Tommy Brothers
@tdbrothers.bsky.social
MD, PhD, FRCPC | general internal medicine & addiction medicine doctor | epidemiologist & health services researcher | Nova Scotian
📝Do you want to present at #HR27Belfast? Submit your abstract before the 30th of September 2026. We're excited to exchange global knowledge at the conference! https://hr27.hri.global/programme/call-for-abstracts/
Story is deeply moving. Makes me think of my son Danny, who died alone before Naloxone became available. 💔 www.cbc.ca/news/canada/...
FIRST PERSON | As a paramedic, I responded to countless overdoses. Then my best friend died from one | CBC News
When Cam Fenton's best friend died, it made him question how someone who was a support worker at a supervised injection site ended up as one of thousands of people who die of opioid overdoses every ye...
cbc.ca
Opioid deaths are down but emergency calls are spiking. Inside the mystery leaving Ontario paramedics ‘flying blind.’ A street drug that defies traditional overdose responses is adding to the strain on hospitals, by @omarmosleh.bsky.social www.thestar.com/news/gta/opi... via @thestar.com
Opioid deaths are down but emergency calls are spiking. Inside the mystery leaving Ontario paramedics ‘flying blind’
A tranquilizer in Toronto street drugs that defies traditional overdose responses is adding to the strain on hospitals.
thestar.com
Spoiler alert: services for rural people who use drugs are missing or insufficient. Women, mostly mothers, provide the informal support. Our team, led by @hollymathias.bsky.social and @ehyshka.bsky.social is pleased to share this important work. kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
If you are attending the International AIDS Conference, we encourage you not to miss our session entitled "Building Sustainability for Harm Reduction Under Threat." 📆 Please join us on 27 July at 13:45 (Rio de Janeiro time).
We Ain’t Dead Yet!!! 🚨New @crackdownpod.bsky.social ep. Overdose deaths are down across North America & the far right wanna take credit. Plus update on what’s next for the pod. www.crackdownpod.com/episodes
Episodes — Crackdown Podcast
crackdownpod.com
New 🧪 paper led by JF Crepault (CAMH) out today. Here we discuss how we adapted multi-criteria decision analysis of drug harms to reflect population burden of disease. (our full Canadian MCDA results are published here: pubmed.ncbi.nlm.nih.gov/41589327/ ) link.springer.com/article/10.1...
Adapting multi-criteria decision analysis of drug harms to reflect population-level health outcomes: An innovation in public health policy - Canadian Journal of Public Health
Setting Advocates of a public health approach to psychoactive substances need actionable evidence. In several countries, multidisciplinary groups have used multi-criteria decision analysis (MCDA) to g...
link.springer.com
We are grateful to co-host this upcoming webinar on Thursday August 13th, 2026, at 12pm PST with @hrna.bsky.social and Caitlin Shane, staff lawyer at @pivotlegalsociety.bsky.social. REGISTER HERE: tinyurl.com/3da7j4p2 #bcpoli #harmreduction
This is what happens when one government one province away sponsors disinformation. People across the country are harmed by its spread.
tinyurl.com/yhr9hf2h The @bcfamilydocs.bsky.social rightfully calls out the political interference in our important area of practice. @davidebybc.bsky.social and the @bcndpcaucus.bsky.social have forced us to choose between doing what is clinically indicated for our patients and their moralizing.
this is about the government's policy on witnessed safe supply from @bcfamilydocs.bsky.social this is a big deal #bcpoli
tinyurl.com/yhr9hf2h The @bcfamilydocs.bsky.social rightfully calls out the political interference in our important area of practice. @davidebybc.bsky.social and the @bcndpcaucus.bsky.social have forced us to choose between doing what is clinically indicated for our patients and their moralizing.
Drug prohibition’s “iron law” (aka “paradox” aka “squeezing the balloon”) strikes again www.nytimes.com/2026/07/07/w...
Estonia Won the War on Fentanyl. What Came Next Was Even Worse. (Gift Article)
By 2018, fentanyl overdoses in Estonia had plummeted. But powerful new drugs are appearing fast, with the authorities racing to respond.
nytimes.com
Substance use disorders are common among patients in hospitals, but treatment is not always readily available. A new analysis looks at the impact of SUD on hospital readmissions and costs, and the effective models hospitals can deploy to improve care. https://ow.ly/MX8Q50Zm1CC
How Hospitals Can Help People With Substance Use Disorders
Every year, millions of hospital stays involve people who use alcohol or drugs. In some cases, drug or alcohol use is the immediate reason for their hospitalization; in other cases, substance use is one of multiple contributing medical causes.
ow.ly
One out of 10 people admitted to hospital are there because of the impact of substance use on their health – but only a small portion are related to actual substance use disorders or poisonings (overdoses). New Canadian Substance Use Costs and Harms – Healthcare 2017-2024 now available: CSUCH.ca
There were almost 300,000 hospitalizations related to alcohol or drugs in 2024 – the majority were from the broad effects of substance use on our health, including cancer and cardiovascular disease. New Canadian Substance Use Costs and Harms – Healthcare 2017-2024 report now available: CSUCH.ca
Expansion of Civil Commitment for Substance Use Disorders—Not the Type of Commitment Our Patients Need "Conceptually, civil commitment for SUD treatment is at odds with a modern understanding of addiction" jamanetwork.com/journals/jam...
