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Addictions

Leading addiction doctor warns of Canada’s ‘safer supply’ disaster

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A man considers using a prescription opioid. Credit: Dreamstime

By Liam Hunt

Addiction physician Dr. Sharon Koivu has seen the effects of safer supply programs in her clinical practice and personal life — and is sounding the alarm

Dr. Sharon Koivu, an addiction physician and parent, believes her son might not have survived to adulthood if Canada’s “safer supply” programs had been in effect during his adolescence.

Having worked on the front lines of Ontario’s opioid crisis, she views these programs as a catastrophic failure.

In an extended interview, Koivu explained the unintended consequences of these programs, which offer free tablets of hydromorphone — an opioid about as strong as heroin – to vulnerable patients with a history of addiction. While advocates of safer supply claim it mitigates the use of more dangerous illicit substances, there is evidence that most users divert — that is, sell or trade — their hydromorphone to acquire stronger substances.

Safer supply was first piloted in London, Ont., in 2016, before being widely expanded across Canada in 2020 with the help of generous federal grants. While the program looked good on paper, Koivu, who provides comprehensive addiction consultation services at a London-based hospital, saw a different reality: her patients were destabilizing, relapsing and fatally overdosing because of safer supply.

Koivu says that “one hundred percent” of her colleagues working in addiction medicine have noticed safer supply diversion. Some patients have told her they have been threatened with violence if they do not procure and divert these drugs. She estimates that, because of safer supply, tens of thousands of diverted hydromorphone pills — also known as “Dilaudid,” “dillies” or “D8s” — are flooding into Canadian streets every day.

For context, just two or three of these pills, if snorted, are enough to induce an overdose in a new user.

This influx has caused the drug’s street price to crash by as much as 95 per cent. While 8-milligram hydromorphone pills used to sell for $20 each several years ago, they can now be bought for as little as a dollar or two. These rock-bottom prices have ignited a new wave of addictions and relapses, and lured opioid-naive individuals into experimenting with what is essentially pharmaceutical heroin.

Koivu estimates that 80 per cent of her opioid-using patients now take diverted hydromorphone.

“The biggest harm is that we’ve turned on the tap and we’ve made everything cheap, which is leading to a large increase in the number of people becoming addicted and suffering,” she said.

“It is the most serious issue that I’ve seen in my lifetime.”

Safer supply programs seem to regularly overprescribe opioids without considering patients’ actual needs, Koivu says. Patients have come into her hospital with prescriptions that provide 40 eight-milligram hydromorphone pills a day, even though they can only tolerate 10 pills.

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‘That attraction is horrific’

Throughout the first few decades of Koivu’s career, almost “everyone” in her patient pool developed addictions due to childhood traumas or from mishandling opioids prescribed for chronic pain.

Since the advent of safer supply, the origins of new opioid addictions have shifted toward social or recreational exposure. Concerningly, this exposure often occurs in patients’ adolescent years.

“I’m seeing an increase in youth becoming addicted,” said Koivu, who has had patients as young as 15 tell her their addictions began through diverted hydromorphone.

“Almost everyone I see who’s started since 2018 started recreationally. It started as something that was at a party. It’s now a recreational drug at the youth level.”

Parents often seem completely unaware of the problem. Some have told Koivu they overheard their children discussing the availability of “D8s” at their highschools, only to later realize — when it was too late — they were referring to opioids.

“You can’t walk into your house with a six-pack of beer. If you’re smoking weed, people can smell it. But you can walk into your house with a lot of [tablets] in your pocket. So, it’s cheap, really easy to hide, and is even called ‘safe’ by the government. I think that attraction is horrific.”

“Our youth are dying at a higher rate … and we have a lot more hydromorphone found in [their bodies] at the time of death.”

While safer supply programs claim to make communities safer, Koivu’s lived experiences suggest the opposite. She used to reside in London’s Old East Village, where the city’s first safer supply program opened in 2016, but moved away after watching her neighbourhood deteriorate from widespread crime, overdoses and drug trafficking.

