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| mumsDU x moms united and mandated to saving the lives of Drug Users i, because a substance user could be anyone's child September 25, 2017 Submitted via Email RE: URGENT ADDITIONAL MEASURES TO ADDRESS THE OVERDOSE CRISIS IN TORONTO: ITEM 2017.HL21.12 Between my first deputation on death by overdose on July 10, 2018 and today, and despite my many other deputations on this topic, the death by overdose crisis has gone largely unchecked in Toronto. In fact, it continues to be grossly misunderstood by the majority of Toronto's citizens and even some our City Councillors. Toronto isn't alone in this. The burden of proof continues to be put on us self- proclaimed first responders to bring forth the evidence to support what we see, and what we respond to, most times several times each day, due to the Canada- Wide efficacy of this issue In the hesitancy to acknowledge and respond adequately and in a timely manner to the crisis, substance use deaths have moved beyond that of problematic substance use (aka addiction) causing death and into the full blown emergency of drug poisoning deaths. This collective hesitancy between Federal, Provincial and Municipal Govemments and lack of proper community-wide education has forced people, including myself and the operators of the Moss Park Overdose Prevention Site, et al to respond to the best of our abilities which, at least in my practice is rudimentary, but effective at saving lives. Perhaps unbeknownst to some of you, besides the Observation Tents in community parks, Observation Rooms in private residences have been 772 Ajyn Court, Mississauga, ON L4Y 4E9 416.357.6578 Page 1 of 3 established by private citizens and organizations like mumsDU to oversee and respond to overdoses. We have also established a call in service where a sober adult makes themselves available to take on the responsibility of going out to oversee substance use and respond to overdoses as required. All this is done because of the absence of cohesive and collaborative response from the cities of Toronto, Mississauga, Sudbury and Sault Ste Marie. The list of communities that the members of mumsDU serves is growing as the emergency of death by drug Poisoning grows. ‘The common question posed to us is how can we do this? Our response is the ‘one that our Governing bodies should have adopted long ago: ‘how can we not.’ Ive been asking The Toronto Board of Health and other community agencies ince July of 2013 to respond to end the needless deaths without success. My efforts have been largely ignored by many deputing here today, seen as insignificant and given little respect because | am seen simply as a grieving mother who represents other grieving parents. Only part of that view is absolutely correct, | do lead a group of bereaved parents who are determined to move beyond personal grief to change the way substance use is viewed and addressed. We also play a substantial roll in making sure legislative changes ‘occur in order so that our numbers decline, rather than rise. land the members of mumsDU: 1. request that Toronto Board of Health refrain from viewing the present crisis from an addiction lens and adopt their response by looking through an illicit drug poisoning lens; 2. strongly support the declaration of a Provincial Public Health Emergency caused by death by drug poisonings and support The Toronto Drug Strategy's request that The Toronto Board of Health encourage our Premier to make this declaration. In conjunction, or in the absence of a provincial declaration happening, we support a municipal declaration of the same; 3. support the request for City Council to appoint or designate an Overdose Coordinator; www.mumsdu.con 4. support the implementation of an ongoing evidence-based overdose public education campaign across the GTA to include exploring the potential to use City of Toronto advertising space and broad distribution of resources, including pharmacies, physician offices and hospital emergency departments; 5. request that the Ministry of Health and Long-Term Care expand the distribution of naloxone to community service providers to include in their first aid kits; 6. request that the Ministry of Health and Long-Term Care ensure both intramuscular and Intranasal formulation of naloxone are available throughout ‘the community; 7. request that the Ministry of Health and Long-Term Care target new funding for harm reduction services and funding new treatment, residential withdrawal management and other residential and outpatient treatment services (ie. $222 mil); 8. request that the Ministry of Health and Long-Term Care to immediately address barriers to collecting and reporting ‘real time’ overdose data, including more accurate emergency room reporting, as well as, making use of data collected by overdose observation sites; and 9. request that the Ministry of Community Safety and Correctional Services appropriately resource and mandate the Office of the Chief Coroner for Ontario to provide quarterly reports on opioid overdose deaths. Thank you. Respectfully, Donia May for her daughter Jac (DOD 08/21/2012) Founding member & Facilitator of mumsDU