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Opioid seizures exploded by 3,000% in Ontario city after “safer supply” experiment

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A London police drug seizure in April included 9,298 Dilaudid eight milligram tablets.

By Matthew Hannick

Doctors and journalists wondering why local police failed to disclose concerning statistic to public sooner

Nigel Stuckey saved more lives during the last five years of his policing career than the previous three decades combined. “Every time you go back to the street, it has a different flavour,” said Stuckey, a former sergeant with the London Police Service (LPS) who retired in 2022. “As a frontline police officer, you are constantly going to overdoses in the city. I’ve administered Narcan to multiple people, and this is just something that never existed before.”

Stuckey first noticed a dramatic increase in overdoses and drug-related crimes occurring throughout his city – London, Ontario – in 2019. While the reasons behind this increase were initially unclear, recent data released by the LPS suggest that “safer supply” programs may be contributing to the problem.

Safer supply programs aim to save lives by providing drug users with pharmaceutical-grade alternatives to the untested street supply. That typically means distributing hydromorphone, a heroin-strength opioid, as an alternative to illicit fentanyl. However, addiction experts say the program is having the opposite effect, as many people who are enrolled in safer supply programs are illegally selling or trading their prescribed hydromorphone on the black market, a practice known as “diversion.”

Harm reduction advocates claim that safer supply diversion is not a significant issue, but according to an investigation into London Police Services (LPS) seizure data by journalist Adam Zivo, the number of hydromorphone tablets seized in London increased by 3,000 per cent after access to safer supply was greatly expanded in 2020.

In 2019, the LPS seized fewer than 1,000 hydromorphone tablets. This number jumped significantly in 2020 and continued to rise afterwards, reaching 30,000 tablet seizures last year – an unprecedented amount. The London police estimate that last year’s record will be met or exceeded by the end of 2024.

Doctors have said that this is only representative of a small fraction of what is actually out there, and that just 3-4 of these pills, if snorted, are enough to induce an overdose in a new user.

Some people are wondering why this data wasn’t released months, if not years, earlier.

Dr. Sharon Koivu, a London-based addiction physician, was among the first to recognize the harms of safer supply and has been warning the public about widespread diversion for years. Based on her clinical experiences, she believes that diverted safer supply hydromorphone is causing new addictions and falling into the hands of youth.

When Koivu tried to speak out against safer supply and call attention to diversion and an overall lack of program transparency, she was bullied and told that the suffering she was witnessing didn’t exist. This harassment was so severe that her mental health deteriorated and she worried about whether her career had been irreversibly damaged – yet the London police had quietly possessed data showing that she was right all along.

“It’s become an ideological thing,” she said. “People seem to have doubled down on the information they have. They don’t want to hear from someone who has information and concerns that don’t align with their, I’m going to say, ideology – because it’s not science.”

News of skyrocketing hydromorphone seizures might have remained hidden from the public had it not been for a major bust earlier this year.

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On April 12, the London police announced a drug seizure which included 9,298 hydromorphone eight-milligram tablets. When Zivo inquired into this seizure, he received no answers to his questions for almost two months. He says that he was “stonewalled” and that the police seemed unwilling to release key data until it became impossible for them not to.

Zivo found it particularly concerning that the 2019-2023 hydromorphone seizure data was not released earlier. “Journalists and addiction physicians have been trying to raise the alarm about this issue for years,” he said, “but have been called liars, grifters and fearmongers, despite the fact that data validating their concerns existed and was held by the London Police Service.”

Stuckey, who now works as a documentary filmmaker covering London’s homelessness, addiction and mental health crisis, had a similar experience when he queried the LPS about the 9,290 hydromorphone pills seized this April.

Despite multiple requests for information about a possible connection to safer supply, the police service did not get back to him. He expressed frustration at the police’s unresponsiveness and worried that a lack of government transparency is endangering both the general public and law enforcement officers.

“Members of the London Police Service are being put in harm’s way dealing with organized crime and firearms to take drugs off the street, which were provided by the federal government. It’s absolute lunacy that we are paying one branch of government to rid a problem that was created by another branch of government,” said Stuckey.

It would be deeply concerning if the LPS knowingly withheld data pertaining to safer supply diversion. Not only has the failure to publish such data hindered informed public debate and policy development, it has also compromised the safety of the very communities which police are tasked with protecting.

According to Zivo, safer supply programs have benefitted from the silence of powerful institutions like the LPS. He said that, as there seems to be significant institutional resistance to acknowledging the community harms of safer supply, then more attention and trust should be given to local grassroots-level addiction medicine practitioners “who are bravely testifying to what they are seeing in their clinics.”

However, Dr. Koivu thinks that “the tide is turning” and that more people are beginning to understand the harms of safer supply

“I think it’s unfortunate that this data wasn’t made available sooner, when it was relevant to the funding of these programs and the changes we’re seeing in the city. The police need to be accountable for that. I really don’t understand their rationale for not addressing this” she said. “They hung me out to dry while knowing that what I was saying was accurate. If the police are afraid to come forward, no wonder physicians are afraid to come forward, too.”

A guest post by
Matthew
Matthew Hanick is a journalist living in Toronto.

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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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Addictions

B.C. mayors voice discontent over province’s response to drug crisis

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The street outside the Harbour Supervised Consumption Service in Victoria, B.C., on Sept. 6, 2024. (Photo credit: Alexandra Keeler)

By Alexandra Keeler

A number of B.C. mayors say the province’s drug decriminalization project has been a failure — and they are not confident involuntary care will address the problem

Many B.C. mayors are unhappy with the province’s handling of the drug crisis, saying it is failing their communities.

