Pacific Summit on Medication Client Wellbeing 2009.

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English Columbia. Number of Persons Using Injected Drugs by Geographic Area. Number of ... Those looking for administrations may be compelled to travel long separations to bigger urban zones to ...
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Overview: Prevalence of Drug Use in British Columbia Number of Persons Using Injected Drugs by Geographic Area Number of Crack Smokers in British Columbia VANDU Pacific Summit 2009 2

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Number of Persons Using Injected Drugs Canada : British Columbia : Vancouver : Downtown Eastside : 125,000 40,000 10,000-12,000 5,000 VANDU Pacific Summit 2009 3

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Number of Crack Smokers in British Columbia British Columbia: Downtown Eastside: 55,000 (Approx.) 7,000 (Approx.) VANDU Pacific Summit 2009 4

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Overview: Prevalence of Drug Use in British Columbia Number of Persons Using Injected Drugs by Geographic Area Number of Crack Smokers in British Columbia VANDU Pacific Summit 2009 5

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CCENDU Report, 2005 VANDU Pacific Summit 2009 6

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Illicit Drug Deaths In 2005, 146 unlawful medication passings in BC (down from 417 passings in 1998). In 2005, passings in the DTES were 7 times the common rate. Most elevated rate of overdose passings for individuals between the ages of 31-40 Overdoses for men was more than twofold the rate for ladies. People of First Nations ethnicity represented 9.6% of illegal medication passings albeit just 4.4% of the BC populace. VANDU Pacific Summit 2009 7

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Death rates owing to unlawful medications VANDU Pacific Summit 2009 8

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Illicit Drug Deaths By Local Health Area of death 2006 (n= 223) Source: VANDU Pacific Summit 2009 9

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Illicit Drug Deaths By Gender VANDU Pacific Summit 2009 10

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Illicit Drug Deaths In B.C. by Ethnicity VANDU Pacific Summit 2009 11

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Overview: Non-Fatal Drug Overdose 1) Ambulance requires the 2 stations that serve the dominant part of DTES calls VANDU Pacific Summit 2009 13

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Overview: Blood-Borne Pathogens 1) HIV Prevalence and Newly Positive HIV Tests Vancouver and B.C. 2) Newly Positive HIV Tests with Identifiable Risk Factor 3) Reported Hep C Rates in Vancouver, B.C. also, Canada 4) Rate of Newly Identified Hep C by Health Service Delivery Area VANDU Pacific Summit 2009 15

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HIV Rates The predominance of HIV among IDUs is accounted for to be some place between 17% to 31%. In Vancouver, HIV pervasiveness among Aboriginal IDUs has expanded from under 5% in the mid 1990s to roughly 40% in 2004. (CCENDU) VANDU Pacific Summit 2009 16

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Hepatitis C Rates - Vancouver, BC and Canada * DTES center HCV rate 2007= 788/100,000 Source BCCDC iPHIS VANDU Pacific Summit 2009 18

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Overview: Hospitalization Rates 1) Hospitalization Rates Attributable to Illegal Drugs by Region VANDU Pacific Summit 2009 20

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Hospitalization Rates Attributable To Illegal Drugs 37% expansion 2002 to 2007 VANDU Pacific Summit 2009 21

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Overview: Methadone and Opiate Treatments B.C. Methadone Stats B.C. Methadone Program Clients by Age and Gender B.C. Methadone Program Clients Receiving Methadone Maintenance Info on First Nations Access To Methadone Info on Buprenorphine VANDU Pacific Summit 2009 22

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B.C. Methadone Statistics A little number of doctors are authorized to recommend methadone The CPSBC no more reports on the geographic dispersion of methadone endorsing doctors, however in 2001, 44% of methadone recommending doctors were situated in the Lower Mainland, 22% on Vancouver Island or the Gulf Islands, 8% in the Okanagan, 7% in Fraser Valley, and 4% in Northern BC. Measurements are apportioned once a day, so it is hard to keep up a standard employment for some individuals The BC government pays drug specialists $16.30 for each day by day dosage of methadone they administer. On the off chance that a drug store can get a client to fill the greater part of their remedies at its outlet, it gets roughly $6,000 a year in administering charges, only for that client (CBC News, Sept. 2008) disregarding the College of Pharmacists \'no prompting\' strategy, numerous methadone-dispersing drug stores in the DTES give espresso and treats and offer money kickbacks. VANDU Pacific Summit 2009 23

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First Nations Access to Methadone The First Nations populace has a higher unlawful medication use death rate than the BC populace in general. In spite of this reality, methadone is not accessible on store Those looking for administrations might be compelled to set out long separations to bigger urban regions to acquire methadone. Albeit First Nations may have entry to methadone while living in different purviews there is an absence of thorough mischief diminishment administrations accessible to those living in rustic and store groups. VANDU Pacific Summit 2009 26

