{"id":3628,"date":"2018-04-26T17:04:16","date_gmt":"2018-04-26T17:04:16","guid":{"rendered":"https:\/\/cusjc.ca\/catalyst\/?post_type=project&#038;p=3628"},"modified":"2018-04-29T04:11:29","modified_gmt":"2018-04-29T04:11:29","slug":"screw-the-rules-saving-lives-on-the-front-lines-of-harm-reduction-in-ottawa","status":"publish","type":"project","link":"https:\/\/cusjc.ca\/catalyst\/project\/screw-the-rules-saving-lives-on-the-front-lines-of-harm-reduction-in-ottawa\/","title":{"rendered":"&#8216;Screw the rules&#8217;; saving lives on the front lines of harm reduction in Ottawa"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.89&#8243; background_color=&#8221;#757575&#8243;][et_pb_row _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.2&#8243; text_letter_spacing=&#8221;2px&#8221; background_color=&#8221;#757575&#8243; border_width_all=&#8221;5px&#8221; border_color_all=&#8221;#000000&#8243; border_style_all=&#8221;dashed&#8221; background_layout=&#8221;dark&#8221; custom_margin=&#8221;15px|15px|15px|15px&#8221; custom_padding=&#8221;15px|15px|15px|15px&#8221; inline_fonts=&#8221;Abhaya Libre,Acme&#8221;]<\/p>\n<h1>&#8216;Screw the rules&#8217;<\/h1>\n<h2>saving lives on the front lines of harm reduction in Ottawa<\/h2>\n<p>&nbsp;<\/p>\n<h3>By Emily Fearon<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon1.jpg&#8221; _builder_version=&#8221;3.0.89&#8243; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(255,255,255,0.3)&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;27px|0px|13px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">Marilou Gagnon wasn\u2019t surprised when her passions made her an activist. She says she loves being called a rebel, but as long as that doesn\u2019t mean she\u2019s incompetent, disorganized or dangerous.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Even while in the process of a big move out-of-province, Gagnon\u2019s office at the University of Ottawa is tidy and in order. She apologizes for the mess, nonetheless. Her space in the school of medicine has walls covered in colourful books, posters and paintings. Gagnon is a nurse but is also a doctor since she pursued a PhD, though she says that was never part of her original plan. In fact, she landed at the U of O for her doctoral studies and has now been in Ottawa for 12 years. She moved to the Capital from Quebec; born in a small town outside of Montreal, she didn\u2019t learn to speak English until she was 18, but studied at John Abbott College in English anyway.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;9px|0px|27px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">It was during her clinical rotation that her life was changed. \u201cI went in an HIV clinic and everything happened right there,\u201d she says. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">While fascinated by the medical complexity of HIV, Gagnon says it was the social and political injustices and implications of the virus that sparked her passion for being an advocate for others\u2019 rights.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u201cI didn\u2019t know I had that in me,\u201d she says, and asserts, \u201cyou could not be a nurse in HIV and not be involved in advocating for the rights of people living with HIV.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Since her eureka moment Gagnon has hardly had a moment to breathe. \u201cI think people from the outside often think that I don\u2019t sleep because it is really seven days a week, nonstop,\u201d she says.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon4.jpg&#8221; _builder_version=&#8221;3.0.89&#8243; border_width_left=&#8221;9px&#8221; border_color_left=&#8221;#ffffff&#8221; border_style_left=&#8221;dashed&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(255,255,255,0.3)&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;3px|0px|9px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; border_width_bottom=&#8221;7px&#8221; border_color_bottom=&#8221;#000000&#8243; border_style_bottom=&#8221;dashed&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">\u201cYou couldn\u2019t find somebody who\u2019s more ethically grounded or devoted to her work and what she believes in,\u201d says Jean-Daniel Jacob. He\u2019s also a nurse and professor at the U of O and he and Gagnon completed their PhDs together. They\u2019ve been close friends and coworkers since 2006. \u201cWhen she worked in HIV, she lived it, she breathed it, it\u2019s fantastic, and now same thing with all the work in harm reduction,\u201d he says. \u201cShe\u2019s definitely someone who will put her work into action.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Gagnon\u2019s projects include starting an official incorporated professional association for nurses working in harm reduction, starting a nursing observatory, she\u2019s written 15 op-ed pieces in 2018 alone and \u201cI also ran an overdose prevention site for 78 days in Ottawa with an amazing group of people, and I was the only nurse on the core organizing team,\u201d she says nonchalantly.