News

Conference 2017- Program Schedule-at-a-glance RELEASED!

Facing a Changing World

Transformative Leadership & Practice

 

It has been an insanely busy few weeks for us here at the Public Health Association of BC, but we are excited to announce the release of our conference program at a glance! This year’s conference, Facing a Changing World: Transformative Leadership and Practice,” will give delegates the opportunity to attend plenary sessions, oral presentations, poster presentations and workshops where they will learn about transformative leadership and practice through a variety of subtopics (including Child & Youth Health, Immigrant & Refugee Health, Indigenous Health, and Healthy Built Environment-Planetary Health).

Other presentations, including a plenary session with MHO’s from around the province, will focus on the current public health emergency in BC including what is needed to address the opioid overdose crisis and how we can use transformative leadership and practice to create innovative solutions.

Check out the schedule of events below or go to our events page for the most up to date conference information. Be sure to register soon to secure your spot at BC’s premier public health event of the season!

BC Needs an OPIOID ACTION PLAN: Open Letter to the Government of BC

Click here to see the complete, signed letter

October 30th, 2017

Open Letter to the Government of British Columbia:

BC Needs an OPIOID ACTION PLAN

 

Since April, 2016 when the epidemic of opioid overdose deaths was declared a ‘Public Health Emergency’ by the Provincial Health Officer for BC, a new government has been elected. A Ministry for Mental Health and Addictions has been created with a Minister appointed to lead the development of a response to the opioid issue with a $325 million budget.

The causes of this epidemic are complex:

  • Large numbers of individuals and families with inadequate income, housing, food, employment, social supports, etc. who are living with hopelessness, stress and despair and dying more frequently from opioids, other drugs, alcohol, tobacco and violence.
  • The promotion of opioids by pharmaceutical companies for pain relief and the willingness of physicians to prescribe them, coupled with inadequate resources for mental health, addiction treatment and non-opioid pain relief.
  • Opioid and other substance use as self-medication for relief from stress and the effects of physical, emotional and sexual abuse.
  • Street drug supplies in which fentanyl and analogues are ubiquitous and inconsistently mixed so that lethal doses are unavoidable. Fentanyl was detected in 80% of recent overdose deaths in BC.

 

While not all people who use drugs come from a background of deprivation, opioid addiction frequently begins and ends in desperation: homelessness, poverty, unemployment, crime, chronic poor mental and physical health, chronic physical and emotional pain and an untimely death. Therefore the broad issues of poverty, homelessness, food security, education, early childhood and youth development, employment and the other social determinants of health (SDOH) must be addressed in the plan.

We recommend a public health approach to this challenge: a comprehensive review of the issue and the generation of strategic interventions addressing the multiple causal factors.

In BC, we have a crisis: in Europe a rate of 2 overdose deaths/100,000 population /yr. is considered ‘a major crisis’ 1, the US is considered to have the highest overdose death rates in the world2 at about 20/100,0003; BC is at 31/100,0004 and Vancouver at 57/100,0004, about   4-5 overdose deaths/day. (Vancouver is the epicentre for Canada; in the US, hotspots like Virginia have death rates as high as 90/100,000). “BC continues to experience unprecedented…overdose deaths and more action is needed5.

 

Now we need a BC OPIOID ACTION PLAN to urgently address this crisis based on the following:

  • Destigmatize & decriminalize drug use and addiction – people dependent on drugs should be treated with the same dignity and respect as patients suffering from any other chronic illness requiring clinical care (e.g. diabetes, heart disease), regardless of race, gender or age.
  • Security – Provide people who are dependent on opioids with pharmaceutical opioids as part of the medical treatment of opioid addiction so they don’t have to self-medicate with illicit street drugs contaminated with toxic ingredients; and they are brought into a comprehensive, secure and supportive therapeutic clinical setting as described below.
  • Economics – it is cheaper to treat opioid addiction with appropriate clinical care and SDOH supports than to leave patients untreated, leading to much higher expenditures related to crime, violence, policing, courts, jails, prison, ambulances, ER visits, hospitalizations and so forth. Some estimates calculate about $35,000 per patient/year for treatment vs. as much as $100,000 per patient/yr. left untreated.

Coordinated action will be needed by all levels of government (federal, provincial and municipal) with/by Health Authorities:

The following actions are presented to be consistent with the 4 Pillars in the new Canadian Drug and Substances Strategy6 :

 

Pillar 1: Prevention

Given that opioid addiction is a ‘disease of despair’ coordinated action is needed by all levels of government to address the SDOH (poverty and homelessness, etc.) and socioeconomic inequity through strategies with legislated goals, budgets and timelines.

