Jordan Westfall: How can we accept that the fentanyl crisis is becoming the “new normal”?

This Saturday, federal Health Minister Ginette Petitpas Taylor will be in Vancouver’s Downtown Eastside to visit ground zero of the worst public-health crisis in decades. In British Columbia, people are dying of drug overdose at a rate of almost four per day. Across Canada, more people are dying than at the height of the HIV-AIDS epidemic.

Despite the horror, however, this is a crisis that is being described as the “new normal” for our society. This means that an existential threat to anyone that uses drugs could quietly become a foregone conclusion. This is an absolute failure of policymakers to ensure the health and safety of a group of people. The public cannot go numb to this fact.

However, the situation is increasingly bleak and getting bleaker every day. The crisis continues. Vancouver Coastal Health (VCH) has made little progress in expanding injectable treatments and has, instead, put more focus on BOOST-a program based on seek-and-treat HIV-AIDS programs of the past that will attempt to put drug users on oral-opioid treatments like Methadose, which is the recently reformulated version of methadone.

A recent study, though, suggests that this reformulation led to an increase in heroin and illicit fentanyl use. VCH seems content to double down on treatments that have not shown much success in stemming the tide of death and that may have even made the overdose epidemic worse.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below