Mental Health

Touring Vancouver’s downtown east side to learn more about the ongoing opioid overdose crisis

Today I visited Vancouver’s downtown east side to learn more about the overdose crisis plaguing British Columbia.

Earlier in the day, shocking statistics were released by the B.C. Coroners’ Service. Over the period January 1 to November 30 2016, there have been 755 overdose deaths in British Columbia with 128 of those fatalities occurring in November. Year-to-date statistics reveal a 70% increase from last year.

Those following my blog will know that we have written previously on this subject. On December 2 we outlined some of the steps that individuals could take if they encounter someone experiencing an opioid overdose. On December 15, we provided a more comprehensive analysis of the problem, and pointed out the need for a comprehensive, proactive approach to dealing with it.

During our tour today, Jonina Campbell, the BC Green candidate for New Westminster in the upcoming provincial election, and I were profoundly moved by what we experienced and the stories we heard. As Jonina noted in the statement we released after our tour (reproduced below), we witnessed “a grassroots effort of downtown eastside community members who have come together, because it is their friends and family who are suffering and dying.”

Thank you to Sarah Blyth, who is working with the Overdose Prevention Society, for taking the time to tour us around the downtown east side and educating us on the overdose crisis.

Later in the day I appeared on CBC’s On the Coast (starting at the 52:48 mark) in an attempt to convey what we learned from our visit.


Media Statement


Media Statement, Dec. 19, 2016
Statements from Andrew Weaver and Jonina Campbell following tour of pop-up safe injection site in downtown east side
For immediate release

VANCOUVER B.C. – B.C. Green Party leader Andrew Weaver and New Westminster candidate Jonina Campbell released the following statements after touring a pop-up safe injection site near East Hastings and Columbia streets in Vancouver:

“I have been deeply moved by the dedication and commitment of those working at Vancouver’s pop-up safe injection sites – volunteers who are working with few resources to save lives that would otherwise likely be lost,” Weaver said. “Sarah Blyth, Anne Livingston and others who have acted so selflessly are to be commended for taking action in an incredibly desperate situation.

“Today, the B.C. Coroners Service reported that a staggering 755 people died from illicit drug use from January 1 to November 30 this year. The opioid crisis is out of control. Federal Health Minister Jane Philpott needs to immediately declare a national health emergency, which would give chief medical officers the power to deal with this crisis as a health issue. It is also critical that the federal government immediately repeal aspects of the Harper-era Bill C-2 that make it extremely difficult for cities to open safe-injection facilities like Vancouver’s InSite. Community members have been forced to pull together scarce resources to provide life-saving services on their own. It is unconscionable that our communities are barred from responding with the most effective, life-saving measures. The consequences are simple – the more we dither, the more people die.”

“The approach of the past, to treat drug use as a criminal issue, does not work. Drug use is a public health issue. Lack of treatment facilities has been a major contributing factor, while the systematic underfunding of mental health services has had broad reaching consequences. The scale of this tragedy forces us to ask some very difficult questions, including the question of decriminalizing illicit drugs. The Portugal model, where use or possession of illicit drugs was changed from a criminal to administrative offence, has proven to dramatically reduce STIs and drug-related deaths. These deaths can happen to anyone. As a society, we must respond accordingly.”

“I would like to call on all provincial leaders to come together on this issue,” Campbell added. “Andrew is the only party leader to tour a pop-up safe-injection site. While Premier Clark and John Horgan have stated that they will not visit one, I urge them to reconsider. We must put humanity above all else. The fentanyl crisis is a community health issue and therefore, local politicians must learn firsthand about what is occurring and what can be done to stop these tragic deaths.”

“We must not forget our responsibility to support first responders, frontline workers and volunteers, who are trying to cope with insufficient resources and the trauma of being on the ground. This is a grassroots effort of downtown eastside community members who have come together, because it is their friends and family who are suffering and dying. What I witnessed today was a tragedy of epic proportions. Few British Columbians understand the scale of what is happening. We must support those who put themselves in the middle of it, hoping to save one life at a time.”

