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  • FOR IMMEDIATE RELEASE: Province repeals public use law previously blocked by B.C. Supreme Court for irreparable harm  

    FOR IMMEDIATE RELEASE: Province repeals public use law previously blocked by B.C. Supreme Court for irreparable harm  

    Joint Statement from the Harm Reduction Nurses Association, the Canadian Drug Policy Coalition and Pivot Legal Society 

    ​​xʷməθkʷəy̓əm, sḵwx̱wú7mesh & səlilwətaɬ lands Vancouver, BC |​ December 20, 2024 – Yesterday the B.C. provincial government repealed Bill 34: the Restricting Public Consumption of Illegal Substances Act. This represents a small but hard-fought victory against politically-driven laws and policies that inflict harm upon those made most vulnerable by oppressive systems. 

    The Act was initially passed last November, but a temporary B.C. Supreme Court injunction filed by the Harm Reduction Nurses Association and supported by the Canadian Drug Policy Coalition and Pivot Legal Society prevented it from coming into force until the court could assess whether it violated Charter rights. Rather than proceed through this process, the province has repealed the legislation.  

    It is important to recognize the harms the Act would have codified into law, and the harm prevented by its repeal. In repealing this legislation, the province has tacitly admitted that the Act would not have withstood the court’s scrutiny of its harmful consequences. We can count this as a victory. But ultimately, until evidence and ethics guide public policy in B.C., we fear we will be forced to continue these fights.       

    In its injunction ruling, the court agreed that in severely restricting public drug consumption, the Act would cause irreparable harm to people at risk of injury and death amid a public health crisis. Chief Justice Hinkson said, “Given the evidence before me, I find that there is a high degree of probability that at least some of the harm set out by the plaintiff will in fact occur. Centrally, but not exclusively, the Act will promote more lone drug use, which carries incumbent risks to [people who use drugs] and also the plaintiff’s members.”  

    This piece of legislation, which was not time-limited to the duration of B.C.’s decriminalization pilot, would also have enabled an increase in policing scope to specifically target unhoused people. The law would have had outsized impacts on Indigenous and racialized people, recreating and intensifying the existing harms of colonization and systemic racism. There was widespread opposition to the Act, including from the Union of British Columbia Indian Chiefs, the Surrey Union of Drug Users, the BC Association of Social Workers and CMHA BC. 

    Though the BC government has repealed Bill 34 in light of the court injunction and significant community backlash, some of the Act’s insidious elements exist within the province’s Apr. 2024 amendment to the decriminalization pilot. This politically-driven amendment circumvented the injunction against the Act and codified some of its most harmful facets through other means. We stand by our colleagues who have filed a judicial review of this egregious sidestepping of justice.  

    While the end of this harmful legislation represents a win for human rights, we continue to exist within a prolonged public health emergency. Criminalizing drug use is a far downstream intervention that lacks evidentiary support. More than a century of criminalization has demonstrated that enforcement has not decreased drug availability or use, is an ineffective use of public funds, and is clearly linked to an increased risk of overdose and cycles of homelessness. Criminalization drives further toxicity and unpredictability in the unregulated drug supply and signals to a significant portion of B.C.’s population that their deaths are acceptable. Once again, Chief Justice Hinkson reminds us, “I have already set out that British Columbia is in a Public Health Emergency. As part of these circumstances, the plaintiff argued, and I accept, that the unregulated nature of the illegal drug supply is the predominant cause of increasing death rates in British Columbia.” 

    We know the drivers of more than five preventable deaths per day in B.C.: stigma, isolation, and a poisoned drug supply. All three are made worse by criminalization. We implore the B.C. provincial government to stop playing politics in a public health emergency; we want to work together to end this crisis, with a shared understanding that every single death by the unregulated drug supply is preventable. 

    -30- 

    Links and Resources:  

    • Bill 34 – Restricting Public Consumption of Illegal Substances Act 
    • December 29, 2023 B.C. Supreme Court Ruling on Injunction Application  
    • April 26, 2024 HRNA Press Release in response to B.C.’s decriminalization pilot amendment request 

    To arrange interviews, please contact Jessica Hannon, Canadian Drug Policy Coalition [email protected]

  • Canadian Drug Policy Coalition/ Doalition canadienne des politiques sur les drogues

    [WEBINAR] Getting to Tomorrow: 7 Actions to End the Unregulated Drug Crisis

    Join the Canadian Drug Policy Coalition for our upcoming webinar “Getting to Tomorrow: 7 Actions to End the Unregulated Drug Crisis” where we’ll launch the final report of the three-year cross-country dialogues project, Getting to Tomorrow.  

    When? December 4th, 2024
    Time? 10am PST | 11am MT | 12pm CT | 1pm ET | 2pm AT
    Where? Online registration

    This is the final report from a series of dialogues held across Canada, from New Brunswick to the Yukon. More than 800 people across 13 communities came together to discuss the impacts of our current drug laws and envision solutions to end the unregulated drug crisis.  

