[PPT] - supply in overdose emergency Overdose Fatalities in British Columbia PowerPoint Presentation

SLIDE 1

Public health overview safe supply in overdose emergency

SLIDE 2

Overdose Fatalities in British Columbia

Source: BC Coroners Service, May 2019

SLIDE 3

Prevalence of Fentanyl in Overdose Fatalities

Source: BC Coroners Service, May 2019

SLIDE 4

Chart Review Data (Vancouver Coastal Health)

SLIDE 5

5

20 1 5- 1 2 20 1 6- 2 20 1 6- 4 20 1 6- 6 20 1 6- 8 20 1 6- 1 20 1 6- 1 2 20 1 7

2

20 1 7

4

20 1 7

6

20 1 7

8

20 1 7

1

20 1 7

1

2 20 1 8

2

20 1 8

4

20 1 8

6

20 1 8

8

Ne w OAT P r e sc r i b e r s 20 4 60 8

20 1 5- 1 2 20 1 6- 2 20 1 6- 4 20 1 6- 6 20 1 6- 8 20 1 6- 1 20 1 6- 1 2 20 1 7

2

20 1 7

4

20 1 7

6

20 1 7

8

20 1 7

1

20 1 7

1

2 20 1 8

2

20 1 8

4

20 1 8

6

20 1 8

8

Ne w OAT Cl i e nt s 1 20 30 4 50 60 4 4 7 Al l Al l Al l 1 / 1 / 20 1 6 t

1

/ 1 4 / 20 1 8 a n d Nu l l v a l u e s Oc t

b

e r 1 4 , 20 1 8 Oc t

b

e r 1 3, 20 1 8 Oc t

b

e r 1 2, 20 1 8 Oc t

b

e r 1 1 , 20 1 8 Oc t

b

e r 1 , 20 1 8 Oc t

b

e r 9 , 20 1 8 Oc t

b

e r 8 , 20 1 8 Oc t

b

e r 7 , 20 1 8 Oc t

b

e r 6, 20 1 8 Oc t

b

e r 5, 20 1 8 Oc t

b

e r 4 , 20 1 8 Oc t

b

e r 3, 20 1 8 Oc t

b

e r 2, 20 1 8 Oc t

b

e r 1 , 20 1 8 Se p t e mb e r 30 , 20 1 8 Se p t e mb e r 29 , 20 1 8 Se p t e mb e r 28 , 20 1 8 Se p t e mb e r 27 , 20 1 8 Se p t e mb e r 26, 20 1 8 Se p t e mb e r 25, 20 1 8 Se p t e mb e r 24 , 20 1 8 Se p t e mb e r 23, 20 1 8 Se p t e mb e r 22, 20 1 8 Se p t e mb e r 21 , 20 1 8 Se p t e mb e r 20 , 20 1 8 Se p t e mb e r 1 9 , 20 1 8 Se p t e mb e r 1 8 , 20 1 8 Se p t e mb e r 1 7 , 20 1 8 Se p t e mb e r 1 6, 20 1 8 Se p t e mb e r 1 5, 20 1 8 Se p t e mb e r 1 4 , 20 1 8 Se p t e mb e r 1 3, 20 1 8 Se p t e mb e r 1 2, 20 1 8 Se p t e mb e r 1 1 , 20 1 8 Se p t e mb e r 1 , 20 1 8 Se p t e mb e r 9 , 20 1 8 Se p t e mb e r 8 , 20 1 8 Se p t e mb e r 7 , 20 1 8 Se p t e mb e r 6, 20 1 8 Se p t e mb e r 5, 20 1 8 Se p t e mb e r 4 , 20 1 8 Se p t e mb e r 3, 20 1 8 Se p t e mb e r 2, 20 1 8 Se p t e mb e r 1 , 20 1 8 Au g u st 31 , 20 1 8 Au g u st 30 , 20 1 8 Au g u st 29 , 20 1 8 Au g u st 28 , 20 1 8 Au g u st 27 , 20 1 8 Au g u st 26, 20 1 8 Au g u st 25, 20 1 8 Au g u st 24 , 20 1 8 Au g u st 23, 20 1 8 Au g u st 22, 20 1 8 Au g u st 21 , 20 1 8 Au g u st 20 , 20 1 8 Au g u st 1 9 , 20 1 8 Au g u st 1 8 , 20 1 8 Au g u st 1 7 , 20 1 8 Au g u st 1 6, 20 1 8 Au g u st 1 5, 20 1 8 Au g u st 1 4 , 20 1 8 Au g u st 1 3, 20 1 8 Au g u st 1 2, 20 1 8 Au g u st 1 1 , 20 1 8 Au g u st 1 , 20 1 8 Au g u st 9 , 20 1 8 Au g u st 8 , 20 1 8 Au g u st 7 , 20 1 8 Au g u st 6, 20 1 8 Au g u st 5, 20 1 8 Au g u st 4 , 20 1 8 Au g u st 3, 20 1 8 Au g u st 2, 20 1 8 Au g u st 1 , 20 1 8 J u l y 31 , 20 1 8 J u l y 30 , 20 1 8 J u l y 29 , 20 1 8 J u l y 28 , 20 1 8 J u l y 27 , 20 1 8 J u l y 26, 20 1 8 J u l y 25, 20 1 8 J u l y 24 , 20 1 8 J u l y 23, 20 1 8 J u l y 22, 20 