 

Pillar 2: Harm Reduction

Many of these actions have been initiated but need expansion:

  • Make Naloxone more available: ‘take home’ supplies and the expanded use of nasal spray format (for first responders uncomfortable with injections).
  • Explore and evaluate drug checking programs to establish the evidence for drug checking as an intervention to prevent overdoses and deaths.
  • Expand the availability of supervised consumption (injection) services (SCS) for those continuing to use illicit street drugs.
  • Explore, legislate and institute permanent Overdose Prevention Service (OPS) models, especially in settings which do not have the resources for full SCS.
  • Expand the availability of non-opioid pain care services (non-opioid medications, myofascial release treatment, etc.)7.

 

Pillar 3: Opioid Addiction Treatment

  • Develop comprehensive, integrated opioid addiction treatment centres staffed with addictions specialists that include:
    • Baseline care with options for injectable or oral pharmaceutical opioids, including Suboxone, methadone, diacetylmorphine (heroin), hydromorphone (Dilaudid) and oral slow release morphine. Experience has shown that for most patients, Suboxone or methadone will meet their needs, but for a small minority these other options are required. Oral opioid antagonists such as naltrexone may also be considered. As these medications will be prescribed by physicians with addictions training, clinical judgement will ensure that the most cost-effective and appropriate medication will be prescribed.

This approach is recommended for several reasons:

  • The provision of pharmaceutical opioids in a therapeutic setting has been shown in a number of jurisdictions to virtually eliminate infectious diseases (hepatitis and HIV) and overdose deaths related to opioid use (as patients are no longer consuming illicit street drugs contaminated with toxic materials such as fentanyl or infectious agents).
  • To maximize the goal of replacing the toxic illicit drug market as the primary source for people not yet in addiction treatment, pilot and evaluate several low threshold Public Health Access to Safer Opioids programs delivered through a wider array of points of service including clinics, community health centres and harm reduction programs.
  • When pharmaceutical opioids are widely available, the criminal street market is largely eliminated and much public expenditure avoided.
  • And when brought into a secure, supportive therapeutic setting these patients can be supported with SDOH interventions, counselling and so forth as below.
  • SDOH supports for individual patients: income, housing, food, social support, education and others.
  • Integrated primary health care for treating co-morbidities (mental illness, chronic pain, hepatitis, HIV, cardiovascular disease, diabetes) and other addictions (alcohol, tobacco).
  • Counselling and psychosocial supports (e.g. 12 steps) and supportive residential care to enable transition from opioid treatment with heroin, hydromorphone, etc. to methadone or Suboxone and, when possible, to abstinence.
  • Training and education for employment such as peer counselling or as appropriate to past education, training and work experience.
  • For some, eventual abstinence and return to family, community and work.

 

Pillar 4: Enforcement

Possession of small amounts of drugs for personal use should be decriminalized.  Treating people as criminals contributes to their ongoing stigmatization and leads to social isolation and solo drug use without supportive peers and access to naloxone and other emergency measures and thus contributes to the epidemic of opioid deaths. Decriminalization can be implemented more quickly through local police procedural change and does not need the lengthy legal and legislative processes to achieve legalization of opioids.

  • Opioid addiction treatment should be made available in all Corrections facilities.

 

The development of pain care and opioid addiction treatment teams will take some time and budget and will be best developed through a ‘collective impact’ approach at the local community level with funding from the Ministry for Mental Health and Addictions. Many of the Harm Reduction actions can be implemented quickly and help to immediately save lives. Developing poverty reduction and homelessness strategies will take more time but are of paramount importance to the long term solution of opioid addiction.

The above actions need to be supported by a better system of data collection, linkage, analysis, sharing and reporting, that allows the tracking (anonymous) of the therapeutic progress of patients (as has been done for HIV patients) so that the effectiveness of therapeutic interventions can be assessed. This will be critical to an evaluation plan that includes clinical outcomes, destigmatization measures and cost-effectiveness of programs to drive continuous quality improvement.

We are encouraged by the steps already taken by the BC and federal governments and BC Health Authorities and stand ready to assist in any way to quickly develop and implement an OPIOID ACTION PLAN.

