Pubdate: Mon, 03 Oct 2016 Source: Vancouver 24hours (CN BC) Copyright: 2016 Vancouver 24 hrs. Contact: http://vancouver.24hrs.ca/letters Website: http://vancouver.24hrs.ca/ Details: http://www.mapinc.org/media/3837 Author: Garth Mullins Page: 6 SHOULD PRESCRIPTION HEROIN BE MADE AVAILABLE FOR ADDICTION TREATMENT IN B.C.? Columnists Brent Stafford and Garth Mullins battle over the issues of the day. The Duel Prescription heroin for addiction treatment in B.C.? It's about time As hundreds die from fentanyl overdoses, Health Canada has ended Harper's ban on prescription heroin. And it's about time. There's a fatal overdose every 12 hours in B.C. Over the years, I've had to resuscitate four people and known dozens who've died. For people deep in addiction, medical treatment with heroin is much safer than adulterated, often-lethal street drugs. It reduces harm to the community too. Patients get diacetylmorphine (pharmacy-grade heroin) injections at clinics up to three times daily. They see doctors, nurses and counselors. Overdoses and the spread of HIV or hepatitis C decrease. With the certainty of scheduled medication, patients end the relentless, life-consuming search for a fix just to stave off dope sickness. Cycles of sex work, crime, jail and hospitalization are interrupted. Stability returns. People re-connect with community and family. Its old hat, really. Studies going back to the 1950s and regular practice in some European countries show it works. Like nicotine patches for smoking and methadone for opiate addiction - something dangerous is swapped for something less harmful. But prescription heroin isn't for just any drug user. It's for the 15% who've injected street heroin every day for years and nothing else works - including methadone. While overdose death rates started climbing, former Conservative Health Minister banned this treatment "to take heroin out of the hands of addicts, not to put it into their arms." A nice sentiment that in practice is a death sentence. So, drug users took the government to court, where Douglas Lidstrom explained how prescription heroin changed his life. After decades of chronic heroin use, his health, housing, work and family relationships were in bad shape. He tried quitting, detox and methadone many times. Then, Lidstrom joined the SALOME prescription heroin study. Everything changed. With regular injections, he stopped using street drugs, got back in touch with his kids and stayed out of trouble with police. It was the same for others in the study. At last, heroin is being prescribed at a Vancouver clinic - a good start. But it must be rolled out quickly for those who need it wherever they live - along with safe injection sites, overdose-reversing Naloxone and treatment beds. Prescription heroin costs about a third of what taxpayers spend on police, ambulances, jails and courts for every deeply entrenched, untreated opiate user. "Just say no" and the "war on drugs" failed. Let's try something that actually works. - --- MAP posted-by: Matt