Toronto: Crack kits edge closer to reality

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Crack kits edge closer to reality

Toronto's board of health yesterday approved a controversial new drug strategy, despite the pleas of residents who oppose plans to distribute crack pipes to junkies and pursue safe injection sites.

The board, which includes six city councillors, voted unanimously for the plan. It must now be approved by city council, which will vote on it this month or next.

Councillor Kyle Rae, who led the strategy advisory committee, said most of its 66 recommendations are not controversial. But he argued the city must explore measures like safe injection sites along with proposals to fight drug crime, expand treatment services and develop prevention campaigns.

"Harm reduction is not the solution. It's not a panacea," Mr. Rae said. "But it is a part of the solution."

The committee heard divided opinions on the plan, which would hand out "safer crack use kits," containing sterile pipes and other paraphernalia.

Linda Dixon, a Regent Park resident, displayed a pile of syringes and disposable crack pipes that she collected within 100 metres of Nelson Mandela elementary school. Alongside the paraphernalia were pamphlets and matchbooks featuring the Toronto Public Health logo, she said. Ms. Dixon argued more needles and pipes will litter the streets if the city implements the drug strategy.

"There's no such thing as a needle exchange program," she said. "They pick up needles; they never turn old needles in."

The plan includes the creation of a 24-hour crisis centre for addicts, a restriction on the number of liquor licences in a single neighbourhood and support for marijuana decriminalization.

The plan also calls for the creation of a permanent committee to implement the strategy and study the introduction of safe-injection and safe-inhalation sites such as those introduced in Vancouver.

"There is no such thing as the safe use of crack," said Suzanne Edmonds, president of the Corktown Residents and Business Association, who also opposed opening safe injection sites. "These places should be called harm production sites, not harm reduction sites."

Howard Bortenstein, another resident, alleged the drug strategy was skewed in favour of harm reduction programs because its advisory committee was composed of outreach groups and medical workers.

"The strategy's development process was dominated by insiders and lobbyists," Mr. Bortenstein said, adding later, "These lobbyists have received grants, funds or contracts from the city of Toronto or are likely to receive grants, funds or contracts for projects or services within the scope of the strategy."

Neighbourhood groups were not adequately consulted, Mr. Bortenstein added.

"There was no evidence that a single business or neighbourhood association was consulted -- or even asked -- for their input during the first 16 months of the initiative," he said.

Peter Selby, clinical director of the Centre for Addiction and Mental Health, said harm reduction programs such as safe crack kits are a useful first step in encouraging drug users to seek treatment.

"People who come into those programs most often end up in addiction treatment programs after the fact," Dr. Selby said. "We need to meet people where they're at, rather than where they should be."

Barb Panter of the Safer Crack Use Coalition said the safe crack kits also reduce the risk of disease transmission between drug users. "When we are able to educate our clients, we enable them not to become another statistic --another overdose death, another HIV-positive drug user, another homeless person," Ms. Panter said.

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Crack kits edge closer to reality
Drug strategy approved


James Cowan
National Post
October 25, 2005

http://www.canada.com/national/nationalpost/news/toronto/story.html?id=65e6ba69-65c2-42fb-9c58-5094ed402094
 
"advisory committee was composed of outreach groups and medical workers."

good god,those people have no buisness dealing with addicts.
 
^^^I've never used crack, but I know Hepatitis C can be spread through sharing things like crack pipes or coke straws. Most seem to think it's just needles that spread Hep C but pretty much any drug paraphenalia can spread the virus.
 
Delta9 said:
^^^I've never used crack, but I know Hepatitis C can be spread through sharing things like crack pipes or coke straws. Most seem to think it's just needles that spread Hep C but pretty much any drug paraphenalia can spread the virus.

Really? Can you get Hepatitis C from kissing then?
 
^ I don't think so. Hep C is extremely risilient virus. I don't have a source but I remember reading you have to expose it to extremely high temps (for a minute or two) to kill it. Hell, even in bleach i think it takes a minute or two to kill it.

On the actual story: I don't believe any of these motives to help crack addicts will help. (free pipes). I think they need to focus on a plan that actually lowers chances od transmission -- needle exchanges. When they were talking about needle exchanges in this article, I wonder if they were talking about shooting crack, or heroin. from what I hear, heroin is particularly difficult to obtain in toronto, but im not canadian, so rheres a good shot im wrong.
 
I've recently been taken on as peer outreach with one of the organizations inovlved. It has actually taken a lot of red tape and work from those involved to get the SCUK (safe cruck use kits) availabe. Although some places had already been doing so before (until it was specifically noted), now SCUK will be available even from the van's run by one of Toronto's harm reduction teems, in which users may call to drop off and pick up needles and other injection supplies by meeting them somewhere within a core vicinity of the city.

Between all of the different organizations who do needle exchange in Toronto, you can obtain needles (terumo insulin and tuberculin, BD insulin), sterile water ampoules of 10 ml, cotton filters (dental), tourniquets, alcohol swabs, and even vein cream (containing shark liver oil, vit E, polymyxin B, petroleum jelly, etc). ALSO if you really know where to look, small quantities of both Stericups (sterile stainless steel cookers), and Sterifilts (syringe driven polypropylene membrane filters).
 
I'm curious about the spread of Hep C, I was under the impression that only direct contact with infected blood could spread the virus. How can you get Hep C from a crack pipe?
 
Hep C is not found in saliva but is present in blood. So kissing or letting someone take a drag off your cigarette normally wouldn't transmit it. But the virus is resilient and only needs very small amounts to be passed from person to person, so if you have sores on your lips (like some crack addicts do), then sharing a crack pipe could spread the virus due to indirect contact with infected blood.
 
The problem isn't really the sharing of pipes. It's that a lot of people smoke out of dangerous improvised pipes, causing cut and burnt lips and mouths, and then are living in in unclean conditions and/or giving blowjobs.

Toronto police are quite well known for assaulting prostitutes and street people and wrecking their kits. It'd be better if people could just carry decent pipes with them but at the moment it only leaves them open to harrassment.

As for the process of this report, it was really quite open. I promoted it on bluelight as it was happening. There were public talks as well as a very good online survey.
 
just the title of that thread caught my eye, and then, I was like ... wow man thats gonna be wild. I'm emailing that to myself right now to save.. heheh..
 
PHP:
advisory committee was composed of outreach groups and medical workers


who else do you think will do it? Your average active addict? you may be surprised how many people (especially in the harm reduction realm) are there for a reason and have a lot of knowledge to share.
 
you can buy crack-pipes in pretty much any gas station or corner store in most cities. you know, the little plastic flower in the glass tube? Hell, you could make a crack pipe with a car antenna or any other hollow tube. I dont see why they have to give them away...
 
I dunno how much this is gonna help. When a crackhead's fiending for a toke, they're most likely to use whatever's there.
 
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