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Buprenorphine has been accessible as SUBOXONE in the United States since 2003. In Europe, buprenorphine was presented amid the mid-90s. It is accessible in 17 nations in Europe alone. Today, more than 400,000 opioid-subordinate patients worldwide have been treated with buprenorphine. SUBOXONE was endorsed by Health Canada in May of 2007 Buprenorphine may build wellbeing and treatment access for opioid-subordinate patients. Gone up against its own, SUBOXONE has lower potential for lethal overdose than a full opioid agonist since it limitedly affects lessening relaxing. The impact of buprenorphine crests at 1–4 hours after the underlying measurement. In spite of the fact that buprenorphine has not yet been estimated in Canada, in the United States the expense of a month\'s supply of the medication might be as much as 10 times that of the expense of a standard month\'s supply of methadone. (starting 2006) VANDU Pacific Summit 2009 27

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Overview: Needle Exchange & Harm Reduction Supplies Info on Needle Distribution in B.C. also, Needles Distributed by Region B.C. Needle Distribution Map B.C. Needle Exchange Map Harm Reduction Supplies Distributed by the Vancouver Health Service Distribution Area VANDU Pacific Summit 2009 28

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Provincial Needle Distribution Needles Per Population The Harm Reduction Supply Service (HRSS) Program, already known as the Needle Exchange Program was exchanged to Provincial Health Services Authority on April first 2003 From April first 2006, to February fifteenth 2007, (10.5 months) 5,023,600 sterile needles and syringes were requested from the BC Center for Disease Control for the whole territory. The best extent (52%) was requested by Vancouver Coastal, trailed by the Vancouver Island (24%), Interior (9%), Northern (8%) and Fraser (7%) Health Authorities. VANDU Pacific Summit 2009 29

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Harm Reduction Supplies - Vancouver In BC, 5 million syringes; 2.4 million water vials dispersed/yr 2008/09 - 218 x 100 ft plastic tubing – cut into 4 inch mouth pieces; 37,200 wooden push sticks Source: BC Center for Disease Control drug store database VANDU Pacific Summit 2009 32

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Overview: Enforcement, Court, Police and Prison Vancouver and B.C. Implementation Stats B.C. Drug Offenses by Crime Type B.C. Drug Offenses by Drug Type Breakdown of Federal Offenses Info on Legal Aid Cuts for Procedural Offenses Canadian Drug Charge Conviction Stats on Drug Use In Canadian Prisons VANDU Pacific Summit 2009 33

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Enforcement In Canada, 70% of government financing to address the medication issue goes to authorization based activities. Locally, VPD\'s financial plan for District 2 has about multiplied ($6.7 million in 1995 - $11.2 million in 2001) VANDU Pacific Summit 2009 34

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Drug Offenses in BC, 1998-2007 Source: Police Services Division, Ministry of Public Safety and Solicitor General, BC VANDU Pacific Summit 2009 35

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Drug Offenses in BC, 1998-2007 Source: Police Services Division, Ministry of Public Safety and Solicitor General, BC VANDU Pacific Summit 2009 36

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Breakdown of Federal Offenses (2006-2007) Statistics Courtesy of Corrections and Conditional Release Statistical Overview 2008 , accessible online at: VANDU Pacific Summit 2009 37

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Legal Aid Cuts for Procedural Offenses Legal Aid cuts which came into power on April 1, 2009 have pulled back access to lawful guide legal counselors to those accused of procedural offenses, including rupture of probation, break of safeguard conditions or inability to show up. These people may confront sentences of up to six months in prison. The main access to help exploring the equity framework will be brief gatherings with obligation counsel, who can examine the charges yet won\'t speak to these people in court. Data cordiality of the CBC News, accessible online at: columbia/story/2009/04/01/bc-legitimate guide cuts-could-jam-courts.html VANDU Pacific Summit 2009 38

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Drug Charge Convictions Drug-related cases are more averse to bring about conviction than cases when all is said in done. In 2006/2007, 55% of grown-up cases and 48% of youth cases including drug-related charges brought about a finding of blame. This contrasts and 65% and 60% for cases when all is said in done. A higher extent of medication related cases were stayed, pulled back, rejected or released contrasted and cases when all is said in done. In 2006/2007, half of all grown-ups indicted drug trafficking were sentenced to guardianship, contrasted and 16% of grown-ups sentenced drug ownership. For youth, probation was the most widely recognized sentence for both ownership and trafficking feelings. VANDU Pacific Summit 2009 39

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Drug Use in Canadian Prisons 12% of detainees reported utilizing IV medicates just while as a part of jail 68% confessed to having utilized them both on the st

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