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Surviving an overdose may depend where a person lives in Canada, advocate says

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The day after one of his closest friends died alone in his bedroom from an opioid overdose, Brandon Bailey started sharing his cellphone number across social media.

The recovered drug addict from Windsor, Ont., has a message for other users: If you’re going to use, call me.

READ MORE: How lethal opioids devastated a small region of Ontario

“I will come to you and make sure that you are safe,” Bailey wrote in a Facebook post.

Bailey, who is also a member of the Windsor Overdose Prevention Society, said he’s been frustrated by a lack of overdose prevention services like safe consumption sites in the city, and he wants to ensure the overdose-reversing drug naloxone is within arms reach for anyone at risk.

Since his November post on Facebook, he has also distributed his cellphone number on flyers.

“We need to be doing something,” he said.

WATCH: Health Minister says declaring a public health emergency wouldn’t help opioid crisis






The overdose crisis has devastated communities across the country and is being credited with slowing the progress of life expectancy, which had risen three years between 2000 and 2016.

Opioids killed an estimated 9,000 people between January 2016 and June 2018, according to the Public Health Agency of Canada. About 94 per cent of those deaths were deemed accidental and almost three-quarters involved the powerful opioid fentanyl.

But access to overdose prevention services vary geographically, prompting some advocates to say that a person’s chances of surviving an overdose depends on where you live.


READ MORE:
Here are the Canadian cities with highest hospitalization rates for opioid poisonings in 2017

There are eight approved supervised consumption sites in British Columbia, nine in Ontario, six in Alberta, four in Quebec, and none elsewhere, according to Health Canada.

Supervised consumption sites allow people to use their drugs under medical supervision, many of which provide testing for fentanyl contamination and access to sterile equipment.

Naloxone is now available for purchase at pharmacies in every province and territory except Alberta, Yukon and Nunavut, the Canadian Pharmacists Association said.

Access to the free, take-home naloxone kits is more varied, with Quebec offering the nasal spray to anyone over 14 through pharmacies, New Brunswick giving naloxone to other sites like health and social services, and British Columbia offering free access to people at risk of overdosing, those likely to witness an overdose and to First Nations.

WATCH: The tragic impact of Canada’s opioid crisis on children






Jordan Westfall, executive director for the Canadian Association of People Who Use Drugs, said rural and remote areas are particularly underserved.

“There are large parts of the country that don’t have these services pretty much at all. These are lifelines for people at risk of overdosing that aren’t accessible to people,” Westfall said.

A lack of education and political will have been the biggest challenges to preventing overdose deaths, he said. Unlike other health-care decisions that are based on data, the question of allowing services like supervised consumption sites is often put before the public, he said.


READ MORE:
Opioid crisis may be lowering Canadians’ life expectancy, report says

“In a lot of cases, we’ve put human lives up for public consultation. That’s kind of a metaphor for how we treat the health care of people who use drugs, which is stigmatized in society,” Westfall said.

He said harm reduction could go further by providing a safe drug supply to users, given that so many deaths appear related to drugs contaminated with fentanyl.

“Everybody else in the country, when they take a sip of beer they don’t have to worry that they’re going to drop dead. We need to see the same safety for everyone in the country using drugs on the streets,” he said.

Vancouver’s Downtown Eastside has been at the centre of the overdose crisis in British Columbia and it’s also where some of the most accessible harm-reduction services are located.

WATCH: Vancouver to provide opioid pills to prevent overdoses






Last month, Vancouver Mayor Kennedy Stewart announced he would direct staff to look for a site where drug users can get safe opioids to prevent overdoses.

Sarah Blyth, co-founder of the Overdose Prevention Society in Vancouver, said supervised consumption sites and naloxone save lives every day.

On the day of the interview, she said three people had already overdosed at a nearby safe injection site but they survived because they were surrounded by people who understood drug use and overdose prevention.

But Rebecca Jesseman, policy director for the Canadian Centre on Substance Use and Addiction, said there are some good reasons for variation in available services: dominant drug problems also vary geographically.


READ MORE:
After losing their sons to lethal opioids, these two mothers are fighting back

The opioid crisis is more pronounced in British Columbia, Alberta, Ontario and Quebec, she said, while the central provinces of Manitoba and Saskatchewan are more concerned with fighting a methamphetamine problem.

