Pubdate: Sat, 27 May 2017
Source: Globe and Mail (Canada)
Copyright: 2017 The Globe and Mail Company
Author: Andrea Woo
Page: A16


Ottawa broadens overdose-prevention program, approving three more
locations for Vancouver region, one for Montreal

The federal government has approved four more supervised-injection
sites - three in the Vancouver region and one in Montreal - in its
latest effort to combat an escalating overdose crisis across the country.

The new round of approvals brings the number of federally sanctioned
sites to nine, significantly expanding what was once a radical
intervention limited to a single location in Vancouver's Downtown
Eastside. Such facilities, run by local health agencies, allow users
to consume illicit drugs in the presence of health workers who can
intervene in the event of an overdose.

The three new facilities in B.C. will replace existing
"overdose-prevention sites," which provincial health officials opened
without federal approval to provide a similar service. One is in the
Downtown Eastside and two others are in Surrey.

The fourth approval announced Friday is for a mobile site in Montreal
- - the first of its kind in Canada.

Mark Lysyshyn, medical health officer for Vancouver Coastal Health,
said he was pleased with the approval, adding that the health
authority has seen a need to expand the service for some time.

An order issued by B.C.'s Health Minister in December allowed the
province to open about 20 overdose-prevention sites, which helped
alleviate the pressure. From Dec. 8 to April 2, they logged more than
66,000 visits and reversed more than 480 overdoses, according to the
B.C. government. No one has ever died at a supervised site.

"But it is still great to have the approval because if the [province]
ever rescinded the order, the sites would be allowed to continue, and
continue saving lives," Dr. Lysyshyn said. "The fact that it becomes
permanent also allows us to invest more in the facility and grow it
over time, and have it be a health service that is really high quality."

Victoria Lee, chief medical health officer for Fraser Health, said the
health authority also wants to allow users to consume drugs
intranasally or orally under supervision, but that Health Canada said
it needs more time to review that request.

"We wanted to be able to provide supervision for people that are at
risk, that are taking substances in different ways," she said. "We do
require [additional] approval for those other means of consumption
still from Health Canada; it's just the supervised-injection portion
that was approved."

The two Surrey sites are expected to open in June, Dr. Lee

There are already two approved supervised-injection sites in
Vancouver, including Insite, which became the first sanctioned
supervised-injection site in North America when it opened in 2003. The
other is in a specialized HIV/AIDS centre that was approved last year,
quietly operating since 2002.

Aside from the mobile site, Montreal received conditional approvals
for three locations in February, while sites in other cities,
including Toronto, Ottawa and Victoria, are also awaiting approval.

In a statement, federal Health Minister Jane Philpott said evidence
shows the harm-reduction sites decrease infections and transmission of
communicable disease. As well, they can decrease hospital admissions
and the use of emergency departments in relation to injection drug

"Our government's approach to the crisis is, and must be,
comprehensive, collaborative, compassionate, grounded in sound
evidence and firmly dedicated to saving lives and protecting the
health and safety of Canadians," the statement said.

On Thursday, Canada's big-city mayors issued a set of recommendations
to the federal government on how to respond to the overdose crisis.
Among them, the mayors called for expedited implementation now that
Bill C-37 - legislation that makes it easier to open
supervised-injection sites has been passed - and approval of existing

The expansion of supervised drug-consumption facilities is in contrast
to the previous federal Conservative government, which spent years
attempting to shut down Vancouver's Insite before finally losing at
the Supreme Court of Canada. The Conservatives responded by
introducing legislation that imposed strict requirements on new facilities.

Across B.C., more than 1,300 people have died of drug overdoses since
Jan. 1, 2016.
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