“I don’t think [the province’s] approach was very well thought out,” said Mayor Brad West of Port Coquitlam, a city of 61,000 that is a half-hour’s drive east of Vancouver.

“They announced, seemingly pretty quickly, that the province was going to pursue decriminalization, and there didn’t seem to be a lot of public discourse or consultation in the lead up to it,” he said.

“It was just kind of like, ‘Bam! Here it is.’”

West’s comments were echoed by other municipal leaders, who also say the province’s harm-reduction and treatment services are under-resourced, leaving them ill-equipped to help community members who are struggling.

‘Can’t do anything’

West says he and Port Coquitlam’s constituents observed an immediate increase in public drug use after the province launched a three-year, trial decriminalization project in January 2023.

The project initially enabled residents to use otherwise illicit drugs — such as fentanyl, heroin and cocaine — in most parts of the province, although it prohibited drug use on school premises or near child-care facilities.

Yet, West says drug use in parks and playgrounds was a major issue in his community.

“What [decriminalization] meant in a place like Port Coquitlam is that when you did have an incident that required a police response, none was forthcoming anymore,” he said. “[Police] would tell you, ‘Well, we can’t do anything. We’re not allowed to.’”

In June 2023, Port Coquitlam responded by passing a bylaw, introduced by West, that banned drug use in public spaces. Other B.C. municipalities — including Nelson, Kamloops and Campbell River — soon followed suit.

In December, B.C. tried to pass a law enabling police to remove people from public spaces if they were using drugs. But a B.C. court temporarily blocked it, citing risks to drug users.

The province then sought approval from Ottawa to re-criminalize public drug use, which it obtained this spring. Now, hard drug use is only permitted in private residences, legal shelters or harm-reduction clinics.

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Wait times

West says he has also been frustrated with the province’s harm-reduction facilities, which he describes as “poorly staffed” and “under-resourced.” These facilities often fail to connect individuals to necessary resources or recovery programs, he says.

West has witnessed some of these problems up close. His stepbrother battled addiction and homelessness before finding recovery.

“The biggest barrier that I think he encountered — and most people encounter in terms of recovery — is the wait times,” he said.

The wait time to get into B.C.’s private addiction rehab centres is about three to seven days. But the cost — ranging from $10,000 to $30,000 a month — is out of reach for many.

By contrast, the wait time to get into government-funded programs is about three to six months.

In addition to advocating for more accessible recovery services, West emphasizes the need for stronger enforcement at docks, ports and borders to combat drug trafficking.

“Our ports of entry, our border, the port itself, are completely porous,” he said. “We have no dedicated port police — one of the few jurisdictions that doesn’t. And as a result, Metro Vancouver has become an epicentre for drug trafficking.”

In May 2023, he was the sole Canadian mayor invited by US Secretary of State Antony Blinken to discuss the issue with other mayors. “We have weak [drug] laws … This is why I think we’ve become a global hub for [drug trafficking],” he said.

Brain damage

The BC NDP and BC Conservatives have both recently pledged to introduce involuntary care, which would enable the province to admit people with addiction challenges, brain injuries and mental-health issues into treatment facilities without their consent.

Mayor Leonard Krog of Nanaimo, a coastal city of about 100,000 on the east side of Vancouver Island, has long advocated for involuntary care.

Nanaimo Mayor Leonard Krog sits in his office at Nanaimo City Hall on Sept. 4, 2024. (Photo credit: Alexandra Keeler)

Krog notes that a significant segment of the homeless population has suffered brain damage, which can exacerbate efforts to help them. A 2020 report by Brain Injury Canada says about 50 per cent of people experiencing homelessness have some form of brain injury.

Krog does not believe people with brain injuries and addiction issues are likely to seek treatment on their own. “Those folks should be in secure, involuntary care,” he said.

But he is not optimistic that NDP’s involuntary care proposal will address the full scope of the issue.

“[I]n terms of numbers, my strong view is that it will not address the significant population who are currently in the streets.”

Stay alive

Victoria Mayor Marianne Alto believes in providing support to keep people alive until they seek recovery.

“My view of harm reduction is … I’ll give you anything you need to stay alive until you have that epiphany moment,” she said.

But she is concerned that the province has not adopted a comprehensive approach to tackling the drug crisis. The recent proposals to introduce involuntary care have not eased her concerns.

“Involuntary care can be a necessary tool in a complex system,” she said. “But its effectiveness hinges on clear standards. We must ensure that individuals receive not just initial intervention but also ongoing support to prevent their return to the circumstances that led them there.”

“The devil is in the details,” she said.

Victoria Mayor Marianne Alto leans against a railing in downtown Victoria, B.C. , in May 2022. (Marianne Alto’s Facebook)

The B.C. capital has been pursuing additional strategies to tackle the city’s homelessness, addiction and mental health challenges.

For example, a local nonprofit has been working with individuals living in parks to connect them with housing and support. “It’s also very slow, because to be very successful, you have to do it one person at a time, one-on-one. But it’s working,” she said.

But other efforts have met resistance.

City council rejected a motion introduced by Alto that had proposed rewarding churches and cultural centres that offered overnight parking to vehicle-dwelling homeless people. Five council members opposed it, Alto says, citing fears about crime and concerns that the program overstepped their duties.

“There is a genuine fatigue in the public, which is being reflected in municipal councils, saying, ‘How much further, how much longer, how much more?’”


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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