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

Prospera Place in Kelowna. (Marissa Baecker/Shoot the Breeze)
Kelowna Rockets return to the ice after COVID-19 quarantine

All individuals within the team cohort tested negative for COVID-19 earlier this week

(Phil McLachlan/Capital News/Stock)
Man arrested in West Kelowna for stealing police bait car

The suspect has been identified as Raymond Francis Thiffault of Kamloops, who already had an outstanding Canada-wide warrant.

Rose Valley Elementary School. (Contributed)
Central Okanagan School sees second COVID-19 exposure in two days

An exposure was identified at Rose Valley Elementary on April 12 and 13

(Natalia Cuevas-Huaico - Kelowna Capital News)
The Central Okanagan Food Bank said it has seen an increase in people who need help as the pandemic continues. (Phil McLachlan - Capital News/FILE)
Increase in families, seniors using Central Okanagan Food Bank as pandemic continues

Current restrictions have hit the Okanagan’s hospitality workers hard

A person receives a COVID-19 vaccine at a vaccination clinic run by Vancouver Coastal Health, in Richmond, B.C., Saturday, April 10, 2021. THE CANADIAN PRESS
B.C. sees 873 more COVID-19 cases Tuesday, decline continues

Hospitalizations up to 377, two more deaths for 1,515 total

An unidentified B.C. man said he was refused the job after refusing to wear a mask when asked by an on-site manager. (Unsplash)
Religious B.C. man lodges human rights complaint after fired for refusing to wear a mask

‘To cover up our face infringes on our God-given ability to breathe,’ the worker claimed

An oversight committee has been formed for an eco-village which will be constructed near Summerland’s proposed solar and battery storage project. (Black Press file photo)
Oversight committee formed for Summerland’s eco-village project

Initial meetings have been held to plan methodology

This 2013 Dodge Ram 1500 was stolen from Black Creek Motors at approximately 2 a.m. Sunday, April 11. Photos via blackcreekmotors.com
VIDEO: B.C. car dealer posts clip of thieves towing a truck right off his lot

Video shows one white truck towing another off Vancouver Island lot

Bylaw enforcement officer Marcel Bedard sits behind the wheel of his 2004 Chevy Cavalier in 2017. He retired on April 9, 2021 after 24 years working for the City of Salmon Arm. (File photo)
Salmon Arm bylaw officer parks his parking tickets after 24 years

Despite the insults that go with the job, Marcel Bedard enjoyed his work for the city

FILE – People hold signs during a memorial march to remember victims of overdose deaths in Vancouver on Saturday, August 15, 2020. THE CANADIAN PRESS/Darryl Dyck
B.C. to request federal exemption for simple drug possession

Announcement comes on 5-year anniversary of B.C.’s first public health emergency

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

(AP Photo/Matthias Schrader, FIle)
Rare blood clots ‘may be linked’ to AstraZeneca vaccines: Health Canada

One case of the adverse effect has been reported in Canada

Restaurant patrons enjoy the weather on a patio in Vancouver, B.C., Monday, April 5, 2021. The province has restricted indoor dining at all restaurants in B.C. due to a spike in COVID-19 numbers. THE CANADIAN PRESS/Jonathan Hayward
B.C.’s COVID-19 indoor dining, drinking ban extending into May

Restaurant association says patio rules to be clarified

Most Read