On April 14, 2016 the B.C. Ministry of Health announced the number of drug-related overdoses in the province had become a public health emergency, citing 474 preventable overdose deaths in British Columbia in 2015.
In the six months that followed, they collected more data about overdoses (both fatal and non-fatal) and tried to proactively warn people about risks. During that same period, hundreds more died of illicit drug overdoses – 622 in the first 10 months of 2016, with at least 60 per cent of those directly linked to fentanyl.
It is tragically clear that this response has been insufficient and ineffective. In my next MLA Report I’d like to detail some of the recommendations made by the UVic Centre for Addictions Research of B.C. on how the province can better respond to this crisis.
But to start, I think it is important to highlight the local resources available to support drug users and their loved ones, and what to do if someone is overdosing. I would like to extend my most sincere gratitude to those constituents who have reached out to teach me about this emergency and share memories of their loved ones who have been lost to this tragic epidemic. Fentanyl-related overdoses are happening all over the province, and our riding is no exception.
Fentanyl is a synthetic opioid that is cheap and can be cut into other drugs like cocaine, crack, MDMA (ecstasy), crystal meth, heroin, fake oxy, and fake Percocet without the user knowing. Fentanyl is 50 to 100 times more toxic than morphine, making it horribly easy to accidentally overdose on. Carfentanil, recently detected in Vancouver, is 100 times more potent than fentanyl and can be fatal to humans in 20 microgram doses – smaller than a grain of salt.
Opioid overdose symptoms include: the person not being able to stay awake, talk or walk; slow or no pulse; slow or no breathing; gurgling; skin looks pale or blue and feels cold; pupils are pinned or eyes rolled back; the person could be vomiting and their body may be limp.
Naloxone, a medication that can reverse the effects of an opioid overdose when injected into an arm, buttocks or thigh muscle, can reverse slowed breathing in one to five minutes. It is now widely available without a prescription around the province and is credited with saving countless lives. In most naloxone kits there is also a face shield that can be used for administering rescue breathing (as in CPR).
If someone is experiencing an opioid overdose you should: stimulate the person to see if they are unresponsive; call 911 and tell them if the person is not breathing; clear the person’s airway and provide rescue breathing (one breath every five seconds). Use one injection of naloxone if it is available, monitoring the person to see if they will need another dose. Be aware that an overdose can return and additional naloxone may be necessary. When paramedics arrive tell them as much as you can about the drugs used and doses.
Training and naloxone kits are available across B.C. To find a site near you, visit Toward the Heart or call 811 any time day or night. In the Oak Bay – Gordon Head riding kits are available at some pharmacies and: Royal Jubilee Hospital Prescriptions (DT 1200 – 1952 Bay St.), Royal Jubilee Hospital – Emergency Department (1952 Bay St.), and Victoria Mental Health Centre (2328 Trent St.).
For substance user services and support call Island Health at 250-213-4444 or the 24-hour crisis line at 1-888-494-3888.
In an earlier post I explored the process that seniors must go through when a driver turns 80. As I noted, they are required to see their doctor for a Driver’s Medical Examination Report (DMER) every two years. If a doctor raises concerns related to cognitive issues that could interfere with driving abilities, the patient may be instructed to take the DriveABLE examination.
I cannot understand the purpose of the BC Government making seniors jump through the costly DriveABLE hoop when they can ultimately appeal a DriveABLE test failure and ask for an on-road evaluation. It makes no sense to me. It strikes me as for more sensible to just dump the DriveABLE screening and go straight to the on road test. The monies saved in this process could be used to eliminate the DMER cost to seniors.
Yesterday on the Voice of BC, I posed this question directly to Todd Stone, Minister of Transportation:
Question (A.Weaver): A number of seniors in my riding have contacted me over the DriveABLE program and the concerns they have and the stress that they go through when they have to take it. As you know, DriveABLE is a program that only some seniors have to take if directed to by their doctors. If one fails the DriveABLE test, you can still request a road test. It seems to me like this is an unnecessary process that actually wastes a lot of taxpayers’ money — $400 per test, in fact. Do you think we can actually eliminate the DriveABLE requirement in BC? And if not, why not?
