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Information about Sanguen and the community
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<h3></h3>
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<h2 style="text-align: center;"><strong><span style="color: #ff0000;">Loss of Harm Reduction Programs in Ontario</span></strong></h2>
<span style="font-weight: 400;">The Provincial government has recently announced the decision to close supervised consumption sites throughout Ontario including the Consumption and Treatment Services site in Kitchener. Supervised consumption sites save lives by providing harm reduction supports </span><span style="font-weight: 400;">and are backed by a robust base of evidence. The closure of the Kitchener CTS site will </span><span style="font-weight: 400;">result in widespread harms, including increased preventable deaths of community </span><span style="font-weight: 400;">members. Many supporters have come forward with questions and offers to help. We will keep this page updated with any information or decisions that are available. </span>
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<h3 style="text-align: center;">What is Harm Reduction?</h3>
<span style="font-weight: 400;">Harm reduction can refer to a range of activities, including programs and policies, that aim to reduce the potentially adverse health, social and economic consequences of substance use, without requiring abstinence from substances. </span>
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<span style="font-weight: 400;"> Inherent in the harm reduction approach is a way of working with people that “meets people where they are at” in a client-centered, non-judgmental, pragmatic way, regardless of whether they are using substances or not.</span>

<span style="font-weight: 400;">In the context of the drug poisoning and policy crisis that has created an increasingly unpredictable and sometimes toxic supply, harm reduction is intended to reduce the likelihood of accidental overdoses, emergency service calls, and even deaths - keeping people informed means keeping people alive.</span>

<span style="text-decoration: underline;">Harm Reduction Resources:</span>

<a href="https://ontario.cmha.ca/harm-reduction/#:~:text=Harm%20Reduction%20is%20an%20evidence,substances%20from%20abstaining%20or%20stopping."><span style="font-weight: 400;">CMHA</span><span style="font-weight: 400;">
</span></a><a href="https://ohrn.org/"><span style="font-weight: 400;">Ontario Harm Reduction Network</span><span style="font-weight: 400;">
</span></a><a href="https://drugpolicy.ca/our-work/issues/harm-reduction/"><span style="font-weight: 400;">Canadian Drug Policy Coalition</span></a>
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<h3 style="text-align: center;">Overdose Prevention in Waterloo Region</h3>
<span style="font-weight: 400;">Overdose continues to be a concern in Waterloo Region, and across Canada. If you are using drugs or caring for someone who is using drugs, the following links provide information on preventing overdose:</span>
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<ul>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Use with someone else and take turns spotting for each other. A buddy system is safer than using alone.</span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Use a supervised consumption service. </span><a href="https://2025.sanguen.com/consumption-and-treatment-services/"><span style="font-weight: 400;">The Kitchener CTS</span></a><span style="font-weight: 400;"> at 150 Duke Street operates everyday from 9am - 9pm. </span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">If you must use alone, have a safety plan. Get someone to check on you either by phone or in person. Before you use alone, call the National Overdose Prevention Line at 1-888-688-NORS (6677). </span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Consider your supply. Ask others about what they are experiencing with the same drug or batch. You can also have your </span><a href="https://2025.sanguen.com/drug-checking-program/"><span style="font-weight: 400;">drugs checked</span></a><span style="font-weight: 400;"> at the Kitchener CTS. </span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Watch for drug alerts on Sanguen’s social media accounts or through the </span><a href="https://www.waterlooregiondrugstrategy.ca/Modules/News/Search.aspx"><span style="font-weight: 400;">drug alert system</span></a><span style="font-weight: 400;"> as part of the Waterloo Region Integrated Drug Strategy. </span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Start with a small amount.</span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Mixing substances, including alcohol, increases risk of overdose.</span></li>
 	<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Get naloxone. I</span><span style="font-weight: 400;">njectable and nasal spray naloxone is available </span><b>free</b><span style="font-weight: 400;"> at select pharmacies. Check the </span><a href="https://www.ontario.ca/page/where-get-free-naloxone-kit"><b>Naloxone Kit Finder</b></a><span style="font-weight: 400;"> to search for pharmacies in your area.</span></li>
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 	<li style="font-weight: 400;" aria-level="1">The following signs may indicate that a person you are with is experiencing an overdose:
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 	<li aria-level="1">Can’t wake the person up</li>
 	<li aria-level="1">Breathing is very slow, erratic or has stopped</li>
 	<li aria-level="1">Deep snoring or gurgling sounds</li>
 	<li aria-level="1">Fingernails or lips are blue or purple</li>
 	<li aria-level="1">Body is very limp</li>
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Download the signs of opioid overdose infographic from Toronto Public Health <a href="https://www.toronto.ca/wp-content/uploads/2021/02/9554-Signs-of-Opioid-overdose.pdf">here</a>.</li>
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 	<li aria-level="1">Shout and Shake: shout their name and shake their shoulders.</li>
 	<li aria-level="1">Call 911: If the person is unresponsive, call 911 immediately. If you’re worried about being in trouble, learn more about the <a href="https://www.ontario.ca/laws/statute/s01002">Good Samaritan Act</a>.</li>
 	<li aria-level="1">Administer Naloxone: 1 spray into the person’s nostril and/or 1 ampoule into the person’s arm or leg.</li>
 	<li aria-level="1">Start CPR: Do chest compressions and/or rescue breathing.</li>
 	<li aria-level="1">Assess if it’s working: If there is no improvement in 2 – 3 minutes, repeat steps 3 &amp; 4.</li>
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<h3 style="text-align: center;">Information and Resources to Help and Support Harm Reduction</h3>
<h4>Homelessness and Addiction Recovery Treatment (HART) Hubs</h4>
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<span style="font-weight: 400;">Ministry of Health Announcement regarding closure of CTS locations and funding for HART Hubs - </span><a href="https://news.ontario.ca/en/release/1004955/ontario-protecting-communities-and-supporting-addiction-recovery-with-new-treatment-hubs"><span style="font-weight: 400;">https://news.ontario.ca/en/release/1004955/ontario-protecting-communities-and-supporting-addiction-recovery-with-new-treatment-hubs</span></a>
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<h4>Letters to support Harm Reduction:</h4>
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<span style="font-weight: 400;">Ask the </span><span style="font-weight: 400;">premier to withdraw his plan to close SCSs and slash harm reduction services in Ontario.</span> <a href="https://rnao.ca/policy/action-alerts/withdraw-your-plan-to-close-supervised-consumption-sites-premier"><span style="font-weight: 400;">https://rnao.ca/policy/action-alerts/withdraw-your-plan-to-close-supervised-consumption-sites-premier</span></a>

