Prescription pills containing oxycodone and acetaminophen are pictured in this June 20, 2012 photo. Pandemic exacerbates opioid crisis, as overdoses rise and services fade. The COVID-19 crisis has overshadowed an equally dark pandemic of opioid overdoses, which have risen sharply since March as the border closure and limited access to services raise fatal risks for drug users. THE CANADIAN PRESS/Graeme Roy

Prescription pills containing oxycodone and acetaminophen are pictured in this June 20, 2012 photo. Pandemic exacerbates opioid crisis, as overdoses rise and services fade. The COVID-19 crisis has overshadowed an equally dark pandemic of opioid overdoses, which have risen sharply since March as the border closure and limited access to services raise fatal risks for drug users. THE CANADIAN PRESS/Graeme Roy

Pandemic aggravates opioid crisis as overdoses rise and services fall out of reach

British Columbia saw more than 100 ‘illicit toxicity deaths’ each month between March and August

The COVID-19 crisis has overshadowed an equally dark pandemic of opioid overdoses, which have risen sharply since March as the border closure and limited access to services raise fatal risks for drug users.

Jurisdictions across the country have reported an increase in overdose deaths tied to opioids, a stark reversal of the 13 per cent decline in fatal opioid overdoses between 2018 and 2019.

British Columbia saw more than 100 “illicit toxicity deaths” each month between March and August, with the death toll breaching 175 in May, June and July, according to numbers compiled by the Public Health Agency of Canada last month.

The 181 deaths in June were a 138 per cent increase from the 76 fatalities in the same period a year earlier.

The situation is no better in Ontario, where an estimated 50 to 80 people per week are dying of overdoses, according to the chief coroner’s office.

The figures are up by 35 to 40 per cent year over year since the onset of the pandemic.

“Canadians should be seized with this particular crisis,” said chief public health officer Dr. Theresa Tam last month, given it is “escalating as we speak.”

The deadly spike is attributable to a range of factors linked to the virus, experts say.

Canada’s ongoing border shutdown has disrupted the supply chain of illicit drugs, making substances more ripe for contamination with toxic additives by dealers looking to stretch their products.

“Since COVID, we’ve seen things get much worse. The level of adulteration of the drug supply has increased,” said Dr. Alexis Crabtree, a resident physician in public health and preventive medicine at the University of British Columbia.

Health precautions have narrowed access to services ranging from doctor visits to supervised consumption sites.

Physical distancing at overdose prevention sites can result in bottlenecks, deterring users who need immediate access or who simply don’t want to stand in line in the cold.

“Service providers where possible are going to online provision of service,” said Mark Haden, an adjunct professor at UBC’s School of Population and Public Health.

“If you want to have a conversation with your doctor, Zoom is often the first choice. And homeless people don’t have access to Zoom.”

The social isolation of life under pandemic restrictions can also breed new users or heavier substance abuse.

“The more connection you have with people who care about you, the less likely you are to develop an addiction,” Haden said. “And right now we’re disconnecting.”

Pandemic protocols at social housing facilities may restrict visitors, further increasing the risk of an overdose if no one is nearby to spot one in progress.

For some, the drastic action taken by governments across the country to combat COVID-19 offers an example of health-care responsiveness, but for users it drives home the seeming indifference of authorities to their plight, which far predates the pandemic.

“People have been very hurt by seeing how quickly the government can react to a public health emergency when it chooses to do so,” said Crabtree.

“People who use drugs and their allies have been really devastated to see that comparison.”

In the short term, experts are urging expanded access to prescribed opioids via safer-supply programs.

In August, the federal health minister sent a letter urging her provincial and territorial counterparts to make regulated pharmaceutical options — safe supplies — available for drug users.

READ MORE: Victoria police seize fentanyl potent enough to kill more than half of Vancouver Island

A study published in the Canadian Medical Association Journal in August showed that few overdoses involved people with prescribed opioids such as methadone and buprenorphine in their system, which Crabtree — the lead author — said should make doctors feel more comfortable prescribing them.

Another option is to declare the overdose crisis a public health emergency, a step that B.C. took in 2017, laying the groundwork for improved access to treatment and recovery services and broader use of overdose-reversing drugs such as naloxone.

It has also strengthened understanding of the epidemic through health surveillance, though more activists, allies and drug users themselves should be brought to the table, Crabtree said.

