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The Take Home Naloxone Program in British Columbia, CanadaErin Gibson, Despina Tzemis, Jane BuxtonBC Centre for Disease Control Harm Reduction [email protected]: towardtheheart.com
Outline
•Background•The BC Harm Reduction Program•BC Take Home Naloxone (THN) Program•Questions
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Who we are
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BC Harm Reduction Program• BC CDC coordinates:
▫ Harm Reduction Strategies and Services Committee▫ Drug Overdose and Alert Partnership Committee
• Committees: ministry of health , health authorities, first nations input, & people who use drugs, among other stakeholders.
• What we do:▫ Develop evidence-based policies ▫ training resources ▫ proper messaging & distribute safer drug use supplies▫ develop programs to address needs in the community
www.towardtheheart.com
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Needles/Syringes
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www.towardtheheart.com/naloxone
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Background: Overdose (OD) in BC
• Opioid OD is a public health concern in BC• BC Coroner’s Service reported 275 deaths were attributed to drug overdose
(2011)• A cluster of drug overdose deaths were associated with high purity heroin (2011)• 70 deaths were attributed to prescription opioid medication (2009)
• Opioid OD death can be prevented by using naloxone (also known as Narcan®).
• Naloxone is an opioid antagonist that works to reverse the effects of an opioid OD
• Take Home Naloxone (THN) Programs worldwide: US, Canada, UK, Estonia, Russia, Afghanistan, Cambodia, Australia and Africa
• Four programs in Canada: Edmonton (2005), Toronto (2011), Ontario (2012), and BC (2012)
• BC is unique because naloxone is a prescription only medication (POM). Naloxone is not available on PharmaCare.
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The BC THN program• The BC THN program webpage is a one-stop-shop.
• Information includes:
• FAQs
• Program Implementation guidelines
• Training resources (including videos)
• Program evaluation materials
• And much more! Visit: www.towardtheheart.com
• Sites in taking part in the BC THN program need to identify: an educator, prescriber, and a dispenser.
• The BCCDC provides the naloxone kits to THN sites.
• Copies of the: training attendance sheet; naloxone prescriptions; dispensing forms, and client administration form are faxed back to the BCCDC.
• All kits dispensed have a tracking number: important for program evaluation.
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The BC THN program• The BC THN program webpage is a one-stop-shop.
• Information includes:
• FAQs
• Program Implementation guidelines
• Training resources (including videos)
• Program evaluation materials
• And much more! Visit: www.towardtheheart.com
• Sites in taking part in the BC THN program need to identify: an educator, prescriber, and a dispenser.
• The BCCDC provides the naloxone kits to THN sites.
• Copies of the: training attendance sheet; naloxone prescriptions; dispensing forms, and client administration form are faxed back to the BCCDC.
• All kits dispensed have a tracking number: important for program evaluation.
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Each Kit Contains:
• 2 glass amps of 0.4mg/ml naloxone • wrapped in gauze inside a pill bottle• Label includes prescription info
• 2 retractable VanishPoint® safety syringes
• 3cc – 25g x 1”
• 2 alcohol swabs
• 2 latex gloves • One-way rescue breathing barrier mask • THN Administration Information Form
• Steps to respond to opioid overdose
Recovery Position
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Sites taking partVancouver City-Insite-SALOME-VANDU-Vancouver Detox (soon)
Interior BC-Vernon-Nelson-Kamloops
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Legal Opinion▫Health Canada▫Ministry of Health▫PIVOT legal▫Ethicists▫Canadian Medical Protection
Association
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Program to date…
•300 kits sent to sites•~80 prescriptions returned•~6 OD reversals to date•Focus groups/interview with stakeholders
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Thank you!
• Acknowledgements• All the sites taking part in the BC THN program• Our community board and those who helped/consulted with us• Folk at the BC CDC who support this program
• Questions?
• Contact information: [email protected]
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