Homeless in Vancouver: Fentanyl, overdoses, and the Fairview neighbourhood
At least 29 of the overdose deaths in Vancouver from street drugs in 2014 have been linked to the increasingly common practice on the part of some drug dealers of cutting street drugs with fentanyl, a ridiculously potent synthetic opioid.
Vancouver police say they are finding fentanyl mixed into most if not all drugs that can be found on the street: heroin, cocaine, Oxycodone, and even marijuana.
Health officials and police are especially concerned how fentanyl adulteration increases the risk of overdose for casual and recreational users of street drugs because this group of users has nowhere near the tolerance to opioids that serious drug addicts build up.
When officials talk about recreational drug users, they don’t mean the drug addicts living in the Downtown Eastside or among the homeless population; they mean the regular folk, young and old, who far outnumber the addicts and live all over Vancouver.
To warn these users, the Vancouver Police, in conjunction with provincial health authorities, have launched a six-month fentanyl education campaign which includes both Facebook ads and a website called Know Your Source?
Fentanyl: a cut above other narcotics
Fentanyl is a synthetic opioid painkiller widely used in clinical practice as both an anesthetic and to manage chronic pain (usually in the form of a patch). It is fast-acting and much more powerful than natural opiods—maybe 100 times more potent than morphine and up to 20 times more potent than heroin.
It’s also odourless and tasteless, making it undetectable when it’s used as a filler to cut street drugs.
Earlier in March, B.C. Coroners’ Service data was widely publicized showing that fentanyl was a likely contributing factor in perhaps a quarter of the 300 illicit drug overdose deaths in British Columbia in 2014.—and, as I mentioned at the top, in 29 overdose deaths in Vancouver.
Overdoses even seem to be more common on my side of False Creek—the south side, which is a distance removed from the Downtown Eastside.
I personally know of two overdoses in the Fairview neigbourhood within the space of the last week; well, one I’m almost certain was a methadone overdose in a Fairview McDonald’s and the other definitely was a heroin overdose in a Fairview back alley—heroin laced with fentanyl, I was told.
“I stopped breathing, man!”
Two days ago, this other binner in a Fairview back alley, homeless like myself, asked me what time it was, adding—seemingly apropos of nothing—that it sucked to lose your backpack.
Indeed.
It developed that during the previous evening, when paramedics had rushed him to a hospital, they had left his backpack behind in his shopping cart.
“Were you in medical distress or simply passed out?” I asked him, assuming he had been drunk.
“I stopped breathing, man!” he declared emphatically before launching into a recitation of the controlled substances he had consumed, leading up to his doing a point (of heroin).
Next thing he knew, he said, he opened his eyes to the sight of a young kid (a paramedic) telling him that he’d stopped breathing.
He told me that he’d been told that the heroin had been laced with fentanyl.
A wake-up call for the South Granville area
Last Friday (March 6) in the late afternoon, B.C. Ambulance Service paramedics were called to the McDonald’s in the 1400 block of West Broadway Avenue to attend to a man who couldn’t be woken up.
When I first noticed the man sitting towards the back of the sparsely occupied restaurant, I was startled by the sight of him. He was sitting up but leaning far to his right side and his head wasn’t being held up by his neck; it was being held up by the back of a chair that someone had thoughtfully arranged for that purpose.
I went over to him and could see that he was clearly unconscious but that he was definitely breathing.
He had seemingly just nodded off at his table halfway through sipping his smoothie; his two cheeseburgers and one apple pie sat untouched in their boxes. His cowboy hat was sitting on the table, presumably placed their by the person who had positioned the back of the chair under his lolling head (unless he was the well-mannered sort who took off his hat before eating).
I went to the counter and asked a store manager what was going on and they explained that they had tried but that they couldn’t wake the fellow up. There was little concern, though; the man was a regular customer who had fallen asleep in the restaurant several times in the past.
It was okay, the manager explained to me, the man was snoring.
It wasn’t okay, I explained to the manager, not if they couldn’t wake him up. I asked her to please call an ambulance right away and she did.
Three of the other customers in the restaurant were also becoming very concerned about the man and one of them called 911.
Over the phone, an emergency operator asked the McDonald’s manager to double check the fellow’s breathing, which she did, and from then until the ambulance arrived I gently held the fellow’s head in an upright position.
I had time to reflect on his haircut and his cleanliness as well as the quality of both his tanned leather jacket and his cowboy hat (he certainly wasn’t living rough on the streets). I noted that he wasn’t snoring anymore and that his breathing was obvious but shallow. While he wasn’t ice cold to the touch, he wasn’t particularly warm either and his face had a waxy, washed-out look to it.
And then a paramedic was by my side, reaching for the man’s head and two more paramedics were behind him.
In less than 10 minutes the man was conscious enough to talk to the paramedics. He managed to tell them his name at least. And as the paramedics discussed his treatment, the word methadone occurred at least once.
Ultimately the fellow was packed onto a stretcher and taken by ambulance to St. Paul’s Hospital in downtown Vancouver.
The paramedics were so calm that the incident hardly presented as the emergency.
Had the man suffered a methadone overdose? Some intravenous drug users I spoke to later said that it certainly sounded like he had.
He displayed many of the early signs of an overdose as listed on the Know Your Source? fentanyl awareness website:
Comments
1 Comments
Hermesacat
Mar 13, 2015 at 3:37am
The dangers of ODs from fentynal-tainted street drugs illustrate how prohibition laws only serve to make drugs more, not less, dangerous due to uncertainty of composition & dosage of unregulated black market drugs. We had far fewer "drug problems" in my own grandparents' youth when heroin, morphine, opium, cocaine, & cannabis could all still be bought legally over the counter.
Interesting how McDonalds is mentioned here as junk food abuse/ obesity related diseases (heart disease, cancer, diabetes) kill as many Canadians each year as does smoking, i.e. a staggering 40K - 50K, diseases illicit drugs do not cause. All illicit drugs combined could never come close to causing such carnage. In contrast, when properly & hygienically dosed, opioid drugs do virtually zero damage to the body.
A relatively small proportion of sudden drug OD deaths often provokes shock & horror. And drugs, instead of prohibition laws, get blamed. Meanwhile, a much higher proportion of tens of thousands of often painful & slow obesity deaths cause eyes to glaze over as people find it far easier to downplay mass deaths-by-junk-food, while death-by-opioid-OD provokes anti-drug, pro-drug war hysteria. Huh? End the failed, irrational, counterproductive, hypocritical war on drugs.