Answer (T. Stone): Well look, I know that when the DriveABLE program was brought in it was not a decision taken lightly by government. There was a tremendous amount of concern and opposition expressed at that time. And it certainly is a question that gets posed to me from time to time. Fundamentally we have an obligation to make sure that all motorists are safe motorists. And if a doctor believes – Vaughn, the day will come for you and the day will come for me – that perhaps it’s time to go and be tested to ensure that you’ve got the response time and your eyesight is still good and so forth, I think that’s a good check and balance from a safety perspective, not just for that senior, but for all motorists. That’s a tough one. It’s often the last vestige of independence for people. Somebody losing their licence, that’s a difficult, difficult time for them. But we have to make sure that when you’re out there driving, you’re able to do so safely.
His answer is troubling as it implies that he doesn’t actually know what the DriveABLE test is, or when it is applied. His answer suggests that he is confusing DriveABLE with DMER.
The DMER is taken by all seniors over 80; DriveABLE is only used to examine cognitive skills for a select few. Eye testing is done under DMER not DriveABLE. And the computer based DriveABLE is confusing, stressful and difficult for some seniors who have not grown up in the video game generation.
I would have expected better from the Minister or Transportation. The issue of driver safety is already covered by DMER and the existing option for an on-road evaluation. Based on his response, it is clear to me that costly taxpayer funded DriveABLE program needs to be dumped. I will continue to pressure government to do so.
Constituency Report is a public service that Shaw TV graciously offers MLAs. This month’s video is provided below.
Judy Fainstein and I once more tried something different. The first segment follows the usual discussion of legislative issues relevant to Oak Bay-Gordon Head and British Columbia in general. In the second segment, I introduce Maxwell Nicholson, Director of Campaigns & Community Relations with the University of Victoria Student’s Society. We explore a number of issues facing students in Greater Victoria.
As always, I’d be interested in your feedback on this constituency report.
I would like to extend my sincere thanks to everyone who attended and participated in our recent Town Hall on Housing and Affordability. We were lucky to have a diverse range of panelists bring their own perspectives and insights to our discussion about the complex challenges facing our housing market. In the Q&A period following the presentations, audience members provided their personal perspectives on how the housing and affordability crisis has affected them, asked a number of insightful questions and offered some creative potential solutions. It was a lively and informative discussion.
Cairine Green, a Community Housing Advocate and volunteer Board Director for Our Place Society, spoke about some of the causes and the effects of the housing and affordability crisis in Victoria and across the Province. The BC Non-Profit Housing Association defines affordable housing as requiring 30% or less of gross household income (in 2012); two other factors are suitable housing, where there are enough bedrooms for the size and make-up of occupants, and adequacy, where a home does not require major repairs. Increasingly, fewer and fewer people in Victoria live in housing that meets these criteria. Cairine highlighted the importance of affordable housing in maintaining healthy and sustainable communities, and the concerns of low-income seniors who want to be able to stay in their homes as they get older. She outlined the actions that municipalities can take to stem the tide of rising housing costs, and the need for different levels of government to work together to implement solutions.
Alex McGowan, Chairperson of the Alliance of BC Students and President at the Kwantlen Student Association, emphasized the challenges facing students looking for housing, as well as the steps that Universities can take to address student housing needs, thereby benefitting the rental market more widely. His comments were supported by Maxwell Nicholson, Director of Campaigns & Community Relations from the UVic Student Society who was also in attendance.
In the last ten years, the number of full-time students in B.C. has steadily grown and the number of international students has nearly doubled, yet very few new residence spaces have opened. There is a high demand for student housing: the Alliance of BC Students estimates that Universities in BC need to double their stock of student housing to meet the need. In 2014/2015 there were 10,900 students on waitlists for campus housing in B.C., nearly 3,000 of which were on the UVic list alone. Student housing is cheap to build, and would play an important role in easing the pressure on the rental market, creating space for those who may be currently in unaffordable housing or squeezed out of the market all together. A serious problem is that the Province won’t allow post-secondary institutions to take on the debt needed to build more student housing on their land. Yet debt undertaken to build campus housing in B.C.’s desperate market would not impact the government’s credit rating as it would be self-supporting through residence fees.
Kyle Kerr, a licensed Realtor with RE/MAX Camosun, Associate Partner with Tony Joe and Associates, and a Director of the Victoria Real Estate Board, brought his insights from his experience in real estate to bear on the crisis in Victoria. He highlighted the factors that make Victoria such an attractive place to live and have led to an increase in net migration here, such as the industries here (including Government, military, tourism and technology), our educational institutions, and the lifestyle that Victoria offers. These strengths make it unlikely that we will see a significant housing crash or a “bursting of the bubble” in Victoria. Kyle also discussed the need to build more affordable housing, and to increase density, to meet demand.