“They have knowledge that public health and policy-makers just don’t have.”

On a larger scale, decriminalizing drugs could keep users from being driven underground and free up resources for public health that would otherwise go to law enforcement.

Provincial health officer Dr. Bonnie Henry has backed that notion. She called on the B.C. government to decriminalize possession of small amounts of drugs in a 2019 report, saying the province “cannot wait for action at the federal level.”

“As people become more involved with the criminal justice system, they become more criminal,” Haden said.

“Jail is crime school in the same way that Harvard Law is upper-crust training school … you learn some stuff, you’re constantly told who you are, and you make connections.

“Ending drug prohibition would stop that process,” he said.

Christopher Reynolds, The Canadian Press


Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

Coronavirusopioid crisisopioids

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

A laboratory technician holds a dose of a COVID-19 novel coronavirus vaccine candidate that’s ready for trial on monkeys at the National Primate Research Center of Thailand. (Mladen Antonov - AFP)
Interior Health reports 66 new COVID-19 infections

570 cases are active; 18 in hospital

The Trail Smoke Eaters are practicing preparation and patience for whenever the provincial health authority gives them and the BCHL the green light to play hockey. Photo: Jim Bailey.
Trail Smoke Eaters ready and willing to play, when able

Trail Smoke Eaters staff are keeping players engaged and committed as suspension of play continues

An RCMP cruiser looks on as a military search and rescue helicopter winds down near Bridesville, B.C. Tuesday, Dec. 1. Photo courtesy of RCMP Cpl. Jesse O’Donaghey
Boundary Mountie and suspect airlifted from ravine after foot chase

Military aircraft were dispatched from Comox, B.C., say RCMP

Southern Interior Land Trust ensured that bighorn sheep and other wildlife will have an extra 86 acres of land for wildlife conservation, after purchasing a large tract of grassland near Grand Forks. Photo: SILT
Grand Forks grasslands purchased for wildlife conservation

Southern Interior Land Trust buys 86 acres of prime grazing land for California bighorn

Serge Pasquali delivers a stone at Trail Retirees Curling. Photo: submitted.
Trail Retiree Curling: Team Pasquali holds off Noble

Trail Retiree Curling Club started up its second session last week

Provincial health officer Dr. Bonnie Henry updates B.C.’s coronavirus situation at the legislature, Nov. 30, 2020. (B.C. government)
Hockey team brought COVID-19 back from Alberta, B.C. doctor says

Dr. Bonnie Henry pleads for out-of-province travel to stop

B.C. Premier John Horgan on a conference call with religious leaders from his B.C. legislature office, Nov. 18, 2020, informing them in-person church services are off until further notice. (B.C. government)
B.C. tourism relief coming soon, Premier John Horgan says

Industry leaders to report on their urgent needs next week

An RCMP cruiser looks on as a military search and rescue helicopter winds down near Bridesville, B.C. Tuesday, Dec. 1. Photo courtesy of RCMP Cpl. Jesse O’Donaghey
B.C. Mountie, suspect airlifted by Canadian Armed Forces from ravine after foot chase

Military aircraft were dispatched from Comox, B.C., say RCMP

An 18-year old male southern resident killer whale, J34, is stranded near Sechelt in 2016. A postmortem examination suggests he died from trauma consistent with a vessel strike. (Photo supplied by Paul Cottrell, Fisheries and Oceans Canada)
“We can do better” — humans the leading cause of orca deaths: study

B.C. research reveals multitude of human and environmental threats affecting killer whales

A logo for Netflix on a remote control is seen in Portland, Ore.,Aug. 13, 2020. Experts in taxation and media say a plan announced Monday by the government will ultimately add to the cost of digital services and goods sold by foreign companies. THE CANADIAN PRESS/AP-Jenny Kane
‘Netflix tax’ for digital media likely to raise prices for consumers, experts say

The government says Canadian companies already collect those taxes when they make digital sales

BIG SALMON ranch in Washington State. (Center for Whale Research handout)
Non-profit buys Chinook ranch in hopes of increasing feed for southern resident killer whales

The ranch, which borders both sides of Washington State’s Elwha River, is a hotspot for chinook salmon

Gaming content was big on YouTube in 2020. (Black Press Media files)
What did Canadians watch on Youtube during isolation? Workouts, bird feeders

Whether it was getting fit or ‘speaking moistly,’ Canadians had time to spare this year

Most Read