“I moved there to support a supervised injection site,” said Koivu. “Then I watched that community drastically change when safer supply was implemented. … I would go for walks and directly see diversion taking place. Homelessness is very complicated, but this has absolutely fueled it in ways that are unconscionable.”

Dr. Sharon Koivu

Koivu characterizes the evidentiary standards used by advocates of safer supply as “deeply problematic.” She says many of the studies supporting safer supply are qualitative — meaning they rely on interviews — and use anecdotal data from patients who have a vested interest in perpetuating the program.

While Koivu has been blowing the whistle on safer supply programs for years, her concerns largely went unnoticed until recently. She has faced years of harassment and denigration for her views.

“When I came to say I’m concerned about what I’m seeing: the infections, the suffering, the encampments … I was literally told that I was lying,” she said.

Last month, the London Police Service provided the National Post with data showing that annual hydromorphone seizures increased by 3,000 per cent after access to safer supply was significantly expanded in 2020. The newspaper has since raised questions about why this data was not released earlier and whether the police stonewalled attempts to investigate the issue.

Koivu considers herself a lifelong progressive and has historically supported the New Democratic Party. But she is concerned many left-leaning politicians have ignored criticism of safer supply. Many seemingly believe that opposition to it is inherently conservative.

“I went to a hearing in Ottawa of a standing committee to talk about addiction,” she said. “We had five minutes to give a talk, and then two hours to answer questions, [but] I didn’t receive any questions from the NDP or the Liberals.”

Although Koivu believes safe supply can play a role in the continuum of care for opioid addiction, she says it must be executed in a meticulous manner that prevents diversion and emphasizes pathways to recovery.

“It needs to be part of a comprehensive strategy to help people get their lives back. And right now, it’s not.”

Above all, it is Koivu’s experience as a mother that drives her to criticize safer supply. One of her sons struggled with opioid addiction as a young adult. Although he eventually recovered, the experience could have killed him.

“Had this program been around … my family could have been another statistic from an opioid death. That drives me. Because it’s very real, and it’s very personal.”

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Addictions

Pierre Poilievre endorses involuntary treatment for children, inmates severely addicted to drugs 

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From LifeSiteNews

By Anthony Murdoch

Amid record-high drug deaths, the leader of Canada’s Conservative Party, Pierre Poilievre, now says he backs mandatory involuntary treatment for minors and prisoners severely addicted to drugs.

Poilievre, who earlier was cold to the idea, confirmed to the media last week that he is now fully on board with forcing severe addicts to get help and treating addiction with “rehab and recovery.”

“I believe for children and for prisoners who are behind bars, there should be mandatory drug treatment when they are found to be incapable of making decisions for themselves,” he said (24:33 min. mark).

Poilievre added that regarding forcing adults to get treatment, he is “still doing a lot of research on how that would work, but what I will say is we need to defund the unsafe government supply of drugs that the Trudeau and the NDP regimens are pushing on the population.”

According to Poilievre, he chose to back involuntary treatment for minors after hearing the testimony of 13-year-old Brianna Macdonald’s parents during a recent committee meeting on Parliament Hill. Macdonald, after battling drugs for a year, died in a homeless camp in Abbotsford, British Columbia.

Brianna’s parents noted their daughter had been battling illegal drug use from the age of 12, and despite them begging doctors to “keep her in hospitals,” the medical staff would “overlook what we said and release her, sending us home with Narcan kits.”

Additionally, Poilievre said that Canada needs to “prosecute drug criminals” and “treat addiction with rehab and recovery so that we can bring our loved ones home drug-free.”

His comments come after some provinces, such as Alberta and New Brunswick, have stated that legislation is coming that seeks to mandate minors seek treatment for severe drug use.

In British Columbia and Ontario, the so-called “safer supply” model has been in use and promoted by current and former governments. However, Ontario Premier Doug Ford, as reported by LifeSiteNews recently, said he wants to end “safer supply” in his province. He said Prime Minister Justin Trudeau’s continued push for lax drug policies has effectively turned the federal government into “the biggest drug dealer in the entire country.”

Some provinces, such as Alberta, appear to be having success with recovery-based approaches to dealing with addicts, instead of giving them more drugs.

