A vigil is seen here at ANKORS in Nelson during International Overdose Awareness Day in August 2020. Six people died of overdoses last year in the city. Photo: Tyler Harper

A vigil is seen here at ANKORS in Nelson during International Overdose Awareness Day in August 2020. Six people died of overdoses last year in the city. Photo: Tyler Harper

Six people died of overdoses in Nelson in 2020

Castlegar and Trail each had three deaths

The worst year of the overdose crisis resulted in the most fatalities recorded in one year in Nelson.

Six people died in Nelson last year of what the BC Coroners Service describes as suspected illicit drug toxicity, while three people also died in Castlegar and Trail, respectively.

That’s the most in Nelson since the crisis began in 2016.

Typically the coroners service has not provided overdose death data in what it refers to as smaller communities due to privacy concerns.

But the service agreed to a request by the Nelson Star to make the statistics available after it announced 1,716 British Columbians had died from drug overdoses in 2020.

The crisis was first declared in 2016 following the emergence of fentanyl in street-level drugs. Since then, 6,702 people in British Columbia have died.

Prior to the crisis, six overdose deaths in the Nelson area occurred between 2010 and 2015, according to the corners service. But there have been 13 since 2016, with 2020 the worst year so far.

Amanda Erickson, the regional community action team co-ordinator with the Nelson Fentanyl Task Force, said increased isolation due to COVID-19 health restrictions has contributed to the rise in opioid deaths that were already soaring due to illicit fentanyl in the drug supply.

“We have to continue the effort across the board within community and health care and our emergency responder realm to respond diligently and with openness and compassion to assist people in our community who might be struggling with mental health and substance-use issues,” said Erickson.

There were also 19 total deaths in the Kootenay Boundary area, which includes Nelson, Castlegar, Trail, Rossland, Grand Forks, Greenwood, Kaslo and Nakusp.

BC Emergency Health Services meanwhile says paramedics in Nelson responded to 53 overdose calls in 2020, a drop of six from the previous year.

Paramedics also went out to 51 calls in Trail, an increase of 10 over 2019, and 17 in Castlegar, a drop of 15 from 2019.

Decriminalization

The calls for decriminalization have become louder as the crisis continues.

Last week the federal government introduced Bill C-22, which would remove mandatory minimum penalties for drug offences in the Controlled Drugs and Substances Act and discourages law enforcement from possession charges.

Despite an endorsement for decriminalization from the Canadian Association of Chiefs of Police, as well as Vancouver’s city council requesting a federal exemption to drug laws during the crisis, Prime Minister Justin Trudeau has said he does not support decriminalization.

Nelson Police Department Chief Paul Burkart believes decriminalizing small possession would save lives and allow law enforcement to focus on trafficking and importation.

But Burkart also thinks decriminalization doesn’t necessarily lead people to the help they need. His officers, he said, struggle with how to encourage people using drugs on the streets to visit the overdose prevention site run by ANKORS instead.

“People don’t want to see that or experience that or watch somebody stick a needle in their arm and overdose right there,” he said.

“That’s not what people want in their community so if we can get people into a more accessible, safer situations such as an overdose prevention site or a safe injection site, then we’re better off.”

Nelson Mayor John Dooley said he wants to see decriminalization packaged with other initiatives, including increased investment by the province into addiction and mental health resources, which he thinks are stretched too thin.

“We have very limited resources for people who have those kinds of challenges,” said Dooley. “Whether it’s resources on the street, resources at the hospital, and rehabilitation programs are limited at best, it has to be a package. It can’t be a one-off.”

Safe supply

A safe supply program created by the provincial government in 2020 gave doctors and nurses the green light to prescribe alternatives that satisfy opioid addiction and are guaranteed to be free of fentanyl.

But the effectiveness of the program has its limits.

Zak Matieschyn, a Nelson-based addiction clinician, is one of just two health-care workers in the city who are using a risk mitigation guidance document released by the BC Centre On Substance Use in March 2020.

That plan suggests specific amounts of opioid medications such as hydromorphone or morphine to prevent withdrawal symptoms and reduce cravings in people who don’t want to take traditional opioid agonist therapies like buprenorphine or methadone.

Buprenorphine and methadone don’t replace the high of street drugs, which Matieschyn says is what some of his patients are still looking for.

“It’s not a great stand-in, and people are saying that,” he said.

Safe supply, according to Matieschyn, can be used as a bridge to methadone and harm-reduction services until better guidance is provided by the province.

He cautions however there’s still little research to support safe supply, and that the topic is a matter of ethical debate among health practitioners who are wary of treating addiction with drugs.

