By Liam Michaud a b, Gillian Kolla c d, Katherine Rudzinski e, Adrian Guta 

The ongoing overdose and drug toxicity crisis in North America has contributed momentum to the emergence of safer supply prescribing and programs in Canada as a means of providing an alternative to the highly volatile unregulated drug supply. The implementation and scale-up of safer supply have been met with a vocal reaction on the part of news media commentators, conservative politicians, recovery industry representatives, and some prominent addiction medicine physicians. This reaction has largely converged around several narratives, based on unsubstantiated claims and anecdotal evidence, alleging that safer supply programs are generating a “new opioid epidemic”, reflecting an emerging alignment among key institutional and political actors. Employing situational analysis method, and drawing on the policy studies and social science scholarship on moral panics, this essay examines news media coverage from January to July 2023, bringing this into dialogue with other existing empirical sources on safer supply (e.g. Coroner's reports, program evaluations, debates among experts in medical journals). We employ eight previously established criteria delineating moral panics to critically appraise public dialogue regarding safer supply, diverted medication, and claims of increased youth initiation to drug use and youth overdose. In detailing the emergence of a moral panic regarding safer supply, we trace historic continuities with earlier drug scares in Canadian history mobilized as tools of racialized poverty governance, as well as previous backlashes towards healthcare interventions for people who use drugs (PWUD). The essay assesses the claims of moral entrepreneurs against the current landscape of opioid use, diversion, and overdose among youth, notes the key role played by medical expertise in this and previous moral panics, and identifies what the convergence of these narratives materialize for PWUD and healthcare access, as well as the broader policy responses such narratives activate.

International Journal of Drug Policy Volume 127, May 2024, 104423

By Shannon Brennan and Benjamin Mazowita

 Between 2011 and 2016, 2,362 people in British Columbia had a fatal overdose from illicit drugs, with 332 occurring in Surrey specifically. The majority of individuals who died of an illicit drug overdose in British Columbia (66%) and specifically in the City of Surrey (64%) had no contact with police in the 24 months preceding their overdose death. For the purposes of this study, a contact with the police is defined as an official intervention, where the individual was identified by police as a person accused of a criminal incident.  Overall, most of the decedents (66%) held some form of employment in at least one of the five years preceding their overdose death, regardless of any contact with police. That said, decedents who had a formal contact with the police were less likely to have experienced consistent employment over the 5 years. One in five (20%) decedents who had contact with police were employed in each of the 5 years prior to their fatal overdose, compared to 29% of decedents who did not have contact.  More than two-thirds (68%) of decedents who had contact with police had also received social assistance benefits in the 5 years prior to their death, a proportion that was significantly higher than their counterparts who had no contact with police (55%).  In general, most decedents were not hospitalized in the year before their death. This held true for both those who had contact with police (72%) and those who did not (75%). The remaining one in four decedents were hospitalized at least once in the year preceding their death. The most common reasons for hospitalization among decedents in the year before their death besides opioid poisonings were in connection to substance use related disorders and mental health conditions.  While the majority of decedents never came into contact with police, among those who did (34%), many did so multiple times. Overall, 15% of decedents in British Columbia and 16% of decedents in the City of Surrey had three or more formal contacts with police in the 24 months preceding their overdose death.  Overall, among decedents who had a contact with police, 33% in British Columbia (and 24% in the City of Surrey) had a fatal overdose in the 90 days following their last contact with police. These findings indicate the need for timely interventions.  The majority of decedents who came into contact with police prior to their fatal overdose did so for a non-violent crime: 83% of police contacts were for non-violent offences whereas the remaining 17% involved violent offences. Shoplifting of items valued at $5,000 or under was the most common reason decedents came into contact with police in the 24 months prior to their death. Aside from property offences and, more specifically, shoplifting, offences against the administration of justice were also among the most common reasons decedents came into contact with police. These offences were also highly represented among the decedent cohort, relative to the province as a whole.  In line with their police interactions, most of the decedents who appeared in a criminal court within the 2 years preceding their overdose death did so in relation to property offences and offences against the administration of justice. Specifically, cases involving theft, breach of probation and failure to comply with an order were among the most prevalent

Ottawa: Statistics Canada, 2019. 18p.