Is it time for a national strategy on the opioid crisis?

Image | USA-DRUGS/SEATTLE/HEROIN

Caption: A man injects himself with heroin using a needle obtained from the People's Harm Reduction Alliance in an April 30, 2015 photo. (David Ryder/Reuters)

Carnage. Perhaps that's the best word to describe the human devastation caused by the opioid crisis.
Almost 2,500 Canadians died of opioid overdoses last year — nearly seven people every day— according to new data released by public health officials this week in a first attempt to try to compile a national picture of the crisis. British Columbia has been hardest hit. Fatal overdoses there have overtaken motor vehicle crashes as the leading cause of death, prompting the province to declare a public health emergency last year.
But, from coast to coast, the death toll caused by opioids is on the rise.
The mayors of Canada's biggest cities have declared it's time to act, calling for a national action plan to treat the country's opioid crisis.
Problem is, there isn't just one opioid crisis. There are overlapping crises.
In the West, what's behind the spike in overdoses is fentanyl, a fast-acting, non-pharmacuetical synthetic painkiller... 50 to 100 times more potent than morphine. Street drugs are being laced with fentanyl, leaving what the mayor of Vancouver calls a "bloodbath" with no end in sight.
In the East, especially Ontario, the trouble lies with prescription drugs making their way to the street. Doctors are prescribing opioids widely and liberally. Canada is now ranked the world's second biggest consumer of prescription opioids. And when prescriptions run out, some of those consumers turn to the streets.
Are doctors to blame for opioid addiction and over-dosage? Are provinces doing enough to prevent over-prescribing and doctor-shopping? Or is the crisis making it harder for patients to obtain painkillers?
The Prime Minister says the federal government won't rest until it turns the tide of opioid epidemic, touting $110 million dollars set aside for a national drug strategy.
Health Canada has ramped up approvals of supervised-injection sites. Vancouver, Surrey, Toronto, and Montreal will now have clinics. Should there be more. so drug users can inject legally under the watchful eye of nurses? What about addiction treatment centres? Are there enough where you live?
Our question today: Is it time for a national strategy on Canada's opioid crisis? Is the crisis affecting you?

Guests

Naheed Nenshi
Mayor of Calgary
Twitter: @nenshi (external link)
Sarah Blyth
Founder of the Overdose prevention Society in Vancouver
Dr. Granger Avery
President of the Canadian Medical Assocation
Twitter: @gavery10(external link)
Josh Clatney
Former addict and a special advisor to the executive director with We the Parents, an Ottawa grassroots parents organization formed this year to fight teen drug abuse.
Twitter: @WeTheParentsCAN(external link)
Carlyn Zwarenstein
Author of Opium Eater and opioid user
Twitter: @CarlynZwaren(external link)
Dr. Susan McDonald
Associate Professor of Medicine and Family Medicine at Memorial University of Newfoundland, and Past President of the Canadian Society of Palliative Care Physicians. Deals with managing chronic pain in patients daily.
Twitter: @CanadianHPCAssn(external link)
Our online chat below:

Embed | Other

To view this embedded content, please visit the full version of this story.Open Full Story in New Tab(external link)

What we're reading

CBC.ca
The Globe and Mail
National Post
​Maclean's
Global News
Vancouver Sun
Toronto Life
​Calgary Herald
Guelph Mercury Tribune
Federation of Canadian Municipalities
CMAJ
Health Quality Ontario