Retired RN Wendy Piccini is well-aware of the fentanyl crisis as it applies to the Shuswap and area. (Barb Brouwer/Salmon Arm Observer)

Use of street drugs in B.C. Interior compared to playing Russian roulette

Overdose deaths spike in Interior Health over past five years, help available

Taking illicit drugs is like playing Russian Roulette, says an Interior health official.

Unlike Vancouver, where television reports on the opioid crisis almost daily, the B.C. Interior does not get much play. But opioids are very much a problem in this region as well.

A BC Coroner’s Report that provides confirmed and suspected illicit overdose deaths, indicates that between Jan. 1 and Nov. 30, 2018, Vancouver Coastal Health Authority had the highest rate of illicit drug overdose deaths (37 deaths per 100,000 individuals) followed by Interior Health Authority (31 deaths per 100,000 individuals) for the same period.

In Interior Health, the rates were highest in Thompson Cariboo and Okanagan health service delivery areas.

Related: B.C. doctors told not to limit opioids or refuse care of chronic pain patients

“Overdose deaths, followed by loss for family and friends is a result of the Russian Roulette users of illicit drugs engage in,” says Megan DeSimone, IHA Mental Health and Substance Use North Okanagan community manager.

She says that in the past, illicit drug users were fairly confident they were getting what they ordered when they made their illicit drug purchases.

No longer.

“The drugs are now high-risk; there’s poison in the drugs and we’re not just talking about heroin,” she says, reminding that illicit drug makers do not create their drugs in meticulously clean labs, and even marijuana sold on the street can be contaminated with fentanyl. “By the very nature of fentanyl, if it’s in the building, heroin, cocaine, any of the drugs you would think of, including Ecstasy, it could be in there too.”

Retired Salmon Arm nurse Wendy Piccini is well aware of the local crisis. Two of her sons have lost dear friends to overdoses.

“Our oldest son’s best friend died from an overdose in Revelstoke and our second-oldest son went to the funeral of a very good friend in Salmon Arm about two months ago,” she says, noting she and her husband know of several other deaths due to overdose in the Shuswap although not all have been revealed as such. “I think sometimes the families don’t want to say it’s an overdose.”

Related: Moms of those killed by illicit opioids take to B.C. Legislature in call for action

Piccini says most of the deaths she and her family are aware of were individuals between the ages of 30 and 40.

“The one in Revelstoke had a child; they’re in that age group where they often have a wife, or a girlfriend or a live-in, and they’re in the prime work age,” she says, noting she has recently heard that the opioid crisis is now affecting youths between the ages of 10 and 20. “It’s heartbreaking for our two older sons who have lost two best friends and one very good friend.”

DeSimone concurs, noting substance use crosses “all socio-economic barriers, every facet of life, the whole spectrum.”

But help is available.

“If people are ready for treatment and harm-reduction approaches, services are always better in larger centres, but Salmon Arm does have options,” she adds.

Opioid Agonist Treatment or OAT, is the first line of treatment, with entry into the program available by going to the second floor of the Canadian Mental Health office in Salmon Arm on Mondays, Wednesdays and Fridays from 1 to 3 p.m.

“OAT is a long-term treatment that helps control cravings and withdrawals from opioids,” says DeSimone, noting specialized substance-use clinicians are available. “When people are in the throes of opioid addiction, it’s almost impossible to move to the next stage – all people can think of is their next fix. “We need to keep them alive long enough to get them out of that.”

Once they’re stabilized and with the help of a therapist, DeSimone says people can start on a recovery plan to improve their quality of life.

Related: Tailored response in Alberta, B.C. for South Asians addicted to opioids

She explains the OAT therapy is safe and cautions people against going through withdrawal without the therapy.

“Tolerance to opioids reduces substantially, even as much as a couple of days without it,” she says. “If you go back to using (fentanyl) at the same level, there’s a very high risk of overdosing.”

There is evidence, she says, that people who have been on OAT therapy for a year have a “substantial likelihood” of remaining opioid free.

Between 150 and 175 people have accessed the OAT program in the Salmon Arm office where Naloxone kits and training are also available and encouraged.

“The training only takes a couple of minutes; my 14-year-old knows how to do this and carries a kit in a knapsack,” DeSimone says, pointing out people should not feel embarrassed to seek help for opioid addiction. “The least judgmental people you will ever come across are substance-use clinicians. They start where the person’s at, they walk with you and are part of your recovery.”


@SalmonArm
barb.brouwer@saobserver.net

Like us on Facebook and follow us on Twitter

 

This graph produced by the BC Coroners Office shows the dramatic spike in deaths due to opioids in the past five years. (Photo contributed)

This BC Coroners Office graph shows drug overdose deaths by months in British Columbia between 2008 and 2018. (Photo contributed)

Graphs created by the BC Coroners Office indicate illicit drug overdose deaths by gender and age groups between 2008 and 2o18. (Photo contributed)

Just Posted

VIDEO: Historic railway equipment moved to Revelstoke museum

The Selkirk Spreader was built specifically for Revelstoke in 1931 and retired in 2005

Columbia-Shuswap governments promised voice in caribou recovery

Population of Frisby-Boulder herd northeast of Sicamous at 11 animals and declining

Kootenay-Columbia incumbent MP responds to Trudeau brownface scandal

Stetski proud of NDP leader Singh’s reaction, which focused on people not power

PHOTOS: Young protesters in B.C. and beyond demand climate change action

Many demonstaers were kids and teens who skipped school to take part

Walmart to quit selling e-cigarettes amid vaping backlash

U.S.’s largest retailer points to ‘growing’ complications in federal, state and local regulations

Climate protesters temporarily shut down road in downtown Kelowna

Protesters are demanding politicans take action to stop climate change

Vehicle taken by gunpoint in South Okanagan carjacking recovered

Penticton RCMP said the criminal investigation remains very active and ongoing

Former B.C. lifeguard gets house arrest for possession of child porn

Cees Vanderniet of Grand Forks will serve six months of house arrest, then two years’ probation

Crown alleges resentment of ex-wife drove Oak Bay father to kill his daughters

Patrick Weir alleged in his closing arguments that Andrew Berry is responsible for the deaths of his daughters

‘I’d do it again,’ says B.C. man who swam naked, drunk in Toronto shark tank

David Weaver, of Nelson, was drunk when he went to Ripley’s Aquarium in Toronto on Oct. 12 2018

How to react to Trudeau’s racist photos? With humility, B.C. prof says

‘We are now treating racism as a crime that you cannot recover from’

Victoria man spots online photo of his totem pole 11 years after it was stolen

Mark Trueman restored the pole himself before it was stolen off of his property in Duncan

Most Read