Fentanyl test strips will soon be available for people to take home from designated sites throughout the Vancouver Coastal Health (VCH) region after results from a new study show take-home drug checking is as accurate as drug checking at a health care facility in identifying opioids contaminated by fentanyl, the toxic drug responsible for killing thousands of people in B.C.
“Providing people with a simple, convenient way to check if their drugs contain fentanyl may help them avoid an overdose, and reduce the number of lives lost due to the contaminated illegal drug supply on our streets,” said Judy Darcy, Minister of Mental Health and Addictions.
“We’ve been offering drug checking at community health centres, overdose prevention and supervised consumption sites but we know that not everyone can or wants to go to these sites, especially in light of the stigma that people who use drugs can face,” said Dr. Mark Lysyshyn, Medical Health Officer, VCH. “We know most people who die from overdoses are using alone. Being able to check their drugs for fentanyl may help them make safer choices and ultimately prevent overdoses.”
In Vancouver, strips will initially be available at Insite, Molson overdose prevention site, Overdose Prevention Society, St. Paul’s Hospital overdose prevention site and the Three Bridges and Robert and Lilly Lee community health centres. VCH will also be making strips available in Powell River, the Sunshine Coast and the Sea-to-Sky corridor. More communities and locations will be added as the program expands.
The research study by VCH, Interior Health and the BC Centre for Disease Control was conducted from April to July of 2019 and provided participants with free take-home drug checking kits, each containing five fentanyl test strips, instructions, and a survey. Results from 994 take-home fentanyl test strips used on opioid samples were compared to checks on opioids conducted at health care and community sites during the same time period.
· Take-home drug checking found 89.95 per cent of opioid samples contained fentanyl, while on-site drug checking found 89.14 per cent of samples contained fentanyl.
· 27 per cent of clients using the take-home kit made a safer choice if their substance tested positive for fentanyl. (A safer choice refers to using with a friend, using less of a substance or using more slowly, or taking their substance to an overdose or supervised consumption site for use.)
· 96 per cent of clients said they would use the take-home checking kit again.
Originally intended for urine drug tests, the use of fentanyl testing strips to check the drugs for fentanyl was pioneered by VCH in 2016. A small amount of a drug is mixed with a few drops of water, the test strip is inserted into the solution, and a positive or negative for fentanyl is revealed within seconds. At VCH sites, clients voluntarily have their drugs checked an average of 500 times each month.
VCH is responsible for the delivery of $3.6 billion in community, hospital and residential care to more than one million people in communities including Richmond, Vancouver, the North Shore, Sunshine Coast, Sea to Sky corridor, Powell River, Bella Bella and Bella Coola.