ANKORS; Reducing Harm at EDM Festivals What we do 2014 Chloe Sage Hepatitis C Project ANKORS Large scale Electronic Music Festivals have exploded in popularity across North America in number of festivals and number of attendees. Attendees are young and many are drug experienced. Many festivals are multi day events elevating the problems of binging, lack of sleep, exposure, dehydration, sexual assault, overdose. A coordinated response, including medical, harm reduction services, security and community partners is needed to care for the health and safety of the large numbers of youth involved in the Electronic Music Festivals. This paper looks at the harm reduction services offered at the multi day EDM festival Shambhala by ANKORS and partners. Shambhala has been held on a rural private farm since 1998 and reached 15,000 in attendees last year. ANKORS is an Interior Health and PHAC funded community organization that has been offering Harm Reduction services, supplies, support and education in the Kootenay region for 21 years. We have been doing Harm Reduction including substance testing at Shambhala Music Festival since 2001. ANKORS works in coordination with other teams in the Health and Well being Department at Shambhala to reduce negative outcomes resulting from risks associated with drugs, alcohol, heat and exhaustion. As Electronic Music Festivals have exploded in popularity, so has the need for non judgmental support, factual information, and harm reduction supplies. In eleven years we have gone from 221 tests 1763 contacts in 2003 to 2786 tests 5099 contacts in 2014. Doing testing at the festival enables us to give some information to festival guests on what they are choosing to put into their bodies. We also offer guests the choice to dispose of their substance once we tested it. 190 people took the opportunity to throw out their drugs after the conclusion of the test. While testing we engage in a conversation about self care, including dangerous drug combos, adulterants, overdose prevention and BBI prevention. ANKORS Harm Reduction is there to help people have more knowledge so they can make more informed and healthier decisions about what they do with their bodies. We are one spoke in the wheel of support that is offered at Shambhala. Other supports include Outreach, the Sanctuary psychedelic first aid, Womens’ Safe Space, Options for Sexual Health, and First Aid and Security. In this report we share Shambhala ANKORS tent test results and info booth stats for 2014. Our total contacts for the booth this year was 5099. This includes all contacts that came to the tent for drug information, testing, to get condoms, dental dams, safer sex information, earplugs and harm reduction supplies. Where did all these drugs came from? We did 318 tests for ground scores. Ground score means substances people found on the ground and brought to us to test. Doctors from First Aid brought us 9 samples from a patients bag or pocket to find out what it was that they took. 2/3 of people were purchasing onsite. We collected the region names for where substances came from offsite. Substances came from as far north as Fort Macleod as far south as California and from Victoria to the west and New Found land to the East. See map below. The Tests. We used Dancesafe reagents Mandelin, Marquis, and Mecke and EZTEST Cocaine, Piperzine and GHB id tests. Positive and negative or inconclusive tests We ask people what they believe the substance is. A positive test result demonstrates a substance that shows typical results according to the believed or presumed contents OR a substance that shows typical results to another known substance. Ie. someone came in with what they thought was Ketamine. The test came back negative for Ketamine and positive for Methoxetamine(MXE). We had a total of 2107 positive results and 847 negative results. MXE, PMA/PMMA, MDPV, Methylone/Butylone, Piperzines, 2C-I, 2CE, 2C-T-7 were all substances that were sold as Ketamine, MDMA, Cocaine. Methamphetamine was also predominately sold as something else. Almost all the 2-CB tests came back inconclusive all were a pill with bumble bee stamp exactly like what we saw in 2011. This year we used GHB tests for the first time. We did twelve positive GHB tests and one negative. Most of the GHB tests were Doctors bringing in patient samples from the medical tent. Total mysteries are substances that people have no idea what they think it is. Mostly this reflects ground scores(found on the ground) and First Aid patient samples. What is interesting here is that out of the 318 ground scores we recorded, 165 were able to be identified by the reagent tests. Here is a list of substances that were able to ID that started out as total mysteries (ground scores and First Aid samples). MDMA,LSD,K,MXE,PMA,GHB,NBOME,Valium,Oxycoton,2-C1,cocaine, MDPV, Cathinone, Xanex Methoxetamine has become a common research chemical passed off as Ketamine and sometimes MDMA. We found 35 instances where MXE was sold as K or E. MXE is much stronger than Ketamine, has a slower onset time and a longer duration. We saw 7 PMMA positives this year. Last year there were 67 positives. This could be that we are not able to see them in the samples because they are mixed in or what we would like to think is that it is being used less. We wrote up results we wanted to warn people about up on a white board that was placed out front of the booth. This board was utilized heavily by guests and other Shambhala departments. Folks would come by and take a picture of the board and have it for reference when purchasing product. There wasn’t room on the board to write all of the inconclusive tests, so this is not a complete list. See picture below Disposals When there was an inconclusive test result or a substance tested positive for something other than what the guest thought it was they were informed of our safe disposal service at our booth. There were 190 disposals that were recorded. Test Limitations The reagents are not a perfect science. Although we have a long list of substances the Mecke, Marquis, and Mandelin tests can test for, once they test positive for one substance we can not tell what else is in there. This enables us to give people part of the picture of what they are choosing to consume. The rest is still a big question mark. There is also a test called Cocaine Cuts. It can tell you the presence of such adulterants as Levamisole, and other dangerous adulterants. The Info table The info table supplied resources, harm reduction supplies, condoms to guests and other Shambhala departments. We supplied Security, Outreach, First Aid, and Sanctuary with a copy of the TripSit drug combinations Chart from http://wiki.tripsit.me/wiki/Drug_combinations A woman came into the booth and after several minutes of studying the chart exclaimed “ oh my god I had no idea Ketamine and Alcohol are a bad combo. This is really good to know”. Other information we had for people was Dancesafe drug cards, safer sex pamphlets, pamphlets on safer use, information sheets on what to look for when purchacing E and LSD(from Bunkpolice), We had a tablet that we could look up information on new drugs that we had positive test results for. We had to do this for MXE. Blue light and drug-forum are two sites we use to double check test results with photos on the site when we are unsure about a result. Erowid is the site we use to find out information about drug effects and dosage. We also gave out earplugs, condoms, female or internal condoms, dental dams and lube. We also gave out straws and safer snorting messaging at the info table. Websites we used as a resource: Erowid.org, drug-forum.com, bluelight, bunkpolice.com, tripproject.ca Coordinating with other Shambhala departments We worked with other Shambhala departments in many capacities. First Aid and Security brought us samples of substances to test. We researched and debriefed other teams(First Aid, Security, Outreach) on MXE and its effects. We referred people to First Aid and several to Sanctuary. We supplied Outreach with condoms and drug info cards. Our Team Our team consisted of a team lead, ANKORS staff Chloe Sage, two team captains ANKORS staff Kori Doti and Jordan Kiat and 34 volunteers. Our team consisted of members of Dancesafe, nurses and nursing students, Harm Reduction coordinators, pharmacists, and more. In conclusion Right now ANKORS is the only organization doing testing at a large festival in Canada. Testing and Harm Reduction services can save lives at Electronic Music Festivals and save money and resources’. We need to see any policy’s that include care at festivals to include these services.