Pubdate: Wed, 03 Feb 2016
Source: Daily Courier, The (CN BC)
Copyright: 2016 The Okanagan Valley Group of Newspapers
Contact:  http://www.kelownadailycourier.ca
Details: http://www.mapinc.org/media/531
Author: Andrea Peacock
Page: A1

DRUG DEATHS ON RISE

Illegal Drug Use Takes Greater Toll As Report by BC Coroners Service 
Shows Overdose Deaths Up 44% in B.C. Interior Last Year

Overdose deaths involving illegal drugs rose by 44 per cent in the 
B.C. Interior, a recent report from the BC Coroners Service shows. 
The report counted 57 overdose deaths in 2015 in the Interior, up 
from 44 in 2014.

Overdose deaths involving fentanyl are also on the rise in B.C., up 
to 30 per cent from 25 per cent in 2014, although numbers for 
fentanyl-related cases in the Interior were not available.

Fentanyl is a painkiller that's said to be 50 times more potent than 
morphine and has a heroin-like effect on some users.

More and more, it is being mixed with other drugs, such as heroin, 
because of its addictive qualities, explained Dr. Trevor Corneil, 
chief medical health officer for Interior Health.

"Fentanyl is fairly new, but I think there's probably a good 
likelihood of fentanyl in the community," said Kelowna RCMP Const. 
Joe Duncan. "Our numbers are quite skewed, because unless the coroner 
gives us a toxicology report, we don't know what drug was used."

RCMP numbers for drug overdoses not resulting in death are also 
likely underestimated, said Duncan.

"Unless the officer specifically wrote overdose, it won't show up in 
the computer." Interior Health also has limitations in tracking drug 
overdoses, with no formal system in place.

Interior Health currently does not have a formal tracking system for 
overdoses that may show up at its hospitals, "so we are unable to 
provide statistics," said Corneil.

Instead, Interior Health relies on alerts from hospital emergency departments.

"We use that information to alert and inform our partners in the 
community and the public," said Corneil, adding the health authority 
is developing a real-time surveillance system to track overdoses.

In Kelowna, illicit drug overdose deaths increased to 17 deaths in 
2015 from 12 in 2014 (a 41 per cent hike).

In Vernon, illicit drug overdose deaths increased to nine in 2015 
from six in 2014 (50 per cent).

Overdose deaths were up across the province to 465 in 2015 from 366 
in 2014, a 27 per cent increase.

The BC Coroners Service report, Preventing Death after Overdose, 
expressed particular concern about overdose deaths among young 
people. It found 26 youth and 156 young adults died from an overdose 
in B.C. between 2009 and 2013.

"If there was one critical message, it would be that if you witness 
an overdose or medical distress, seek medical attention," said 
Michael Egilson, director of the BC Coroners Service. "Time is really 
critical in drug overdoses."

The report found that in 75 per cent of overdose cases in youth and 
in 40 per cent of overdose cases in young adults, other people were 
with the victims at the time.

"The young person was either placed in a recovery position or nobody 
thought there was enough medical distress to seek immediate medical 
attention," said Egilson.

The report recommends the Ministry of Children and Family Development 
engage with foster parents and youth networks on effective messaging 
to raise awareness of the signs of an overdose and the importance of 
calling 911 immediately.

It also calls on the Ministry of Education to update its physical 
education curriculum to address the issue of calling 911 when people 
are in medical distress and to ensure overdosing is identified as a 
form of medical distress.

"The recommendations are around raising awareness of the importance 
of seeking medical attention when someone has overdosed," said Egilson.

The report found 62 per cent of the youth who died from overdoses had 
family members who were aware of their current and/or past drug use, 
and half of the youth lived with family at the time of their death.

One-third of the young adults and almost one-third of the youth were 
noted to have a mental-health diagnosis at the time of their death, 
including depression, anxiety and attention deficit hyperactivity disorder.

"What we do know is even with the existing prevention programs, we 
still have overdoses, and although drug overdoses can be fatal, 
(they) certainly don't need to be," said Egilson. "There are 
opportunities to reduce those numbers." The report also showed: - In 
2014, the illicit drug overdose death rate per 100,000 people in the 
Interior was 6.2, compared to 7.1 in 2013.

- - The highest rate of illicit drug overdose deaths in 2014 was in 
Metro Vancouver at 9.0 per 100,000 people, followed by the Fraser 
Valley at 8.1 per 100,000 people.

- - The most common age group for deaths from illicit drug overdoses in 
2015 was 30 to 39, followed by 40 to 49.

- - December 2015 saw the most deaths by illicit drug overdoses in B.C. 
with 62 reported deaths.
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MAP posted-by: Jay Bergstrom