TRIAL TO GIVE FREE HEROIN TO HARD-CORE ADDICTS IN VANCOUVER AND MONTREAL

Two hundred drug addicts in Montreal and Vancouver will be lining up
for free heroin later this year at publicly funded clinics. And they
can thank the federal Conservative government, despite its hard line
against hard drugs.

The trial - which will offer the drug in pill and injectable forms as
well - builds on a similar heroin experiment last year that found
most participants committed far fewer crimes and their physical and
mental health improved.

The three-year medical trial will put Canada on the leading edge of
international addictions research "for a population that is in
desperate need for alternate health options," said Michael Krausz,
the lead investigator.

But the project is only proceeding with the blessing of, and
$1-million in funding from, the Canadian Institutes of Health
Research, an agency of Health Canada.

The federal Conservative government is currently fighting Vancouver's
supervised-injection facility, Insite, in court. Prime Minister
Stephen Harper has argued that taxpayer money should not fund drug
use, but should be spent on prevention and treatment.

The heroin trial goes even further than Insite, not only providing a
safe place to inject, but also the heroin itself.

The drug is legally purchased in Europe and brought to Canada under
armed guard.

The trial is called SALOME, the Study to Assess Longer-term Opioid
Medication Effectiveness, and it will build on a similar heroin
experiment that wrapped up last summer. The North American Opiate
Medication Initiative (NAOMI) was also funded by the Canadian
Institutes of Health Research with the approval of Health Canada

The NAOMI trial was criticized by some addictions physicians but drew
no comment from the federal government, which paid more than
$8-million for the research.

"It's been disappointing," said Martin Schechter, who led NAOMI and
is also working on SALOME. Dr. Schechter said European health
authorities are very interested in the work, but Canadian authorities
will not acknowledge it.

"There's a lot invested in NAOMI. We did everything we could to
translate the information for decision-makers to make them understand
what it meant," he said.

Dr. Krausz, a leading addictions researcher, has conducted another
heroin trial in Germany, the largest such randomized clinical trial in Europe.

The Canadian research aims to determine if medically prescribed
heroin is a safe and effective treatment and if users will accept the
drug in pill form instead of injecting it.. It will also measure
whether a licenced narcotic, Hydromorphone, can be used instead of heroin.

His team is now recruiting about 200 severe heroin addicts who have
failed to respond to existing treatments and they expect to have the
clinics in Vancouver and Montreal open by this fall.

Last week, Dr. Krausz's medical team sat down with Vancouver
philanthropists asking for additional support for the clinics that
will distribute both heroin and a legal narcotic substitute to
hard-core addicts. Organizers say one business leader immediately
offered a cheque for $100,000.

Trish Walsh, executive director of the InnerChange Foundation, who
arranged last week's fundraiser with top Vancouver business and
community leaders, said the 30 people who gathered in a corporate
boardroom understood that the city cannot ignore its drug-addicted population.

"We have been sleepwalking right through the middle of this crisis."

Health Minister Leona Aglukkaq did not return calls, but her press
secretary, Josee Bellemare, offered an e-mailed statement on the
minister's behalf: "Our government recognizes that injection drug
users need assistance. That's why we are investing in prevention and
treatment, to help people recover from their drug addictions."