<\/span><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;9px|0px|0px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span style=\"font-size: 15px;\">Last year, from August 25 until the November cold made operation too difficult, Gagnon and other volunteers worked tirelessly in Raphael Brunet Park to ease the pain and horror of the opioid crisis. \u201cOpening an overdose prevention site took us seven days and a few tents and tables and chairs and volunteers. It\u2019s just that easy,\u201d she says. But it was only the opening of the site that was simple. The investment and work the site demanded of its volunteers was anything but easy.<\/span><\/p>\n<p class=\"p2\"><span style=\"font-size: 15px;\">The moment Gagnon joined the team she had three days to train volunteers, find medical supplies, create protocols, pick a location and prepare for the response from the community, media and law enforcement. It was \u201ca lot of emotions and stress and excitement in very few days, and then we opened.\u201d<\/span><\/p>\n<p class=\"p2\"><span style=\"font-size: 15px;\">And she was there every day. As the nurse on staff in the injection tent, she would do three to four shifts a day. She says running the site was simple and it took only one week before the team hit their stride and could have expanded the site\u2019s hours of operation. But they never did. Opposition from the community, a lack of support from the mayor\u2019s office, other demands and dramas made it messy. She had a general sense that the site was supported by the community, but there was also a small group of vocal and vicious opponents of the site. Gagnon recounts days dealing with police calls, obstructions of their space, air horns, manure spread across the park\u2019s lawn, and having to wear sunglasses at night because lights were used to blind the volunteers. But what surprised Gagnon was the media coverage.<\/span><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon3.jpg&#8221; _builder_version=&#8221;3.0.89&#8243; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(255,255,255,0.3)&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon5.jpg&#8221; _builder_version=&#8221;3.0.89&#8243; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(255,255,255,0.3)&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;8px|0px|8px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; border_width_bottom=&#8221;8px&#8221; border_color_bottom=&#8221;#000000&#8243; border_style_bottom=&#8221;dashed&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">\u201cI thought I knew what to expect but the media coverage surprised me a bit in how bad it was,\u201d she says. \u201cI expected the police to be our biggest obstacle,\u201d she continued, but it was the media\u2019s lack of context or education that became a barrier and negative force in the public\u2019s perception of the volunteers\u2019 work. \u201cThe coverage was meant to be very divisive, like the poor neighbour victims, and the rebels.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">She did name one journalist, however, who covered the site well. Kieran Delamont, who wrote for Ottawa\u2019s Metro paper before it folded at the beginning of 2018, was the first to cover the site. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">In his most revealing interview with Gagnon while the site was open, Delamont says he could tell how exhausted she was. \u201cIt was somebody who was really tired but didn\u2019t want to say they were tired . . . very accomplished fatigue, in a way. I remember her wearing her heart on her sleeve and being pretty honest about that and the toll it takes.\u201d<\/span><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;0px|0px|18px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">Delamont, who used to cover City Hall but now freelances, called Gagnon a polarizing figure in local politics. \u201cYou could kind of see when she went to board of health meetings there was a little bit of \u2018ugh here we go again\u2019 kind of attitude,\u201d he said. \u201cBut you need those kind of people who are going to be a constant thorn in the city\u2019s side.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">While Delamont only knows Gagnon professionally, he said he could imagine the toll the site took on her. \u201cMarilou said she knew the name of everybody that came in. That all the people who showed up to use their site, she was trying her best to remember everyone\u2019s name,\u201d he said. \u201cIt wasn\u2019t a heartless, mechanical service as much as it was really just people watching out for one another in the community.