 

 

Respectfully,

 

Dr. Gord Miller, President

Public Health Association of BC

 

Trish Garner, Community Organizer

Poverty Reduction Coalition

 

Adrienne Montani, Provincial Coordinator

First Call: BC Child and Youth Advocacy Coalition

 

Donald MacPherson, Director

Canadian Drug Policy Coalition

 

Seth Klein, Director

Canadian Centre for Policy Alternatives – BC Office

 

Judy Willows, Board of Directors

Community Legal Assistance Society

 

Benita Ho, Chair

DTES Neighbourhood House

 

 

 

 

References:

  1. 7 Countries That Beat an Overdose Crisis. Anderson, K. and Smith, A. The Fix, May 19, 2017.
  2. America Leads the World in Drug Overdose Deaths: data from United Nations Office on Drugs & Crime, June, 2017
  3. US National Center for Health Statistics data, June, 2017.
  4. Illicit Drug Overdose Deaths in BC. Coroners Service, Sep 7,2017
  5. Responding to BC’s Opioid Overdose Epidemic. Ministry of Mental Health & Addictions, Sept., 2017
  6. The new Canadian Drugs and Substances Strategy. December 12, 2016
  7. Guideline for opioid therapy and chronic non-cancer pain. Busse, JW et al. Canadian Medical Association Journal, May 8, 2017.

School Grant – Expanding Farm to School in BC – Closes December 1

Expanding Farm to School in BC Grant 2017

 

Farm to School BC (F2SBC) is a school-based initiative that connects K – 12 public, First Nations, and independent schools, communities and local farms, with a goal to ensure that children have access to fresh, local and sustainable foods while at school. Farm to School BC has three core elements: 1) healthy local foods; 2) hands-on learning and; 3) school-community connectedness. The program is supported by the Province of British Columbia and the Provincial Health Services Authority and administered by the Public Health Association of BC (PHABC). Farm to School (F2S) activities may differ by school, but are always directed towards a common goal- more healthy local foods on the plates, minds and bellies of all students.

 

Does your school want to (but not limited to):

  • Purchase new refrigeration system for cooking or preservation?
  • Start a salad bar?
  • Buy equipment to support sustainable school-based agriculture practices involving school gardens, micro green system, or other forms of cultivating food?
  • Take students out on field trips to your local farmer’s market, farms and other agriculture-based settings to educate students about our local food environment?
  • Plant native plants, build medicine wheels, harvest traditional foods, and connect with elders and knowledge keepers?

 

Apply for our grant!

F2SBC 2017 Expansion Grant Application Form

 

 

Eligibility criteria

  • Must be a K- 12 public, first Nations or independent school located in BC (If you are from a school in Vancouver School Board, please apply for Think&EatGreen@School Small Grant Application 2017-18)
  • Demonstrate willingness to partner and collaborate with the local organizations, and community members to strengthen the F2S Team (see question 8).
  • Commitment to a working team of at least 3 people to build and expand the Farm to School program at your respective school.

 

Exclusion criteria

  • If you are currently holding another active Farm to School grant, you are not eligible to receive this grant (i.e., Farm to School Grant 2016, Farm to Cafeteria’s Salad Bar Grant).

 

To apply

Complete the application form and email it to prov.manager@farmtoschoolbc.ca.

 

Deadline

Applications must be received no later than Friday, December 1, 2017 at 11:59pm PST. Schools will be notified about the status of their application by Wednesday, December 20, 2017. Please direct any questions you have to prov.manager@farmtoschoolbc.ca.

 

For more information about our program, please visit our website at: www.farmtoschoolbc.ca. To read short stories from previous recipients of Farm to School grants, please go to: www.farmtoschoolbc.ca/category/start-up-grant-series/.

October 15-21, 2017 is Teen Driver Safety Week!

Teen Driver Safety Week

October 15 – 21, 2017

 

Get Home Safe

 

Being a teenager is an exciting time in one’s life, and learning to drive can be both exciting and challenging.

 

While encouraging teens to hit the road, the BC Injury Research & Prevention Unit (BCIRPU) would like to remind everyone that young driver (aged 16-25) safety is a significant issue in BC. Youth are overrepresented in all road-related injuries and deaths.

 

Statistics show that on average each year in BC,

  • 28 young drivers die as a result of a Motor Vehicle Crash;
  • 71 people die from crashes involving young drivers;
  • 32,000 crashes where at least one youth (16 to 21) is involved (drivers and passengers)
  • Speeding, driving while impaired (by drugs or alcohol) and distracted diving (by texting or using other electronic devices) are main reasons for a large number of these injuries and deaths.

 

The good news is that these injuries are predictable and can be prevented through evidence-based interventions.

