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HIV North's naloxone blitzes deliver on vow to save lives in Grande Prairie

An outreach group in a northern Alberta city is taking on the high rate of opioid overdoses with weekly 'naloxone blitzes.'

​'We knock on every single door and we just work our way down until we've hit every single room'

An outreach group in Grande Prairie, Alta., is taking on the high rate of opioid overdoses in the city with weekly 'naloxone blitzes.' 2:25

When it comes to getting life-saving naloxone into the hands of people in crisis, a Grande Prairie outreach group isn't waiting for individuals to come and pick up a kit.

They are delivering.

HIV North, a non-profit organization, is fighting the opioid crisis in Grande Prairie with weekly naloxone blitzes, dropping off as many as 100 kits each week at homeless shelters or at a local motel frequented by drug users.

Mary lives at the motel and says she uses naloxone at least once a week to help her friends. She asked that her last name not be used.

The community wouldn't be able to cope without the kits, Mary said.

We're never going to abandon anybody.- Jessica Chalus , HIV North

"Straight up, people would be dead," she said. "That's devastating. Devastating. I don't want to think about it. These are my friends."

Red naloxone labels flash from behind half a dozen windows at the motel. The drug can reverse the effects of an opioid overdose.

Jessica Chalus, a naloxone nurse with HIV North, said most rooms are stocked with three or four kits. She also leaves a stack with the owner of the motel.

"We really believe that everybody deserves that second chance," Chalus said. "Even if they have to use the kit four times, it's still going to be there. The offer's still going to be there. We're never going to abandon anybody."

'There's a lot more to it than just naloxone,' Jessica Chalus said about the weekly HIV North naloxone blitzes. (Zoe Todd/CBC)

The group launched its naloxone blitzes in December 2017, after four of its clients overdosed in one day. That afternoon, staff from HIV North handed out more than 60 kits, Chalus said.

"That kind of brought us to the realization that we had to take drastic measures," Chalus said. "We just knew that it was a growing need."

Every week since, they have visited the motel as well as local homeless shelters to give naloxone and other supplies to anyone who asks for help.

​"We knock on every single door and we just work our way down until we've hit every single room, making sure everybody's OK."

Northern Alberta hit hard by overdose deaths

Last year, 462 people in Alberta died from accidental overdoses involving fentanyl, according to an Alberta Health report released Jan. 19.

Fentanyl is a synthetic opioid that is 100 times more powerful than morphine. Three or four grains are enough to kill an adult, the report states.

Northern Alberta had the second highest rate of fentanyl-related overdose deaths in the province in 2017, with nearly 12 deaths per 100,000 people.

In 2017, HIV North distributed more than 1,500 naloxone kits — about five and a half times as many as in 2016.

The organization orders naloxone from Alberta Health and has handed out another 64 kits in the first three weeks of 2018, Chalus said.

Nine of the people who accepted a kit from HIV North this month reported they used the drug to save someone's life.

"Naloxone is distributed to a wide variety of people, it's not just distributed to people that may be street engaged," Chalus said. "The opioid crisis is touching everyone."

HIV North orders about 100 fresh naloxone kits every week to keep up with demand in Grande Prairie. (Zoe Todd/CBC)
Naloxone kits sit in the window of a Grande Prairie motel, where HIV North does weekly naloxone blitzes. (Zoe Todd/CBC)

Whenever she gives a naloxone kit to someone, Chalus takes the opportunity to talk about addictions resources and recovery, she said.

HIV North staff also carry hygiene products, food and medical supplies on their weekly blitzes. They know most clients by name.

​"There's a lot more to it than just naloxone," Chalus said. "There's a lot of significant mental health, a lot of trauma underlying the substance use and the addictions that we see.

"We really want to get to the root cause and we believe that with the harm reduction approach and fostering those relationships that we can promote healthy lifestyles."

Opportunity to educate

As a registered practical nurse, Chalus also teaches clients how to properly store and safely administer naloxone. 

The kits can be difficult to use, she said, especially in a high-pressure situation involving drugs or alcohol.

For instance, if someone's hands are shaky they can accidentally trigger the retractable needle on a naloxone syringe and waste the dose.

Jessica Chalus is a naloxone nurse with HIV North, an outreach group based in Grande Prairie. (Zoe Todd/CBC)
In cases of overdose, quickly administering naloxone could save lives. (Zoe Todd/CBC)

Chalus knows the group can't stop people from abusing drugs, but she believes they are making a dent in the city's opioid death rate.

Of the people who accepted naloxone from HIV North in Grande Prairie between 2015 and 2016, more than 150 reported they have successfully used the drug on themselves or another person.

The organization will continue to order and distribute the life-saving drug for as long as it is needed by drug-users, Chalus said.

"We want them to know that there are people who care about them, regardless of their drug use," she said.

"We want to offer them that open door into services. If they're ready for treatment, if they're ready to make changes in their life, we want to be there to support them through that process."

@ZoeHTodd

About the Author

Zoe Todd

Video Journalist

Zoe Todd is a CBC video journalist based in Alberta, filing videos and stories for web, radio and TV.