    You’ll hear from a panel of experts working in communities across the country. Together we’ll discuss the themes that emerged from this work, delve into the recommendations in today’s context, and explore how we can collaborate to build stronger, safer communities for everyone. 

    We hope you will join us online to learn from those working in communities across the country.

  • Canadian Drug Policy Coalition/ Doalition canadienne des politiques sur les drogues

    Government of Ontario Attempting to Force Through Deadly Drug Policy Bill

    This statement can be attributed to the Canadian Drug Policy Coalition, the Drug Strategy Network of Ontario, and the HIV Legal Network.

    November 27, 2024 — Toronto, ON | We are watching with grave concern as the Government of Ontario attempts to force through radical legislation that will eliminate life-saving supervised consumption services (SCS) and prevent access to other evidence-based responses to an unregulated drug crisis that is killing 10 people in Ontario every single day. 

    We appeal to the government to withdraw their time allocation motion. Experts in the care for people with substance use disorder and other people who use drugs are anxious for the opportunity to speak to Committee about this bill and the devastating effects it will have on Ontarians. The opportunity for such expertise to inform the contents of this Bill is an opportunity afforded by our parliamentary democracy for good reason. It ensures that our laws are informed by evidence and lived experience.

    “The government’s attempt on Tuesday to force this devastating bill through the legislature — without debate or committee study — sent a very clear messages to all people in this province: democratic process doesn’t matter, evidence doesn’t matter, and the workload of health, medical, social service and first response workers doesn’t matter,” says Michael Parkinson of the Drug Strategy Network of Ontario. “Most frighteningly, the government is saying that people’s lives in Ontario do not matter.”

    The Premier and Health Minister are well aware of the appalling consequences that will follow if these vital health services are prohibited. “The government has been warned by their own internal counsel of the devastation expected to occur in communities across Ontario, particularly among Black, Indigenous, and low-income people,” says Beeta Senedjani of the Canadian Drug Policy Coalition. “This bill would legislate an increase in deaths of our loved ones, public drug use in our neighbourhoods, and healthcare costs that will affect all taxpayers.” In bypassing debate and committee review, the Ontario government would silence elected representatives, community members, and public health and scientific experts who would have provided the evidence that SCS are, unequivocally, in the public interest.

    According to both internal government advice and independent evaluations, it is widely expected that this proposed law will:

    • Kill, injure, or otherwise harm people in Ontario by removing their access to life-saving harm reduction services in the event of an overdose emergency; 
    • Increase drug use in public places such as parks and school yards; 
    • Increase the chances of people, including children, witnessing overdose emergencies; 
    • Increase the amount of discarded drug use equipment in public spaces; 
    • Increase the workload for already overburdened first responders, hospital emergency rooms, and other frontline staff; 
    • Reduce ambulance availability for all members of the public; and 
    • Increase costs to taxpayers.

    There is near-unanimous consensus about the negative impacts these impending closures will have, of which the Government of Ontario is aware and is willfully choosing to ignore. Ample studies, including internal government reports and independent evaluations, consistently demonstrate the public health and safety benefits of SCS. Ontario’s supervised consumption services have recorded 1.12 million visits from 178,000 unique clients since March 2020, according to a recent report, and have successfully reversed 22,000 overdoses and facilitated more than 530,000 service referrals to housing, case management, substance use treatment, and more. Additionally, data from Toronto demonstrate that neighbourhoods with supervised consumption services subsequently experienced 67 per cent reductions in overdose mortality, while other neighbourhoods showed no significant decreases. These services are desperately needed. 

    SCS also reduce public drug use and discarded drug use equipment. Contrary to the Ontario government’s claims that crime has increased in neighbourhoods with SCS relative to other neighbourhoods, a recent study found decreases in rates of homicide, assault, and robbery in the vicinity of an SCS after opening.

    If passed as drafted, Ontario would soon see the dire impact of government officials determining health policy based on opinions, ideology, and political calculations instead of public interest. “Our loved ones will die. Our communities will suffer. The Government of Ontario knows this, and is proceeding with reckless abandon,” says Sandra Ka Hon Chu of HIV Legal Network. “Our organizations — and many others across the province, country, and globally — will continue to advocate for SCS to remain open.” 

    -30-

    Media Contacts: 

    For more information about SCS and the current state of the law in Canada, see this recent report from the HIV Legal Network: https://www.hivlegalnetwork.ca/site/scaling-up-supervised-consumption-services-what-has-changed-in-canada/?lang=en

  • Canadian Drug Policy Coalition/ Doalition canadienne des politiques sur les drogues

    FOR IMMEDIATE RELEASE: Province of Ontario Preventing Efforts to Reduce Deaths and Harms for People Who Use Drugs

    Ontario stonewalls health and human rights groups seeking support for evidence-based supervised consumption services

    Ontario, Canada | Aug 7, 2024  

    A coalition of more than fifty organizations continue to await a response from the provincial government about Ontario’s alarming unregulated drug poisoning fatalities and the forced closure of three supervised consumption sites. In their most recent letter, released today, the coalition is once again calling on the Government of Ontario to immediately support communities desperate for these life-saving services; written communications to Ontario have thus far been met with silence despite the fact that one person in Ontario dies every 2.5 hours due to toxic unregulated drugs. 

