Flawed reports can harm: the case of supervised consumption services in Alberta

Commentary
by
Salvalaggio, Ginetta et al

Release Date

2023

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

This commentary discusses the report commissioned by the Alberta government in 2019 to review the socioeconomic impacts of seven supervised consumption services in the province. The report’s findings have been used to justify decisions that jeopardize the health and well-being of people who use drugs both in Canada and internationally. 

Findings/Key points

This provincial report is fundamentally methodologically flawed, with a high risk of biases that critically undermine its authors’ assessment of the scientific evidence. Although touted as a rigorous review of SCS across the province, the panel’s 2020 report fits the following criteria associated with pseudoscience: (a) outcome reporting bias; (b) measurement bias; (c) confirmation bias; and (d) lack of independent peer review. 

Governments must ensure that future assessments of public health measures to address drug toxicity deaths are scientifically sound and methodologically rigorous. Health policy must be based on the best available evidence, protect the right of structurally vulnerable populations to access healthcare, and not be contingent on favourable public opinion or prevailing political ideology.

Keywords

Advocacy
Harm reduction
Mortality
Overdose
Policy/Regulatory
SCS/OPS
Stigma