1 8 J u l y 21 , 20 1 8 J u l y 20 , 20 1 8 J u l y 1 9 , 20 1 8 J u l y 1 8 , 20 1 8 J u l y 1 7 , 20 1 8 J u l y 1 6, 20 1 8 J u l y 1 5, 20 1 8 J u l y 1 4 , 20 1 8 J u l y 1 3, 20 1 8 J u l y 1 2, 20 1 8 J u l y 1 1 , 20 1 8 J u l y 1 , 20 1 8 J u l y 9 , 20 1 8 J u l y 8 , 20 1 8 J u l y 7 , 20 1 8 J u l y 6, 20 1 8 J u l y 5, 20 1 8 J u l y 4 , 20 1 8 J u l y 3, 20 1 8 J u l y 2, 20 1 8 J u l y 1 , 20 1 8 J u n e 30 , 20 1 8 J u n e 29 , 20 1 8 J u n e 28 , 20 1 8 J u n e 27 , 20 1 8 J u n e 26, 20 1 8 J u n e 25, 20 1 8 J u n e 24 , 20 1 8 J u n e 23, 20 1 8 J u n e 22, 20 1 8 J u n e 21 , 20 1 8 J u n e 20 , 20 1 8 J u n e 1 9 , 20 1 8 J u n e 1 8 , 20 1 8 J u n e 1 7 , 20 1 8 J u n e 1 6, 20 1 8 J u n e 1 5, 20 1 8 J u n e 1 4 , 20 1 8 J u n e 1 3, 20 1 8 J u n e 1 2, 20 1 8 J u n e 1 1 , 20 1 8 J u n e 1 , 20 1 8 J u ne 9 , 20 1 8 J u ne 8 , 20 1 8 J u ne 7 , 20 1 8 J u ne 6, 20 1 8 J u ne 5, 20 1 8 J u ne 4 , 20 1 8 J u ne 3, 20 1 8 J u ne 2, 20 1 8 J u ne 1 , 20 1 8 M a y 31 , 20 1 8 M a y 30 , 20 1 8 M a y 29 , 20 1 8 M a y 28 , 20 1 8 M a y 27 , 20 1 8 M a y 26, 20 1 8 M a y 25, 20 1 8 M a y 24 , 20 1 8 M a y 23, 20 1 8 M a y 22, 20 1 8 M a y 21 , 20 1 8 M a y 20 , 20 1 8 M a y 1 9 , 20 1 8 M a y 1 8 , 20 1 8 M a y 1 7 , 20 1 8 M a y 1 6, 20 1 8 M a y 1 5, 20 1 8 M a y 1 4 , 20 1 8 M a y 1 3, 20 1 8 M a y 1 2, 20 1 8 M a y 1 1 , 20 1 8 M a y 1 , 20 1 8 M a y 9 , 20 1 8 M a y 8 , 20 1 8 M a y 7 , 20 1 8 M a y 6, 20 1 8 M a y 5, 20 1 8 M a y 4 , 20 1 8 M a y 3, 20 1 8 M a y 2, 20 1 8 M a y 1 , 20 1 8 Ap r i l 30 , 20 1 8 Ap r i l 29 , 20 1 8 Ap r i l 28 , 20 1 8 Ap r i l 27 , 20 1 8 Ap r i l 26, 20 1 8 Ap r i l 25, 20 1 8 Ap r i l 24 , 20 1 8 Ap r i l 23, 20 1 8 Ap r i l 22, 20 1 8 Ap r i l 21 , 20 1 8 Ap r i l 20 , 20 1 8 Ap r i l 1 9 , 20 1 8 Ap r i l 1 8 , 20 1 8 Ap r i l 1 7 , 20 1 8 Ap r i l 1 6, 20 1 8 Ap r i l 1 5, 20 1 8 Ap r i l 1 4 , 20 1 8 Ap r i l 1 3, 20 1 8 Ap r i l 1 2, 20 1 8 Ap r i l 1 1 , 20 1 8 Ap r i l 1 , 20 1 8 Ap r i l 9 , 20 1 8 Ap r i l 8 , 20 1 8 Ap r i l 7 , 20 1 8 Ap r i l 6, 20 1 8 Ap r i l 5, 20 1 8 Ap r i l 4 , 20 1 8 Ap r i l 3, 20 1 8 Ap r i l 2, 20 1 8 Ap r i l 1 , 20 1 8 M a r c h 31 , 20 1 8 M a r c h 30 , 20 1 8 M a r c h 29 , 20 1 8 M a r c h 28 , 20 1 8 M a r c h 27 , 20 1 8 M a r c h 26, 20 1 8 M a r c h 25, 20 1 8 M a r c h 24 , 20 1 8 M a r c h 23, 20 1 8 M a r c h 22, 20 1 8 M a r c h 21 , 20 1 8 M a r c h 20 , 20 1 8 M a r c h 1 9 , 20 1 8 M a r c h 1 8 , 20 1 8 M a r c h 1 7 , 20 1 8 M a r c h 1 6, 20 1 8 M a r c h 1 5, 20 1 8 M a r c h 1 4 , 20 1 8 M a r c h 1 3, 20 1 8 M a r c h 1 2, 20 1 8 M a r c h 1 1 , 20 1 8 M a r c h 1 , 20 1 8 M a r c h 9 , 20 1 8 M a r c h 8 , 20 1 8 M a r c h 7 , 20 1 8 M a r c h 6, 20 1 8 M a r c h 5, 20 1 8 M a r c h 4 , 20 1 8 M a r c h 3, 20 1 8 M a r c h 2, 20 1 8 M a r c h 1 , 20 1 8 F e b r u a r y 28 , 20 1 8 F e b r u a r y 27 , 20 1 8 F e b r u a r y 26, 20 1 8 F e b r u a r y 25, 20 1 8 F e b r u a r y 24 , 20 1 8 F e b r u a r