    More than 21,000 people in Ontario have died from unregulated drug poisoning since the current government was elected in 2018, many of whom did not have a diagnosis for substance use disorder. Applications to the province for funding for community-based supervised consumption services have languished for years in an opaque process that has left site operators and local municipalities frustrated and dangerously under-resourced. The province has frozen all new funding for supervised consumption services across Ontario since 2023, placing the blame on a critical incident that occurred near a Toronto site more than one year ago.  

    Today, the coalition again requested emergency funding to re-open sites in Sudbury and Timmins, two areas hard-hit by the drug poisoning crisis. Until March and June of this year, these sites offered witnessed consumption of pre-obtained drugs so that trained staff could respond to overdose emergencies and connect people to health and social supports, including treatment. These closures highlight a significant inequity in care in the North, with a gap in supervised consumption service access spanning over 1,400 kilometers between Thunder Bay and Toronto. The group is also calling for funds to re-open the site in Windsor, which was forced to shut down services in December. 

    “The provincial government has stonewalled us,” says Amber Fritz, Manager of Outreach and Education at Réseau Access Network in Sudbury. “We heard months ago from the Opposition that funds were available in the provincial budget to run our supervised consumption site, so this silence is a deliberate, deadly choice. Bureaucracy and stigma have no place in a public health crisis.” 

    “It’s evident that our community is in dire need of additional resources to support people who use substances. During the almost two years of having the Safe Health Site Timmins, our community saw a reduction in EMS calls for opioid-related injuries and a significant reduction in opioid-related mortality rates,” says Dr. Julie Samson, physician at Timmins and District Hospital. “We are trained to save lives. If we want to keep people alive during the ongoing and worsening drug poisoning crisis, supervised consumption sites are an essential part of the equation.” 

    The Drug Strategy Network of Ontario and numerous other organizations have been calling for on-demand evidence-based addiction treatment for many years, alongside other harm reduction solutions that benefit both people managing addiction and those who consume unregulated drugs episodically. 

    Supervised consumption sites offer a space where people who use drugs are treated with acceptance, empathy and respect, which is even more important in an increasingly hostile public and political environment that targets people who use drugs and those who care for them.  

    “It is heartbreaking that the Ministry of Health is dragging its feet when so many lives are at stake,” says Christine Nayler, advocate of Ryan’s Hope and Moms Stop the Harm in Barrie, where a supervised consumption site application was withdrawn due to a lack of response and clear timelines from the Government of Ontario. “Harm reduction is healthcare. It is about respect, dignity, and saving lives. Our beloved son Ryan may still be alive today if he had been able to access a supervised consumption site. How can our political leaders ignore our suffering?”  

    The coalition’s joint letter urges officials to introduce transparency and expedited timelines in the application process, and immediately scale up and re-open supervised consumption services across the province.  

    “This crisis requires a full range of supports to save lives, including harm reduction, withdrawal management and evidence-based, voluntary treatment,” says Nicholas Boyce, policy director with the Canadian Drug Policy Coalition. “We have seen emergency services become overwhelmed due to overdoses and poisonings from the unregulated drug supply. We have seen communities declare states of emergency. We desperately need to get in front of this, and supervised consumption services are a key part of a humane and fiscally responsible response.” 

    -30- 

    Documents and links available: 

    • [Recording] March 5 2024 Online Briefing on Open Letter RE: Ontario Supervised Consumption Services with speakers from the Canadian Drug Policy Coalition, Pozitive Pathways in Windsor, Reseau ACCESS in Sudbury, Safe Health Site in Timmins and the Drug Strategy Network of Ontario. 
    • Reseau Access the Spot – Key Messaging (includes visit data) 

    Media Contacts: 

    Ryan Do

    Social Media Specialist, Canadian Drug Policy Coalition

    [email protected]

    About the Canadian Drug Policy Coalition:  

    Founded in 2010, the Canadian Drug Policy Coalition works in partnership with more than 60 organizations and 7,000 individuals working to support the development of a drug policy for Canada that is based in science, guided by public health principles, respectful of the human rights of all, and seeks to include people who use drugs and those harmed by the war on drugs in moving towards a healthier society. Learn more at www.drugpolicy.ca  

    About Moms Stop the Harm    

    Moms Stop the Harm challenges laws and policies that cause harm, including those laws that continue to drive the unregulated drug poisoning emergency in Canada. We call for an end to the failed war on drugs through evidence-based prevention, treatment and policy change.  Learn more at www.momsstoptheharm.com  

