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Canada’s other health-care crisis: the epidemic of fatal drug overdoses

Regina police say they seized one kilograms of fentanyl in a drug bust on July 21.
Regina police say they seized one kilograms of fentanyl in a drug bust on July 21. Photo courtesy of Regina Police Service

As a police officer in Vancouver — a city with Canada’s poorest neighborhood — Bill Spearn has seen a lot of tragedy and despair fuelled by drug abuse and addiction over a long law enforcement career.

But nothing compares to the carnage of the last three months in British Columbia, where 526 people have died from illicit drug overdoses.

“I’ve never seen anything, in my almost 25 years of service with the Vancouver police, that can compare to this,” said Spearn, an inspector with the department’s organized crime division.

The shocking B.C. death rate is a glaring example of the latest public health crisis in Canada: an epidemic of fatal drug overdoses that’s even worse than the COVID-19 pandemic.

Click to play video 'Interior Health issues overdose, fentanyl alert for Penticton' Interior Health issues overdose, fentanyl alert for Penticton
Interior Health issues overdose, fentanyl alert for Penticton – Feb 6, 2020

“The number of people dying in B.C. due to an unsafe drug supply continues to surpass deaths due to homicides, motor vehicle accidents, suicides and COVID-19 combined,” Chief Coroner Lisa Lapointe said this week.

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It’s a shocking situation for a veteran cop like Spearn, who thought he had seen it all.

Vancouver is home to the Downtown Eastside, Canada’s poorest neighbourhood, where the misery of drug addiction is a daily fact of life Spearn saw up close.

But that was before deadly fentanyl began showing up. The powerful synthetic opioid, laced into the city’s supply of illegal street narcotics, can easily kill users who ingest even a grain or two of the drug.

The overdose crisis was declared a public health emergency in B.C. several years ago, and authorities were making progress on the death rate throughout 2019 and into 2020.

Read more: Vancouver police seize $3M in drugs, say crime groups have ‘adapted’ to COVID-19 crisis

But then the COVID-19 pandemic struck, unleashing a new wave of death among people using drugs alone.

The spasm of fatal overdoses happened despite pandemic-driven border restrictions, that some though might stem the inflow of fentanyl from source countries like China.

“A lot of people assumed that with borders closed, nothing would be flowing into the country,” Spearn told me.

“But the commercial traffic still flows.”

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Fentanyl is still entering Canada across land borders, through sea ports and especially through the mail, he said.

“You don’t have to meet anybody in a dark alley at midnight,” he said.

“You can order this stuff online and it will come to a post-office box.”

Click to play video 'Ridge Meadows RCMP probe nets ‘Blue Fentanyl’, weapons and cash' Ridge Meadows RCMP probe nets ‘Blue Fentanyl’, weapons and cash
Ridge Meadows RCMP probe nets ‘Blue Fentanyl’, weapons and cash – Aug 13, 2020

And now there is evidence of domestic production of fentanyl, too, all driven by the lure of easy money and growing demand.

“Traffickers are making a tonne of money,” he said. “Fentanyl is cheap to produce and the money you make selling it is much more lucrative than other controlled substances.”

Police continue to pursue high-level fentanyl importers, producers and traffickers with some success.

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But Spearn admits that for every trafficker charged and jailed, another quickly fills the void.

That’s why he is among many police leaders in Canada now calling for a “safe supply” of pharmaceutical-grade drugs for addicts, to replace the deadly street supply.

“That was a tough thing for me,” he said.

“It took years for that light bulb to go off in my head, that it makes no sense to tell people with a health issue — addiction — to go to the streets for drugs we know are poisoned.”

Read more: Vancouver sees spike in overdose deaths amid COVID-19 crisis

Meanwhile, as demands grow for harm-reduction measures like legalized drugs, there is another rising demand for treatment options to get addicts off drugs completely.

“We have to start taking some action toward a recovery-oriented system,” said Dr. Carson McPherson of Cedars at Cobble Hill, a B.C. addiction-treatment centre.

“We’re really playing into what’s ultimately a sick-care system and not a health-care system,” he said. “It’s tantamount to hospitals over-investing in ambulances.”

But here’s the problem: intensive addiction treatment and recovery programs — especially residential facilities with round-the-clock care — are very expensive.

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And with a shortage of government funding in place, some treatment centres are reporting empty beds at the same time addicts are dying in record numbers.

Click to play video 'Montreal public health issues third warning about the current fentanyl crisis' Montreal public health issues third warning about the current fentanyl crisis
Montreal public health issues third warning about the current fentanyl crisis – Jul 29, 2020

For governments across Canada, the country’s “other health-care crisis” presents multiple challenges: finding the political courage to legalize a “safe” drug supply, and finding the money to pay for costly treatment programs to get addicts off drugs once and for all.

mike@cknw.com
Twitter: @MikeSmythNews