Tag: Harm reduction

Inside B.C.’s decriminalization pilot as experienced by people who use drugs

On January 31, 2023, British Columbia was granted an exemption from Canada’s Controlled Drugs and Substances Act to implement a time-limited pilot project, in effect until January 31, 2026. The exemption allows people over the age of 18 to possess a total of 2.5 grams of certain specified unregulated drugs for personal use. The drugs included in this exemption are opioids (such as heroin, morphine and fentanyl), crack and powder cocaine, methamphetamine and MDMA.  The pilot exemption has been subject to strict rules and regulations since its inception. Notably, the places where possessing drugs is decriminalized have been modified several times...

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Estimating how many people in Canada inject drugs

People who inject drugs that are not prescribed to them often experience complex health challenges and have a difficult time accessing healthcare. To make sure we can provide the services and resources that better support this community, we first need to know how big the community is and where they live. That’s why the Public Health Agency of Canada has created the report, Estimating the population size of people who inject drugs in Canada, which estimates, in 2021: The process for creating these estimates involved several steps, so let’s review them in greater detail. How we estimate the number of...

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Global lessons on harm reduction policy and practice: Interview videos from the Harm Reduction International Conference

CATIE attended the recent Harm Reduction International Conference (HR25) in Bogotá, Colombia. This long-running conference brings together researchers, health workers, policymakers and community experts from around the world. Four days of presentations, workshops, networking and art installations created a dynamic forum to share research and practice on harm reduction, drug policy and human rights.   Organized around the theme “Sowing Change to Harvest Justice”, the conference explored the intersections of social justice, equity and peace in the context of drug policy. CATIE spoke with presenters and attendees to hear key perspectives and learnings on three themes from HR25: harm reduction and...

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Seeds of change: Reflections on the international harm reduction movement

People who use drugs are facing crises around the world. On top of increased risk for hepatitis C, HIV and toxic drug poisoning, the harm reduction programs that literally save their lives are under threat. In the face of repression and ever-shifting government priorities, cross-border solidarity is more vital than ever to defend the present and future of harm reduction. This is the context in which thousands of people came together in Bogotá, Colombia, for the 28th Harm Reduction International Conference (HR25) in April. Attendees included frontline service providers, researchers, policy-makers, politicians, United Nations representatives, people who use drugs, sex...

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Striving to live in peace with drugs: Colombia’s efforts to shift drug policy

Arriving in Bogotá at the Harm Reduction International Conference, I felt the threads of my life weave together in a way I hadn’t expected. I’ve spent years working in harm reduction in Canada while maintaining deep ties to Colombia, where much of my family still lives. But I saw something revolutionary during my recent visit: a nation once synonymous with the war on drugs now leading the global charge toward a more compassionate and pragmatic approach. The cost of failure Colombia has had a long and complex relationship with drugs, one fraught with pain and grief. For decades, the U.S.-backed...

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Choice over coercion: A call for voluntary care

Despite what many may think due to the recent spotlight on the expansion of involuntary treatment in British Columbia, involuntary treatment for substance use already happens in B.C. Involuntary treatment refers to psychiatric treatment that is administered to a person without their consent and it is usually used for those with mental health and/or substance use health issues. It can happen under various acts in B.C., including the Mental Health Act. Of people detained and involuntarily treated under the B.C. Mental Health Act, 1 in 5 have a primary diagnosis of substance use disorder. This makes substance use disorder the...

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