  • OPEN LETTER: Supervised Consumption Services site closures due to lack of funding from Ministry of Health

    OPEN LETTER: Supervised Consumption Services site closures due to lack of funding from Ministry of Health

    August 7 2024 

    The Honourable Sylvia Jones
    Ministry of Health
    [email protected] | [email protected]
    777 Bay Street, 5th Floor
    Toronto, ON M7A 2J3 

    The Honourable Michael Tibollo
    Ministry of Health
    [email protected] | [email protected]
    7 Queen’s Park Crescent
    Toronto, ON M7A 1Y7

    Dear Minister Jones and Associate Minister Tibollo, 

    RE: Supervised Consumption Services site closures due to lack of funding from Ministry of Health

    This is a follow up to our letter dated March 4 2024 regarding the need to implement emergency funding for supervised consumption services, to which we have received no response. Ontario’s drug poisoning death rate – now approximately one Ontario resident dying every 2 ½ hours – is dire. 

    We reiterate our urgent request that the Ministry of Health provide immediate funding for supervised consumption services (SCS) in Ontario, and to act collaboratively and with transparency to deliver life-saving services for existing and future applications for SCS under the provincial Consumption and Treatment Services (CTS) model. We urge the Ontario government to respect the needs of local municipalities, end the deadly and discriminatory delays, and provide relief for emergency responders in establishing evidence-based health and social supports via SCS. 

    While treatment and recovery options must be made available to all who wish to access these services, it is paramount that a spectrum of harm reduction services and other health and social supports are immediately scaled up. We remind the government that hundreds of people have died who were not diagnosed with a substance use disorder and would not have been eligible for addiction treatment services. The Ontario government’s ongoing delays further entrenches stigma and discrimination while contributing to needless and preventable deaths, injuries, grief and trauma. 

    Tragically, since our previous letter, supervised consumption services sites in Timmins and Sudbury, where applications have been awaiting a response from the province for 16 months (Timmins) and 33 months (Sudbury), have been forced to shut their doors in June 2024 and March 2024 respectively, along with the Windsor site (application submitted 21 months ago) which was forced to shut down in December 2023, leaving an increasing number of local communities without the necessary services to prevent overdose-related death. In Barrie, applicants have been forced to rescind their application submitted two and a half years ago due to the unsustainability of maintaining rental payments for a location without having any confirmation of funding nor timelines from your government. It is unacceptable that the provincial government is acting as the central roadblock in establishing urgently needed life-saving services, despite local support and significant local investment into these services that will all go to waste. 

    The 2023 annual report of the Chief Medical Officer of Health recommended that Ontario increase access to harm reduction services, like supervised consumption services, as part of a fulsome response. The Association of Municipalities of Ontario, the Association of Local Public Health Agencies, and Addictions and Mental Health Ontario are among the many, many organizations urging immediate action establishing new SCS sites. Data shows that there were an estimated 3,812 drug-related deaths in 2023, and an additional 1,842 suspected-drug toxicity deaths in the first six months of 2024. In Timmins, Windsor and Sudbury, the opioid toxicity mortality rate is nearly three times the provincial average. There is a dearth of supervised consumption services in northern Ontario contributing to service inequities between the north and south. 

    This crisis has worsened under the current provincial government, with deaths totaling more than 21,000 Ontario residents since 2018. Given the inordinate delays and lack of transparency in providing timely funding for simple, life-saving services, we are concerned about this government’s unwillingness to adequately implement a successful holistic and comprehensive provincial drug strategy. 

    We reiterate our calls to: 

    1. Immediately provide direct emergency funding to supervised consumption services (SCS) sites that have submitted their Consumption and Treatment Services (CTS) applications to the province and have closed due to lack of provincial funding.
    2. Urgently provide, improve, and sustain uninterrupted provincial funding for SCS, including inhalation, and ensure equity in regional service availability, particularly in northern communities. 
    3. Phase out the Consumption and Treatment Services (CTS) approach to funding SCS, which requires additional and overly stringent conditions over and above Health Canada’s requirements. 
    4. In the interim, immediately remove the cap on the number of funded SCS sites and the prohibition on inhalation services under the provincial CTS model. 
    5. In the interim, introduce transparency and an expedited 30-day timeline for responding to applications under the provincial CTS model. 
    6. Introduce a low-barrier process by which community organizations can seek provincial funding for SCS. 
    7. Integrate SCS into Ontario’s core funded healthcare system with ongoing, integrated funding and resources. 
    8. Meet with us by September 13. 