y 23, 20 1 8 F e b r u a r y 22, 20 1 8 F e b r u a r y 21 , 20 1 8 F e b r u a r y 20 , 20 1 8 F e b r u a r y 1 9 , 20 1 8 F e b r u a r y 1 8 , 20 1 8 F e b r u a r y 1 7 , 20 1 8 F e b r u a r y 1 6, 20 1 8 F e b r u a r y 1 5, 20 1 8 F e b r u a r y 1 4 , 20 1 8 F e b r u a r y 1 3, 20 1 8 F e b r u a r y 1 2, 20 1 8 F e b r u a r y 1 1 , 20 1 8 F e b r u a r y 1 , 20 1 8 F e b r u a r y 9 , 20 1 8 F e b r u a r y 8 , 20 1 8 F e b r u a r y 7 , 20 1 8 F e b r u a r y 6, 20 1 8 F e b r u a r y 5, 20 1 8 F e b r u a r y 4 , 20 1 8 F e b r u a r y 3, 20 1 8 F e b r u a r y 2, 20 1 8 F e b r u a r y 1 , 20 1 8 J a n u a r y 31 , 20 1 8 J a n u a r y 30 , 20 1 8 J a n u a r y 29 , 20 1 8 J a n u a r y 28 , 20 1 8 J a n u a r y 27 , 20 1 8 J a n u a r y 26, 20 1 8 J a n u a r y 25, 20 1 8 J a n u a r y 24 , 20 1 8 J a n u a r y 23, 20 1 8 J a n u a r y 22, 20 1 8 J a n u a r y 21 , 20 1 8 J a n u a r y 20 , 20 1 8 J a n u a r y 1 9 , 20 1 8 J a n u a r y 1 8 , 20 1 8 J a n u a r y 1 7 , 20 1 8 J a n u a r y 1 6, 20 1 8 J a n u a r y 1 5, 20 1 8 J a n u a r y 1 4 , 20 1 8 J a n u a r y 1 3, 20 1 8 J a n u a r y 1 2, 20 1 8 J a n u a r y 1 1 , 20 1 8 J a n u a r y 1 , 20 1 8 J a n u a r y 9 , 20 1 8 J a n u a r y 8 , 20 1 8 J a n u a r y 7 , 20 1 8 J a n u a r y 6, 20 1 8 J a n u a r y 5, 20 1 8 J a n u a r y 4 , 20 1 8 J a n u a r y 3, 20 1 8 J a n u a r y 2, 20 1 8 J a n u a r y 1 , 20 1 8 De c e mb e r 31 , 20 1 7 De c e mb e r 30 , 20 1 7 De c e mb e r 29 , 20 1 7 De c e mb e r 28 , 20 1 7 De c e mb e r 27 , 20 1 7 De c e mb e r 26, 20 1 7 De c e mb e r 25, 20 1 7 De c e mb e r 24 , 20 1 7 De c e mb e r 23, 20 1 7 De c e mb e r 22, 20 1 7 De c e mb e r 21 , 20 1 7 De c e mb e r 20 , 20 1 7 De c e mb e r 1 9 , 20 1 7 De c e mb e r 1 8 , 20 1 7 De c e mb e r 1 7 , 20 1 7 De c e mb e r 1 6, 20 1 7 De c e mb e r 1 5, 20 1 7 De c e mb e r 1 4 , 20 1 7 De c e mb e r 1 3, 20 1 7 De c e mb e r 1 2, 20 1 7 De c e mb e r 1 1 , 20 1 7 De c e mb e r 1 , 20 1 7 De c e mb e r 9 , 20 1 7 De c e mb e r 8 , 20 1 7 De c e mb e r 7 , 20 1 7 De c e mb e r 6, 20 1 7 De c e mb e r 5, 20 1 7 De c e mb e r 4 , 20 1 7 De c e mb e r 3, 20 1 7 De c e mb e r 2, 20 1 7 De c e mb e r 1 , 20 1 7 No v e mb e r 30 , 20 1 7 No v e mb e r 29 , 20 1 7 No v e mb e r 28 , 20 1 7 No v e mb e r 27 , 20 1 7 No v e mb e r 26, 20 1 7 No v e mb e r 25, 20 1 7 No v e mb e r 24 , 20 1 7 No v e mb e r 23, 20 1 7 No v e mb e r 22, 20 1 7 No v e mb e r 21 , 20 1 7 No v e mb e r 20 , 20 1 7 No v e mb e r 1 9 , 20 1 7 No v e mb e r 1 8 , 20 1 7 No v e mb e r 1 7 , 20 1 7 No v e mb e r 1 6, 20 1 7 No v e mb e r 1 5, 20 1 7 No v e mb e r 1 4 , 20 1 7 No v e mb e r 1 3, 20 1 7 No v e mb e r 1 2, 20 1 7 No v e mb e r 1 1 , 20 1 7 No v e mb e r 1 , 20 1 7 No v e mb e r 9 , 20 1 7 No v e mb e r 8 , 20 1 7 No v e mb e r 7 , 20 1 7 No v e mb e r 6, 20 1 7 No v e mb e r 5, 20 1 7 No v e mb e r 4 , 20 1 7 No v e mb e r 3, 20 1 7 No v e mb e r 2, 20 1 7 No v e mb e r 1 , 20 1 7 Oc t

