Crystal meth laced with fentanyl circulating in Outaouais, health centre says

A supervised consumption site in the Outaouaissays it's findinga dangerous mixture of crystal meth contaminated with fentanyl.

Adrien St-Onge, co-ordinator ofthesite at the Bureau rgional d'action sida (BRAS) in Gatineau,said it's not the first time it's seenthis kind of drug combination,but the quantities arealarming.

Ten different crystal methsamples have been tested in the last three weeks andSt-Onge said traces of fentanylwere found in every one.

Crystal meth, the solid form of methamphetamine, is an illegal, addictivestimulant that causes "an intense surge of euphoria" that affects the heart and brain.

The very powerful prescription opioid painkiller fentanyl, while able to be abused on its own,can be cut into other street drugs to make batchesmuch much stronger at a lower cost to the dealer.

That unexpected strength is part of why fentanyl is so dangerous and a driver of the opioid overdose crisis.

• Spike in opioid ODs brings where, how people are using drugs into focus

Across the river in Ottawa, the Sandy Hill Community Health Centre said it's not seeing similar test results to Gatineau butit could only be a matter of time before it does.

"Because the market is so unpredictable we can see a flurry of overdoses from one day to the next," said Derrick StJohn, the centre's Oasis program manager. The program not only offers supervised use, but also counseling and medicine.

Since Oct. 1, thathealth centre's drug testing machinehas analyzed300 different kinds of drugs includingfentanyl, cocaine, ketamine, MDMA andcrystal meth.

Thirty of those samples have come back as crystal meth and none of those foundfentanyl or the even more potentcarfentanil.

"This device tests only a very small sample of the drug, so it's possible that if the sample is contaminated, we're just not seeing it in the part that we're testing," St John said.

People are looking for fentanyl, even though they're playing with their life.- Louise Beaudoin, Ottawa Inner City Health

That's part of the problem, he added.

"For someone purchasing crystal meth, they could do one successful hit of that, and then the fifth hit is the one that has fentanyl."

The key message is that no street drug can be considered safeand the risk of cross-contamination is high.

"There is no quality control, so you just never know. There could be a little, there could be a lot. We just don't know," St John said.

Community talks to each other

"People are looking for fentanyl, even though they're playing with their life," said Louise Beaudoin, nursing manager at Ottawa Inner City Health.

Many users, Beaudoin said, choose to adjust their dose based on what drugtesting reveals.

The community also talks to each otherand will warn of a bad batch or a potentially off-putting supply.

"They will say'Hey, this colour is extremely strong, watch out. Cut your dose in half or even less,'"Beaudoin said.

In a statement, Ottawa Public Health (OPH) saidit is aware of the presence of fentanyl in much of the city's unregulated drug supply. It's seen a significant increase inharms caused by fatal and non-fatal drug overdoses.

The health unit saidan increasingly toxic and unpredictable supply of unregulated drugs has worsened the situation.

OPH reported 1,076 opioid-related visits to hospital emergency departmentsfrom January to October2023.

The city's 93 opioid overdose deaths in the first six months of last year are more than the number of reported COVID-19 deaths in the same span.