Category: Opinions

Can Halifax open Atlantic Canada’s first legal overdose prevention site? Yes, we can!

This blog post is a follow-up from an earlier post published on July 11, 2019. As I work on a new funding proposal, this statement strikes me: over 11,500 people in Canada have lost their lives as a result of opioid-related overdoses between January 2016 and December 2018 and we keep losing people every day. So many lives lost! And why is that? The evidence is clear that overdose prevention sites save lives! After I returned from a hands-on training in the Downtown East Side of Vancouver, one of the hardest hit places in the overdose crisis, it became even...

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A step by step process on how we can support mothers living with HIV

As doctors specializing in the clinical care of women living with HIV, we often get questions about breastfeeding and the transmission of HIV. Here’s just one e-mail we received from an infectious disease specialist outside Ontario: “I am seeing a young African woman as a patient who is HIV positive, had advanced disease, but now is suppressed. She is pregnant and had two deliveries in Africa, where she was encouraged to breastfeed. She is still quite adamant about breastfeeding despite my counselling otherwise. How do you manage these situations and what is your approach to this?”

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Gay men, substance use and harm reduction: it’s time to act

Harm reduction and gay men’s HIV prevention could be considered two historic elements in our HIV response that have long stood separate from one another. Traditionally, HIV prevention with gay men focused on sexual risk, while harm reduction focused on risks associated with injection drug use. Both approaches have evolved over the decades and some might argue that safer sex is a form of harm reduction, but in the context of drug use, there has been little focus given to harm reduction in the context of gay men’s sexual health.

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