The Miracle

Illegal Drug Overdose Crisis in Youth

- Dear parents and guardians: Please take some time to go online and learn more about how to speak honestly with your kids about this important topic: P.R.W. Kendall OBC, MBBS, MHSc, FRCPC Provincial Health Officer

As you are likely aware, British Columbia is currently experienci­ng an illegal drug overdose crisis. Since January 2016, more than 1,400 people have lost their lives. While youth aged 14-18 are not considered high risk for an overdose death, school-aged youth are not untouched by tragedy, either directly or through family and friends and media awareness. Nineteen youth between the ages of 14 and 18 years old were reported by the Coroner’s Office to have died from an illicit drug overdose since January 2016. We hope that with your help in speaking to the youth in your life as they go into yearend celebratio­ns and new activities in the summer months, we can avoid preventabl­e tragedies. What you need to know to keep your kids safeI strongly encourage you to talk about substance use with the youth in your lives. Nonjudgmen­tal and supportive conversati­ons about substance use and overdose risks can save lives. Obviously the best way to stay safe is to avoid drugs altogether, but we know that many of our youth will experiment and so it is important to share that: • The greatest risk for overdose death is when someone uses drugs alone – because no one is there to call 9-1-1 if they overdose. • Opioids are a type of medication which includes heroin, morphine, fentanyl, methadone and codeine. Fentanyl is around 50 to 100 times more toxic than morphine, which makes the risk of accidental overdose from illegal fentanyl very high. Other opioid compounds are being found now that are even more toxic, such as carfentani­l. About twothirds of overdoses occurring in B.C. are due to lethal fentanyl and compounds like it. • A very high percentage of illegal, street opioid drugs like heroin and fake Oxycontin contain fentanyl – but you also should know that fentanyl is being found in street drugs that are not sold as opioids, including drugs like cocaine, ecstasy (MDMA) and methamphet­amines. The dealer may not know fentanyl is in them. • Anyone who does not regularly use opioid substances is at very high-risk for overdose if substances like fentanyl contaminat­e their drugs, because they have no tolerance built up for opioids. People who have used drugs containing opioids and then stopped for a time are also at risk for this reason. • Contrary to some reports, fentanyl has not been found in marijuana. • You can talk to your older children about being the responsibl­e one at parties where drugs may be available – encourage them to call 9-1-1 in an emergency and assure them they will not face criminal consequenc­es for overdose-related calls, provide naloxone if available and perform rescue breathing. Visit gov.bc.ca/overdose to learn more about reducing harm and preventing overdose. It can be a challenge to talk to teens and young adults about drugs, but help and resources are available. Reach out and start the conversati­on. You are the most important source of informatio­n for your children. Be non-judgementa­l, respectful and ask teens what they know. • Articles about how to talk to kids, teens and adult children are available on HealthLink­BC at healthlink­bc.ca/substanceu­se/parenting-articles. • Leslie McBain lost her only son Jordan to overdose. Listen to her story at youtu. be/pGv_jFhHnJQ.

What you can do to help save a life

If you have a youth or adult in your life who uses illegal drugs regularly or occasional­ly – or you use illegal drugs yourself – here are some important actions to take: • Carry a naloxone kit and learn how to properly use it. Visit www.gov.bc.ca/overdose to find where you can get a kit and training. • Be prepared to give rescue breaths in case someone overdoses; giving rescue breaths before help arrives can save a life and prevent brain damage. • Anyone using drugs should do a small test amount first. Don’t mix drugs (including with alcohol). •Anyone using drugs should do so with someone who will check on them and call 9-1-1 in case of overdose, or use an overdose prevention site if there is one in the area. • Call 9-1-1 in a health emergency –a new Good Samaritan law protects people from charges of possession in the case of an overdose and you will save a life. • If you think someone you love may be using, or at risk, begin a non-judgementa­l conversati­on about how to stay safe. Know that addiction is a chronic health condition and relapses happen.

Help is available

If someone you know is using drugs, there are treatment and support options available.bl Vi Visit it www.gov.bc.ca/overdoseb / d or call ll HealthLink BC at 8-1-1 to speak to a health navigator about treatment options and services in your area. Each of us can make a difference by starting a dialogue with the youth in our lives. Together we can begin to turn the tide on this crisis happening in our communitie­s.

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