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

Sign
The Stettler Pheasant Festival reflects on community impact

The festival has seen people visit from all over western Canada and into the United States

lite
Every year, the Maruk family puts up an amazing Christmas lights show

Display to run nightly starting around 5:30 p.m. until 10 p.m.

The Government of Alberta has identified 1,828 new cases and 15 new COVID-19-related deaths, which brings the provincial death toll to 590. (File photo)
Alberta identifies 1,828 new COVID-19 cases on Friday

Central zone has 1,251 active cases

Alberta RCMP. Black Press file photo.
Alberta RCMP enforces safe, sober driving this holiday season

‘Please plan ahead and find a safe means of transportation to and from your holiday destinations’

SARS-CoV-2 virus particles, which causes COVID-19, emerge from the surface of cells isolated from a patient in the U.S. and cultured in a lab in a 2020 electron microscope image. THE CANADIAN PRESS/AP-HO, National Institute of Allergy and Infectious Diseases - Rocky Mountain Laboratories
Alberta now has 17,743 active cases of COVID-19

Province now has 17,743 active cases

Idyllic winter scenes are part of the atmosphere of the holiday season, and are depicted in many seasonal movies. How much do you know about holiday movies? Put your knowledge to the test. (Pixabay.com)
QUIZ: Test your knowledge of holiday movies and television specials

The festive season is a time for relaxing and enjoying some seasonal favourites

Public Services and Procurement Minister Anita Anand responds to a question during a news conference in Ottawa, Monday, Oct. 26, 2020. Anand says as soon as she knows when the first dose of a COVID-19 vaccine will arrive on Canadian soil, she will share that information with the country. THE CANADIAN PRESS/Adrian Wyld
Negotiating contracts for vaccines in development needed flexibility: Anand

Health Canada officials are days, maybe even hours, away from approving the COVID-19 vaccine

Speaker of the House of Commons Anthony Rota rises in the House of Commons, Wednesday, May 13, 2020 in Ottawa. nbsp; THE CANADIAN PRESS/Adrian Wyld
Speaker Rota reflects on first year presiding over unprecedented virtual Parliament

‘It’s not what I signed up for but it is what it is’

Homeowners Cora and Alec Dion pose in the basement of their home in Fort McMurray, Alta., on May 8, 2020. More than seven months ago, the Dions were forced to flee Fort McMurray for the second time in four years as a spring flood threatened their home. THE CANADIAN PRESS/Greg Halinda
Fort McMurray residents still cleaning, considering options after spring flooding

‘It’s worse than just having water, because it’s ice mixed in with the water’

RCMP. (Phil McLachlan - Black Press Media)
Judge finds former Alberta Mountie not guilty of sexually assaulting colleague

Jason Andrew Tress, who is 34, was stationed in the northern Alberta community of Faust at the time of the alleged assault

A coal-fired power plant seen through dense smog from the window of an electric bullet train south of Beijing, December 2016. China has continued to increase thermal coal production and power generation, adding to greenhouse gas emissions that are already the world’s largest. (Tom Fletcher/Black Press)
Alberta set to retire coal power by 2023, ahead of 2030 provincial deadline

In 2014, 55 per cent of Alberta’s electricity was produced from 18 coal-fired generators

Montreal Alouettes’ Michael Sam is set to make his pro football debut as he warms up before the first half of a CFL game against the Ottawa Redblacks in Ottawa on Friday, Aug. 7, 2015. Sam became the first publicly gay player to be drafted in the NFL. He signed with the Montreal Alouettes after being released by St. Louis, but abruptly left after playing one game. THE CANADIAN PRESS/Justin Tang
Study finds Canada a ‘laggard’ on homophobia in sports

Among females, 44 per cent of Canadians who’ve come out to teammates reported being victimized

Nurse Kath Olmstead prepares a shot as the world’s biggest study of a possible COVID-19 vaccine, developed by the National Institutes of Health and Moderna Inc., gets underway Monday, July 27, 2020, in Binghamton, N.Y. U.S. biotech firm Moderna says its vaccine is showing signs of producing lasting immunity to COVID-19, and that it will have as many as many as 125 million doses available by the end of March. THE CANADIAN PRESS/AP-Hans Pennink
Canada orders more COVID vaccines, refines advice on first doses as cases reach 400K

Canada recorded its 300,000th case of COVID-19 on Nov. 16

Most Read