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Why decriminalizing drug possession won't fix Canada's toxic supply – CBC.ca

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This is an excerpt from Second Opinion, CBC Health’s weekly health and medical science newsletter. If you haven’t subscribed yet, you can do that by clicking here.


Canada’s toxic drug supply problem can’t be fixed by decriminalizing the possession of small quantities of drugs alone — a move that advocates say is a step in the right direction but a far cry from addressing the worsening overdose crisis.

In response to the crisis, the federal government announced a plan this week to allow adults in British Columbia to possess small amounts of some illicit drugs — up to 2.5 grams of opioids, cocaine, methamphetamine and MDMA within British Columbia.

But in the past decade, the illicit drug supply has gone from unthinkably bad to unimaginably worse as fentanyl has completely overtaken heroin and even more dangerous drugs have entered the supply. 

Since 2016, 26,690 Canadians have died from suspected opioid overdoses, and in B.C. alone there were 2,224 suspected overdose deaths in 2021 and more than 9,400 since 2016 — the leading cause of unnatural deaths in the province.

“No one knows, no one can know, what they’re selling or what they’re putting in their bodies,” Karen Ward, a drug user and advocate in Vancouver’s Downtown Eastside, told CBC News in a recent interview.

“I don’t even want to think about how much worse it could get.” 

7,000% rise in fentanyl in last decade

The dramatic rise of fentanyl in Canada has been stark. In 2012, only 217 of the street drug samples seized by law enforcement agencies across Canada tested positive for fentanyl. In 2021 that number grew to over 16,000 samples — an increase of more than 7,000 per cent.

Of the more than 24,000 opioid drugs seized by law enforcement agencies across Canada last year, 72 per cent contained fentanyl or fentanyl analogues, as well as 45 per cent of the heroin samples confiscated.

But at the same time, the actual amount of heroin in Canada fell by more than 60 per cent over five years as fentanyl took over — leading to an unpredictable and dangerous supply. 

“A lot of people talk about the heroin supply being contaminated with fentanyl, but we haven’t had heroin supply for a long time — the supply is fentanyl,” Nick Boyce, director of the Ontario Harm Reduction Network, said in a recent interview. 

Nick Boyce, director of the Ontario Harm Reduction Network, says the heroin supply has been completely overtaken by fentanyl in Canada. (Evan Mitsui/CBC)

“You don’t know what dosing you’ll get and there’s many different fentanyl analogues out there, some which are more potent than others.”

Carfentanil in particular is one of the most dangerous opioids in the drug supply: 100 times more toxic than fentanyl, 10,000 times more toxic than morphine and undetectable by sight, smell or taste. And after declining in 2019, it’s now on the rise in Canada again. 

The statistics are compiled by Health Canada’s Drug Analysis Service (DAS), which tests approximately 125,000 samples of drugs apprehended by the Canada Border Services Agency, the Correctional Service of Canada and police forces across the country each year.

And while it merely provides a snapshot of the crisis, it also paints a tragic picture, one that simultaneously shows the disappearance of heroin as fentanyl and other dangerous opioids contaminated the supply while the number of overdose deaths skyrocketed. 

“It’s a scary situation — it’s like the well was poisoned,” said Ward. “This whole community is just falling apart because so many people have died.” 

WATCH | Fighting an opioid overdose epidemic during a pandemic:

Fighting an opioid overdose epidemic during a pandemic

2 years ago
Duration 9:24

The opioid crisis was a problem in British Columbia before the COVID-19 pandemic, but combined with an unsafe drug supply and fewer safe injection sites, the crisis has become an overdose epidemic.

In the first year of the pandemic alone, there was a 95 per cent increase in suspected opioid-related deaths, with 7,224 lives lost in Canada, compared to 3,711 in 2019. 

“This is the worst public health crisis we’ve ever seen with regard to toxic drugs in the history of our country,” said Donald MacPherson, executive director of the Canadian Drug Policy Coalition, a policy advocacy group made up of about 50 organizations.

