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Benzodiazepines 'a major problem' in illicit drug supply – CBC.ca

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Within a fraction of a second, Speedy says he knew something was wrong. 

In September, the longtime drug user, who didn’t want CBC to use his real name, unwittingly smoked fentanyl spiked with a benzodiazepine. 

He says he seized up and just managed to make it to a safe space before he lost control of his body. 

“For five hours, I just held on,” he said.

Benzodiazepine, which is typically prescribed as a sedative, is dangerous when paired with an opioid like fentanyl, because the sedation increases the risk of an overdose, according to Health Canada. Withdrawal symptoms can include extreme anxiety, sweats and dangerous seizures. 

Worst of all, the lifesaving medication naloxone, which brings someone out of an opioid overdose, does not work on benzos.

WATCH | Downtown Eastside drug user describes frightening experience with benzodiazepine:

Benzodiazepines on the rise in street opioids, drug checking services say

6 days ago

Duration 2:20

Speedy, who uses drugs, says benzodiazepines are a big problem in Vancouver’s Downtown Eastside. He accidentally ingested fentanyl spiked with benzos in 2021 and says he thought he was going to die. 2:20

Speedy, who works at the Overdose Prevention Society in Vancouver’s Downtown Eastside, says he’s seen the combination of the drugs become a “major problem.”

According to a report by the BC Coroners Service, “benzos” or “benzodope,” as it’s called in the street, is the new scourge of B.C.’s contaminated drug supply.

Some people are knocked out for hours or a whole day, and harm reduction sites say people passed out in a public place can be robbed or sexually assaulted while they’re unconscious. 

Speedy had a bad experience with fentanyl spiked with benzodiazepines on the Downtown Eastside. He managed to find a safe space, but he’s heard of people getting robbed or assaulted while on the drug. (Andrew Lee/CBC)

‘It’s everywhere’

Like fentanyl when it was first introduced, benzos started popping up randomly in drug checking and now it’s everywhere, says Sarah Blyth, the executive director of the Overdose Prevention Society. 

“People completely black out, they don’t know who they are sometimes, where they are,” she said. “It’s leaving people with long-term damage, if they don’t die.”

Between July 2020 and October 2021, the detection rate of benzodiazepines in B.C. went from 15 per cent to 53 per cent, according to the BC Coroner Service’s Illicit Drug Toxicity report in December. 

Fentanyl is still detected in an overwhelming majority of illicit drug deaths and drug samples, but the unpredictability and potency of these other substances are making the supply more dangerous, says the report. 

Advocates for safe supply can only speculate why benzos are having such a moment in opioids right now, but Blyth puts it down to the unregulated supply, which continues to allow more unpredictability and volatility in the drugs. 

Sarah Blyth from the Overdose Prevention Society says benzodiazepines are ‘a whole other level of terrible’ in the drug supply. She says the benzos in the supply are making it harder to bring people back from overdoses. (Andrew Lee/CBC)

“It’s just a mishmash of whatever’s under your kitchen sink,” she said.

‘We can’t keep up’ 

Benzodiazepines exist in some of the most commonly prescribed medications. They’re often used as sedatives because of their ability to calm the brain, and are used to treat people with sleep, seizure or anxiety disorders. 

Types of benzos can be found in medicines like Valium and Xanax.

But the danger for drug users is the combination of strong benzodiazepines with potent opioids. 

It’s getting harder for harm reduction services to give users enough information to plan their drug use, says Karen McDonald, the lead for Toronto’s drug checking service, which operates out of St. Michael’s Hospital. 

She said they’ve found 13 different types of benzos in Ontario, and some aren’t even prescribed in Canada. 

“It’s consistently changing. We feel like we can’t keep up with how many new drugs are coming in and out.”

A guessing game

It’s been one year since Dean Wilson took opioids spiked with a benzodiazepine. The former drug user and co-founder of the Vancouver Area Network of Drug Users (VANDU) says he didn’t realize he’d inadvertently taken benzos until he was coming down off the drugs. 

He didn’t sleep for six days. 

Bruce Wallace, an associate professor at the University of Victoria’s school of social work, says it’s normal now that most opioids tested in Victoria will include a benzodiazepine. (Mike McArthur/CBC)

Many drug users are unknowingly ingesting benzos, says Dr. Paxton Bach, a medical director at the British Columbia Centre on Substance Use (BCCSU). He describes it as a “nightmare.” 

“We don’t know what people are using. They don’t know what they’re using,” said Bach. 

The mystery is especially concerning when a person is withdrawing from benzos. Detoxing from these substances is dramatic and, unlike fentanyl withdrawal, patients must be monitored in a hospital setting, Bach says. 

The way the body becomes dependent on the substance over time means the brain is unable to function without it, Bach says. Tremors, sweats, nausea, extreme anxiety and even seizures form part of the dangerous withdrawal. 

“Anyone who uses drugs daily now is going to have benzos in their system. The question is, how much, what kind?”

Keeping people alive 

While visiting a drug-checking site in Victoria, B.C., recently, CBC watched an attendant scrape an unknown powder into a small paper cup and pour it into a plastic tube. Methanol was added to dilute the substance and a skinny paper strip was inserted. 

A few minutes later, the opioid sample was confirmed to contain benzos.

It’s the norm that most opioids tested in Victoria will include a benzodiazepine, says Bruce Wallace, who works with the Victoria Drug Checking Program and is an associate professor at the University of Victoria’s school of social work. 

Their job isn’t just to provide test results for illicit substances, but to help drug users make informed decisions, says Wallace.

What drugs are safe to consume and in what amount — these are the questions they try to solve with costly lab equipment. But he says even that can be difficult. 

“To have an opioid with a benzodiazepine, and having a whole range of benzodiazepines … [it’s] challenging to try to figure out what does that really mean to somebody using that substance,” said Wallace. 

Fear of unpredictability

For drug users like Jarret McConnell, knowing what’s in his drugs is a lifesaver. 

He had the drugs in his pocket tested by a facility in Vancouver and told CBC they were found to contain 15 per cent fentanyl and six per cent benzodiazipines, among a range of other ingredients. 

Jarret McConnell says he’s bought fentanyl spiked with benzodiazepines, but he’s not sure if he’s addicted to it yet. (Andrew Lee/CBC)

He says the amount of benzos in the drugs doesn’t concern him, because he buys them from the same dealer every time. Even so, he admits the increasing potency and unpredictability is worrying. 

McConnell says he’s making plans to stop using drugs soon, before the contaminated supply claims his life. 

“That scares me and I don’t want to be sent back to where my mum is … where she has to see me with a toe tag over a benzo overdose,” he said. “I don’t want that.” 

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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