Since free naloxone first became available in Ontario this summer, a number of changes have been made to the kits being distributed. Instead of glass ampules, the naloxone included is now in rubber-topped vials for easier use. The expiry date is on a sticker on the outside of the kit, rather than a loose slip of paper on the inside.
Most importantly, the kits, which used to be plain black, now have a large red cross with the word “NALOXONE” printed on the outside, and a clip allowing you to attach the kit to your bag or pack. By prominently displaying that you are a naloxone carrier, people know that they can approach you if someone is in trouble.
When I picked up my first of the new kits, I found myself strangely reluctant to attach it to the outside of my bag. This was really troubling to me – why was I uncomfortable publicizing that I am carrying a life-saving drug?
I’ve spent a few days unpacking my reluctance.
First, I considered whether I had some discomfort about actually being called upon to use the naloxone. But, I’ve given many injections in my life, and on several occasions, I’ve intervened in a health crisis that was taking place in a public space.
That being the case, I needed to look more deeply at the source of my discomfort. I like to think that I’m very open about my stance towards drug use and people who use drugs. T-shirts with slogans including “Keep Calm and Carry Naloxone” and “Nice People Take Drugs” are a regular part of my wardrobe.
But wearing a t-shirt with a sassy slogan is one thing. Publicly carrying naloxone felt very different, and it was with some shame that I realized that I was afraid of facing the stigma of drug use. Even after all the work that we’ve done to get naloxone into the hands of friends and family members, carrying a kit still brings the immediate assumption of drug use. And with that assumption comes all of the stereotypes. The awkward conversations I’d have with my health professionals. The knowing that law enforcement professionals would have that tiny little extra bit of an eye on me. And I didn’t want any of that.
The number one way to break down stigma about drug use is to bring it into the open.
So today, I clipped my naloxone kit to my bag and walked to work.
This post is dedicated to all the graduates of Strengthening Your Voice.
