As a fentanyl crisis sweeps the country, medical officials in Ottawa are moving quickly and quietly to open a supervised injection site for opioid users.
The opioid substitution program, which will be the only the second of its kind in Canada, is expected to formally begin in September at the Shepherds of Good Hope in the ByWard Market area.
While attention in this city has been focused on a recently approved supervised-injection site for illegal drug users, officials with Inner City Health have been planning the managed opioid program, which will open first.
It will be somewhat similar to the supervised injection site to be run out of the Sandy Hill Community Health Centre, where injection drug users inject their own illegal drugs under supervision in a sterile location. Under the managed opioid program, however, participants will be prescribed hydromorphone, provided by Inner City Health, which they will either inject or take orally several times a day under supervision.
Because the drugs involved are legal when prescribed, the program does not require a special exemption, as supervised-injection sites for illegal drugs do. But Inner City Health has contacted both the College of Physicians and Surgeons of Ontario and the Ontario College of Nurses about the plan and for support.
Inner City Health, which provides health care to Ottawa’s homeless, has been thinking about introducing the program for some time, said executive director Wendy Muckle, but the fentanyl crisis has made the need urgent.
“We can’t sit around and talk about this any longer. This is like you are in a war zone, you’ve got to do what you’ve got to do,” she said.