In April of 2016, the APBC published a white paper – “Opioid Overdose & Naloxone: Collaboration for policy innovation” in that document, the APBC recognized that Canada had the highest use off opioids, per capita of anyplace in North America, with the USA a close 2nd. In this white paper the APBC references harm reduction strategies. In January of 2021, a Pan-Canadian, multi-stakeholder group, led by the Paramedic Association of Canada, in partnership with the Canadian Standards Association produced CSA standard Z1650.21 0 Paramedic Response to the Opioid Crisis: Education and Training across the treatment and care continuum in out of hospital and community settings.  This standard endorses safe consumption and overdose prevention sites in the community as part of the harm reduction strategy.