Eric Swanson, Executive Director of Generation Squeeze, showed how the odds that young Canadians face in getting into the housing market and purchasing their own home are difficult, if not impossible, to overcome. He highlighted the differences in the magnitude of the challenges faced by young Canadians today versus forty years ago, in 1976, showing that average earnings have decreased, student debt has increased, and the average housing price has more than doubled, leading to a situation where young Canadians in BC have to save more than three times as long for a down payment on a house today than in 1976.
Potential solutions to the crisis highlighted by the panelists and explored in the Q&A period include actions that different levels of government and members of the public can take.
The Provincial Government can offer support for co-housing or blended housing, to allow seniors to stay in their homes, while providing an affordable rental option for low-income individuals, families or students. As an essential step in addressing student housing needs, the Province could reverse its stance on preventing universities from acquiring debt to build more on-campus housing.
Municipalities have a number of tools at their disposal that they can use to address the housing crisis. These include:
The City of Victoria has already implemented some of these measures, and is considering more, such as “an inclusionary housing density bonus policy” where new housing has to represent the income distribution of the area in which it is built.
Individuals can become familiar with their official community plans and local housing strategy. An important action that individuals can take is to attend council meetings to express their thoughts on proposed projects, especially voicing their support for projects that would result in more affordable housing.
I am grateful for the commitment and ongoing concern so many in our community are giving to this crucial issue facing our Province. There are few topics of more importance facing our Province today.
On Tuesday, Oct. 18, I’ll be hosting a town hall on housing and affordability with four expert panelists. Each speaker comes from a different housing-related background, so they’ll bring a diverse range of perspectives and considerations to our discussion about the complex, multifaceted challenges facing our housing market.
Over the course of the evening we’ll discuss policy and market conditions that have led to our current situation, analyze the immediate challenges we face and look at where we can go from here. We’ll explore what can be done now to increase housing and rental stock and how we can prepare for the future. And, the fundamental question that underpins everything, what do we want our communities to look like in coming years?
Everyone is more than qualified to speak to the concept of a community vision, and I want to give you the opportunity to do so. Reserving plenty of time for audience questions, comments, and discussion is a priority for the event.
In addition to a community housing advocate and three-term municipal councilor, the Director of the Victoria Real Estate Board and the executive director of Generation Squeeze, one of our panelists will be Alex McGowan, chair of the Alliance of B.C. Students. McGowan and his colleagues recently released a report on the influence student housing demands have on a housing market in crisis. They urge the B.C. government to amend existing restrictions on public entity debt that prevents post-secondary institutions from building more on-campus residences.
“We know that as students, we often occupy the low end of the rental spectrum; what we might not realize is who we may be squeezing out of the market altogether,” McGowan said. “Getting students on campus and out of the rental market helps everyone, including the single parent struggling to find housing, the minimum-wage worker who can’t find a rental they can afford, and those who are currently in housing, but spending more than 50 per cent of their income on rent. Our proposal could go a long way to helping B.C.’s rental market come back to a normal level, and at very little cost to the government. It’s time to help students, improve the quality of education and help alleviate the housing crisis that is hurting everyone.”
Preventing post-secondary institutions from taking on the debt to build more housing on their land is defended by the need to protect B.C.’s high credit rating. While that is indeed important, debt undertaken to build campus housing in B.C.’s desperate market would not impact the government’s credit rating as it would be entirely self-supporting through residence fees.
In the last 10 years, the number of full-time students in B.C. has steadily grown and the number of international students has nearly doubled, yet very few new residence spaces have opened.
In 2014/2015 there were 10,900 students on waitlists for campus housing in B.C., nearly 3,000 of which were on the UVic list alone. UVic has 2,481 residence spaces and in 2014 had 16,649 full-time students. With a rental vacancy rate around 0.6 in Victoria, there is clearly an unsustainable discrepancy between the demand for affordable housing and the supply.
As McGowan and the Alliance of B.C. Students have noted, building more student housing is not just about students. It is about alleviating some of the pressure on an overstretched rental market in a timely and responsible manner.
I hope you’ll join us on Tuesday, Oct. 18 from 7 to 9 p.m. in the Gibson Auditorium at Camosun College (Landsdowne Campus Young Building 216) to discuss this, and other solutions, in greater detail.