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

An original piece of artwork by Rosie Laponder, was stolen along with various art supplies from Julie Ann’s Art and Custom Framing in Chilliwack on Nov. 28, 2020. (Submitted image)
Thieves steal original artwork, art supplies from Chilliwack store

‘It kind of makes you sick to your stomach,’ says store manager

The paraglider pilot, while attempting to free himself, dropped 30 feet and sustained serious injuries as Kent-Harrison Search and Rescue members worked quickly to extract him from the trees. They were able to get him to a waiting ambulance at the end of a nearby forest service road. (Contributed Photo/Dave Harder)
Lower Mainland Search and Rescue saves paraglider in treetop rescue

Pilot tried to self-rescue but sustained serious injuries in a 30-foot fall

Still from a video surveillance camera of a man alleged to have stolen from several people at knife-point in Chilliwack (Rosedale) early on Nov. 28, 2020. (Facebook)
Violent crime spree involving knife ends in arrest in Chilliwack

RCMP looking for footage that captures violent crime spree in Chilliwack

A screenshot of a poster detailing a Dec. 4 protest against Hope council’s decision to reject BC Housing’s rezoning application for 650 Old Hope Princeton Way. (Submitted photo)
Protest planned following Hope council’s veto on supportive housing

Council voted 4 opposed, 1 in support, of BC Housing’s plans to rezone 650 Old Hope Princeton Way

Hope Secondary School. (Emelie Peacock/Hope Standard)
Update: Fourth COVID-19 exposure at Hope Secondary School confirmed

Hope high school the only school in Fraser Cascade to experience multiple exposures

A B.C. Ambulance Service paramedic wearing a face mask to curb the spread of COVID-19 moves a stretcher outside an ambulance at Royal Columbia Hospital, in New Westminster, B.C., on Sunday, November 29, 2020. THE CANADIAN PRESS/Darryl Dyck
B.C. records deadliest weekend of COVID-19 pandemic with 46 deaths; more than 2,300 cases

Provincial health officer Dr. Bonnie Henry provides COVID-19 update

Fossil finds at Mt. Stephen. (Photo: Sarah Fuller/Parks Canada)
Extreme hiking, time travel and science converge in the Burgess Shale

Climb high in the alpine and trace your family tree back millions of years – to our ocean ancestors

Menno Place. (Google Street View image.)
32 family members respond to Abbotsford care home’s plea for staffing help during COVID-19 outbreak

Menno Home asks for relief workers for food service, laundry and housekeeping

Kettle bells sit aligned in an indoor fitness studio. (PIxabay.com)
1 COVID-19 case at a B.C. fitness studio leads to 104 more infections, 6 school exposures

According to case data released by Fraser Health, one case of the novel coronavirus carries a big impact

Vehicles drive past a display thanking essential workers in Burnaby, B.C. on Sunday, Nov. 29, 2020. THE CANADIAN PRESS/Marissa Tiel
B.C. changing COVID-19 case reporting as virus spread continues

Manual counting takes more time, leads to errors

Black Press Media and BraveFace have come together to support children facing life-threatening conditions. Net proceeds from these washable, reusable, three-layer masks go to Make-A-Wish Foundation BC & Yukon.
Put on a BraveFace: Mask fundraiser helps make children’s wishes come true

From Black Press Media + BraveFace – adult, youth and kid masks support Make-A-Wish Foundation

Christy Jordan-Fenton is the co-author of the book Fatty Legs, which has been mentioned amid the controversy of an Abbotsford school assignment on residential schools.
Co-author of residential schools book condemns controversial Abbotsford class assignment

Children’s book mentioned amid controversy at W. A. Fraser Middle School

Kootenay East MLA Tom Shypitka takes over as energy and mines critic for the B.C. Liberal opposition. Kelowna-Lake Country MLA Norm Letnick (right) moves from health critic to assistant deputy speaker. (Hansard TV)
B.C. Liberals pick critics to take on Horgan’s NDP majority

Interim leader Shirley Bond takes seniors, long-term care

B.C. Supreme Court in Vancouver. (Black Press Media files)
Judge hears Langley development case that could end in mayor, councillors booted out of council

The conflict of interest case was launched by local voters a year ago

Most Read