b

e r 31 , 20 1 7 Oc t

b

e r 30 , 20 1 7 Oc t

b

e r 29 , 20 1 7 Oc t

b

e r 28 , 20 1 7 Oc t

b

e r 27 , 20 1 7 Oc t

b

e r 26, 20 1 7 Oc t

b

e r 25, 20 1 7 Oc t

b

e r 24 , 20 1 7 Oc t

b

e r 23, 20 1 7 Oc t

b

e r 22, 20 1 7 Oc t

b

e r 21 , 20 1 7 Oc t

b

e r 20 , 20 1 7 Oc t

b

e r 1 9 , 20 1 7 Oc t

b

e r 1 8 , 20 1 7 Oc t

b

e r 1 7 , 20 1 7 Oc t

b

e r 1 6, 20 1 7 Oc t

b

e r 1 5, 20 1 7 Oc t

b

e r 1 4 , 20 1 7 Oc t

b

e r 1 3, 20 1 7 Oc t

b

e r 1 2, 20 1 7 Oc t

b

e r 1 1 , 20 1 7 Oc t

b

e r 1 , 20 1 7 Oc t

b

e r 9 , 20 1 7 Oc t

b

e r 8 , 20 1 7 Oc t

b

e r 7 , 20 1 7 Oc t

b

e r 6, 20 1 7 Oc t

b

e r 5, 20 1 7 Oc t

b

e r 4 , 20 1 7 Oc t

b

e r 3, 20 1 7 Oc t

b

e r 2, 20 1 7 Oc t

b

e r 1 , 20 1 7 Se p t e mb e r 30 , 20 1 7 Se p t e mb e r 29 , 20 1 7 Se p t e mb e r 28 , 20 1 7 Se p t e mb e r 27 , 20 1 7 Se p t e mb e r 26, 20 1 7 Se p t e mb e r 25, 20 1 7 Se p t e mb e r 24 , 20 1 7 Se p t e mb e r 23, 20 1 7 Se p t e mb e r 22, 20 1 7 Se p t e mb e r 21 , 20 1 7 Se p t e mb e r 20 , 20 1 7 Se p t e mb e r 1 9 , 20 1 7 Se p t e mb e r 1 8 , 20 1 7 Se p t e mb e r 1 7 , 20 1 7 Se p t e mb e r 1 6, 20 1 7 Se p t e mb e r 1 5, 20 1 7 Se p t e mb e r 1 4 , 20 1 7 Se p t e mb e r 1 3, 20 1 7 Se p t e mb e r 1 2, 20 1 7 Se p t e mb e r 1 1 , 20 1 7 Se p t e mb e r 1 , 20 1 7 Se p t e mb e r 9 , 20 1 7 Se p t e mb e r 8 , 20 1 7 Se p t e mb e r 7 , 20 1 7 Se p t e mb e r 6, 20 1 7 Se p t e mb e r 5, 20 1 7 Se p t e mb e r 4 , 20 1 7 Se p t e mb e r 3, 20 1 7 Se p t e mb e r 2, 20 1 7 Se p t e mb e r 1 , 20 1 7 Au g u st 31 , 20 1 7 Au g u st 30 , 20 1 7 Au g u st 29 , 20 1 7 Au g u st 28 , 20 1 7 Au g u st 27 , 20 1 7 Au g u st 26, 20 1 7 Au g u st 25, 20 1 7 Au g u st 24 , 20 1 7 Au g u st 23, 20 1 7 Au g u st 22, 20 1 7 Au g u st 21 , 20 1 7 Au g u st 20 , 20 1 7 Au g u st 1 9 , 20 1 7 Au g u st 1 8 , 20 1 7 Au g u st 1 7 , 20 1 7 Au g u st 1 6, 20 1 7 Au g u st 1 5, 20 1 7 Au g u st 1 4 , 20 1 7 Au g u st 1 3, 20 1 7 Au g u st 1 2, 20 1 7 Au g u st 1 1 , 20 1 7 Au g u st 1 , 20 1 7 Au g u st 9 , 20 1 7 Au g u st 8 , 20 1 7 Au g u st 7 , 20 1 7 Au g u st 6, 20 1 7 Au g u st 5, 20 1 7 Au g u st 4 , 20 1 7 Au g u st 3, 20 1 7 Au g u st 2, 20 1 7 Au g u st 1 , 20 1 7 J u l y 31 , 20 1 7 J u l y 30 , 20 1 7 J u l y 29 , 20 1 7 J u l y 28 , 20 1 7 J u l y 27 , 20 1 7 J u l y 26, 20 1 7 J u l y 25, 20 1 7 J u l y 24 , 20 1 7 J u l y 23, 20 1 7 J u l y 22, 20 1 7 J u l y 21 , 20 1 7 J u l y 20 , 20 1 7 J u l y 1 9 , 20 1 7 J u l y 1 8 , 20 1 7 J u l y 1 7 , 20 1 7 J u l y 1 6, 20 1 7 J u l y 1 5, 20 1 7 J u l y 1 4 , 20 1 7 J u l y 1 3, 20 1 7 J u l y 1 2, 20 1 7 J u l y 1 1 , 20 1 7 J u l y 1 , 20 1 7 J u l y 9 , 20 1 7 J u l y 8 , 20 1 7 J u l y 7 , 20 1 7 J u l y 6, 20 1 7 J u l y 5, 20 1 7 J u l y 4 , 20 1 7 J u l y 3, 20 1 7 J u l y 2, 20 1 7 J u l y 1 , 20 1 7 J u n e 30 , 20 1 7 J u n e 29 , 20 1 7 J u n e 28 , 20 1 7 J u n e 27 , 20 1 7 J u n e 26, 20 1 7 J u n e 25, 20 1 7 J u n e 24 , 20 1 7 J u n e 23, 20 1 7 J u n e 22, 20 1 7 J u n e 21 , 20 1 7 J u n e 20 , 20 1 7 J u n e 1 9 , 20 1 7 J u n e 1 8 , 20 1 7 J u n e 1 7 , 20 1 7 J u n e 1 6, 20 1 7 J u n e 1 5, 20 1 7 J u n e 1 4 , 20 1 7 J u n e 1 3, 20 1 7 J u n e 1 2, 20 1 7 J u n e 1 1 , 20 1 7 J u n e 1 , 20 1 7 J u ne 9 , 20 1 7 J u ne 8 , 20 1 7 J u ne 7 , 20 1 7 J u ne 6, 20 1 7 J u ne 5, 20 1 7 J u ne 4 , 20 1 7 J u ne 3, 20 1 7 J u ne 2, 20 1 7 J u ne 1 , 20 1 7 M a y 31 , 20 1 7 M a y 30 , 20 1 7 M a y 29 , 20 1 7 M a y 28 , 20 1 7 M a y 27 , 20 1 7 M a y 26, 20 1 7 M a y 25, 20 1 7 M a y 24 , 20 1 7 M a y 23, 20 1 7 M a y 22, 20 1 7 M a y 21 , 20 1 7 M a y 20 , 20 1 7 M a y 1 9 , 20 1 7 M a y 1 8 , 20 1 7 M a y 1 7 , 20 1 7 M a y 1 6, 20 1 7 M a y 1 5, 20 1 7 M a y 1 4 , 20 1 7 M a y 1 3, 20 1 7 M a y 1 2, 20 1 7 M a y 1 1 , 20 1 7 M a y 1 , 20 1 7 M a y 9 , 20 1 7 M a y 8 , 20 1 7 M a y 7 , 20 1 7 M a y 6, 20 1 7 M a y 5, 20 1 7 M a y 4 , 20 1 7 M a y 3, 20 1 7 M a y 2, 20 1 7 M a y 1 , 20 1 7 Ap r i l 30 , 20 1 7 Ap r i l 29 , 20 1 7 Ap r i l 28 , 20 1 7 Ap r i l 27 , 20 1 7 Ap r i l 26, 20 1 7 Ap r i l 25, 20 1 7 Ap r i l 24 , 20 1 7 Ap r i l 23, 20 1 7 Ap r i l 22, 20 1 7 Ap r i l 21 , 20 1 7 Ap r i l 20 , 20 1 7 Ap r i l 1 9 , 20 1 7 Ap r i l 1 8 , 20 1 7 Ap r i l 1 7 , 20 1 7 Ap r i l 1 6, 20 1 7 Ap r i l 1 5, 20 1 7 Ap r i l 1 4 , 20 1 7 Ap r i l 1 3, 20 1 7 Ap r i l 1 2, 20 1 7 Ap r i l 1 1 , 20 1 7 Ap r i l 1 , 20 1 7 Ap r i l 9 , 20 1 7 Ap r i l 8 , 20 1 7 Ap r i l 7 , 20 1 7 Ap r i l 6, 20 1 7 Ap r i l 5, 20 1 7 Ap r i l 4 , 20 1 7 Ap r i l 3, 20 1 7 Ap r i l 2, 20 1 7 Ap r i l 1 , 20 1 7 M a r c h 31 , 20 1 7 M a r c h 30 , 20 1 7 M a r c h 29 , 20 1 7 M a r c h 28 , 20 1 7 M a r c h 27 , 20 1 7 M a r c h 26, 20 1 7 M a r c h 25, 20 1 7 M a r c h 24 , 20 1 7 M a r c h 23, 20 1 7 M a r c h 22, 20 1 7 M a r c h 21 , 20 1 7 M a r c h 20 , 20 1 7 M a r c h 1 9 , 20 1 7 M a r c h 1 8 , 20 1 7 M a r c h 1 7 , 20 1 7 M a r c h 1 6, 20 1 7 M a r c h 1 5, 20 1 7 M a r c h 1 4 , 20 1 7 M a r c h 1 3, 20 1 7 M a r c h 1 2, 20 1 7 M a r c h 1 1 , 20 1 7 M a r c h 1 , 20 1 7 M a r c h 9 , 20 1 7 M a r c h 8 , 20 1 7 M a r c h 7 , 20 1 7 M a r c h 6, 20 1 7 M a r c h 5, 20 1 7 M a r c h 4 , 20 1 7 M a r c h 3, 20 1 7 M a r c h 2, 20 1 7 M a r c h 1 , 20 1 7 F e b r u a r y 28 , 20 1 7 F e b r u a r y 27 , 20 1 7 F e b r u a r y 26, 20 1 7 F e b r u a r y 25, 20 1 7 F e b r u a r y 24 , 20 1 7 F e b r u a r y 23, 20 1 7 F e b r u a r y 22, 20 1 7 F e b r u a r y 21 , 20 1 7 F e b r u a r y 20 , 20 1 7 F e b r u a r y 1 9 , 20 1 7 F e b r u a r y 1 8 , 20 1 7 F e b r u a r y 1 7 , 20 1 7 F e b r u a r y 1 6, 20 1 7 F e b r u a r y 1 5, 20 1 7 F e b r u a r y 1 4 , 20 1 7 F e b r u a r y 1 3, 20 1 7 F e b r u a r y 1 2, 20 1 7 F e b r u a r y 1 1 , 20 1 7 F e b r u a r y 1 , 20 1 7 F e b r u a r y 9 , 20 1 7 F e b r u a r y 8 , 20 1 7 F e b r u a r y 7 , 20 1 7 F e b r u a r y 6, 20 1 7 F e b r u a r y 5, 20 1 7 F e b r u a r y 4 , 20 1 7 F e b r u a r y 3, 20 1 7 F e b r u a r y 2, 20 1 7 F e b r u a r y 1 , 20 1 7 J a n u a r y 31 , 20 1 7 J a n u a r y 30 , 20 1 7 J a n u a r y 29 , 20 1 7 J a n u a r y 28 , 20 1 7 J a n u a r y 27 , 20 1 7 J a n u a r y 26, 20 1 7 J a n u a r y 25, 20 1 7 J a n u a r y 24 , 20 1 7 J a n u a r y 23, 20 1 7 J a n u a r y 22, 20 1 7 J a n u a r y 21 , 20 1 7 J a n u a r y 20 , 20 1 7 J a n u a r y 1 9 , 20 1 7 J a n u a r y 1 8 , 20 1 7 J a n u a r y 1 7 , 20 1 7 J a n u a r y 1 6, 20 1 7 J a n u a r y 1 5, 20 1 7 J a n u a r y 1 4 , 20 1 7 J a n u a r y 1 3, 20 1 7 J a n u a r y 1 2, 20 1 7 J a n u a r y 1 1 , 20 1 7 J a n u a r y 1 , 20 1 7 J a n u a r y 9 , 20 1 7 J a n u a r y 8 , 20 1 7 J a n u a r y 7 , 20 1 7 J a n u a r y 6, 20 1 7 J a n u a r y 5, 20 1 7 J a n u a r y 4 , 20 1 7 J a n u a r y 3, 20 1 7 J a n u a r y 2, 20 1 7 J a n u a r y 1 , 20 1 7 De c e mb e r 31 , 20 1 6 De c e mb e r 30 , 20 1 6 De c e mb e r 29 , 20 1 6 De c e mb e r 28 , 20 1 6 De c e mb e r 27 , 20 1 6 De c e mb e r 26, 20 1 6 De c e mb e r 25, 20 1 6 De c e mb e r 24 , 20 1 6 De c e mb e r 23, 20 1 6 De c e mb e r 22, 20 1 6 De c e mb e r 21 , 20 1 6 De c e mb e r 20 , 20 1 6 De c e mb e r 1 9 , 20 1 6 De c e mb e r 1 8 , 20 1 6 De c e mb e r 1 7 , 20 1 6 De c e mb e r 1 6, 20 1 6 De c e mb e r 1 5, 20 1 6 De c e mb e r 1 4 , 20 1 6 De c e mb e r 1 3, 20 1 6 De c e mb e r 1 2, 20 1 6 De c e mb e r 1 1 , 20 1 6 De c e mb e r 1 , 20 1 6 De c e mb e r 9 , 20 1 6 De c e mb e r 8 , 20 1 6 De c e mb e r 7 , 20 1 6 De c e mb e r 6, 20 1 6 De c e mb e r 5, 20 1 6 De c e mb e r 4 , 20 1 6 De c e mb e r 3, 20 1 6 De c e mb e r 2, 20 1 6 De c e mb e r 1 , 20 1 6 No v e mb e r 30 , 20 1 6 No v e mb e r 29 , 20 1 6 No v e mb e r 28 , 20 1 6 No v e mb e r 27 , 20 1 6 No v e mb e r 26, 20 1 6 No v e mb e r 25, 20 1 6 No v e mb e r 24 , 20 1 6 No v e mb e r 23, 20 1 6 No v e mb e r 22, 20 1 6 No v e mb e r 21 , 20 1 6 No v e mb e r 20 , 20 1 6 No v e mb e r 1 9 , 20 1 6 No v e mb e r 1 8 , 20 1 6 No v e mb e r 1 7 , 20 1 6 No v e mb e r 1 6, 20 1 6 No v e mb e r 1 5, 20 1 6 No v e mb e r 1 4 , 20 1 6 No v e mb e r 1 3, 20 1 6 No v e mb e r 1 2, 20 1 6 No v e mb e r 1 1 , 20 1 6 No v e mb e r 1 , 20 1 6 No v e mb e r 9 , 20 1 6 No v e mb e r 8 , 20 1 6 No v e mb e r 7 , 20 1 6 No v e mb e r 6, 20 1 6 No v e mb e r 5, 20 1 6 No v e mb e r 4 , 20 1 6 No v e mb e r 3, 20 1 6 No v e mb e r 2, 20 1 6 No v e mb e r 1 , 20 1 6 Oc t