    Signed by, 

    DJ Larkin, Executive Director, Canadian Drug Policy Coalition 

    Heidi Eisenhauer, Executive Director, Réseau ACCESS Network 

    Janet Butler-McPhee & Sandra Ka Hon Chu, Co-Executive Directors, HIV Legal 

    Network 

    Dr. Julie Samson, Co-Lead of the addiction medicine consult service, Timmins and 

    District Hospital 

    Michael Brennan, Executive Director, Pozitive Pathways Community Service 

    Michael Parkinson, Coordinator, Drug Strategy Network of Ontario 

  • Canadian Drug Policy Coalition/ Doalition canadienne des politiques sur les drogues

    FOR IMMEDIATE RELEASE: Grieving mother urges honesty and action at federal toxic drug crisis committee  

    Ottawa, ON | April 29, 2024 – On the eve of the tenth anniversary of her son Danny’s death from unregulated drugs, Petra Schulz, co-founder of Moms Stop the Harm (MSTH), will testify before the federal Standing Committee on Health (HESA) today on the “Opioid Epidemic and Toxic Drug Crisis.” 

    Since MSTH’s founding in 2016, drug toxicity deaths have skyrocketed and show no signs of abating. In a tragic reflection of the human toll of the crisis, MSTH has grown to almost 4,000 members in that time, emerging as a national leader advocating for evidence-based drug policy intervention. Danny Schulz’s story is one of too many painful losses, and an important point of reflection today.  

    Moms Stop the Harm urges the federal government to implement a full and equitable spectrum of harm reduction and recovery supports to save lives and give hope to families across the country. The HESA Committee has caught attention and news headlines in previous weeks as elected officials have heard from policy experts, healthcare workers, law enforcement, service providers, and more. MSTH, alongside the Canadian Drug Policy Coalition (CDPC) and the HIV Legal Network, has criticized the Committee’s exclusion of organizations representing people who use drugs, a decision seen as hindering a holistic understanding of the crisis. It is only through the experience and expertise of those with lived experience that we can truly end this lethal crisis.   

    “It is so upsetting and infuriating to see the deaths of our loved ones politicized with misinformation and outright lies,” says Schulz, “I urge members of Parliament to stop the angry, harmful and polarizing rhetoric and social media posts, and to listen to people who use drugs when developing drug policy. Like my son, people who use drugs are valuable and loved. I miss Danny every day, and I do this work to prevent families across Canada from feeling this same devastation.”   

    MSTH asserts that Canada’s criminal-legal approach to drugs and the significant gaps in available supports and services have created a flawed and dangerous system, driving the mounting death toll. “Tens of thousands of Canadian families are bereft, with empty seats at their tables,” says Schulz. “We are in this terrible situation because of policy choices. I am asking our elected officials to make different choices, choices that will save lives.”   

    “We tried everything in our power but, ultimately, the system failed my son,” says Traci Letts, also of Moms Stop the Harm, whose son died in February of this year. “Our loved ones need autonomy and choice in their lives and in their healthcare decisions. We need harm reduction, regulated alternatives to the toxic drug supply, and evidence-based, voluntary, and accountable treatment, as well as significant investment into healthcare, education, food security, and other social determinants of health.”   

    “All levels of government need to work together. The HESA study is an opportunity for Members of Parliament to better understand these issues and implement fundamental changes that are desperately needed,” says Nick Boyce of the Canadian Drug Policy Coalition.   

    “While some governments are moving backwards in their support of progressive drug policy, we need leadership grounded in science, evidence, and compassion to end these needless deaths,” says Sandra Ka Hon Chu of the HIV Legal Network.  

    Schulz will testify before the HESA Committee this afternoon. While this Committee is meeting, an estimated 22 people in Canada will die today from the toxic, unregulated drug supply in this country, underscoring the urgent need for sound policy decisions and political courage.  

    -30-  

    Links and Resources:   

    About Moms Stop the Harm   

    Moms Stop the Harm challenges laws and policies that cause harm, including those laws that continue to drive the unregulated drug poisoning emergency in Canada. We call for an end to the failed war on drugs through evidence-based prevention, treatment and policy change.  

    About the Canadian Drug Policy Coalition  

    About the HIV Legal Network  

      

    Media Contact:  

    Jessica Hannon   

    [email protected]  

  • B.C.’s Decriminalization Pilot and VPD Drug Seizures

    B.C.’s Decriminalization Pilot and VPD Drug Seizures

    Today, the Vancouver Police Department reported a decrease in seizures related to simple drug possession since British Columbia’s decriminalization pilot launched in early 2023. While this news is positive, it doesn’t give us the full picture of how drug-related issues are being handled in the criminal-legal system. We need more openness and clarity. To truly reduce harm through decriminalization, we must minimize police involvement and interactions overall. Matters concerning substance use – including referrals and outreach – should be dealt with through health and social systems, not police. 

    Police Interactions Can Drive Harm

    It is important to note that when the VPD reports they made no seizures for simple possession, it does not mean there were no police interactions with individuals who use drugs. We know that interactions with police and criminal justice systems often drive harm for people who use drugs. For example, we do not have enough information about whether police might categorize seizures as “possession for the purposes of trafficking” rather than simple possession. We also lack data on informal interactions with the police that do not result in seizures, but still have similar negative impacts. These unrecorded interactions can cause the same harms as criminalization, including increasing the risk of death from unregulated drugs due to fear of police intervention and drug confiscation. 