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Media contact
Mat Wright, Press Secretary, Office of Andrew Weaver, MLA
+1 250-216-3382 | mat.wright@leg.bc.ca

MLA Report: Fentanyl crisis shows need for comprehensive, proactive approach

As I sat down to write this article, with a dozen tabs open to fentanyl-related stories and studies, a new headline made its way to the front page and it hit me like a tonne of bricks. “Overdose deaths involving fentanyl fill Vancouver morgues to capacity.” One life lost is heartbreaking; the scale of this emergency can hardly be articulated in a way that respects and represents the grief felt around B.C.

The situation in Vancouver is particularly dire, but fentanyl-related overdoses are happening all over the province and our riding is no exception. The reach and magnitude of this crisis has been tragic. The fact that it has only continued to escalate since the B.C. Ministry of Health declared it a public health emergency on April 14 is horrific in its own right.

Also in the news at the time of writing is an article in the Vancouver Sun that reads “the B.C. government is almost doubling its advertising spending [to $15 million] five months before the provincial election, but the minister responsible says it’s to raise awareness of the fentanyl overdose crisis…”

People are dying. We need to help them, not make ads about them.

In 2009 when H1N1 hit B.C., the province put $80 million towards fighting the flu that killed 57 people. Illicit drug overdoses have killed 622 people in the first 10 months of this year, surpassing car crash fatalities to become the leading non-natural cause of death in B.C.

By their own, arguably generous, estimate the provincial government has spent $15 million to prevent and respond to overdoses. Yet even their plan to create 500 new addiction treatment spaces by 2017, a promise made by the premier in the 2013 election, remains unmet. So far only 220 new spaces have become available. And during the same period, the number of substance-abuse treatment beds for young people has dropped 25 per cent to just 89.

The government’s resources thus far have largely been focused on collecting data and distributing naloxone kits, a medication that can reverse the effects of an opioid overdose. They are important initiatives, to be sure, but they are reactionary. They kick in when someone is already in the throes of an overdose. If we want to get ahead of this crisis, we need to step in with a comprehensive plan to support people before they are that close to dying.

Reports released by researchers with the University of Victoria’s Centre for Addictions Research of B.C. (CARBC) provide evidence of the inadequacy of government responses to this emergency, but they also detail a path forward.

For Victoria specifically, they write that by delaying the implementation of supervised consumption services – despite the indications of a growing overdose epidemic and widespread reports of washrooms in social service agencies being used as unofficial and unsupervised injection sites – the province is ignoring the evidence.

As Dr. Bruce Wallace and Dr. Bernie Pauly, researchers at CARBC and faculty members at UVic, wrote in the Globe and Mail, “What is needed is a more comprehensive approach.

“This should include supervised consumption as well as increased access to treatment and opiate-substitution therapy. There is a wealth of evidence that supports the effectiveness of supervised consumption services in preventing overdoses, preventing the transmission of blood-borne disease and increasing access to referrals to treatment and opiate substation therapy.”

Last week Island Health finished the public consultation phase of their application to open a supervised consumption site in Victoria. I hope you will join me in imploring the provincial government to do everything in its jurisdictional power to support this process along, as well as follow CARBC’s recommendations to increase the number addiction-treatment facilities.

Fentanyl overdoses in our community: What you can do

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.

Let’s explore the concept of basic income: Please let me know what you think

Over the next few weeks I will explore the concept of “Basic Income”. I would be most grateful if you would share your comments, suggestions and concerns with me about this topic as we unpack what it all means in a series of upcoming posts. In this first post we simply provide a backgrounder.

1. What is “Basic Income”?

A basic income is a regular payment that the Government makes to individuals or families in its jurisdiction, which is not contingent on recipients fulfilling specific criteria (e.g. proving that they are active job seekers).

Basic income comes in two basic forms: means-tested and universal. In its means-tested form, a basic income is paid only to those whose income from other sources falls below a predetermined threshold, but is not contingent on recipients’ willingness to work. It is often referred to as “guaranteed minimum income”. In its universal form, a basic income is paid to all, irrespective of income from other sources. The unconditional basic income is often referred to as “universal basic income” or a “citizen’s’ wage”.