b

e r 31 , 20 1 6 Oc t

b

e r 30 , 20 1 6 Oc t

b

e r 29 , 20 1 6 Oc t

b

e r 28 , 20 1 6 Oc t

b

e r 27 , 20 1 6 Oc t

b

e r 26, 20 1 6 Oc t

b

e r 25, 20 1 6 Oc t

b

e r 24 , 20 1 6 Oc t

b

e r 23, 20 1 6 Oc t

b

e r 22, 20 1 6 Oc t

b

e r 21 , 20 1 6 Oc t

b

e r 20 , 20 1 6 Oc t

b

e r 1 9 , 20 1 6 Oc t

b

e r 1 8 , 20 1 6 Oc t

b

e r 1 7 , 20 1 6 Oc t

b

e r 1 6, 20 1 6 Oc t

b

e r 1 5, 20 1 6 Oc t

b

e r 1 4 , 20 1 6 Oc t

b

e r 1 3, 20 1 6 Oc t

b

e r 1 2, 20 1 6 Oc t

b

e r 1 1 , 20 1 6 Oc t

b

e r 1 , 20 1 6 Oc t

b

e r 9 , 20 1 6 Oc t

b

e r 8 , 20 1 6 Oc t

b

e r 7 , 20 1 6 Oc t

b

e r 6, 20 1 6 Oc t

b

e r 5, 20 1 6 Oc t

b

e r 4 , 20 1 6 Oc t

b

e r 3, 20 1 6 Oc t

b

e r 2, 20 1 6 Oc t

b

e r 1 , 20 1 6 Se p t e mb e r 30 , 20 1 6 Se p t e mb e r 29 , 20 1 6 Se p t e mb e r 28 , 20 1 6 Se p t e mb e r 27 , 20 1 6 Se p t e mb e r 26, 20 1 6 Se p t e mb e r 25, 20 1 6 Se p t e mb e r 24 , 20 1 6 Se p t e mb e r 23, 20 1 6 Se p t e mb e r 22, 20 1 6 Se p t e mb e r 21 , 20 1 6 Se p t e mb e r 20 , 20 1 6 Se p t e mb e r 1 9 , 20 1 6 Se p t e mb e r 1 8 , 20 1 6 Se p t e mb e r 1 7 , 20 1 6 Se p t e mb e r 1 6, 20 1 6 Se p t e mb e r 1 5, 20 1 6 Se p t e mb e r 1 4 , 20 1 6 Se p t e mb e r 1 3, 20 1 6 Se p t e mb e r 1 2, 20 1 6 Se p t e mb e r 1 1 , 20 1 6 Se p t e mb e r 1 , 20 1 6 Se p t e mb e r 9 , 20 1 6 Se p t e mb e r 8 , 20 1 6 Se p t e mb e r 7 , 20 1 6 Se p t e mb e r 6, 20 1 6 Se p t e mb e r 5, 20 1 6 Se p t e mb e r 4 , 20 1 6 Se p t e mb e r 3, 20 1 6 Se p t e mb e r 2, 20 1 6 Se p t e mb e r 1 , 20 1 6 Au g u st 31 , 20 1 6 Au g u st 30 , 20 1 6 Au g u st 29 , 20 1 6 Au g u st 28 , 20 1 6 Au g u st 27 , 20 1 6 Au g u st 26, 20 1 6 Au g u st 25, 20 1 6 Au g u st 24 , 20 1 6 Au g u st 23, 20 1 6 Au g u st 22, 20 1 6 Au g u st 21 , 20 1 6 Au g u st 20 , 20 1 6 Au g u st 1 9 , 20 1 6 Au g u st 1 8 , 20 1 6 Au g u st 1 7 , 20 1 6 Au g u st 1 6, 20 1 6 Au g u st 1 5, 20 1 6 Au g u st 1 4 , 20 1 6 Au g u st 1 3, 20 1 6 Au g u st 1 2, 20 1 6 Au g u st 1 1 , 20 1 6 Au g u st 1 , 20 1 6 Au g u st 9 , 20 1 6 Au g u st 8 , 20 1 6 Au g u st 7 , 20 1 6 Au g u st 6, 20 1 6 Au g u st 5, 20 1 6 Au g u st 4 , 20 1 6 Au g u st 3, 20 1 6 Au g u st 2, 20 1 6 Au g u st 1 , 20 1 6 J u l y 31 , 20 1 6 J u l y 30 , 20 1 6 J u l y 29 , 20 1 6 J u l y 28 , 20 1 6 J u l y 27 , 20 1 6 J u l y 26, 20 1 6 J u l y 25, 20 1 6 J u l y 24 , 20 1 6 J u l y 23, 20 1 6 J u l y 22, 20 1 6 J u l y 21 , 20 1 6 J u l y 20 , 20 1 6 J u l y 1 9 , 20 1 6 J u l y 1 8 , 20 1 6 J u l y 1 7 , 20 1 6 J u l y 1 6, 20 1 6 J u l y 1 5, 20 1 6 J u l y 1 4 , 20 1 6 J u l y 1 3, 20 1 6 J u l y 1 2, 20 1 6 J u l y 1 1 , 20 1 6 J u l y 1 , 20 1 6 J u l y 9 , 20 1 6 J u l y 8 , 20 1 6 J u l y 7 , 20 1 6 J u l y 6, 20 1 6 J u l y 5, 20 1 6 J u l y 4 , 20 1 6 J u l y 3, 20 1 6 J u l y 2, 20 1 6 J u l y 1 , 20 1 6 J u n e 30 , 20 1 6 J u n e 29 , 20 1 6 J u n e 28 , 20 1 6 J u n e 27 , 20 1 6 J u n e 26, 20 1 6 J u n e 25, 20 1 6 J u n e 24 , 20 1 6 J u n e 23, 20 1 6 J u n e 22, 20 1 6 J u n e 21 , 20 1 6 J u n e 20 , 20 1 6 J u n e 1 9 , 20 1 6 J u n e 1 8 , 20 1 6 J u n e 1 7 , 20 1 6 J u n e 1 6, 20 1 6 J u n e 1 5, 20 1 6 J u n e 1 4 , 20 1 6 J u n e 1 3, 20 1 6 J u n e 1 2, 20 1 6 J u n e 1 1 , 20 1 6 J u n e 1 , 20 1 6 J u ne 9 , 20 1 6 J u ne 8 , 20 1 6 J u ne 7 , 20 1 6 J u ne 6, 20 1 6 J u ne 5, 20 1 6 J u ne 4 , 20 1 6 J u ne 3, 20 1 6 J u ne 2, 20 1 6 J u ne 1 , 