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

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 naloxoneblitzes, dropping off as many as 100 kits each weekat 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."

The group launched its naloxone blitzes in December 2017, after four of its clientsoverdosed 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 downuntilwe'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 overdosesinvolving fentanyl, according to an Alberta Health report released Jan. 19.

Fentanyl is a synthetic opioidthat 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.

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In 2017, HIV North distributed more than 1,500 naloxonekits about five and a half times as manyas in 2016.

The organization orders naloxonefrom Alberta Health andhashanded out another 64kitsin the first three weeks of 2018, Chalus said.

Nine of the people who accepted akit 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."

Whenever she gives analoxonekit to someone,Chalustakes the opportunity to talk about addictions resources andrecovery, 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 justnaloxone,"Chalussaid."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,Chalusalso teaches clients how to properly store and safely administernaloxone.

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

For instance, if someone's hands are shakythey can accidentally trigger the retractable needleon a naloxonesyringeand waste the dose.

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

Of the people who accepted naloxonefrom 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 isneeded 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