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Addictions

B.C. poll reveals clash between Indigenous views and drug policy

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9 minute read

By Alexandra Keeler

A supermajority of First Nations respondents disagree that criminalizing drug use is racist, challenging public health advocates’ assumptions

A new report shows a majority of British Columbians — and a plurality of all ethnic communities surveyed — disagree with the contention that drug criminalization policies are racist.

The findings challenge assertions made by prominent B.C. policymakers, who have advocated for drug decriminalization and harm-reduction initiatives on the grounds of anti-racism and reconciliation.

The report, published by the policy nonprofit Centre for Responsible Drug Policy and think tank Macdonald-Laurier Institute, draws from a poll of 6,300 B.C. adults that was commissioned by the centre and conducted by Mainstreet Research.

“Chinese and Indigenous leaders keep telling me that their communities are very anti-drug, but public health officials and harm-reduction activists keep saying that legalization is integral to anti-racism and reconciliation,” said Adam Zivo, a journalist and founder of the centre.

“Now we have data to show which side is more accurate.”

When asked whether criminalizing drug use is racist, just 22 per cent of all respondents agreed, while 60 per cent disagreed. Notably, 79 percent of the respondents identified as white.

Disagreement was strongest among First Nations respondents, with just nine per cent of the 172 Indigenous respondents agreeing that criminalization is racist and 67 per cent disagreeing.

Agreement was stronger among Asian communities, with East Asian and South Asian respondents being most likely to say criminalization policies are racist.

In the East Asian cohort, 42 per cent said they disagreed that criminalizing drug use is racist, while 36 per cent strongly agreed. Similarly, 46 per cent of South Asian respondents disagreed and 32 per cent agreed.

Self-determination

The poll challenges views articulated by some prominent B.C. policymakers and public health groups.

In July, B.C.’s provincial health officer, Dr. Bonnie Henry, released a report asserting that drug policies prohibiting the use of hard drugs are rooted in racism and colonialism.

“Prohibitionist drug policies are deeply rooted in colonialism, reflecting and perpetuating systemic racism that disproportionately impacts Indigenous peoples,” Henry’s report says.

“These policies were designed to control marginalized populations and have led to over-incarceration, intergenerational trauma, and significant health disparities within these communities.”

Henry’s report contends that decriminalization policies — such as those implemented by B.C. as part of a three-year trial project that began January 2023 — can help to rectify these injustices by prioritizing health and safety over law enforcement.

Henry’s report was released mere months after B.C. rolled back some of its decriminalization measures in response to growing public concerns over decriminalization’s effects on community safety and order. Henry’s report, which is published by the BC Ministry of Health, urges the province to move in the opposite direction.

“This report’s recommendation is to continue to refine and expand prescribed alternatives to unregulated drugs, and critically, to explore implementation of models that do not require prescription,” Henry writes, referring to harm-reduction initiatives such as safer supply that dispense prescription opioids to drug users.

The report presents decriminalization as a move supported by Indigenous communities, citing the Declaration on the Rights of Indigenous Peoples Act Action Plan. Action 4.12 aims to “address the disproportionate impacts of the overdose public health emergency on Indigenous Peoples by: applying to the Government of Canada to decriminalize simple possession of small amounts of illicit drugs for personal use.”

The Canadian Drug Policy Coalition, a policy advocacy group based out of Simon Fraser University, has similarly contended that drug criminalization is racist.

The coalition’s website says, “the demand by Black communities to decriminalize drugs and to immediately expunge records are a vital necessity for minimizing the racially disproportionate harms of drug criminalization, part of a broader struggle to end the war on Black communities.”

And in December 2023, the Harm Reduction Nurses Association, a national organization that advances harm-reduction nursing, obtained an injunction to prevent the B.C. government from imposing restrictions on public drug consumption.

The association alleged the government’s actions “would put people at greater risk of fatal overdose, make healthcare outreach more challenging, and drive racial discrimination, particularly against Indigenous people.”

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Minority polling challenges

Some Indigenous groups have expressed reservations about blanket decriminalization policies in other contexts.

In January 2024, the First Nations Health Authority, an agency that manages health services for Indigenous communities in B.C., issued a statement acknowledging decriminalization may not be the best approach for all communities.

“FNHA acknowledges and supports the self-determination of each First Nations community when considering implementing this exemption,” the statement reads, referring to the three-year exemption B.C. obtained from federal laws prohibiting the use of hard drugs.

First Nations Health Authority has emphasized the need for culturally informed approaches that prioritize community health and safety and advocated for nuanced strategies tailored to each community’s specific needs.

