Vancouver has been addicted to heroin and opiates my whole life, we had a nice flirt with meth in the late 90s early 00's (good frontline on its west coast spread). East Hastings is ground zero. We used to have the highest concentration of AIDS in North America because of needle sharing. Combination of being a main pacific-rim port, mild weather, aboriginal poverty etc. Lots of people are blown away when they get here and see it.