Expansion of Civil Commitment for Substance Use Disorders
This Viewpoint discusses the ethics of civil commitment for substance use disorders and advocates for expansion of access to voluntary treatment instead.
jamanetwork.com
Our team has new qualitative research out in the Journal of Urban Health. The paper describes life in #yeg's central business district for people who use drugs. cc: @gsalvalaggio.bsky.social link.springer.com/article/10.1...
It continues to elude me why on earth a health system would build an involuntary system of “care” BEFORE properly resourcing a voluntary one. Actually TAKING AWAY from that voluntary system, however, is egregious.
Publicly, the UCP have said they won't take beds away from voluntary addiction recovery centres in Edmonton to make space for the province's forthcoming forced treatment program. Internal Recovery Alberta docs tell a different story. zurl.co/IRjG4
“People would often start out with tin cans.” Research documents respiratory harms among people without access to safer pipes using homemade devices to smoke crack cocaine. Participants' feedback led to development of a better pipe, reports Sydney Sauer:
UK Stimulant Pipe Program Tracks the Risks of Homemade Options
Respiratory harms result from use of makeshift pipes when safer ones aren't available. The research led to development of a better pipe.
filtermag.org
naloxone is the most downstream intervention possible. we'll save your life, but first you have to die
👀👀 “The course served both as a corrective to prior stigma-laden training and as a catalyst for deeper engagement with HR values and evidence-based practices.”
📣 New 📣 “Exploration of a Harm Reduction Course: Insights into Course Development and Delivery” This study shows that harm reduction education helps future nurses provide more compassionate and evidence-based care. #HarmReduction #Nurse Check it out here 👇 www.hrna-aiirm.ca/wp-content/u...
💯! Dr. Bonnie Larson: "As a physician, I consider SCS a gold-star public health intervention. It does exactly what it is designed to do with 100 per cent efficacy. Despite such success in saving lives, the UCP has been intent on shuttering Safeworks." calgaryherald.com/opinion/colu...
Opinion: Former Safeworks client fights closure, saying facility as crucial now as in his past
Opinion:
calgaryherald.com
Intranasal Mucosal Atomiser Devices: A Novel Harm Reduction Intervention Hayden Green, Thileepan Naren, Brittany Chapman, Martyn Lloyd-Jones, Sione Crawford, Dean Membrey https://doi.org/10.1111/dar.70191 Monash Addiction Research Centre, Monash University, Curtin University
Yesterday, I had the honour of tabling the Save a Life Act (Naloxone Registration and Public Access Act, 2026). This legislation would co-locate naloxone kits where publicly available automatic external debrillators (AEDs) are in our communities. #harmreduction #opioidpoisoning #health #onpoli
The Harm Reduction International Conference 2027 #HR27 website is now live! Explore key dates and exciting opportunities for our next edition. Check back for regular updates or sign up for the newsletter to get it straight to your inbox! https://hr27.hri.global/
We have a new paper in @sajamersa.bsky.social evaluating the “scattered-site” managed alcohol program (MAP) in Halifax, Nova Scotia It was first launched during COVID- combining a central supported building + outreach to individual apartments- and sustained 1/ journals.sagepub.com/doi/10.1177/...
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
NEW The Alberta government’s fight to close the two busiest supervised consumption sites is in the bottom of the ninth. The pinch hitter it calls to bat? A freshly minted PhD in economics nobody’s heard of. drugdatadecoded.ca/albertas-exp...
Alberta's only expert witness against consumption sites was an American economist in Italy. Here's how that went.
As provinces like Manitoba resume harm reduction as usual, the Alberta government's coup against supervised consumption appears to be crumbling underfoot with no medical or public health experts comin...
drugdatadecoded.ca
The Deadliest Drug: Alcohol kills nearly 500 Americans every day. Confronting heavy drinking could be one of the best ways to improve health and save lives, by @levfacher.bsky.social @isabellacueto.bsky.social www.statnews.com/2026/05/12/a... via @statnews.com (part 1)
Alcohol is wreaking havoc on U.S. public health. American society looks the other way
The Deadliest Drug, a new investigative series, shows that the alcohol epidemic is a generational failure of the medical and public health systems, of industry, and of government.
statnews.com