the take home naloxone program in british columbia, canada erin gibson, despina tzemis, jane buxton...
TRANSCRIPT
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
2
Who we are
3
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
4
Needles/Syringes
5
www.towardtheheart.com/naloxone
6
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.
7
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.
8
9
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.
10
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
11
Sites taking partVancouver City-Insite-SALOME-VANDU-Vancouver Detox (soon)
Interior BC-Vernon-Nelson-Kamloops
12
Legal Opinion▫Health Canada▫Ministry of Health▫PIVOT legal▫Ethicists▫Canadian Medical Protection
Association
13
Program to date…
•300 kits sent to sites•~80 prescriptions returned•~6 OD reversals to date•Focus groups/interview with stakeholders
14
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]
16