“Part of the reason for different levels of response is the fact that the problem is different across Canada, so we do need to respond in a way that is specific to the local context,” she said.

Health Canada said in a statement that the federal government allocates funding based on the severity of the opioid crisis and the population size in each province or territory.

Jesseman said mobile units have begun providing support to places without permanent overdose prevention services, she said.

WATCH: Experts urge Canada’s health minister to recall high-strength opioids






But beyond geographic variations, she said services often fail to meet the needs of the individual, especially as they relate to language, gender, age and culture.

“The system often looks at people who need help as being treatment resistant, rather than looking at what is wrong with the system and how we can meet their needs,” Jesseman said.

“We wouldn’t accept this variation in service quality and availability for health conditions like cancer, diabetes and heart disease, so why is it the norm for substance use?”

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Anglais

Nostalgia and much more with Starburst XXXtreme

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Get a taste of adventure with Starburst XXXtreme based on the legendary NetEnt Game. The nostalgic themes are sure to capture fans of the classic version as they get treated to higher intensity, better visuals, and features. The most significant element of the game is its volatility. Patience will not be an essential virtue considering the insane gameplay, and there is a lot of win potential involved. It retains the original makeup of the previous game while adding a healthy dose of adrenaline. 

Starburst Visuals and Symbols

The game is definitely more conspicuous than before. The setting happens over a 5-reel, 3-row game grid with nine fixed win lines, which function if a succession from the left to the right reel is present. Only those players that that attain the highest win per bet line are paid. From a visual standpoint, the Starburst XXXtreme slots illustrates lightning effects behind the reels, which is not surprising as it is inherited from the original version. Available themes include Classic, Jewels, and Space. The game is also available in both desktop and mobile versions, which is advantageous for players considering the global pandemic. According to Techguide, American gamers are increasingly having more engaging gaming experiences to socialize to fill the gap of in-person interaction. Starburst XXXtreme allows them to fill the social void at a time when there is so much time to be had indoors. 

Starburst XXXTreme Features

Players get to alternate on three features which are Starburst Wilds, XXXtreme Spins, and Random Wilds. The first appears on reels 2,3, or 4. When these land, they expand to cover all positions while also calculating the wins. They are also locked for a respin. If a new one hits, it also becomes locked while awarding another respin. Starburst XXXtreme offers a choice between two scenarios for a higher stake. In one scenario with a ten times stake, the Starburst Wild is set on random on reels 2,3, or 4, and a multiplier starts the respin. The second scenario, which has a 95 times stake, starts with two guaranteed starburst wilds on reels 2,3, or 4. it also plays out using respin game sequence and features. The game also increases the potential with the Random Wilds feature to add Starburst Wilds to a vacant reel at the end of a spin. Every Starburst Wild gives a random multiplier with potential wins of x2, x3, x5, x10, x25, x50, x100, or even x150.

The new feature is sure to be a big hit with the gaming market as online gambling has shown significant growth during the lockdown. AdAge indicates the current casino customer base is an estimated one in five Americans, so Starburst XXXtreme’s additional features will achieve considerable popularity. 

What We Think About The Game

The gambling market has continued to diversify post-pandemic, so it is one of the most opportune times to release an online casino-based game. Thankfully Starburst XXXtreme features eye-catching visuals, including the jewels and space themes. These attract audience participation and make the gameplay inviting. The game also has a nostalgic edge. The previous NetEnt iteration featured similar visuals and gameplay, so the audience has some familiarity with it. The producers have revamped this version by tweaking the features to improve the volatility and engagement. 

That is characterized by the potential win cap of 200,000 times the bet. Starburst XXXtreme does not just give betting alternatives for players that want to go big. The increase of multipliers also provides a great experience. If the respins in the previous version were great, knowing that multipliers can go hundreds of times overtakes the game to a new level. 

Players should get excited about this offering. All of the features can be triggered within a single spin. Whether one plays the standard game or takes the XXXtreme spin route, it is possible to activate all of the features. Of course, the potential 200,000 times potential is a huge carrot. However, the bet size is probably going to be restricted and vary depending on the casino. It is also worth pointing out that a malfunction during the gameplay will void all of the payouts and progress. Overall, the game itself has been designed to provide a capped win of 200,000 times the original bet. 

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Anglais

‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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Anglais

MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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