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View article: Assessing the impact of the introduction of generic methadone to the Ontario public drug formulary
Assessing the impact of the introduction of generic methadone to the Ontario public drug formulary Open
Our findings did not indicate broad treatment destabilization or increased opioid-related toxicity among methadone recipients in the months following the introduction of generic products. Early notification of formulary changes, phased imp…
View article: Circumstances surrounding opioid toxicity deaths within shelters in Ontario, Canada, before and during the COVID-19 pandemic: a population-based descriptive cross-sectional study
Circumstances surrounding opioid toxicity deaths within shelters in Ontario, Canada, before and during the COVID-19 pandemic: a population-based descriptive cross-sectional study Open
Introduction Evidence suggests growing opioid-related toxicity deaths within shelters that has been exacerbated by the COVID-19 pandemic. We sought to characterise opioid-related toxicity deaths within Ontario shelters before and during th…
View article: Women’s experiences of homelessness and violence during the COVID-19 pandemic in Canada’s largest city: an integrated qualitative analysis of clients of violence against women organizations and encampment residents
Women’s experiences of homelessness and violence during the COVID-19 pandemic in Canada’s largest city: an integrated qualitative analysis of clients of violence against women organizations and encampment residents Open
View article: Examining the association between fentanyl use and perceived adequacy of methadone dose: A retrospective cohort study
Examining the association between fentanyl use and perceived adequacy of methadone dose: A retrospective cohort study Open
View article: “Everybody is impacted. Everybody's hurting”: Grief, loss and the emotional impacts of overdose on harm reduction workers
“Everybody is impacted. Everybody's hurting”: Grief, loss and the emotional impacts of overdose on harm reduction workers Open
Our study highlights opportunities for organizational practices that better support harm reduction workers, including formal emotional supports and community-based supportive care services. Improvement to the socio-economic-political deter…
View article: Initiations of safer supply hydromorphone increased during the COVID-19 pandemic in Ontario: An interrupted time series analysis
Initiations of safer supply hydromorphone increased during the COVID-19 pandemic in Ontario: An interrupted time series analysis Open
Aims Calls to prescribe safer supply hydromorphone (SSHM) as an alternative to the toxic drug supply increased during the COVID-19 pandemic but it is unknown whether prescribing behaviour was altered. We aimed to evaluate how the number of…
View article: Disease-related stigma among people who inject drugs in Toronto amidst the COVID-19 pandemic
Disease-related stigma among people who inject drugs in Toronto amidst the COVID-19 pandemic Open
Background:
\nStigma overwhelmingly affects people who inject drugs. The COVID-19 pandemic posed unique challenges for people who inject drugs, who are already stigmatized as being “dangerous and spreading disease.” The present study explo…
View article: Critical studies of harm reduction: Overdose response in uncertain political times
Critical studies of harm reduction: Overdose response in uncertain political times Open
North America continues to witness escalating rates of opioid overdose deaths. Scale-up of existing and innovative life-saving services – such as overdose prevention sites (OPS) as well as sanctioned and unsanctioned supervised consumption…
View article: “They have their security, we have our community”: Mutual support among people experiencing homelessness in encampments in Toronto during the COVID-19 pandemic
“They have their security, we have our community”: Mutual support among people experiencing homelessness in encampments in Toronto during the COVID-19 pandemic Open
View article: Prescribing trends in direct-acting antivirals for the treatment of hepatitis C in Ontario, Canada
Prescribing trends in direct-acting antivirals for the treatment of hepatitis C in Ontario, Canada Open
Background: Direct-acting antivirals (DAA) offer an opportunity to cure hepatitis C. Reimbursement for DAAs has changed on two occasions since their inclusion on the Ontario public formulary. Whether these changes have appreciably modified…
View article: How Structural Violence, Prohibition, and Stigma Have Paralyzed North American Responses to Opioid Overdose
How Structural Violence, Prohibition, and Stigma Have Paralyzed North American Responses to Opioid Overdose Open
As of 2020, North America is now into the fifth year of an unprecedented increase in drug overdose deaths driven by a toxic, unpredictable, and unregulated drug supply. While the genesis and drivers of and response to the opioid overdose c…
View article: Issue Information
Issue Information Open
No abstract is available for this article.
View article: Canada's overdose crisis: authorities are not acting fast enough
Canada's overdose crisis: authorities are not acting fast enough Open
We appreciate the lessons outlined by Benedikt Fischer and colleagues1Fischer B Pang M Tyndall M The opioid death crisis in Canada: crucial lessons for public health.Lancet Public Health. 2019; 4: e81-e82Summary Full Text Full Text PDF Pub…
View article: Understanding real-world adherence in the directly acting antiviral era: A prospective evaluation of adherence among people with a history of drug use at a community-based program in Toronto, Canada
Understanding real-world adherence in the directly acting antiviral era: A prospective evaluation of adherence among people with a history of drug use at a community-based program in Toronto, Canada Open
This study demonstrates that strong adherence and SVR with DAAs is achievable, with appropriate supports, even in the context of substance use, and complex health/social issues.
View article: Young key populations and HIV: a special emphasis and consideration in the new WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations
Young key populations and HIV: a special emphasis and consideration in the new WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations Open
WHO released its new Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations [1] at the International AIDS Conference in Melbourne in July 2014. This guidance addresses five key populations: men who hav…