been no deaths resulting from the club. Further, members of the club are reporting less involvement in crime, less overdose risk, higher financial stability and increased control over their lives.
Episode six features a conversation with Andrea Charest, Executive Director of It Takes a Village in Listowel, Ontario. It Takes a Village is a people-oriented, money-free, shop and social initiative offering community members support with food security, access to resources, and assistance navigating systems such as court appointments, housing, and government support with a focus on being a welcoming and inclusive place to belong.
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