“We have never seen anything like this before.” 

Decriminalization won’t have ‘huge impact’

But the federal government’s decriminalization plan doesn’t come into effect for another seven months and falls short of the 4.5 gram threshold that the province and harm reduction advocates called for — an amount that many critics already believed was too low

“If this is intended to make enough of a difference to save lives, why does it not take effect for another seven months?” Ward said in reaction to the announcement, adding that it does little to address the toxic supply of drugs in Canada.

WATCH | Small-scale illicit drug possession decriminalized in B.C.:

B.C. receives exemption to decriminalize small-scale illicit drug possession

4 days ago
Duration 2:02

The federal government has granted an exemption that will see the decriminalization of small-scale possession of certain illicit drugs in B.C. The exemption comes into effect in 2023.

MacPherson said that while the announcement “signals the direction that we need to go” as a country, it should have been rolled out at a national level in order to make a real impact in Canada given that the overdose crisis isn’t just a B.C. problem. 

“This is discriminatory, if you live in another province, you’re not really going to have the benefits of this model. It’s for B.C. residents only, so that’s disappointing,” he said. 

“And it’s really not going to have a huge impact on the toxic drug supply — that is the number one problem.” 

The federal government has signalled it is open to discussing expanding the scope of decriminalization beyond just B.C. to other provinces and cities across the country, but Saskatchewan, Manitoba and Nova Scotia already said they won’t be next in line. 

Kayla DeMong, executive director of Prairie Harm Reduction in Saskatoon, said that while decriminalization overcomes a century of “highly discriminatory” drug policy, it falls short of addressing the overdose crisis in a meaningful way. 

“Do I think it’s going to have a huge impact on our toxic drug supply? No,” she told CBC News. “What I do hope is that it will provide better support and resources and less criminal enforcement for people that use substances.” 

A drug user injects heroin at the Moss Park Overdose Prevention Site in downtown Toronto in December 2018. (Evan Mitsui/CBC)

Focus needs to be on toxic supply: advocates

MacPherson said that while some drug users in B.C. who are stopped by police with small amounts of drugs will benefit from the decriminalization move, police already don’t arrest many people for possession in Vancouver and it likely won’t lead to major changes there. 

“It also means we’re going to be spending the next seven months putting together a model of a policy change that really isn’t about the toxic drug supply,” he said. “So the focus of the response is in the wrong place.” 

Advocates have been calling for a safe and regulated drug supply for decades in order to enable people who use drugs to access regulated substances, such as medical-grade heroin, from a legal source, rather than potentially toxic versions from the illicit market. 

“There’s so much so much more to do in the area of giving people alternatives to the toxic drug market that is not happening — that’s where the real crisis is,” MacPherson said. 

“That kind of action needs to start happening, and in combination with decriminalization that would make sense. But decriminalization on its own? When over 90 per cent of people who die are dying from drug toxicity? That needs to be dealt with.” 

Karen Ward says the federal government’s decriminalization announcement does little to address the toxic supply of drugs in Canada. (Rafferty Baker/CBC)

Ward said until the toxic drug supply issue is addressed head on in Canada, people who use drugs will continue to die at an unfathomable rate.

“The problem is they’re not illegal because they’re dangerous, they’re dangerous because they’re illegal,” Ward said. 

“People are dying. I’m surprised I’m still alive. People are falling apart. We’ve been through so much. They’ve suffered so much, and they’ve been poisoned to death by the policy that we’ve decided not to change.” 

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NASA astronauts won’t say which one of them got sick after almost eight months in space

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CAPE CANAVERAL, Fla. (AP) — Three NASA astronauts whose prolonged space station mission ended with a trip to the hospital last month declined to say Friday which one of them was sick.