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The site eventually closed when Ottawa\u2019s weather became too cold. Gagnon said this was a calculated move on the city\u2019s behalf that she and her team would be edged out by the elements. \u201cThis was not a decision . . . we were forced to close because we didn\u2019t have any other option,\u201d she said. \u201cTo this day I cannot really understand how a responsible elected official can shut down something like that in the context of a crisis.\u201d<\/span><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;9px|0px|0px|0px&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon2.jpg&#8221; _builder_version=&#8221;3.0.89&#8243; border_width_left=&#8221;8px&#8221; border_color_left=&#8221;#ffffff&#8221; border_style_left=&#8221;dashed&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_color=&#8221;rgba(255,255,255,0.3)&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\">Gagnon affirmed Delamont\u2019s read on her. She said she was exhausted. But she also called working at the site the best experience of her life.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u201cIt\u2019s hard to summarize 78 days,\u201d she says. \u201cIt\u2019s a combination of being extremely proud and very emotional and really experiencing almost like you\u2019re a part of a family . . . but at the same time being extremely angry all the time at the system; the systems that are failing people, the systems that have created this problem in the first place, and also how systems are creating these big barriers for us.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">She said it was hard to leave the people behind as the site closed \u2014 it was a sense of success amid the harsh circumstances that halted their work. \u201cWe actually saved people\u2019s lives in there from overdoses, we helped them at the most vulnerable points, got to know them, hear their story, then just abandon them.\u201d<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">While there is a Phase Two of this project coming down the line, Gagnon won\u2019t be a part of it. She\u2019s leaving the U of O to head to the University of Victoria. She\u2019ll be in the same teaching role, but in a province pushing forward in overdose prevention at a much faster clip than Ontario.<\/span><\/p>\n<p class=\"p1\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;19px|0px|27px|0px&#8221; _builder_version=&#8221;3.0.89&#8243; border_width_bottom=&#8221;8px&#8221; border_color_bottom=&#8221;#000000&#8243; border_style_bottom=&#8221;dashed&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.0.89&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<p class=\"p1\" style=\"text-align: left;\"><span style=\"font-size: 15px;\">Jacob says that Gagnon\u2019s ability to combine academia and activism makes her a good fit for her new role.\u00a0<\/span><span style=\"font-size: 15px;\">\u201cOttawa U is losing a gem,\u201d he adds. \u201cYou don\u2019t get a prof like that very often. You don\u2019t get those types of prof really ever.\u201d<\/span><\/p>\n<p class=\"p1\" style=\"text-align: left;\"><span class=\"s1\">In B.C. Gagnon will carry on her passionate work in the niche of rebellious harm reduction.<\/span><\/p>\n<p class=\"p1\" style=\"text-align: left;\"><span class=\"s1\">\u201cHarm reduction was never a public health intervention, it came from people that were very grassroots and activists and anarchists, people that were just like \u2018screw the rules, the right thing to do is to give people clean syringes,\u2019\u201d she says.<\/span><\/p>\n<p class=\"p1\" style=\"text-align: left;\"><span class=\"s1\">\u201cI love being described as a rebel, I\u2019ll take it any day, but I think sometimes the way it was presented, it took away from the fact that you can decide that the rules are killing people, and that you will not follow these rules,\u201d she continues. \u201cHistorically that\u2019s always been how people make things evolve.\u201d<\/span><\/p>\n<p class=\"p1\" style=\"text-align: left;\"><em><span class=\"s1\"><\/span><\/em><\/p>\n<p class=\"p1\" style=\"text-align: left;\"><em><span class=\"s1\">A previous version of this story incorrectly stated where Gagnon first studied nursing.<\/span><\/em><\/p>\n<p class=\"p1\">\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.89&#8243; background_color=&#8221;#757575&#8243;][et_pb_row _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.2&#8243; text_letter_spacing=&#8221;2px&#8221; background_color=&#8221;#757575&#8243; border_width_all=&#8221;5px&#8221; border_color_all=&#8221;#000000&#8243; border_style_all=&#8221;dashed&#8221; background_layout=&#8221;dark&#8221; custom_margin=&#8221;15px|15px|15px|15px&#8221; custom_padding=&#8221;15px|15px|15px|15px&#8221; inline_fonts=&#8221;Abhaya Libre,Acme&#8221;] &#8216;Screw the rules&#8217; saving lives on the front lines of harm reduction in Ottawa &nbsp; By Emily Fearon [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/catalyst\/wp-content\/uploads\/2018\/04\/Fearon-Gagnon1.jpg&#8221; 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