But the crisis is getting worse. Matieschyn said until more research is available to show whether or not safe supply benefits or harms a community, it at least offers a creative, if unproven, alternative.

“We know that legality is not a satisfactory discourager for people to use these agents, nor is moralizing, and if we do nothing then we see this body count that has been increasing over the last four years, and 2020 being the worst.”

READ MORE:

Nelson Fentanyl Task Force funds $15k toward providing new prescription options

New stats show complex state of crime in Nelson area

Castlegar homeless shelter moving to Flamingo Hotel

VIDEO: Vigil held in Nelson to mark International Overdose Awareness Day

@tyler_harper | tyler.harper@nelsonstar.com

Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

opioid crisis

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Five-year-old Bayne Krause poses for a photo with his mom Marianne. Bayne’s shirt reads, ‘I have Cystic Fibrosis. Help keep me healthy, please social distance.’ Photo: Laurie Tritschler
West Kootenay mom promotes awareness of cystic fibrosis

Marianne Krause wants people to know what it’s like for her five-year-old son to live with CF

Police are cautioning drivers to keep a sharp eye on the road after a Fruitvale man hit and killed an elk along Highway 2A near Trail. The driver was reported to be uninjured, though the car was significantly damaged. Photo: Nick Fewings on Unsplash
Heads up for wildlife warn police after crash with elk on West Kootenay highway

The accident happened in the early morning hours of April 30

The Nelson Police Department says it is stepping up enforcement around schools for the remainder of the academic year. Photo: Submitted
Drive safe in school zones: Nelson police

Close calls have police asking for extra awareness from drivers

The higher elevation melt is getting underway as rivers such as Mark Creek in Kimberley are running faster. Paul Rodgers file
Snow packs down just below normal in East and West Kootenay

The West Kootenay in particular had below normal precipitation in April

Interfor’s Castlegar mill is getting $35 million in upgrades. Photo by: John Boivin
Interfor to invest $35 million at Castlegar mill

Project will enhance productivity and competitiveness

A bullet hole is seen in the windshield of an RCMP vehicle approximately 4 km from Vancouver International Airport after a one person was killed during a shooting outside the international departures terminal at the airport, in Richmond, B.C., Sunday, May 9, 2021. THE CANADIAN PRESS/Darryl Dyck
Homicide team IDs man in fatal YVR shooting as police grapple with spate of gang violence

Man, 20, charged in separate fatal shooting Burnaby over the weekend

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

The real estate boom across the Okanagan has not felt a negative impact from the coronavirus impact on our national economy. (Contributed)
Booming year ahead, says Kootenay Association of Realtors

Strong real estate sales continue throughout Kootenays

The Canadian Forces Snowbirds are in the Comox Valley for their annual spring training. Photo by Erin Haluschak
Suspected bird strike on Snowbirds plane during training in B.C.

Pilot followed protocols and landed the aircraft on the ground without any problems

BCIT. (Wikimedia Commons)
BCIT apologizes after employee’s ‘offensive and hurtful’ email leaked to Métis Nation

BCIT says employee’s conduct has been investigated and addressed

An adult male yellow-breasted chat is shown in this undatd photograph on lands protected in collaboration between the En’owkin Centre and Penticton Indian Band with support through ECCC. The rescue from near extinction for a little yellow bird hinges on the wild rose in British Columbia’s Okanagan Valley, a researcher says. THE CANADIAN PRESS/HO, A. Michael Bezener/ En’owkin Centre 2020 *MANDATORY CREDIT*
Rare yellow birds need wild roses to survive in British Columbia: researcher

The importance of local wild roses emerged over a nearly 20-year experiment

RCMP officers search around rows of luggage carts as screens block off an area of the sidewalk after a shooting outside the international departures terminal at Vancouver International Airport, in Richmond, B.C., Sunday, May 9, 2021. THE CANADIAN PRESS/Darryl Dyck
Police say gang conflict in Metro Vancouver may be behind shooting death at airport

Police said this generation of gangsters is taking things to new level and have no regard for community safety

RCMP are looking for information on an alleged shooting attempt near an elementary school in Smithers March 10. (Phil McLachlan/Capital News/Stock)
UPDATE: Man killed in brazen daylight shooting at Vancouver airport

Details about the police incident are still unknown

Pieces of nephrite jade are shown at a mine site in northwestern B.C. in July 2019. THE CANADIAN PRESS/HO-Tahltan Central Government MANDATORY CREDIT
Indigenous nation opposes jade mining in northwestern B.C.

B.C.’s Mines Act requires operators to prepare a plan to protect cultural heritage resources

Most Read