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"MORNING AFTER PILL" AVAILABLE WITHOUT PRESCRIPTION

By an Order in Council, (a rubber stamp by the Cabinet), the left wing Minister of Health, The Hon. Ujjal Dosanjh, a former NDP member of the British Columbia Legislature, amended the Food and Drug Regulations to allow the so-called Morning After Pill (MAP), or emergency contraceptive (EC), called Levonogestrel, sold under the brand name Plan B, to be made available without a prescription. Pharmacists will be in charge of "screening, counseling, referrals and follow-up", under the supervision of provincial pharmacists' associations.

An Impact Analysis Statement from Health Canada (called a Regulatory Impact Analysis Statement or RIAS) advises that the EC "can prevent pregnancy" by preventing release of the ovum, preventing fertilization or "preventing the fertilized egg [embryo] from attaching to the wall of the uterus." This means that the MAP is not a contraceptive, but an abortifacient, because a child would have been conceived at the moment the egg was fertilized by the sperm. Plan B does, therefore, cause abortions, contrary to the Ministry of Health's propaganda.

Also, contrary to popular propaganda, the MAP is not one pill but multiple pills. Two 0.75mg pills are to be taken, one within 72 hours, preferably within 24 hours after possible conception, and another within 12 hours of the first dose. Other literature recommends taking another dose if vomiting occurs. The Health Canada Statement admits that nausea and vomiting are possible side effects. The World Health Organization (WHO) does not recommend recurrent use of Plan B, but how can this be kept in check if no prescription is involved?

Some respondents to Health Canada consultations on this regulation were quoted in the RIAS statement, "there is a need to ensure that all provinces and territories have policies to ensure that pharmacists, who refuse to dispense the medication for moral reasons, are expected to ... 'as a standard care, to refer the woman to another pharmacist, physician or health facility where the medication can be readily obtained.'" Pro-life physicians have expressed concern about the lack of freedom of conscience for pharmacists to refuse to refer their customers.

Groups (whose identity is confidential) expressing support for the MAP in the Health Canada RIAS claim that its use "would result in reduced costs to the health care system", and that increased awareness with the help of health professionals, teachers and social workers is "essential." Can we expect the dispensing of these pills in schools, as contraceptive pills are now dispensed in Quebec? How can we be sure that individuals won't buy the MAP to keep it "on hand" in case of future emergencies and ensure that there will not be a repeat use of the pills, contrary to the WHO warnings?

When asked recently by the media to comment on this unrestricted access to the MAP, REAL Women noted the Liberal government's policy on the morning after pills disregarded women's health because such hormone use should be under the supervision of a physician, since among other considerations, we do not know the effects of multiple dose "contraceptives" on women, and especially on the developing reproductive system of teenagers. We pointed out that when the MAP was provided in British Columbia over the counter, it did not reduce the number of surgical or other abortions, as proponents had claimed it would. We also stated that this is not the first time that women have been used as guinea pigs to try out new drugs. Norplant (contraceptive strips implanted in the arm) has been taken off the market because of complaints about its serious side effects. Diethystilbestrol was prescribed to pregnant women to prevent pregnancy complications, but was later found to cause higher risks of cancers and reproductive anomalies in the offspring of the women who took it. The popular arthritis drug Vioxx has recently been removed from the market due to its health risks such as an increased incidence of heart attack and stroke. Estrogen-progestin pills, taken to reduce menopausal symptoms, appear to raise the risk of blood clots, heart attacks, strokes and breast cancer. When these and other drugs were introduced, these medications were praised to the sky for their supposed "benefits" to women.

The distribution of MAP without prescription is yet another example of why we cannot trust the Minister of Health to ensure the safety of Canadian women.

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