Treatment without judgment

Action needed to slow rising number of opioid overdoes across Canada, says federal health minister

VANCOUVER — Federal Health Minister Jane Philpott says more people are expected to die of illicit opioid overdoses in Canada this year compared with nearly 2,500 fatalities recorded in 2016.

“It is going to get worse before it gets better,” Philpott told the National Health Leadership Conference on Monday, calling British Columbia “ground zero” because the crisis claimed 935 lives in the province last year.

The complex problem of substance use is rooted in social issues such as poverty, homelessness and unresolved trauma so combating the epidemic will require a patient-centred approach, Philpott said.

The Public Health Agency of Canada released figures last week saying at least 2,458 people died of opioid-related overdoses in 2016, though Philpott said the information is incomplete.

She told health-care managers that patients need to be treated without judgment and discrimination and their health records must follow them wherever they get care, regardless of whether they have a fixed address.

That would be possible through technological innovation, the minister said.

Philpott said the full power of geocoding technology must also be harnessed to determine where overdoses happen so the information can be used for prevention, treatment and harm reduction.

The opioid fentanyl has been increasingly used to contaminate illicit drugs, resulting in fatal overdoses, Philpott noted.

“The challenge, as you know, has been exacerbated by overprescribing, which has been, we must admit, driven in part by deceptive marketing practices,” she said of drug companies that falsely claimed some painkillers were not addictive.

Philpott said it was shocking that the federal government could not release national numbers on fatal overdoses until last week.

The minister has expressed frustration with provinces for not providing overdose-death data.