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Vancouver Off-Topic / Current Events The off-topic forum for Vancouver, funnies, non-auto centered discussions, WORK SAFE. While the rules are more relaxed here, there are still rules. Please refer to sticky thread in this forum.

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Old 09-22-2013, 09:31 AM   #26
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I am for giving these people heroin only if the intention was to wean them off the drug eventually.
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Old 09-22-2013, 09:38 AM   #27
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Originally Posted by PeanutButter View Post
It's not like Health Canada just decided to do give these people drugs..

It appears several MD's compiled a 1000 page report because they felt that 35 people needed this drug. And only 16 of them were approved. It's as if your oncologist submitted a report to Health Canada to cover your chemo therapy.

This isn't like the free needles program people. Take a step back and look at what's actually going on.
No shit. We read the same article you did....the one I posted.
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Old 09-22-2013, 09:39 AM   #28
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I am for giving these people heroin only if the intention was to wean them off the drug eventually.
I agree...but my impression is that that isn't the case. Maybe (hopefully) I am wrong.
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Old 09-22-2013, 02:34 PM   #29
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The SALOME study website.

Study to Assess Long-term Opioid Maintenance Effectiveness (SALOME)

It answers pretty much all the questions asked in this thread.

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Originally Posted by Dinosaur
What will we, as Canadians, learn from this?
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Originally Posted by SALOME - Questions & Answers
What are the benefits of this project to Canadians and the drug dependent population?
Opioid dependency, mostly manifested as heroin addiction, creates tremendous social and health costs. These include crime, diseases such as HIV and Hepatitis C and unemployment. The leaders of the trial believe that prescribed diacetylmorphine and hydromorphone could save Canadians an enormous amount of money and untold suffering. Similar studies conducted in Europe and Canada among people with chronic addictions have reported improved health status, decreased use of illicit drugs, significant reductions in criminal activity and increased employment.

How many persons with heroin addiction are there in Canada? Will this project involve all of them?
There are some 60,000 to 90,000 persons affected by opioid addiction in Canada. This study will enroll the most chronically drug-dependent members of Vancouver’s population—those who are not benefiting from other treatments, such as methadone therapy and abstinence-based programs, and continue injecting street heroin.
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Originally Posted by Dinosaur
Is the money going into this program worth it?

Ever day we hear about cuts to this and cuts to that. Long waits for medical treatments, etc. Is this really the right way to be spending money that could be directed elsewhere?
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Originally Posted by SALOME - Questions & Answers
How much does addiction cost Canadian society?
Addiction costs Canadian taxpayers hundreds of millions of dollars per year. Illicit drug use costs approximately 8.2 billion dollars. A recent “cost of illness” analysis estimated over $45,000 per year in societal costs per person who has an addiction.

Could prescribed diacetylmorphine and hydromorphone therapy reduce these costs?
The NAOMI study with diacetylmorphine, as well as the European trials, reported improved health status, decreased use of illicit drugs, lower criminal activity and increased employment among individuals receiving this treatment. These same studies showed that, overall, prescribed diacetylmorphine treatment saved much more money than it costs.
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Originally Posted by Anjew
I am for giving these people heroin only if the intention was to wean them off the drug eventually.
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Originally Posted by SALOME - Questions & Answers
Is the intent for people who receive injection therapy and benefit from it to remain on government supplied heroin for the rest of their lives?
Opioid addiction is a chronic relapsing disease. As any other chronic condition, treatment is needed for life. The relapsing nature of this condition means people go through different stages in their drug dependence along their life: abstinence, recovery, substitution treatment, etc. The stage and its length strongly depend on their individual circumstances, the social context and the available services in the community. Data from long-term studies with diacetylmorphine in Europe shows some patients remain on this treatment for years, but also many of them transition from injection to oral substitution and also to abstinence. They also suggest that providing people with prescription heroin in a controlled and supervised manner removes the need for them to commit crimes to obtain their drugs. It also introduces participants to an environment where they can get vital support: counselling, the help of social workers and housing officers, employment training and so on. This has allowed many opioid-dependent Europeans to live more productive lives and lessen the social and health costs associated with addiction.

The intent of the SALOME project is to determine whether some participants become healthier and reduce their illicit drug use or are able to switch to other forms of treatment. SALOME also intends to test if after stabilizing patients on injectable medications they can transition to oral formulations, without loosing effectiveness.
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Originally Posted by Traum
Dafuq?! Whatever happened to prescribing methadone?!
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Originally Posted by SALOME - Media
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Old 09-22-2013, 03:13 PM   #30
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I think Holland and some parts of the Netherlands have been doing this since the 90s.

I believe it's been effective for them in reducing the costs that these type of people cause the government and society.
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