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Toronto saw at least 146 suspected opioid deaths in 2018, according to paramedics’ data

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At least 146 people died of suspected opioid overdoses in Toronto in 2018, according to data from city paramedics.

The tally, which includes all suspected overdose deaths that happen before paramedics arrive or while they are administering care, comes from the first calendar year’s worth of data reported by the city’s public health department.

A man checks out an overdose-reversing naloxone kit given out at a downtown safe-injection site in an Aug. 14, 2017 file photo.
A man checks out an overdose-reversing naloxone kit given out at a downtown safe-injection site in an Aug. 14, 2017 file photo.  (Richard Lautens / Toronto Star)

The paramedics’ reports show a decrease in overdose deaths in the second half of the year compared to the same period in 2017, but it is too early to determine if that’s part of a larger trend, said Dr. Eileen de Villa, Toronto’s medical officer of health.

Toronto Public Health began monitoring paramedic reports of suspected opioid overdoses in August 2017 and publishes the data through its Overdose Information System.

“While considerable work has been done, the situation remains urgent,” de Villa said. “Too many people in our community are dying from preventable deaths attributed to drugs in the illegal market which are contaminated with fentanyl and other potent substances.”

Paramedics’ numbers do not include any deaths that happen after a patient is taken to hospital, nor any paramedics determine to be accidental that the coroner later rules an overdose.

Opioid deaths have increased sharply in Toronto in recent years. An average of 94 people died of opioid overdoses in the city each year between 2005 and 2013 — but that number has risen each year since, to a high of 308 in 2017, according to coroner’s data published by Public Health Ontario.

Toronto saw 111 opioid overdose deaths in the first six months of 2018 according to preliminary coroner’s data.

According to Health Canada, 2017 also saw a nationwide high in apparent opioid deaths, at nearly 4,000.

De Villa said the city’s public health department is throwing everything in its tool kit at the overdose crisis, pointing especially to harm-reduction services and supervised injection sites that opened this year.

The city late last year released a study of examining its first full year of paramedics’ data on suspected opioid overdoses, from August 2017 to August 2018. During that span, paramedics responded to 3,203 suspected opioid overdoses, of which 161 were fatal.

The study — the first of its kind — mapped both the number of calls and the fatality rates in Toronto neighbourhoods, showing overdoses are concentrated downtown, where officials say the city is also best-equipped to prevent deaths.

De Villa called the opioid overdose crisis “the defining health issue of our time” and said it must be tackled with multiple mechanisms including supervised consumption.

“Criminalizing those who use drugs adds to stigma,” she said. “We need to recognize that the current approach to the opioid overdose crisis is not achieving optimal community health, and it is not reducing the health harms associated with drug use. Our residents deserve evidence-based public health interventions that help them to start life healthy and stay that way for as long as possible.”

Those sentiments were echoed by Dr. Philip Berger, who has been an advocate for those grappling with opioid addictions since the early 1990s.

“Safe drug using sites — they should be all over the place,” Berger said. “There is nowhere near enough.”

There should be a wider slate of treatment options being made more readily available, he said, adding: “Every user should have (an overdose-reversing) naloxone kit.”

Jason Miller is a breaking news reporter based in Toronto. Reach him on email: jasonmiller@thestar.ca

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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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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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