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Canada approves prescription heroin for addicts who have failed other treatments

'It shows a more healthy approach to addiction,' British Columbia's health minister says

Wednesday 14 September 2016 14:55 BST

Reducing the transmission of blood-born illnesses is one advantage of supervised clinics (Getty)

Chronic heroin addicts in Canada will now be able to receive the drug on prescription. Pharmaceutical grade heroin, known as diacetylmorphine, will be available to patients who have not responded to traditional treatment methods.

Health Canada has reversed the laws of the former Conservative government, which banned the practice in 2013.

The move is expected to widen the operations of special clinics that practice heroin-assisted treatment.

Like in many countries, opium addiction is a key health concern in Canada and lawmakers hope the move will prevent deaths from overdoses and help addicts better control their lives.

Heroin purchased illegally can be of unknown strength and cut with other substances, while using needles to inject carries the risk of spreading blood-borne diseases, such as HIV and hepatitis.

“I’m happy to see this, it shows a more healthy approach to addiction,” Terry Lake, health minister for British Columbia, told local radio. “This, obviously, is reserved for people that have tried other forms of addiction treatment but have not been successful. And I think we need every single tool to fight this terrible problem that we have with addictions.”

World's 10 deadliest street drugs

Show all 10

1/10World's 10 deadliest street drugs

World's 10 deadliest street drugs

Whoonga

Whoonga is a combination of antiretroviral drugs, used to treat HIV, and various cutting agents such as detergents and poisons. The drug is widely available in South Africa due to South Africa’s high rate of HIV sufferers, and is believed to be popular due to how cheap it is when compared to prescribed antiretrovirals. The drug is highly addictive and can cause major health issues such as internal bleeding, stomach ulcers and ultimately death

Getty

World's 10 deadliest street drugs

Scopolamine

Scopolamine is a derivative from the nightshade plant found in the Northern Indian region of South America (Ecuador, Colombia and Venezuela). It is generally found in a refined powder form, but can also be found as a tea. The drug is more often used by criminals due its high toxicity level (one gram is believed to be able to kill up to 20 people) making it a strong poison. However, it is also believed that the drug is blown into the faces of unexpecting victims, later causing them to lose all sense of self-control and becoming incapable of forming memories during the time they are under the influence of the drug. This tactic has reportedly been used by gangs in Colombia where there have been reports of people using scopolamine as way to convince victims to rob their own homes

World's 10 deadliest street drugs

Heroin

Founded in 1874 by C. R. Alder Wright, heroin is one of the world’s oldest drugs. Originally it was prescribed as a strong painkiller used to treat chronic pain and physical trauma. However in 1971 it was made illegal under the Misuse of Drugs Act. Since then it has become one of the most destructive substances in the world, tearing apart communities and destroying families. The side effects of heroin include inflammation of the gums, cold sweats, a weak immune system, muscular weakness and insomnia. It can also damage blood vessels which can later cause gangrene if left untreated

World's 10 deadliest street drugs

Crack cocaine

Crack cocaine first came about in the 1980’s when cocaine became a widespread commodity within the drug trafficking world. Originally cocaine would have attracted a high price tag due to its rarity and difficulty to produce, but once it became more widespread the price dropped significantly. This resulted in drug dealers forming their cocaine into rock like shapes by using baking soda as a way of distilling the powder down into rock form. People were doing this because it allowed for them to sell cocaine at a lower quantity and to a higher number of people. The side effects of crack cocaine include liver, kidney and lung damage, as well as permanent damage to blood vessels, which can often lead to heart attacks, strokes, and ultimately death

World's 10 deadliest street drugs

Crystal meth

Not just famous because of a certain Walter H White, but also because it is one of the most destructive drugs in the world. First developed in 1887, it became widely used during the Second World War when both sides would give it to their troops to keep them awake. It is also believed that the Japanese gave it to their Kamikaze pilots before their suicide missions. After the war crystal meth was prescribed as a diet aid and remained legal until the 1970s. Since then it has fallen into the hands of Mexican gangs and has become a worldwide phenomenon, spreading throughout Europe and Asia. The effects of crystal meth are devastating. In the short-term users will become sleep depraved and anxious, and in the long-term it will cause their flesh to sink, as well as brain damage and damage of the blood vessels

World's 10 deadliest street drugs

AH-7921

AH-7921 is a synthetic opioid that was previously available to legally purchase online from vendors until it became a Class A in January 2015. The drug is believed to have 80% of the potency of morphine, and became known as the ‘legal heroin’. While there has only been one death related to AH-7921 in the UK, it is believed to be highly dangerous and capable of causing respiratory arrest and gangrene

World's 10 deadliest street drugs

Flakka

Flakka is a stimulant with a similar chemical make-up to the amphetamine-like drug found in bath salts. While the drug was originally marketed as a legal high alternative to ecstasy, the effects are significantly different. The user will feel an elevated heart rate, enhanced emotions, and, if enough is digested, strong hallucinations. The drug can cause permanent psychological damage due to it affecting the mood regulating neurons that keep the mind’s serotonin and dopamine in check, as well as possibly causing heart failure

World's 10 deadliest street drugs

Bath salts

Bath salts are a synthetic crystalline drug that is prevalent in the US. While they may sound harmless, they certainly aren’t the sort of salts you drop into a warm bath when having a relaxing night in, they are most similar to mephedrone, and have recently been featured throughout social media due to the ‘zombification’ of its. The name comes from the fact that the drug was originally sold online, and widely disguised as bath salts. The side effects include unusual psychiatric behaviour, psychosis, panic attacks and violent behaviour, as well as the possibility of a heart attack and an elevated body temperature

World's 10 deadliest street drugs

Purple Drank

One of the more unusual drugs around at the moment, purple drank was popularised in 90s hip hop culture, with the likes of Jay Z and Big Moe all mentioning it in their songs. It is a concoction of soda water, sweets and cold medicine, and is drunk due to cold medicines high codeine content, which gives the user a woozy feeling. However it can also cause respiratory issues and heart failure

World's 10 deadliest street drugs

Krokodil

Krokodil is Russia’s secret addiction. It is believed that over one million Russians are addicted to the drug. Users of krokodil are attracted to the drug due to its low price; it is sold at £20 a gram while heroin is sold for £60. However, krokodil is considered more dangerous than heroin because it is often homemade, with ingredients including painkillers, iodine, lighter fluid and industrial cleaning agents. This chemical make-up makes the drug highly dangerous and likely to cause gangrene, and eventually rotting of the flesh

Mr Lake continued: “It indicates a willingness on behalf of the federal government to look at addictions as a health-based kind of an issue rather than a criminal-based issue. And that they are not limiting the range of treatment options that are available. Because there isn’t one size that fits all in these situations.”

Under a special court order, the Crosstown Clinic in Vancouver already provides prescription heroin to addicts. Lead doctor, Scott MacDonald, welcomed the government’s decision and told the Washington Post: “Our goal is to get people into care.”

Crosstown patients are those who have already tried and failed at methadone and detox treatments numerous times. While they must visit three times daily, the patients are of better health and less likely to commit crime than addicts who inject unsupervised.

The Conservative Party in Canada remains opposed to prescription heroin. "Our policy is to take heroin out of the hands of addicts and not put it in their arms," said the party’s health spokesman, Colin Carrie.

Proposals supporting similar practices were passed by the British Medical Association in June in order to combat the most harmful effects of taking heroin illegally. Doctors claimed it would help prevent overdoses and HIV transmissions and reduce crime.

The UK saw a record number of drug-related deaths in 2015, despite fewer people taking illegal substances. It is thought that many of the deaths were of ageing, long-term heroin addicts.

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