In Vancouversa国际传媒檚 Downtown Eastside, one person made 180 hospital visits last year, according to Premier David Eby, who said the patient was part of a crisis of repeated emergencies among people with overlapping health and addiction problems.
They include people with brain injuries from overdoses who show up in British Columbia hospitals far more often than most, he said.
Eby called the situation one of the sa国际传媒渂iggest challengessa国际传媒� facing the province, as he announced the appointment of a chief scientific adviser to address this sa国际传媒渞apidly emerging groupsa国际传媒� of people with the concurrent disorders who need specialized care.
sa国际传媒淎s the toxic-drug crisis changes, wesa国际传媒檙e facing new challenges and grappling with a growing group of people who are very sick and struggling in our streets and emergency rooms,sa国际传媒� he said in a news release on Wednesday.
sa国际传媒淭he current situation is not working for these people and itsa国际传媒檚 not working for our communities.sa国际传媒�
Eby said about 15,000 people in B.C. have died from toxic drugs since a public health emergency was declared in 2016. Many more survived an overdose, but Eby said some were left with life-altering brain injuries that affect their ability to function.
Figures from the BC Centre for Disease Control show that 79 per cent of people who overdosed between January 2015 and December 2021 lived.
Eby cited data from 2023 that found patients with overlapping needs who live and get care in Vancouversa国际传媒檚 Downtown Eastside often suffer repeated health emergencies. In addition to the patient who made 180 emergency room visits last year, four patients went to ER more than 140 times, while 612 others went 10 times or more, he said.
sa国际传媒淭he current situation is clearly not working for these individuals and it is having a very serious impact on our health care system, which is not addressing their needs,sa国际传媒� he told a news conference. sa国际传媒淥ne of the biggest challenges we face is that the particular needs of this growing group of people is not understood as well as it should be.sa国际传媒�
He said that is why the province decided there was a need for an adviser.
Dr. Daniel Vigo becomes B.C.sa国际传媒檚 first chief scientific adviser for psychiatry, toxic drugs and concurrent disorders and has a goal to improve care for people with complex mental-health and addiction challenges.
Vigo, whosa国际传媒檚 a psychiatrist and a public health specialist, told the news conference there is a high prevalence of brain injury in overdose survivors.
sa国际传媒淔or every overdose death, there are a number of overdose-related permanently injured brains,sa国际传媒� he said.
sa国际传媒淥verdose produces brain injury, and when that injury is severe enough to be diagnosed, preliminary evidence indicates that person has a 50 per cent chance of dying in the immediate future, and the survivors (have) an additional 30 per cent chance of dying in the near future.sa国际传媒�
He said such injuries can also impair insight, judgment and ability to consent, sa国际传媒渁ll of which make treatment-as-usual ineffective.sa国际传媒�
sa国际传媒淲e need a whole new approach, one based on the best insights our evidence can produce,sa国际传媒� he said.
Eby noted these people are also sa国际传媒渙ften involved with police, with ambulance response, with emergency rooms. Theysa国际传媒檙e in and out of jail and shelters.sa国际传媒�
To address the problem, the premier said Vigo would analyze existing mental health and addiction services, while reviewing data and best practices from elsewhere to determine what could be done in the province.
He said Vigo would work alongside the provincial health officer, health authorities, Indigenous partners and people with lived experience.
sa国际传媒淗esa国际传媒檒l advise us on new tools and give us advice to help this very specific group of people so they get the help they need, and our communities are safe and healthy for everyone,sa国际传媒� Eby said.
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