20 1 6 M a y 31 , 20 1 6 M a y 30 , 20 1 6 M a y 29 , 20 1 6 M a y 28 , 20 1 6 M a y 27 , 20 1 6 M a y 26, 20 1 6 M a y 25, 20 1 6 M a y 24 , 20 1 6 M a y 23, 20 1 6 M a y 22, 20 1 6 M a y 21 , 20 1 6 M a y 20 , 20 1 6 M a y 1 9 , 20 1 6 M a y 1 8 , 20 1 6 M a y 1 7 , 20 1 6 M a y 1 6, 20 1 6 M a y 1 5, 20 1 6 M a y 1 4 , 20 1 6 M a y 1 3, 20 1 6 M a y 1 2, 20 1 6 M a y 1 1 , 20 1 6 M a y 1 , 20 1 6 M a y 9 , 20 1 6 M a y 8 , 20 1 6 M a y 7 , 20 1 6 M a y 6, 20 1 6 M a y 5, 20 1 6 M a y 4 , 20 1 6 M a y 3, 20 1 6 M a y 2, 20 1 6 M a y 1 , 20 1 6 Ap r i l 30 , 20 1 6 Ap r i l 29 , 20 1 6 Ap r i l 28 , 20 1 6 Ap r i l 27 , 20 1 6 Ap r i l 26, 20 1 6 Ap r i l 25, 20 1 6 Ap r i l 24 , 20 1 6 Ap r i l 23, 20 1 6 Ap r i l 22, 20 1 6 Ap r i l 21 , 20 1 6 Ap r i l 20 , 20 1 6 Ap r i l 1 9 , 20 1 6 Ap r i l 1 8 , 20 1 6 Ap r i l 1 7 , 20 1 6 Ap r i l 1 6, 20 1 6 Ap r i l 1 5, 20 1 6 Ap r i l 1 4 , 20 1 6 Ap r i l 1 3, 20 1 6 Ap r i l 1 2, 20 1 6 Ap r i l 1 1 , 20 1 6 Ap r i l 1 , 20 1 6 Ap r i l 9 , 20 1 6 Ap r i l 8 , 20 1 6 Ap r i l 7 , 20 1 6 Ap r i l 6, 20 1 6 Ap r i l 5, 20 1 6 Ap r i l 4 , 20 1 6 Ap r i l 3, 20 1 6 Ap r i l 2, 20 1 6 Ap r i l 1 , 20 1 6 M a r c h 31 , 20 1 6 M a r c h 30 , 20 1 6 M a r c h 29 , 20 1 6 M a r c h 28 , 20 1 6 M a r c h 27 , 20 1 6 M a r c h 26, 20 1 6 M a r c h 25, 20 1 6 M a r c h 24 , 20 1 6 M a r c h 23, 20 1 6 M a r c h 22, 20 1 6 M a r c h 21 , 20 1 6 M a r c h 20 , 20 1 6 M a r c h 1 9 , 20 1 6 M a r c h 1 8 , 20 1 6 M a r c h 1 7 , 20 1 6 M a r c h 1 6, 20 1 6 M a r c h 1 5, 20 1 6 M a r c h 1 4 , 20 1 6 M a r c h 1 3, 20 1 6 M a r c h 1 2, 20 1 6 M a r c h 1 1 , 20 1 6 M a r c h 1 , 20 1 6 M a r c h 9 , 20 1 6 M a r c h 8 , 20 1 6 M a r c h 7 , 20 1 6 M a r c h 6, 20 1 6 M a r c h 5, 20 1 6 M a r c h 4 , 20 1 6 M a r c h 3, 20 1 6 M a r c h 2, 20 1 6 M a r c h 1 , 20 1 6 F e b r u a r y 29 , 20 1 6 F e b r u a r y 28 , 20 1 6 F e b r u a r y 27 , 20 1 6 F e b r u a r y 26, 20 1 6 F e b r u a r y 25, 20 1 6 F e b r u a r y 24 , 20 1 6 F e b r u a r y 23, 20 1 6 F e b r u a r y 22, 20 1 6 F e b r u a r y 21 , 20 1 6 F e b r u a r y 20 , 20 1 6 F e b r u a r y 1 9 , 20 1 6 F e b r u a r y 1 8 , 20 1 6 F e b r u a r y 1 7 , 20 1 6 F e b r u a r y 1 6, 20 1 6 F e b r u a r y 1 5, 20 1 6 F e b r u a r y 1 4 , 20 1 6 F e b r u a r y 1 3, 20 1 6 F e b r u a r y 1 2, 20 1 6 F e b r u a r y 1 1 , 20 1 6 F e b r u a r y 1 , 20 1 6 F e b r u a r y 9 , 20 1 6 F e b r u a r y 8 , 20 1 6 F e b r u a r y 7 , 20 1 6 F e b r u a r y 6, 20 1 6 F e b r u a r y 5, 20 1 6 F e b r u a r y 4 , 20 1 6 F e b r u a r y 3, 20 1 6 F e b r u a r y 2, 20 1 6 F e b r u a r y 1 , 20 1 6 J a n u a r y 31 , 20 1 6 J a n u a r y 30 , 20 1 6 J a n u a r y 29 , 20 1 6 J a n u a r y 28 , 20 1 6 J a n u a r y 27 , 20 1 6 J a n u a r y 26, 20 1 6 J a n u a r y 25, 20 1 6 J a n u a r y 24 , 20 1 6 J a n u a r y 23, 20 1 6 J a n u a r y 22, 20 1 6 J a n u a r y 21 , 20 1 6 J a n u a r y 20 , 20 1 6 J a n u a r y 1 9 , 20 1 6 J a n u a r y 1 8 , 20 1 6 J a n u a r y 1 7 , 20 1 6 J a n u a r y 1 6, 20 1 6 J a n u a r y 1 5, 20 1 6 J a n u a r y 1 4 , 20 1 6 J a n u a r y 1 3, 20 1 6 J a n u a r y 1 2, 20 1 6 J a n u a r y 1 1 , 20 1 6 J a n u a r y 1 , 20 1 6 J a n u a r y 9 , 20 1 6 J a n u a r y 8 , 20 1 6 J a n u a r y 7 , 20 1 6 J a n u a r y 6, 20 1 6 J a n u a r y 5, 20 1 6 J a n u a r y 4 , 20 1 6 J a n u a r y 3, 20 1 6 J a n u a r y 2, 20 1 6 J a n u a r y 1 , 20 1 6

