The lessons learned from the fentanyl overdose crises in British Columbia, Canada

Thomson, Erica; Lampkin, Hugh; Maynard, Russ; Karamouzian, Mohammad; Jozaghi, Ehsan

doi:10.1111/add.13961

Cited by 19 publications

(14 citation statements)

References 8 publications

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“…A total of 108 records were included,8–11 18 23–125 of which 79 were grey literature references (eg, reports and web pages) (see online supplement 3). From these records, we identified 100 community plans or initiatives from 82 communities and 12 provinces/states, which often encouraged or mandated plan development.…”

Section: Resultsmentioning

confidence: 99%

‘Communities are attempting to tackle the crisis’: a scoping review on community plans to prevent and reduce opioid-related harms

et al. 2019

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ObjectivesWe sought to understand the implementation of multifaceted community plans to address opioid-related harms.DesignOur scoping review examined the extent of the literature on community plans to prevent and reduce opioid-related harms, characterise the key components, and identify gaps.Data sourcesWe searched MEDLINE, Embase, PsycINFO, CINHAL, SocINDEX and Academic Search Primer, and three search engines for English language peer-reviewed and grey literature from the past 10 years.Eligibility criteriaEligible records addressed opioid-related harms or overdose, used two or more intervention approaches (eg, prevention, treatment, harm reduction, enforcement and justice), involved two or more partners and occurred in an Organisation for Economic Co-operation and Development country.Data extraction and synthesisQualitative thematic and quantitative analysis was conducted on the charted data. Stakeholders were engaged through fourteen interviews, three focus groups and one workshop.ResultsWe identified 108 records that described 100 community plans in Canada and the USA; four had been evaluated. Most plans were provincially or state funded, led by public health and involved an average of seven partners. Commonly, plans used individual training to implement interventions. Actions focused on treatment and harm reduction, largely to increase access to addiction services and naloxone. Among specific groups, people in conflict with the law were addressed most frequently. Community plans typically engaged the public through in-person forums. Stakeholders identified three key implications to our findings: addressing equity and stigma-related barriers towards people with lived experience of substance use; improving data collection to facilitate evaluation; and enhancing community partnerships by involving people with lived experience of substance use.ConclusionCurrent understanding of the implementation and context of community opioid-related plans demonstrates a need for evaluation to advance the evidence base. Partnership with people who have lived experience of substance use is underdeveloped and may strengthen responsive public health decision making.

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Section: Resultsmentioning

confidence: 99%

‘Communities are attempting to tackle the crisis’: a scoping review on community plans to prevent and reduce opioid-related harms

et al. 2019

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“…however, remain a controversial harm reduction method. 7,8,9 In November 2017, following a severe spike in deaths related to injection of opioids in the city of Ottawa, Canada, "The Trailer" was established; a SIS managed by Ottawa Inner City Health, Inc. (OICHI) and sanctioned by the Government of Canada. The Trailer is located in a high drug use area of Ottawa, with a catchment area that includes both shelters and treatment services for persons who use drugs in the community.…”

Section: Abstract: Supervised Injection Sites Supervised Injection Smentioning

confidence: 99%

At-a-glance - Supervised Injection Services: a community-based response to the opioid crisis in the City of Ottawa, Canada

DelVillano

Groh

Morrison

et al. 2019

Health Promot Chronic Dis Prev Can

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In response to the current opioid crisis in Canada, establishing safe injection services (SIS) in high risk communities has become more prevalent. In November 2017, The Trailer opened in Ottawa, Canada and tracks client use, overdose treatment and overdoses reversed. We analyzed data collected between November 2017 and August 2018. During peak hours, demand for services consistently exceeded The Trailer’s capacity. Overdoses treated and reversed in this facility increased substantially during this period. Results suggest The Trailer provided an important though not optimal (due to space restrictions) harm reduction service to this high-risk community.

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“…Other strategies such as drug checking services, opiate assisted treatment (including prescription heroin) and supervised consumption facilities have been suggested to manage overdose risks associated with fentanyl adulterated heroin or ecstasy (Fairbairn, Coffin, & Walley, 2017;Saleemi, Pennybaker, Wooldridge, & Johnson, 2017;Thomson, Lampkin, Maynard, Karamouzian, & Jozaghi, 2017). Drug checking services which have been offered to ecstasy and stimulant users (Saleemi et al, 2017) may be less feasible for SFB contaminated heroin.…”

Section: Discussionmentioning

confidence: 99%

Spore forming bacteria infections and people who inject drugs: Implications for harm reduction

Dunleavy

Munro

Roy

et al. 2018

International Journal of Drug Policy

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More widespread exposure to the Botulism Postcard during the outbreak/cluster was needed. The Botulism Postcard distributed to PWID may raise awareness of such events, the symptoms, and may encourage HR particularly when used as a tool by frontline staff to initiate discussion. Acknowledging that people continue to inject during clusters/outbreaks of such infections necessitates a pragmatic HR approach.

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The lessons learned from the fentanyl overdose crises in British Columbia, Canada

Cited by 19 publications

References 8 publications

‘Communities are attempting to tackle the crisis’: a scoping review on community plans to prevent and reduce opioid-related harms

‘Communities are attempting to tackle the crisis’: a scoping review on community plans to prevent and reduce opioid-related harms

At-a-glance - Supervised Injection Services: a community-based response to the opioid crisis in the City of Ottawa, Canada

Spore forming bacteria infections and people who inject drugs: Implications for harm reduction

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