The Mainstreet Research poll reveals challenges in accurately representing the views of B.C.’s smaller ethnic communities.

While non-white Canadians make up 40 per cent of B.C.’s population, they accounted for only 16 per cent of the poll’s 6,300 respondents.

Responses by Black, Middle Eastern and Southeast Asian respondents were excluded from the current analysis because sample sizes were too small, numbering below 100. The English-only and automated telephone polling format may also increase uncertainty.

As the poll focused primarily on B.C. and broad drug policy questions, its findings underscore the need for a deeper understanding of community beliefs to inform drug policies.

The Centre for Responsible Drug Policy is releasing the polling data and its report on a “preliminary” basis so it can inform drug policy discussions ahead of provincial elections, which are taking place this October in B.C., Saskatchewan and New Brunswick.

But Mainstreet Research is continuing to gather data, aiming for a final survey size of more than 12,000 respondents. Once completed, the survey will be one of the largest polls on harm reduction ever conducted in Canada.

“The final report, set to be released later this year, will include larger samples from B.C.’s diverse ethnic communities, providing further clarity on their beliefs,” Zivo said.


This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.

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Addictions

London Police Chief warns parliament about “safer supply” diversion

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London Police Chief Thai Truong testifies to House of Commons Standing Committee on November 26, 2024.

By Adam Zivo

“Vulnerable individuals are being targeted by criminals who exchange these prescriptions for fentanyl, exacerbating addiction and community harm,” said London Police Chief Thai Truong.

Thai Truong, the police chief of London, Ontario, testified in parliament last week that “safer supply” opioids are “obviously” being widely diverted to the black market, leading to greater profits for organized crime. His insights further illustrate that the safer supply diversion crisis is not disinformation, as many harm reduction advocates have speciously claimed.

Truong’s testimony was given to the House of Commons Standing Committee on Health, which is in the midst of an extended study into the opioid crisis. While the committee has heard from dozens of witnesses, Truong’s participation was particularly notable, as safer supply was first piloted in London in 2016 and the city has, since then, been a hotbed for opioid diversion.

“While the program is well intentioned, we are seeing concerning outcomes related to the diversion of safe supply medications… these diverted drugs are being resold within our community, trafficked to other jurisdictions, and even used as currency to obtain fentanyl, perpetuating the illegal drug trade,” he said in his opening speech. “Vulnerable individuals are being targeted by criminals who exchange these prescriptions for fentanyl, exacerbating addiction and community harm.”

He later clarified to committee members that these vulnerable individuals include women who are being pressured to obtain safer supply opioids for black market resale.

Safer supply programs are supposed to provide pharmaceutical-grade addictive drugs – mostly 8-mg tablets of hydromorphone, an opioid as potent as heroin – as an alternative to riskier street substances. The programs generally supply these drugs at no cost to recipients, with almost no supervised consumption, and have a strong preference for Dilaudid, a brand of hydromorphone that is manufactured by Purdue Pharma.

Addiction experts and police leaders across Canada have reported that safer supply patients regularly divert their hydromorphone to the black market. A recent study by Dr. Brian Conway, director of Vancouver’s Infectious Disease Centre, for example, showed that a quarter of his safer supply patients diverted all of their hydromorphone, and that another large, but unknown, percentage diverted at least some of their pills.

Truong’s parliamentary testimony, which mostly rehashed information he shared in a press conference last July, further corroborated these concerns.

He noted that in 2019, the city’s police force seized 847 hydromorphone pills, of which only 75 were 8-mg Dilaudids. Seizures increased after access to safer supply expanded in 2020, and, by 2023, exploded to over 30,000 pills (a roughly 3,500 per cent increase), of which roughly half were 8-mg Dilaudids. During this period, the number of annual overdose deaths in the city also increased from 73 to 123 (a 68 per cent increase), he said.

Relatedly, Truong noted that the price of hydromorphone in London – $2-5 a pill – is now much lower than in other parts of the province.

As an increasing number of police departments across Canada have publicly acknowledged that they are seeing skyrocketing hydromorphone seizures, some safer supply advocates have claimed, without evidence, that these pills were mostly stolen from pharmacies, and not diverted by safer supply patients. Truong’s parliamentary testimony dispelled this myth: “These increases cannot be attributed to pharmacy thefts, as London has had only one pharmacy robbery since 2019.”

The police chief declined to answer repeated questions about the efficacy of safer supply, or to opine on whether the experimental program should be replaced with alternative interventions with stronger evidence bases. “I’m not here to criticize the safe supply program, but to address the serious challenges associated with its diversion,” he said, noting his own lack of medical expertise.

