From advocacy to celebration: A day to honour sex workers

Anarcho-feminist icon Emma Goldman famously didn’t say “If I can’t dance, I don’t want to be part of your revolution.” However, the misquote persists. Perhaps it’s because the sentiment resonates with so many of us in social justice work. No doubt it was on the Global Network of Sex Work Projects’ minds in 2019 when they launched an annual international sex worker rights day called Sex Worker Pride. Taking place on September 14, this day differs from other days that call attention to sex workers’ labour rights, access to justice and violence against sex workers by focusing on celebration. It...

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Beyond the tip of the iceberg: Brain injury after drug poisoning

The toxic drug crisis has claimed the lives of tens of thousands of Canadians. However, non-fatal drug toxicity events (also called overdoses) are much more common than fatal events. Brain injury is a lesser known harm related to drug toxicity that can happen when people survive a drug poisoning event. A brain injury affects how the brain works. It can occur during a drug toxicity event because breathing slows down or stops and there is a lack of oxygen to the brain. CATIE spoke to Shanell Twan, assistant manager at Streetworks, a harm reduction program in Edmonton, and Dr. Kaylynn...

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Reflections on 20 years of harm reduction in British Columbia

Harm reduction has many definitions but in essence is an evidence-based and person-centred approach that seeks to reduce the harms associated with substance use. It provides people who use drugs with resources to make healthier and safer choices without insisting on abstinence. I have worked in harm reduction and substance use for 20 years, including 18 years as medical lead for harm reduction at the BC Centre for Disease Control. During that time, I was privileged to collaborate with many compassionate colleagues across different sectors and alongside the experts, people with lived and living experience of substance use. In the...

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How can supervised consumption services and overdose prevention sites better meet the needs of racialized women and gender expansive people?

Supervised consumption services (SCS) and overdose prevention sites (OPS) are proven to reduce harms and save lives. However, certain communities like racialized women and gender expansive people (e.g., transgender, gender nonconforming, non-binary and Two-Spirit people) can encounter barriers to accessing these services. To find out what is needed to make SCS and OPS more accessible to these communities, CATIE spoke with Cassandra Smith, knowledge translation lead at the Dr. Peter Centre. What are some barriers to SCS and OPS that racialized women and gender expansive people report? One barrier I hear consistently is lack of safety. This could be in...

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Are we really in an “addictions crisis”?

More than 44,592 people in Canada have died due to opioid toxicity since 2016, surpassing the number of Canadian fatalities in the Second World War. This alarming number underscores the severity of the public health crisis, which has only worsened over the past decade. The average number of daily deaths has almost tripled, from 8 in 2016 to 22 in 2023. The terminology used to describe this crisis has changed over the past decade, reflecting our attempts to understand what is causing the loss of so many lives. Terms like “opioid crisis” and “overdose crisis” have largely been replaced because...

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In case of emergency: Expanding safe supply through supervised consumption services

Since 2016, 42,494 people have died from drug poisoning in Canada. This crisis is fueled by an unregulated drug supply contaminated with a deadly mix of synthetic opioids and non-opioid sedatives. Aiming to curb these drug poisoning deaths, the provision of pharmaceutical-grade alternatives to the unregulated, illegal drug supply, also known as safe supply, has demonstrated significant promise. However, despite its potential to save lives, this approach is currently mired in capacity constraints and accessibility barriers. One opportunity for increasing access to safe supply is through supervised consumption services (SCS). In a new report produced by the HIV Legal Network,...

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