Astronauts Matthew Dominick, Michael Barratt and Jeanette Epps publicly discussed their spaceflight for the first time since returning from the International Space Station on Oct. 25. They spent nearly eight months in orbit, longer than expected because of all the trouble with Boeing’s Starliner crew capsule and rough weather, including Hurricane Milton.

Soon after their SpaceX capsule splashed down in the Gulf of Mexico off the Florida coast, the three were taken to a hospital in nearby Pensacola along with Russian cosmonaut Alexander Grebenkin, who launched with them back in March.

One of the Americans ended up spending the night there for an undisclosed “medical issue.” NASA declined to say who was hospitalized or why, citing medical privacy.

When asked at Friday’s news conference which one had been sick, the astronauts refused to comment. Barratt, a doctor who specializes in space medicine, declined to even describe the symptoms that the unidentified astronaut had.

“Spaceflight is still something we don’t fully understand. We’re finding things that we don’t expect sometimes. This was one of those times and we’re still piecing things together on this,” said Barratt, the only member of the crew who had flown in space before.

Epps said everyone is different in how they respond to space — and gravity.

“That’s the part that you can’t predict,” she said, adding, “Every day is better than the day before.”

Dominick said little things like sitting comfortably in a hard chair took several days to get used to once he returned. He said he didn’t use the treadmill at all during his time in space, as part of an experiment to see what equipment might be pared on a long trip to Mars. The first time he walked was when he got out of the capsule.

The two astronauts who served as test pilots for Boeing’s Starliner — Butch Wilmore and Suni Williams — will remain at the space station until February, flying back with SpaceX. Starliner returned empty in September.

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.



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43 monkeys remain on the run from South Carolina lab. CEO thinks they’re having an adventure

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COLUMBIA, S.C. (AP) — Forty-three monkeys bred for medical research that escaped a compound in South Carolina have been spotted in the woods near the site and workers are using food to try to recapture them, authorities said Friday.

The Rhesus macaques made a break for it Wednesday after an employee at the Alpha Genesis facility in Yemassee didn’t fully lock a door as she fed and checked on them, officials said.

“They are very social monkeys and they travel in groups, so when the first couple go out the door the others tend to just follow right along,” Alpha Genesis CEO Greg Westergaard told CBS News.

Westergaard said his main goal is to have the monkeys returned safely with no other problems. “I think they are having an adventure,” he said.

The monkeys on Friday were exploring the outer fence of the Alpha Genesis compound and are cooing at the monkeys inside, police said in a statement.

“The primates are exhibiting calm and playful behavior, which is a positive indication,” the police statement said, adding company workers are closely watching the monkeys while keeping their distance as they work to safely recapture them.

The monkeys are about the size of a cat. They are all females weighing about 7 pounds (3 kilograms).

Alpha Genesis, federal health officials and police all said the monkeys pose no risk to public health. The facility breeds the monkeys to sell to medical and other researchers.

“They are not infected with any disease whatsoever. They are harmless and a little skittish,” Yemassee Police Chief Gregory Alexander said Thursday.

Authorities still recommend that people who live near the compound about 1 mile (1.6 kilometers) from downtown Yemassee shut their windows and doors and call 911 if they see the monkeys. Approaching them could make them more skittish and harder to capture, officials said.

Eve Cooper, a biology professor at the University of Colorado Boulder who has studied rhesus macaques, said the animals have the potential to be dangerous and urged people to keep their distance.

Rhesus macaques monkeys can be aggressive. And some carry the herpes B virus, which can be fatal to humans, Cooper said.

However, Alpha Genesis states on its website that it specializes in pathogen-free primates. Cooper noted that there are pathogen-free populations of rhesus macaques that have been quarantined and tested.

“I would give them a wide berth,” Cooper said. “They’re unpredictable animals. And they can behave quite aggressively when they’re afraid.”

Alpha Genesis provides primates for research worldwide at its compound about 50 miles (80 kilometers) northeast of Savannah, Georgia, according to its website.