    BC Drug Decriminalization Threshold Too Low

    The combined 2.5 gram threshold for decriminalization is too low to effectively decriminalize people who use drugs in B.C.  It does not reflect the evidence regarding the quantities people use or the behaviours of a variety of groups, including people living in rural or remote communities and those purchasing from a safer, more trusted seller. As a result, the 2.5 gram threshold is not a useful measure to determine what is simple possession and what is possession for the purposes of trafficking. More than 30 B.C. organizations have endorsed a recommendation to either remove threshold amounts in their entirety, or immediately scale up the decriminalized personal possession threshold to 28 grams (1 oz) for all illicit drugs, including those currently excluded such as ketamine and benzodiazepines. 

    We Need Drug Policies That Will Keep Us Safe

    There are clear links between criminalizing drug use and causing harm. Enforcement has not reduced drug availability or use. It also comes at a high financial cost, while contributing to an increased risk of overdose and cycles of homelessness. Decriminalization, on the other hand, is associated with fewer people being incarcerated or involved with the criminal-legal system, reduced stigma and better access to services – all of which help prevent harm and overdoses. That is why decriminalization is a crucial part of a larger shift in drug laws and policies to make our communities safer for everyone. This shift must also prioritize equitable access to overdose prevention sites, healthcare, responsibly regulated substances, affordable housing, sufficient income, and evidence-based, voluntary, non-profit treatment. 

  • Unpacking Police Statements on Drug Seizures: What Do We Know?

    Unpacking Police Statements on Drug Seizures: What Do We Know?

    Police communications about drug seizures vary widely in their accuracy. These statements rarely share specific evidence or data sources and sometimes contain errors or overstatements, as in the recent case in Belleville, Ontario and emerging information on Prince George. Police announcing large seizures of prescribed alternatives to the unregulated drug supply as Prince George RCMP did this month may drive fear and influence policy, even if based primarily on assumption. Without forensic testing, police may base their conclusions on visual assessments of shape, size, colour and packaging. Many of these visual clues can be closely copied by producers of counterfeit pills.  

    Most hydromorphone is prescribed for pain management, not as safe supply. If police do not have evidence of the reasons seized medications were prescribed, it is irresponsible for them to speculate. If police have demonstrable proof that drug seizures include prescription medications, they should refer to them as such, rather than guess or assume they are prescribed safer supply. 

    We know a few things for certain:  

    • There is always some possibility that people will re-sell or give away their medications, no matter the reason they are prescribed. The sale of prescription drugs on the illicit market is not a new phenomenon. We also know that prescribed alternatives account for only 14 per cent of hydromorphone prescribed in the province of BC – the vast majority of hydromorphone prescriptions are for pain management.  
    • We have zero doubts as to what continues to kill thousands of people across the country, and it is not prescription medications. Unregulated illicit drugs are driving deaths. Rates of drug use across Canada have remained stable over the past decade, while drug deaths have skyrocketed. The unregulated drug supply has become drastically more toxic and more dangerous.  
    • According to Health Canada, of all accidental apparent opioid toxicity deaths from January to June 2023, 80 per cent involved opioids that were only non-pharmaceutical. Data from the BC Coroners Service shows no indication prescribed alternatives are driving deaths. Hydromorphone was detected in three per cent of expedited toxicological testing in 2023, whereas illicit fentanyl was present in 85 per cent of such tests. 
    • We know counterfeit prescription pills are manufactured and sold on the illicit market. These drugs are unregulated and can be dangerous, in part because they may be seen as lower risk. It is unclear whether or to what extent police test seized drugs to determine their actual contents before making public statements, versus assuming their source and contents based on appearance or other clues. 
    • Police claim by removing illicit drugs from the streets, they save lives. But growing evidence shows drug busts are associated with higher fatal overdose rates.  

    It is useful to understand why and to what extent prescription drugs make their way into the illicit drug market. We must navigate that reality, both to support people and communities and to ensure prescribed alternatives are effective in reducing the harms of unregulated drugs. But if we seek to stop mass drug toxicity deaths, fixating on prescription drugs misses the point. 

    We cannot lump all substances together. Prescription medications have the potential to be harmful, but they do not kill 22 people every day in Canada. It is unregulated illicit drugs that are killing people. We rely on police to share accurate information about public safety. Stoking public misunderstanding and fear about prescribed alternatives – a potentially lifesaving intervention with the support of the Provincial Health Officer, the BC Coroner’s Office, the BC Coroner’s Expert Death Review panel, a range of health professionals, policymakers, public health experts, researchers, and yes, even a range of police services – is an irresponsible distraction. 