 

Here are a few Teen Driver Safety Week reminders for all of us:

  1. Mind your speed and exercise patience
  2. Don’t take drugs and drive
  3. Don’t drink and drive
  4. Have a designated driver when you party
  5. Don’t text and drive

 

For more resources on teen driver safety, please see the links below:

Young drivers: a population at risk – BCIRPU Injury Insight

ICBC’s tips for teaching your teen to be a safe driver

Encourage your friends and family to share this message through newsletters, websites, and social media. For more information on National Teen Driver Safety Week 2017, visit http://www.parachutecanada.org/NTDSW. Share your safety tips and posts on social media with the hashtag #GetHomeSafe.

Conference 2017 – Preliminary Schedule Released!

Facing a Changing World:

Transformative Leadership and Practice

November 16th & 17th, 2017 – Vancouver, BC

 

We are pleased to share with you our preliminary schedule for the 2017 conference, Facing a Changing World: Transformative Leadership and Practice. Along with plenary sessions focused on the four main sub-themes; Child & Youth Health, Indigenous Health, Immigrant & Refugee Health, and Planetary Health-Healthy Built Environments, there will be oral presentations and workshops dedicated to transformative leadership and practice in all aspects of public health. Please click here to view the schedule or check it out below

Our Scientific Program Committee is hard at work reviewing the abstracts as we speak. If you submitted one, keep an eye on your inbox! A representative from the committee will be in touch on October 18th, 2017 regarding your proposal. Good luck to everyone who submitted an abstract!

The final schedule will be avaliable on October 26th, 2017.

On the morning of November 16th, 2017 we will be hosting Medical Health Officers from across BC in a plenary session dedicated to the opioid crisis. The rise in drug overdoses and deaths has affected all British Columbians in some way and on Thursday April 14th, 2016, BC’s provincial health officer declared a public health emergency in response to this crisis. Since the declaration, a myriad of new programs and initiatives have been developed to fight back. In this plenary session we will be exploring what has been done, what still needs to be done and how transformative leadership and practice can help inform innovative solutions. Stay tuned! We will announce the panelist’s in the final schedule.

If you haven’t already registered, click here to reserve your spot at BC’s premier public health event!

If you are a current PHABC member and are interested in attending the conference but have financial limitations please consider volunteering, we are in search of a few people to act as room attendants, note takers and registration booth attendants. Please email our events coordinator at staff@phabc.org if you are interested in a volunteer position.

We hope to see many of you in Vancouver this November!

 

November 16th, 2017 7:30am – 5:00pm

Time

Event

Room

7:30am – 8:30am Registration
Breakfast
Entrance Hall
Le Versailles
8:30am-8:45am Aboriginal Welcome & Opening Plenary Le Versailles
8:45am-9:05am Transformative Leadership Plenary Le Versailles
9:05am-10:00am Child and Youth Plenary Le Versailles
10:00am-10:30am Wellness & Coffee Break
10:30am-11:00am Immigrant and Refugee Plenary Le Versailles
11:00am-12:00pm Opioid Crisis Plenary Le Versailles
12:00pm-1:00pm Lunch & Annual General Meeting Le Versailles
1:00pm-2:00pm Oral Presentations Château Oliver
Château Mouton Rothschild
Château Margaux
Chateau Belair
Salon Renoir
2:00pm-3:30pm Workshops Château Oliver
Château Mouton Rothschild
Château Margaux
Chateau Belair
Salon Renoir
3:30pm-5:00pm Networking Event & Book Release
Exhibitor Booths
Château Lafite
Entrance Hall

 

November 17th, 2017 7:30am – 4:30pm

Time

Event

Room

7:30am – 8:30am Registration
Breakfast
Entrance Hall
Le Versailles
8:30am-8:45am Aboriginal Welcome & Opening Plenary Le Versailles
8:45am-10:00am Indigenous Health Plenary Le Versailles
10:00am-10:30am Wellness & Coffee Break
10:30am-12:00pm Oral Presentations Château Oliver
Château Mouton Rothschild
Château Margaux
Chateau Belair
Salon Renoir
12:00pm-1:00pm Lunch
Poster Sessions
Le Versailles
Château Lafite
1:00pm-2:00pm Healthy Built Environments Plenary Le Versailles
2:00pm-3:30pm Workshops Château Oliver
Château Mouton Rothschild
Château Margaux
Chateau Belair
Salon Renoir
3:30pm-4:00pm Wellness & Coffee Break
4:00pm-4:30pm Conference Closing Plenary Le Versailles