The idea of a basic income has become more popular recently, and has garnered support from across the political spectrum. In Canada, Ontario is planning a pilot next year, and Quebec, Alberta, and PEI have also raised the possibility of running pilots in the near future. Internationally, Finland and the Netherlands are both staging large-scale pilots in 2017.

2. Background

a. Poverty and Inequality in BC

The levels of poverty and inequality in BC are high relative to the national average. BC has higher than average rates of poverty, with poverty rates up to 16% and child poverty rates up to 20%, depending on the poverty measure used. BC also has one of the highest levels of inequality in Canada, estimated to be second only to Alberta.

For those needing support, our current system of social programs has a number of shortcomings. The siloed approach, with a myriad of different programs with specific eligibility criteria, allows people to slip through the cracks in the system and leaves many unsure which benefits they are eligible for. It also has a substantial administrative cost. There is significant stigma in collecting welfare today, and many argue that the invasiveness of the current approach, with its stringent conditionality and reporting requirements, strips recipients of privacy and dignity. Additionally, the current system may provide a disincentive for many to join the workforce, due to how quickly the benefits are reduced as any income is earned.

b. A Shifting Economy

Unprecedented technological advance, of rapidly increasing pace, is set to have a significantly disruptive effect on our economy. To now, we have seen deindustrialization and the closure of industries, together with a boom and bust economy in British Columbia that almost defines much of provincial economic history. With increasing automation, forecasts suggest the potential for the rapid elimination of jobs across a wide range of sectors. Automated voice recognition software is already replacing many call centre workers, car assembly plants use more robots than people, and driverless cars and trucks are already significantly impacting the taxi and trucking industries. The effects of automation are predicted to be most strongly felt in moderate and low-paying jobs: Barack Obama’s 2016 economic report predicted that jobs paying less than USD$20/hour face an 83% likelihood of being automated, while jobs paying between $20 and $40/hour face a 33% chance. In the UK,  one third of retail jobs are forecasted to be replaced by 2025. The effects of automation are predicted to spread to higher paying professional sectors as well, particularly the medical and legal professions. Technological advance has been attributed as a cause of increasing inequality by a number of economists because of automation’s effects on jobs and technology’s role in further concentrating the accumulation of wealth in the hands of top earners.

We are also heading toward what is commonly termed the ‘gig’ economy. We are shifting away from the 20th century model of permanent full-time work with benefits toward precarious contract-based work, which is spreading at an increasing rate to workers at all levels of education, trade, skill and profession. Contract-based employment means employers, with an expanding labour pool, can negotiate pay, usually with few or no benefits, outside of union negotiated packages. Examples today include Uber drivers, health care assistants, and sessional lecturers at postsecondary institutions.

3. Potential Effects of a Basic Income: Opportunities and Challenges

Perhaps the most transformational promise of a basic income is its potential to raise recipients out of poverty. Living in poverty takes a significant toll, and the elevated levels of stress that it brings are associated with higher levels of alcohol and drug abuse, domestic abuse, and mental health problems. Those living in poverty are more likely to have inadequate nutrition, use tobacco, be overweight or obese, and be physically inactive. The adverse effects of growing up in poverty on a child’s ability to be successful in school and integrate into the workforce contribute to generational poverty.

The moral case for tackling poverty is self-evident: doing so would have a life-changing effect on the lives of those currently living in poverty and dealing with the problems it brings on a daily basis. The financial cost is also significant: the adverse outcomes of poverty lead to increased use of public health care, more hospitalizations, and lost economic activity, among other effects.

A pilot project undertaken in Manitoba in the 1970s suggests that a basic income policy can have significant impacts on the healthcare system: providing a basic income to residents of Dauphin, Manitoba for 3 years reduced hospital visits by 8.5%. The decrease in hospital visits was attributed to lower levels of stress in low income families, which resulted in lower rates of alcohol and drug use, lower levels of domestic abuse, fewer car accidents, and lower levels of hospitalization for mental health issues.

A basic income could also provide a means to respond proactively to the changes we are just beginning to see in the labour market. As the effects of automation are realized, providing a basic income would enable those affected to retrain for new professions, attend or return to University or College, take entrepreneurial risks, contribute to their communities or other causes through volunteering and civic engagement, and invest time in their families.

