What kind of effect does opioid use disorder medication have on opioid cravings? 

Buprenorphine with naloxone (also known as Suboxone) and methadone are two of the most widely used medications prescribed as opioid agonist therapy (OAT) to treat opioid use disorders in Canada. The aim of OAT is to replace the use of unregulated opioids with a safe and legal therapeutic medication that can prevent opioid cravings and withdrawal symptoms. This can in turn reduce the risk of overdose and other potential harms of opioid use disorder but it is not meant for everyone. In addition to these treatments, we also need greater access to safe supply, which is defined as a legal...

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How peer advisory councils are improving access to harm reduction in communities across Manitoba

CATIE spoke with Shohan Illsley, executive director of the Manitoba Harm Reduction Network, about the peer advisory councils they coordinate across the province, and how this model is helping improve access to harm reduction within rural and remote communities. What are peer advisory councils and how do they fit into the work of the Manitoba Harm Reduction Network? The Manitoba Harm Reduction Network is basically a network of networks. We have 11 networks in the province and nine of them work in rural and remote communities. Everywhere we have a network, we have a peer advisory council (PAC). PACs are...

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Three important things to know about hepatitis C and HIV among people who inject drugs

In Canada, recent estimates show that people who inject drugs continue to be disproportionately affected by high rates of hepatitis C and HIV. They are also less likely to be tested, connected to care or receive treatment. To prevent hepatitis C and HIV, as well as improve outcomes for people who inject drugs, it is important to gain a better understanding of how changes in the drug supply and related trends impact vulnerability to these infections and how we can improve supports. To identify where these additional supports are most needed, the following three important points can help us to...

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The Medicine Bundle: An Indigenous approach to HIV self-testing

In April 2022, the Two-Spirit Program at Community-Based Research Centre (CBRC) launched the pilot of the Medicine Bundle, an HIV self-testing initiative in British Columbia created by and for Two-Spirit and LGBTQ+ Indigenous folks. The pilot emerged from nearly two years of consultation and engagement with Elders, activists, researchers and community members within the Two-Spirit community, who provided guidance on culturally sensitive and intentional ways to address disparities in access to HIV testing. Following its initial run in August 2022, the Medicine Bundle has now returned to once again serve Indigenous folks wishing to access HIV self-testing. This time around,...

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The Northern, Remote and Isolated Indigenous Communities Initiative: Community-based testing from COVID-19 to HIV and STBBI

Access to HIV and STBBI testing Laboratory testing for HIV and other sexually transmitted and blood-borne infections (STBBI) can be inaccessible to certain populations such as northern, remote and isolated Indigenous (NRI) communities. This is due to several factors, such as: Decentralized, community-owned, community-based testing (CBT) and health services help address these factors and reduce historical health inequities faced by people living in NRI communities throughout Canada. Providing a variety of innovative testing options can be particularly useful for reaching the undiagnosed by offering greater accessibility, privacy and convenience, as well as by reducing the stigma associated with accessing conventional...

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HIV self-testing: a new tool in our toolbox

HIV self-testing has arrived in Canada! As we reported a few months ago, the Public Health Agency of Canada (PHAC) announced new funding to increase access to HIV self-testing. Since then, community-based organizations across the country have been distributing HIV self-test kits for free, as well as supporting their clients to use them. Distribution began in November 2022 and is expected to continue at least until March 2023. Together with PHAC, Communities, Alliances & Networks (CAAN), CATIE, Community-Based Research Centre (CBRC) and REACH Nexus are collaborating to support frontline workers to incorporate self-testing into their services. We are working with...

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