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Sam Gutman, a BC-based emergency doctor and founder of Rockdoc Consulting which provides harm reduction services at music festivals, said he could see liquid fentanyl potentially being used to spike drinks or being confused with GHB.
In a June 2016 VICE article, BC-based medical service and healthcare consulting organization Rockdoc Consulting which provides harm reduction services to Pemberton Music Festival reported that fentanyl was cut into drugs outside of the range of opiates because it was cheaper and more easily accessible.
"Overdose implies that there's a therapeutic dose that's effective and you've taken more than that, so when you apply it to something like a street drug, there is no sort of effective dose," said Gutman, a BC-based emergency doctor and founder of Rockdoc Consulting which provides harm reduction services at music festivals.
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"I think dilution is a brilliant idea," said Maya Doe-Simkins, a public health consultant and director of communications for the Chicago Recovery Alliance, which provides harm-reduction services.
Harm reduction workers supervise drug users, provide harm reduction supplies, and administer naloxone when they see signs of overdose.
"It's really heartbreaking for us, but it just reaffirms how important it is to provide harm reduction".
There are other problems with providing harm reduction in a small city: an "inadequate" transit system and a lack of services on weeknights and weekends.
Ivan tells me that, so far, UCL has rebuffed the group's attempts to set up a stall providing harm reduction information at Freshers' Week, and to provide drug testing kits to students, as Newcastle and LSE currently permit.
At events throughout Vancouver, Karmik continues to provide harm reduction services wherever they can and have found that there's been an increase in people who now go to them.
The scheme was announced on Sunday, and will be run by non-profit organisation The Loop, who provide harm reduction services on everything from alcohol, sexual health and mental health to drugs.
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