A challenge in considering a basic income scheme is predicting its effects on the labour market, specifically the extent to which it might provide a disincentive to work comparable to or stronger than the disincentive often associated with our current social assistance programs. The Dauphin, Manitoba pilot study provides some initial information on this question: it was found that the negative effect on people’s willingness to work was minimal for the general population, but more pronounced for mothers with young children, and teenagers aged 16-18 who completed high school instead of leaving to join the workforce.

A recent report by the Vancouver Foundation advocates paying all youth ages 18-24 transitioning out of foster care a “basic support fund” of between $15,000-$20,000. Doing so, they estimate, would cost $57 million per year, whereas the cost of the status quo is between $222-$268 million per year, due to the range of adverse outcomes that affect youth in transition, including intergenerational poverty, criminal activity, substance abuse, lost educational opportunities, and homelessness. Thus they estimate that establishing a basic support fund for youth in transition would result in savings to the Provincial Government of $165-$201 million per year.

The cost of a basic income program is difficult to predict, and estimates range widely according to assumptions made about the characteristics of the program and its social and economic effects. In costing a basic income it is important not to ignore the cost of the status quo: the direct costs of unemployment, poverty, and homelessness as well as the costs of managing the adverse effects. Nonetheless, the cost of a basic income program to BC is potentially significant, and costs associated with different implementation options must be fully worked out and tested.

4. So what are your thoughts?

While I recognize that I’ve only provided cursory information to initiate this conversation, I would like to hear your thoughts on the idea of a basic income. Do you think a basic income policy holds promise as a potential way forward in BC, allowing us to tackle poverty effectively and prepare for a future in which the nature of work is vastly different from what we have known in the past? What are your concerns about the policy? How would you like to see it implemented? Thank you in advance for your comments.

Lack of Poverty Reduction Plan in British Columbia Unacceptable

Media Statement: December 10, 2015
Andrew Weaver: Lack of Poverty Reduction Plan in British Columbia Unacceptable
For Immediate Release

Today, Andrew Weaver, MLA for Oak Bay Gordon Head and Leader of the BC Green Party, reiterated his call for the Provincial Government to develop a comprehensive strategy to end poverty in our province. British Columbia is now the only Province without a poverty reduction plan, yet is projected to have the fastest growing economy in the country.

“It is unacceptable that in a province with an economy as strong as ours that we are the only ones neglecting our responsibility to our citizens who are struggling to afford the cost of living,” said Andrew Weaver.

An October 2015 report by Citizens for Public Justice showed British Columbia had a 16.3% overall poverty rate and was the only province left that had not advanced a poverty reduction strategy. CIBC World Markets released a report in November predicting British Columbia would lead the country in terms of economic growth in 2016.

In response to the tent community on the lawn beside the Victoria Law Courts, the government has pledged more money for a new shelter in the region, and that campers would be asked to leave if they didn’t accept the province’s offer of housing. The Premier also suggested that the best way to fight poverty was to let the economy grow.

“This is what is wrong with our poverty reduction policy in British Columbia,” said Andrew Weaver. “We have a government that advances short term solutions like shelters, while suggesting for years that we need to wait for our economy to grow before we can take real action. Now we have the fastest growing economy in the country and we still haven’t advanced a plan.”

Other jurisdictions are finding ways to address poverty issues while saving the government money. Housing-first poverty strategies have been one of the foundational aspects of poverty reduction plans in Utah, Denver, Medicine Hat and a growing number of other jurisdictions. This approach recognizes housing insecurity as a key systemic issue contributing to poverty and shifts from emergency management of homelessness, to providing homes for those who need them.  By addressing this issue head-on, rather than through a patchwork of services, government costs are ultimately reduced.

“A good place for a poverty reduction plan to start would be addressing the difficulties British Columbians are having finding affordable and supportive housing,” said Andrew Weaver. “This isn’t an either or – we need to continue to develop a strong economy, while ensuring that British Columbians aren’t being left out in the cold.”

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Media Enquiries:

Mat Wright
Press Secretary – Andrew Weaver MLA
Cell: 250 216 3382
Mat.wright@leg.bc.ca
Twitter: @MatVic

Parliament Buildings
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Victoria BC V8V 1X4