The chief emphasized that, while more needs to be done to stop safer supply diversion, the addiction crisis is a “complex issue” that cannot be tackled solely through law enforcement. He advocated for a “holistic” approach that integrates prevention, harm reduction and treatment, and acknowledged the importance of London’s community health and social service partners.

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In response to Truong’s testimony, NDP MP Gord Johns, an avid safer supply advocate, downplayed the importance of the diversion crisis by arguing that “people aren’t dying from a safer supply of drugs; they’re dying from fentanyl.”

While it is true that 81 per cent of overdose deaths in 2024 involved fentanyl, addiction physicians across Canada have repeatedly debunked Johns’ argument as misleading. The dangers of diverted hydromorphone is not that it directly kills users, but rather that it easily hooks individuals into addiction, leading many of them to graduate to deadly fentanyl use.

Johns previously faced criticism when, in a September health committee meeting, he seemingly used parliamentary maneuvers to reduce the speaking time of a grieving father, Greg Sword, whose daughter, Kamilah, died of drug-related causes after she and her friends got hooked on diverted hydromorphone.

There is currently no credible evidence that safer supply works. Most supporting studies simply interview safer supply patients and present their opinions as objective fact, despite significant issues with bias and reliability. Data presented in a 2024 study published in the British Medical Journal, which followed over 5,000 drug users in B.C., showed that safer supply led to no statistically significant mortality reductions once confounding factors were fully filtered out.

An impending update to Canada’s National Opioid Use Disorder Guideline, which was recently presented at a conference  organized by the Canadian Society of Addiction Medicine, determined that the evidence base for safer supply is “essentially low-level.” Similarly, B.C’s top doctor acknowledged earlier this year that safer supply is “not fully evidence-based.”


This article was syndicated in The Bureau, an online media publication that investigates foreign interference, organized crime, and the drug trade.

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Addictions

Parliament votes for proposal recommending hard drug decriminalization

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From LifeSiteNews

By Clare Marie Merkowsky

Canadian MPs have voted 210 to 117 in favor of a proposal to decriminalize simple possession of heroin, cocaine and all other illegal drugs across Canada despite the disastrous effects of lax drug policies already observed.

Canada may be one step closer to decriminalizing hard drugs as the majority of MPs voted in favor of a proposal recommending the move.

According to information published November 25 by Blacklock’s Reporter, MPs voted 210 to 117 in favor of a proposal recommending the decriminalizing of the simple possession of heroin, cocaine and all other illegal drugs across Canada. While the proposal is non-binding, it could point to how MPs would vote on a future bill seeking to augment the law.

“Why has it come to this?” Conservative MP Jacques Gourde, who opposes such a move, questioned. “We have reached the end of the road and nothing better lies ahead if we continue down this path.”  

The recommendation, which received a House majority with only Conservative MPs voting against it, suggested “that the Government of Canada decriminalize simple possess of all illicit drugs.”  

Prime Minister Justin Trudeau’s cabinet was noncommittal in their response to the suggestion, saying, “The government recognizes there are increasing calls from a wide range of stakeholders to decriminalize the simple possession of drugs as another tool to reduce stigma that can lead many to hide their drug use and avoid seeking supports including treatment.” 

“The government is exploring policy approaches and a broader framework that would ease the impact of criminal prohibitions in certain circumstances,” the Cabinet continued. 

The Trudeau government’s consideration of nationwide decriminalization comes despite drug-related deaths skyrocketing in the province of British Columbia after decriminalization was implemented there by the Trudeau government in 2023. In fact, the policy was considered so damaging by the left-wing controlled province that it had to ask to have certain aspects of the policy, such as the public use of drugs, rescinded earlier this year.

Other soft-on-drug policies have already been implemented by the Trudeau government, including the much-maligned “safer supply” program.

Safe supply” is the term used to refer to government-prescribed drugs given to addicts under the assumption that a more controlled batch of narcotics reduces the risk of overdose. Critics of the policy argue that giving addicts drugs only enables their behavior, puts the public at risk, disincentivizes recovery from addiction and has not reduced – and sometimes even increased – overdose deaths when implemented.    

Gunn, who has since become a Conservative Party candidate, previously noted that his film shows clearly the “general societal chaos and explosion of drug use in every major Canadian city” since lax policies were implemented.  

“Overdose deaths are up 1,000 percent in the last 10 years,” he said in his film, adding that “every day in Vancouver four people are randomly attacked.”  

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