Harm Reduction

Reading Simon Gibson’s recent comments on harm reduction had me wondering if someone ought to inform Mr Gibson that ‘I used to have an open mind but my brains kept falling out’ is a Joke, not a statement of reality.

Change is uncomfortable, conspicuously so in instances necessitating changing one’s mind.

It is far more comfortable, far more the usual human way, to let inertia keep us bogged down in what we know – no matter how inaccurate that ‘knowledge’ is.

“Gibson said he worries Abbotsford could end up being a centre for drug treatment programs that support continued addiction without addressing the deeper problem.”

If Abbotsford council were to repeal the bylaw there would be NO flood of people into Abbotsford. For the simple reason that harm reduction is part of healthcare everywhere in BC except Abbotsford, and since people everywhere else in BC already have access to these services they have no need to come to Abbotsford.

While the health of Abbotsford’s citizens should be of concern to Abbotsford City Council, council’s actions make it clear the health of Abbotsford’s citizens is not a matter of concern to council, at least not in the manner an Arena or professional hockey team or paying million dollars subsidies are..

Still, City Council’s anti-harm reduction bylaw is consistent with Council’s policy of profligate mismanagement of taxpayer dollars. Because of the bylaw, dollars for Fraser Health programs containing even the tiniest amount of harm reduction are spent in every Fraser Health community BUT Abbotsford.

“Needle exchange, safe injection sites and free-standing methadone clinics will perhaps be desirable for some addicts but without a full detox facility, they could almost certainly create an environment of social acceptance [for drug addiction],” said Gibson.

Hmmm. I had not realized that there was an environment of social acceptance of alcoholism – despite alcohol being legal. I was also under the impression that cigarettes being legal did not preserved the environment of social acceptance that existed prior to public knowledge of the serious negative health consequences of smoking. Nor did legal status stop the development of an environment of social disapproval/non-acceptance of smoking.

Leaving me wondering how Mr Gibson could conclude that heath care services to address the serious negative health consequences of addiction would in any way encourage social acceptance?

Indeed, would not a focus by the health authorities on the negative health consequences of drug use serve to decrease social acceptance of drug use?
Would not a public focus by the health authorities on the serious negative health consequences discourage drug use period?

Harm reduction could act as a disincentive for addicts to seek treatment, he [Simon Gibson] added“

The evidence makes it clear that drug users involved with harm reduction programs such as Insite get into treatment faster. I know it seems counterintuitive, but then substance use is a people issue and people are contrary.

The reality that substance users involved with harm reduction programs seek recovery and wellness sooner is why David Portesi, director of public health for Fraser Health, stated.

“[The bylaw] drives clean needle distribution into the shadows, increases the value of used needles on the street and increases the risk of HIV and Hep C infection.”

“And at the same time, it reduces our ability to engage users in treatment discussions.”

This outcome, people seeking recovery and wellness faster with harm reduction, is consistent with the fact that stable, safe, supportive housing results in people seeking recovery and wellness sooner.

Councillor Gibson went on to state “Harm reduction will do little to make Abbotsford a safer and more secure community.”

It doesn’t really matter whether the above statement arises from philistinism or from the wilful ignorance of a closed mind, sealed tight to prevent a single new thought entering and disturbing the mind. What matters is the blindness reflected in the statement and the negative consequences for ALL citizens of Abbotsford.

Harm reduction is not about drug treatment programs it is about healthcare – for the individual substance users/abusers and the other members of the community the users/abusers live in.

The women selling themselves for money for drugs depend on upstanding citizens purchasing sex because those good citizens are the ones with the money they need to feed their addiction.

Have you seen the advertisement for the vaccination against Hepatitis A & B if you are travelling? An advertisement that uses how easy it is to be infected with Hepatitis A or B to scare you into using their product? You don’t have to go to a foreign country to get infected with Hepatitis A or B.

This sobering reality is why I was/am sure to be vaccinated against Hep A & B.

Unfortunately there are no vaccinations for Hepatitis C or AIDS.\

Should you suggest that perhaps we should build some housing for these vulnerable members of our community, given the clear evidence that providing housing gets people into treatment quicker and supports them staying in recovery instead of relapsing, the wringing of hands and gnashing of teeth over needles, needles, needles begins.

Given the litany of citizens worries about dirty needles and the potential negative health consequences of dirty needles, how does council justify refusing to allow programs that reduce the number of dirty needles left lying about?

Negative health consequences do not discriminate, do not play favourites, their nature is to spread everywhere they can.

I suppose it is only to be expected that Councillor Gibson and council gave no thought to the fact that their bylaw would negatively impact healthcare in Abbotsford. Or that Councillor Gibson sees no benefit in council no longer interfering with the providing of healthcare to Abbotsford’s citizens.

“Harm reduction will do little to make Abbotsford a safer and more secure community.”

I am driven to abjure any association with the above statement.

The indifference to, the callous disregard for, the state of our fellow citizens, the wellness of our neighbours, evidenced by that statement is anathema.

‘If there ain’t nothing in it for me, then there ain’t no reason for me to care or be benevolent or have concern for the welfare of my neighbour’

While it is not easy, is in fact most times a struggle, both ethics and spirituality mandate an approach to those abusing substances (of any description) based on:

‘………….. The second is this, ‘You shall love your neighbour as yourself.’

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