Locally, it is known as “the monkey farm.” And there is more amusement than panic around Yemassee and its population of about 1,100 just off Interstate 95 about 2 miles from Auldbrass Plantation, a Frank Lloyd Wright house designed in the 1930s.

There have been escapes before, but the monkeys haven’t caused problems, said William McCoy, who owns Lowcountry Horology, a clock and watch repair shop.

“They normally come home because that’s where the food is,” he said.

McCoy has lived in Yemassee for about two years and while he plans to stay away from the monkeys, he has his own light-hearted plan to get them back.

“I’m stocking up bananas, maybe they’ll show up,” McCoy said.

The Alpha Genesis compound is regularly inspected by federal officials.

In 2018, the U.S. Department of Agriculture fined Alpha Genesis $12,600 in part after officials said 26 primates escaped from the Yemassee facility in 2014 and an additional 19 got out in 2016.

The company’s fine was also issued because of individual monkey escapes as well as the killing of one monkey by others when it was placed in the wrong social group, according to a report from the USDA.

The group Stop Animal Exploitation Now sent a letter Thursday to the USDA asking the agency to immediately send an inspector to the Alpha Genesis facility, conduct a thorough investigation and treat them as a repeated violator. The group was involved in the 2018 fine against the company.

“The clear carelessness which allowed these 40 monkeys to escape endangered not only the safety of the animals, but also put the residents of South Carolina at risk,” wrote Michael Budkie, executive director of the group.

The USDA, which has inspected the compound 10 times since 2020, didn’t immediately respond to the letter.

The facility’s most recent federal inspection in May showed there were about 6,700 primates on site and no issues.

In a 2022 review, federal veterinarians reported two animals died when their fingers were trapped in structures and they were exposed to harsh weather. They also found cages weren’t adequately secure. Inspectors said criminal charges, civil penalties or other sanctions could follow if the problems weren’t fixed.

Since then, Alpha Genesis has undergone six inspections with minor problems reported only once.

In January 2023, the USDA said temperatures were out of the 45 to 85 degree Fahrenheit (7.2 to 29.5 degree Celsius) required range at some of the compound’s monkey cages. The inspection found moldy food in one bin, sharp edges on a gate that could cut an animal and sludge, food waste, used medical supplies, mechanical equipment, and general construction debris on the grounds.

Supporters of medical research involving nonhuman primates said they are critical to lifesaving medical advances like creating vaccines against COVID-19 because of their similarities to people. Keeping a domestic supply of the animals is critical to prevent shortages for U.S. researchers.

Humans have been using the rhesus macaque for scientific research since the late 1800s. Scientists believe that rhesus macaques and humans split from a common ancestor about 25 million years ago and share about 93% of the same DNA.

These monkeys have been launched into space on V2 rockets, used for AIDS research, had their genome mapped and made stars of their own reality television show. They were in such high demand in the early 2000s that a shortage led to scientists paying up to $10,000 per animal.

Outside of rats and mice, rhesus macaques are one of the most studied animals on the planet, said Dario Maestripieri, a behavioral scientist at the University of Chicago who wrote the 2007 book “Macachiavellian Intelligence: How Rhesus Macaques and Humans Have Conquered the World.”

The animals are very family oriented, siding with relatives when fights break out. And they’re adept at building political alliances in the face of threats from other monkeys. But they can be painful to watch. Monkeys with lower status in the hierarchy live in a constant state of fear and intimidation, Maestripieri said.

“In some ways, they kind of represent some of the worst aspects of human nature,” Maestripieri said.

___

Lovan reported from Louisville, Kentucky, and Finley reported from Norfolk, Virginia.



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Freeland says she’s ready to deal with Trump |

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Finance Minister Chrystia Freeland speaks with reporters after chairing a special cabinet committee working on Canada’s plan to deal with the incoming Donald Trump administration. Freeland says she’s stood up for Canadian interests in the past and is ready to go another round. (Nov. 8, 2024)



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