Heroin Compassion Clubs

The implementation and evaluation of a full range of evidence-based strategies are required to address the fentanyl contamination of the illicit drug market.  This report outlines one blueprint for heroin regulation which, if urgently implemented, could be evaluated in a way that would greatly improve knowledge of strategies to undermine organized crime and the impacts of establishing alternatives to heroin prohibition in Canada. While this might be viewed as controversial in some settings, the recommendations of this report are consistent with recommendations the Health Officers Council of British Columbia has been making since before the fentanyl epidemic. As with all evidence-based policies, as knowledge is gained, the model could be adjusted to maximize benefits and address any unexpected harms. To move forward, urgent leadership and vision at all levels of government will be required.