  • Canadian Drug Policy Coalition/ Doalition canadienne des politiques sur les drogues

    FOR IMMEDIATE RELEASE Ontario Braces for Loss of Vital Services as 51 Organizations Demand Province Act on Supervised Consumption Sites  

    Ontario, Canada | March 5, 2024 — Fifty-one community groups from across Ontario are calling on the provincial government to immediately fund and support supervised consumption services amidst the worsening toxic drug crisis. In an open letter released this morning, the coalition called for eight urgent actions, including direct emergency funding, with a deadline of March 29. Citing recent and imminent closures of sites in Windsor, Sudbury, and Timmins, the group demanded swift intervention to prevent further deaths. 

    In Ontario, seven to 10 people are killed every day by toxic unregulated drugs. An estimated 3,644 people lost their lives in 2023 alone. Supervised consumption services are a proven health intervention where trained staff can respond to overdoses, offering supports and connections to health and social services. Evidence consistently shows the sites save lives and significantly reduce emergency calls and hospital visits. 

    Last fall, the Province of Ontario put all supervised consumption services funding applications on indefinite hold pending a lengthy review period, adding to the already years-long wait for some jurisdictions. The decision came after a bystander was tragically killed by an incident of gun violence in the vicinity of a Toronto site last summer. Results of the review are expected this month, but come too late for those who have died of drug poisonings in the interim. 

    Citing the province’s pause, an application in Hamilton was withdrawn in October 2023. In Sault Ste Marie, a site application is instead being directed to the federal government. Windsor’s only site shut its doors at the end of December. Without provincial funding, sites in Sudbury and Timmins will close at the end of this month. 

    The open letter highlights how these funding delays have impacted communities already reeling from the effects of the toxic drug crisis.  

    “We want to ensure that people who use substances continue to have self-determination over their health outcomes,” says Michael Brennan of Pozitive Pathways in Windsor. “And that, just like anyone else, they have the tools, resources and support available without barriers.” 

    The first supervised consumption sites in Ontario opened in 2017. Within months, 20 sites were operating throughout the province. In June 2018, the current provincial government was elected. Since then, the unregulated drug supply has become increasingly volatile and dangerous. “Instead of scaling up sites, the current government added layers of bureaucracy, put an arbitrary cap of 21 sites across the entire province, and has delayed and impeded approval and funding of new sites,” says Nick Boyce of the Canadian Drug Policy Coalition. “Some applications have sat waiting for over two years, while people are dying.” 

    There are currently only 17 provincially-funded supervised consumption sites in Ontario. There is just one site in northern Ontario, which has among the highest drug-related death rates in the country. Data indicates Timmins and Sudbury have an opioid toxicity mortality rate nearly three times the provincial average. 

    Some sites, including Windsor, Timmins and Sudbury, have had to temporarily rely on municipal funding and public donations to operate. “This is a health issue. These sites should be funded by the Ministry of Health,” says Dr. Julie Samson of Timmins and District Hospital. “Why are municipalities, local health boards, and even the caring public having to step in to do the province’s job?”  

    “With overdose alerts across Ontario, state of emergency declarations from several municipalities and hundreds of needless prevented deaths and injuries each month, we encourage elected officials to prioritize the safety of residents by expediting outstanding requests and eliminating the political red-tape blocking consumption services,” says Michael Parkinson of the Drug Strategy Network of Ontario. 

    Local organizations worry the decision will lead to more deaths and set back efforts to connect people to supports.   

    “In the 16 months that The Spot has been open, we have seen the incredible impact it has had on those who access the service,” says Amber Fritz, Manager of Supervised Consumption Services at Réseau ACCESS Network in Sudbury. “It is a place of safety, self-determination, community and support. The drug poisoning crisis has shown no sign of abating; drugs have become more toxic, volatile and deadly. Members of our communities deserve better. Using drugs should not be a death sentence.” 

    “The Safe Health Site Timmins is saving lives, reducing demand on emergency services and actively connecting people with withdrawal management and treatment services,” says Samson. “The risks associated with closing of this site are significant and have the potential to negatively impact our entire community.” 

    Safe Health Site Timmins has directly contributed to the dramatic reduction of opioid-related fatalities in our community,” says Timmins Mayor Michelle Boileau. “Quite simply, it saves lives. Northern Ontario suffers from higher rates of hospitalization, overdose and death from opioid use compared to communities in the south. These sites give us a fighting chance to mitigate the negative effects caused by drug use. We need immediate and sustainable funding for Safe Health Site Timmins. It is imperative to the continued safety and well-being of our community.” 

     The letter calls for the elimination of unnecessary barriers and the immediate provision of sustained provincial funding for supervised consumption sites, including inhalation services, to meet the urgent needs of communities. The coalition emphasizes that these demands require immediate action from the provincial government to prevent further loss of life and harm to communities across Ontario. 

