People Are Blaming Harm Reduction in BC – Why?

Harm Reduction is Not the Reason
for BC's Drug Catastrophe

01 04 24 People Are Blaming Harm Reduction in BC – Why?

With the release of the overdose death statistics in BC for 2023, some people are saying harm reduction isn’t working and we should get rid of it. Worse yet, some people are even suggesting harm reduction is a cause of the poisoned drug catastrophe.

We think they’re looking in the wrong place and asking the wrong question. Rather than blaming harm reduction as being ineffective or a cause over the last eight years, we should better ask, what isn’t the government doing that could finally make a difference?

Even so, everyone’s thoughts are important. Let's explore these viewpoints and look at some of these ideas that may need clarification.

Some folks want to stop or reduce harm reduction initiatives in BC. They point to our 2023 increase in overdose deaths and suggesting because of those numbers, harm reduction is obviously a failed strategy. They also suggest doing things differently. Some would like BC to implement what is called the "Alberta Model." However, when we look closely at the facts, places that are trying scaled-down models of harm reduction, like Alberta, have seen a big increase in drug-related deaths—18% more in 2023 compared to the same time in 2022. On the other hand, British Columbia (BC) had a smaller increase of 5%. Also, a closer look at the data from various other cities and provinces is even more troubling. Let’s explore the numbers, comparing different strategies and asking a crucial question: Is harm reduction working?

Beyond Provincial Borders: Examining Different Approaches

To gain a more complete understanding, let's look at how other jurisdictions with varying drug strategies fared in 2023.

1. San Francisco:
• In 2022, a safe consumption site was opened but closed after 11 months in favor of increased policing and punishment. The 2023 data shows a 25% increase in deaths over 2022.
2. Saskatchewan:
• Transitioning to a "recovery-oriented system of care," Saskatchewan recently announced a reduction in harm reduction services, such as limiting the provision of clean needles. The 2023 statistics reveal a concerning 32% increase in deaths compared to 2022. Additionally, Saskatchewan bears the highest HIV diagnosis rate in Canada, with 19 per 100,000 people.
3. Ontario:
• Similar to BC, Ontario provides harm reduction services, including safer supply, alongside treatment and recovery programs. However, their 2023 data shows a 6.8% increase in deaths compared to 2022.

A Complex Reality: No Magic Bullet

There is no one-size-fits-all solution to the complex issue of the toxic drug catastrophe. The comparison of different strategies and their outcomes emphasizes the multifaceted nature of the problem. Contrary to a simplistic contrast of recovery models versus harm reduction that some would want us to accept, the data underscores the need for a comprehensive approach that utilizes all available tools. Not just recovery versus harm reduction.

It also clearly shows that bold, innovative, and aggressive strategies not yet tried need to be seriously considered. Harm reduction was never meant to be the solution to the poisoned drug catastrophe. Its role is to mitigate the fallout of the catastrophe until the government steps up to real solutions.

How Much Worse Could It Be Without Harm Reduction?

Imagine a scenario where harm reduction efforts didn't exist. Studies consistently show that harm reduction saves lives by preventing overdoses and infections. In places with robust harm reduction, the number of deaths is lower. So, even though the numbers are still on the rise, they would be significantly worse without harm reduction. Can you conceive of numbers 30%, 50%, or double what 2023 brought BC? That would potentially be our reality without harm reduction.

Some folks point to the cost of harm reduction, playing on the idea that their tax dollars are being wasted. Let’s clear that one up right now. One research study showed that for every dollar spent on harm reduction, $1.30 was saved in the healthcare system that would need to treat people for HIV and all the other health conditions that ride along with substance disorders. Check out this research paper as one example of cost savings - The Cost Effectiveness of Harm Reduction, Science Direct 2015.

Harm reduction acts as a safety net, catching people in the throes of addiction and helping them stay alive. It's not just a theory; it's backed by evidence and real-world impact. As we navigate through different strategies to address the drug catastrophe, harm reduction emerges as a vital component that makes a tangible difference in saving lives.

Looking Beyond the Numbers: A Call for Complete Solutions

While the data provides crucial insights, it's essential to consider the qualitative aspects of harm reduction. The stories of individuals who have found support and solace through harm reduction initiatives are fundamental to understanding the full scope of its impact.

In the face of rising numbers, it's important to recognize that harm reduction is not a singular solution but one of many vital components of a larger strategy. It operates on the principle of meeting people where they are, acknowledging the complexities of addiction, and providing compassionate support.

The Role of Public Perception: Dispelling Misconceptions

One challenge that harm reduction faces is public perception. Misconceptions often perpetuate stigmas, hindering the implementation of effective harm-reduction strategies. It's essential to address these misconceptions and foster a more informed and empathetic public discussion.

One common misconception is that harm reduction enables addiction. However, the evidence clearly indicates otherwise. By providing clean supplies and support, harm reduction not only prevents the spread of infections but also creates opportunities for individuals to access treatment and recovery services. Also, let's be clear here. Harm reduction prevents the spread of infections into the broader population. Not just those who use substances.

Wrapping Up: A Call for Holistic Approaches

The question of whether harm reduction is working requires a complex examination of data, stories, and public perceptions. While the numbers may depict a multifaceted reality, evidence consistently highlights the life-saving impact of harm reduction.

As we navigate the drug catastrophe, it's clear that an over-arching approach is essential—one that incorporates harm reduction, treatment, recovery programs, and bold, aggressive initiatives not yet attempted. The complicated interplay between these elements is key to addressing the multi-layered challenges presented by substance use disorders.

Public awareness and understanding play pivotal roles in shaping effective strategies. We achieve that by dispelling misconceptions and fostering informed discussions. All of us need to work towards a more compassionate and comprehensive response to the poisoned drug catastrophe. Harm reduction is not just a strategy; it's a lifeline for individuals facing the daily struggles of substance disorders. It's a commitment to empathy, support, and, ultimately, saving lives.

Learning Moments are written to foster understanding of all aspects of substance or mental health disorders - It is an initiative of the Port Alberni Community Action Team - Families Helping Families

Author: Ron Merk – Ron is the Co-Chair of the Port Alberni Community Action Team He advocates for people with substance or mental health disorders.

Inspiration for this article was driven by an excellent Twitter post by Guy Felicella.