Access to buprenorphine and naloxone has been a challenge for first nations communities. We have been successful in getting some greater access to buprenorphine and naloxone—it's by exception on the non-insured health benefits—and then in Ontario the Minister of Health has just announced greater access.
The program that Dr. Chase is talking about is successful because it uses buprenorphine and naloxone. I would encourage that buprenorphine and naloxone be the first line of treatment for indigenous populations with an opiate addiction, because it allows them to stay in their community and it allows for a team-based approach. Health Canada has to change its policies around nursing in communities so that it's a strength-based primary care program and not a “nurse” program, so that they can work with others in communities.
The other question you had.... I'm not sure that I answered it.
No, naloxone kits aren't widely available. That's true. We need greater access to naloxone, and we need support for broader distribution to high-risk populations for naloxone.