    “Our community has been fighting for a supervised consumption site since 2019,” says Reverend Christine Nayler of Ryan’s Hope in Barrie. “In the five years since our fight for this life-saving site began my son Ryan and my nephew Josh both lost their lives to toxic drugs, along with over 215 other community members. If those in power, whose desk these applications sit on, were the ones who had to deliver the heartbreaking news to the families left behind or if they had to attend each funeral, I don’t think they would still be stalling. These are not numbers; these were our children, our siblings, our nieces and nephews, neighbours and friends.” 

    -30- 

    Documents and links available: 

    Media Contacts: 

    At time of publication on March 6, 2024, the following organizations have sent the open letter: 

    DJ Larkin, Executive Director, Canadian Drug Policy Coalition 

    Heidi Eisenhauer, Executive Director, Réseau ACCESS Network 

    Janet Butler-McPhee & Sandra Ka Hon Chu, Co-Executive Directors, HIV Legal Network 
    Dr. Julie Samson, MD, CCFP (EM), Co-lead Addiction Medicine Consult Team, Timmins and District Hospital  
    Michael Brennan, Executive Director, Pozitive Pathways Community Service 

    Michael Parkinson, Coordinator, Drug Strategy Network of Ontario 

    And the following organizations have endorsed the open letter: 

    Adrian R. Betts, Executive Director, AIDS Committee of Durham Region (ACDR) 

    Alyssa Wright, Co-Lead, Supervised Consumption Saves Lives – Barrie 

    Andrea Sereda, Dr., London Intercommunity Health Centre 

    Avery, PFAC Member, WEOHT 

    Brooke Rorseth, Crisis Worker (MSW, RSW), Hotel Dieu Grace Healthcare 

    Dane Record, Executive Director, PARN 

    Denise Baldwin, Administrator, Indigenous Harm Reduction Network 

    Dr. Dan Werb, Executive Director, Centre on Drug Policy Evaluation 

    Dr. Doris Grinspun, RN, BScN, MSN, PhD, LLD(hon), Dr(hc), DHC, DHC, FAAN, FCAN, O.ONT., Chief Executive Officer, Registered Nurses Association of Ontario (RNAO) 

    Eric Cashmore, Executive Director, The Seeking Help Project 

    Farihah Ali, Manager and Scientific Lead, Ontario CRISM Node 

    Heather Johnson-Dobransky, Director of Operations, Hiatus House 

    Holly Gauvin, Executive Director, Elevate NWO 

    Jackie Barrett-Greene, Director, Positive Living Niagara 

    Jason Sereda, President, Board of Directors, DIY Community Health Timmins 

    John Maxwell, Executive Director, ACT 

    Julie Nobert-DeMarchi, Executive Director, Timmins & Area Women in Crisis 

    Karla Ghartey, Member; Assistant Professor, Sudbury Temporary Overdose Prevention Society; Nipissing University 

    Kate Fairbairn, Patient, Family & Caregiver- Partnership Council, Windsor Essex Ontario Health Care team 

    Khaled Salam, Executive Director, AIDS Committee of Ottawa 

    Lindsay Jennings, Reintegration Specialist, Incarcerated Voters of Ontario 

    Lisa Toner, Team Lead, Ontario Aboriginal HIV/AIDS Strategy 

    Liv Delair, Co-Chair, Canadian Students for Sensible Drug Policy 

    Luciano Carlone, Interim CEO, Canadian Mental Heath Association, Windsor Essex County Branch 

    Marie Morton, Executive Director, CAYR Community Connections 

    Meghan Young, Executive Director, Ontario Aboriginal HIV/AIDS Strategy (OAhas) 

    Mike Murphy, Addiction Medicine Physician, NOSM U 

    Mika Wee, Steering Committee Member, Shelter & Housing Justice Network 

    Mona Loutfy, Maple Leaf Medical Clinic 

    Michelle Boileau, Mayor, City of Timmins 

    Nadine Sookermany, Executive Director, Fife House 

    Olivia Mancini, Registered Social Worker / Co-Founder, Student Overdose Prevention and Education Network 

    Patty MacDonald, Chief Executive Officer, Canadian Mental Health Association – Sudbury/Manitoulin 

    Rebecca Robinson, Violence Against Women’s Services Coordinator, Sudbury and Area Victim Services 

    Reverend Christine Nayler, Co-founder/ Director, Ryan’s Hope 

    Rita Taillefer, Executive Director, Windsor Essex Community Health Centre 

    Ruth Cameron, Executive Director, ACCKWA 

    Ruth Fox, Regional Director, Ontario, Moms Stop the Harm 

    Seamus Murphy, Deputy Chief of Standards and Community Services, Cochrane District Paramedic Service 

    Shelley Muldoon, Director, Mental Health and Addictions, Woodstock Hospital 

    Suzanne Paddock, Executive Director, Toronto People With AIDS Foundation 

    Thierry Croussette, Board President, Seizure and Brain Injury Centre 

    Tiffany Pyoli York, Co-Chair, Greater Sudbury Anti Human Trafficking Coalition 

    Toronto Overdose Prevention Society 

    Victoria Scott, Director, Engage Barrie Organization