As reported by LifeSiteNews last month, deaths related to opioid and other drug overdoses in Alberta have fallen to their lowest levels in years after Conservative Premier Danielle Smith’s government began to focus on helping addicts via a recovery-based approach instead of the Liberal-minded, so-called “safe supply” method.

While the federal government of Trudeau claims its “safer supply” program is good because it is “providing prescribed medications as a safer alternative to the toxic illegal drug supply,” studies have shown that these programs often lead to an excess of deaths from overdose in areas where they are allowed.

As for Poilievre, he has said that a Conservative government would slash funding to so-called “safe” injection sites.

After his federal government allowed the province of British Columbia to decriminalize the possession of hard drugs, including heroin, cocaine, fentanyl, meth and MDMA beginning on January 1, 2023, reports of overdoses and chaos began skyrocketing, leading the province to request that Trudeau re-criminalize drugs in public spaces.

A week later, the Trudeau government relented and accepted British Columbia’s request.

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Addictions

Harm Reduction is a Lie: Red Deer South MLA Jason Stephan

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News release from Red Deer South MLA Jason Stephan

Truth is wonderful. We can trust in truth. Truth leads to better choices and more happiness. Yet, there are many lies around us. A failure to comprehend things as they were, as they really are, as they will be, results in bad choices and unhappiness.

Sometimes lies are cloaked in words which distort their true outcomes. One such lie is so called “harm
reduction”. One government program under the heading of harm reduction is “safe supply”. Safe supply is a lie. It is not “safe”.

Another government program under the heading of harm reduction is an “overdose prevention site”. That is a lie also – these sites do not prevent overdoses.

Consider this, if your neighbor was drowning in filthy waters, would you row a boat out, and do nothing,
watching your neighbor flail and choke beside you in filthy waters, and just before he was about to go under, grab his hair as he was about to drown? And then, gasping for air, would you let him go, so that he resumes flailing and choking in filthy waters? What if you kept doing that bizarre thing?

What would be the normal thing to do? Get them out of filthy waters and onto shore, of course. Begin with the end in mind – for men and women drowning in filthy waters of addiction, that means recovery, not drug sites that keep them in those filthy waters.

Supervised consumption / overdose prevention sites are in fact drug sites – where illegal drugs are consumed accompanied with many other bad things.

Albertans did not ask for drug sites in their communities. Government imposed them on Albertans.

As a private citizen, prior to serving as an MLA, I attended packed town hall meetings at Red Deer City
Hall. The vast majority of townhall participants did not want the NDP to impose a drug site in Red Deer. They did anyways.

The drug site in Red Deer has now been in our community for too many years and its impacts are
evident for all to see. Let’s speak plainly and honesty. Drug sites in Alberta are an attraction for individuals seeking to live in drug addictions. Because of drug sites, there are more, not less, individuals living in addictions in communities with drug sites.

There is an exodus of businesses from areas containing drug sites. I have seen it. There is too much stealing, too much vandalizing, too much uncertainty for local businesses, their employees, their customers.

Regardless of good intentions, the truth is that drug sites facilitate a growing lawlessness, including embedding and emboldening criminal elements, which either abuse drug sites or prey on those living in addictions, some of whom support addiction lifestyles through stealing or robbing businesses and families in our communities.

The truth is that “harm reduction” drug sites result in “harm production” to businesses and individuals in our communities seeking to peaceably live their lives, working, and raising their families.

Communities that do not want drug sites should not be forced to have them.

Red Deer City Council, listening to its citizens and businesses, passed a motion to get the drug site out of Red Deer. The Alberta government listened, announcing that the drug site will be removed out of Red Deer. That is good for Red Deer!

Other Alberta municipalities that have suffered with drug sites will follow Red Deer and will seek to get drug sites out of their communities also.

It is good to confront and reject harm reduction lies, get drug consumption sites out of Alberta, and support recovery for those suffering under addiction, blessing themselves, their families, and our communities.

Alberta is the best province in a nation in trouble. Our lives belong to ourselves, not government. The machine is not greater than the creator.

Alberta is a land of freedom and prosperity. We must be vigilant to keep it that way.

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