Chapter 49: Dr. Andrea Sereda's oddly original offerings on opioid overdosing

I sat down with Dr. Andrea Sereda at the Sherbourne Health Centre on the east side of downtown Toronto, an area of the city sometimes known for its challenges with drug abuse. Who is Dr. Andrea Sereda? She is a family physician who practices street outreach medicine and provides care through the London InterCommunity Health Centre in London, Ontario. She works with the emergency safer supply substitution program, prescribing hydromorphone, an opioid used by injection drug users to reduce the risk of contaminated street drugs. Wait! What? Yes, on the face of it, Dr. Andrea Sereda gives drugs to drug users but there is a lot more to the story. We are going right to the front lines of the opioid epidemic which, even before the end of this conversation, will take 10 lives in North America alone. (To illustrate the issue more deeply, 8,048 Americans died of opioid related drug overdoses in 1999. What about now? Well, the number was approximately 70,000 drug overdose deaths last year.) It will take ingenuity, creativity, and passion to address this issue. As you'll hear, Dr. Andrea Sereda offers all three in spades. Her views are often provocative, sometimes controversial, and she will argue that drugs should be decriminalized and why we should indeed give drugs to drug users. What about the challenges to these ideas? The critics? The controversies? We get into that, too. And we are fortunate enough to use Andrea's three most formative books as a launchpad into this conversation. I am so grateful to Dr. Andrea Sereda for sharing so much of her life, her journey, and her practice with all of us. I find her and her work incredibly challenging, intriguing, and inspiring. I hope you do, too.