: Al l Al l : Al l Al l Al l Al l

ANY OAT Bu p r e no r p h i ne / Na l

x
n

e M e t h a d

ne

Sl

w -

R e l e a se Or a l M

r

p h i n e Di a c e t y l mo r p h i n e H y d r

mo

r p h

n

e ANY OAT Bu p r e no r p h i n e / Na l

x
n

e M e t h a d

n

e Sl

w -

R e l e a se Or a l M

r

p h i n e Di a c e t y l mo r p h i n e H y d r

mo

r p h

n

e Client Sex Al l Client Age Group Al l

Co

u n t s ma y c h a ng e d u e t

d

e l a y s i n r e p

r

t i n g t

P

h a r ma Ne t . Not es:

New OAT prescribers:

# c l i n i c i a ns i n a mo nt h p r e sc r i b i n g t h e OAT d r u g f

r

t h e f i r st t i me a s a sse sse d b y p r e sc r i p t i

n

s f i l l e d a t BC c

mmu

n i t y p h a r ma c i e s

OAT prescribers: #
f

c l i ni c i a n s i n a mo nt h p r e sc r i b i ng t h e OAT d r u g

f

i nt e r e st a s a sse sse d b y p r e sc r i p t i

n

s f i l l e d a t a BC c

mmu

ni t y p h a r ma c y

New OAT client s :

#

f

u n i q u e c l i e nt s i n a mo nt h d i sp e nse d t h e OAT d r u g f

r

t h e f i r st t i me a t a BC c

mmu

ni t y p h a r ma c y

OAT client s:

#

f

u n i q u e c l i e nt s i n a mo nt h d i sp e nse d t h e OAT d r u g

f

i n t e r e st a t a BC c

mmu

ni t y p h a r ma c y

(–) ANY OAT:

# u n i q u e c l i e nt s/ p r e sc r i b e r s i n a mo nt h w i t h a d i sp e nsa t i

n

f

r

ANY

f

t h e f i v e d r u g s. 20 1 5- 1 2 20 1 6- 2 20 1 6- 4 20 1 6- 6 20 1 6- 8 20 1 6- 1 20 1 6- 1 2 20 1 7

2

20 1 7

4

20 1 7

6

20 1 7

8

20 1 7

1

20 1 7

1

2 20 1 8

2

20 1 8

4

20 1 8

6

20 1 8

8

OAT P r e sc r i b e r s 20 4 60 8

OAT Prescribers

20 1 5- 1 2 20 1 6- 2 20 1 6- 4 20 1 6- 6 20 1 6- 8 20 1 6- 1 20 1 6- 1 2 20 1 7

2

20 1 7

4

20 1 7

6

20 1 7

8

20 1 7

1

20 1 7

1

2 20 1 8

2

20 1 8

4

20 1 8

6

20 1 8

8

OAT Cl i e n t s K 5K 1 K 1 5K 20 K

OAT Client s

Op i

i

d Ag

ni

st T h e r a p y ( OAT ) Cl i e n t s a n d P r e sc r i b e r s

Opioid Agonist Treatment (OAT) Uptake in BC

SLIDE 6

The Paradox of Prohibition

SLIDE 7

SLIDE 8

Epistemology: “How We Know What We Know”

‘Epistemic Trust’ – “Accepting a claim based
n the assumption that the claimant is a

reliable source” – a key determinant of our knowledge

Harding, J. The Role of Trust in Knowledge, J. Philos. 1991: 88-093-708
“Scientific evidence operates within a

constellation of social influences” that guide personal tensions and policy formulation

MJ Goldenberg PWD. CMAJ. 2019 Apr 8; 191:E3978

SLIDE 9

An Epistemic Curve

Policy paralysis Inertia Stigma

SLIDE 10