<span style="font-weight: 400;">- How to find your MPP - </span><a href="https://www.ola.org/en/members/current"><span style="font-weight: 400;">https://www.ola.org/en/members/current</span></a>
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<span style="font-weight: 400;">Letter for concerned citizens of Waterloo Region-</span>

<a href="https://docs.google.com/document/d/1jupK4OYGtZR6PXORSayO9iTXJUkgXCcB/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true"><span style="font-weight: 400;">https://docs.google.com/document/d/1jupK4OYGtZR6PXORSayO9iTXJUkgXCcB/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true</span></a>

<span style="font-weight: 400;">Letter for CTS clients who also want to write their own content-</span>

<a href="https://docs.google.com/document/d/1y2DOYrDP9elX-06kBTLmNU57Cu-VofRu/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true"><span style="font-weight: 400;">https://docs.google.com/document/d/1y2DOYrDP9elX-06kBTLmNU57Cu-VofRu/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true</span></a>

<span style="font-weight: 400;">Letter for CTS clients to sign -</span>

<a href="https://docs.google.com/document/d/1Vfyt91U3l_skU2xUSVE0xdx9Mf0poPF5/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true"><span style="font-weight: 400;">https://docs.google.com/document/d/1Vfyt91U3l_skU2xUSVE0xdx9Mf0poPF5/edit?usp=sharing&amp;ouid=101842238615521945316&amp;rtpof=true&amp;sd=true</span></a>
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<span style="font-weight: 400;">- CAMH </span><a href="https://www.camh.ca/en/camh-news-and-stories/camh-statement-supervised-consumption-sites-082024"><span style="font-weight: 400;">https://www.camh.ca/en/camh-news-and-stories/camh-statement-supervised-consumption-sites-082024</span></a>

<span style="font-weight: 400;">- CMHA </span><a href="https://ontario.cmha.ca/news/maintain-aspects-of-harm-reduction-as-part-of-hub-model-lessen-the-stigma-around-opioid-use/"><span style="font-weight: 400;">https://ontario.cmha.ca/news/maintain-aspects-of-harm-reduction-as-part-of-hub-model-lessen-the-stigma-around-opioid-use/</span></a>

<span style="font-weight: 400;">- Alliance for Healthier Communities </span><a href="https://www.allianceon.org/news/Eliminating-access-vital-harm-reduction-care-and-programs-will-have-high-costs-Ontario-families"><span style="font-weight: 400;">https://www.allianceon.org/news/Eliminating-access-vital-harm-reduction-care-and-programs-will-have-high-costs-Ontario-families</span></a>

<span style="font-weight: 400;">- CPHA </span><a href="https://www.cpha.ca/dead-people-dont-need-recovery-beds-ontarios-closure-ten-supervised-consumption-facilities-will"><span style="font-weight: 400;">https://www.cpha.ca/dead-people-dont-need-recovery-beds-ontarios-closure-ten-supervised-consumption-facilities-will</span></a>

<span style="font-weight: 400;">- CATIE </span><a href="https://www.catie.ca/catie-calls-for-a-hold-on-closing-ontario-supervised-consumption-sites"><span style="font-weight: 400;">https://www.catie.ca/catie-calls-for-a-hold-on-closing-ontario-supervised-consumption-sites</span></a>

<span style="font-weight: 400;">WRIDS: </span><a href="https://www.waterlooregiondrugstrategy.ca/en/data-and-research/resources/Reports/WRIDS-CTS-Statement-Aug-21-2024.pdf"><span style="font-weight: 400;">https://www.waterlooregiondrugstrategy.ca/en/data-and-research/resources/Reports/WRIDS-CTS-Statement-Aug-21-2024.pdf</span></a><span style="font-weight: 400;"> </span>
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<h3 style="text-align: center;">Other Resources</h3>
<span style="font-weight: 400;">Sanguen Health Centre and WRIDS on Harm Reduction (coming soon)</span>

<span style="font-weight: 400;">Frequently Asked Questions about Supervised Consumption Sites:</span>

<span style="font-weight: 400;">CATIE </span><a href="https://www.catie.ca/sites/default/files/2024-08/CATIE-Frequently-Asked-Questions-Supervised-Consumption-Services.pdf"><span style="font-weight: 400;">https://www.catie.ca/sites/default/files/2024-08/CATIE-Frequently-Asked-Questions-Supervised-Consumption-Services.pdf</span></a>

<span style="font-weight: 400;">Community Advocacy Groups  </span><a href="https://www.drugactionteam.ca/"><span style="font-weight: 400;">https://www.drugactionteam.ca/</span></a>

<span style="font-weight: 400;">Newsletter (coming soon)</span>

<span style="font-weight: 400;">Sign up for our monthly newsletter with updates about Sanguen Health Centre, Harm Reduction and other community impacts. </span>
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