Evan Wood (left) MD, PhD is an addiction medicine physician, a scientist with the British Columbia Centre on Substance Use, and a Canada Research Chair and professor of medicine at UBC. Leslie McBain (right) is the co-founder of Moms Stop the Harm. (Submitted)

OPINION: Charting a new course out of the overdose crisis in B.C.

Regardless of where you look, the number of deaths from overdoses are staggering

It has been more than three years since B.C. declared a public health emergency due to the growing number of drug overdose deaths in the province.

Recently, the tremendous efforts of the affected community, health care providers, and first responders have contributed to a decline in overdose deaths. While this is encouraging, the number of people still accidentally overdosing – and dying – as a result of the toxic drug supply far exceeds other areas of Canada. In fact, deaths due to overdose in B.C. dwarf all other causes of premature mortality such as motor vehicle accidents and suicide.

Last month in Coquitlam, the BC Centre on Substance Use (BCCSU) and Shoppers Drug Mart hosted a town hall where we stood up alongside experts and members of the community to discuss these very issues. The event was created with the goal of sparking a conversation in B.C. – and across the country – that can help end this public health crisis.

While much of the emphasis on opioid overdoses has focused on hard-hit areas like Vancouver’s Downtown Eastside, the BC Coroner’s Service data demonstrate how other areas of the province have also been seriously affected. In the Fraser Valley, for instance, overdose deaths outnumber those in any other region in the province in 2019. Regardless of where you look, the numbers are staggering.

One of the drivers of overdoses is the prevalence of fentanyl and fentanyl-adulterants in the illegal drug supply, with fentanyl being detected in more than 80 per cent of overdose deaths in the province. To date, efforts have focused on responding to and reducing fatal overdoses among those using fentanyl, with some success. We’re better at responding to overdoses when they happen, as recent data from the BC Centre for Disease Control shows.

However, without an equal focus upstream on the fundamental reasons people are overdosing in the first place, we’ll continue to spin our wheels. In addition to providing naloxone and other harm reduction interventions for when overdoses occur, we need to focus on strategies to help individuals get off of fentanyl-laced drugs while also improving the safety of the drug supply that is fueling overdose deaths.

People living with addiction and families who care for them know this better than anyone. They’ve experienced first-hand how ill-equipped the health care system has historically been in delivering evidence-based addiction treatment and care. Establishing a functioning addiction treatment system in B.C. will require a lot more work.

Experts have identified longstanding reasons for the province’s lack of accessible and effective addiction treatment services. For instance, physicians and other health care practitioners receive next to zero training in the prevention, diagnosis, and treatment of addiction in medical school and residency training programs. Addressing this skill gap is an obvious area for intervention that will lead to better outcomes for people with an addiction.

The urgent need to treat substance use as a health issue, to establish a functioning addiction treatment system, and to address the toxicity of the drug supply by expanding access to pharmaceutical alternatives are themes that emerge again and again in communities across the province.

In Coquitlam, we had the opportunity to hear from members of the community whose lives have been upended by opioids – a reality we’ve both experienced first-hand. The consensus was clear. To see meaningful change, we need to devote more attention to the causes of overdose, not just the effects.

Evan Wood MD, PhD is an addiction medicine physician, a scientist with the British Columbia Centre on Substance Use, and a Canada Research Chair and professor of medicine at UBC. Leslie McBain is the co-founder of Moms Stop the Harm.

Like us on Facebook and follow us on Twitter

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Machine pistol among 14 firearms seized from Alaska man at Abbotsford border crossing

Corey Scott Kettering faces charges of smuggling and prohibited firearm possession

CHARTS: Beyond Metro Vancouver, COVID-19 cases in B.C. haven’t increased much recently

COVID-19 case counts outside of Metro Vancouver have been level since July

UFV to launch Peace and Reconciliation Centre in Abbotsford

Online event on Sept. 24 features keynote speaker Bob Rae and Steven Point

UFV wrestler Jason Bains receives four-year suspension for using banned substance

Surrey native tests positive for oral steroid Turinabol, silver national medal removed for violation

Fraser Valley foursome to hike 70km over mountains in memory of friend

Friends from Abbotsford and Langley to hike from Hope to Tulameen for Brook Morrison

3 new deaths due to COVID-19 in B.C., 139 new cases

B.C. confirms 40 ‘historic cases,’ as well

Supreme Court Justice Ruth Bader Ginsburg dies at 87

The court’s second female justice, died Friday at her home in Washington

Emaciated grizzly found dead on central B.C. coast as low salmon count sparks concern

Grizzly was found on Gwa’sala-‘Nakwaxda’xw territory in Smith Inlet, 60K north of Port Hardy

VIDEO: B.C. to launch mouth-rinse COVID-19 test for kids

Test involves swishing and gargling saline in mouth and no deep-nasal swab

Young Canadians have curtailed vaping during pandemic, survey finds

The survey funded by Heart & Stroke also found the decrease in vaping frequency is most notable in British Columbia and Ontario

B.C. teachers file Labour Relations Board application over COVID-19 classroom concerns

The application comes as B.C.’s second week of the new school year comes to a close

70-year-old punched in the head in dispute over disability parking space in Nanaimo

Senior’s turban knocked off in incident at mall parking lot

Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Mother-daughter charged in 2017 torched-SUV killing in South Surrey now allowed contact

Judge grants Manjit Kaur Deo permission to connect with Inderdeep Kaur Deo through a lawyer

Most Read