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Opioid toxicity

We closely monitor trends in emergency department visits, paramedic calls, hospitalizations and deaths related to opioid use in Peel.

We use this information to alert partners and stakeholders and help inform effective responses and service delivery to residents.

We are also working with partners to develop an Opioid Strategy for Peel. The goal is to ensure we are collaborating on initiatives to prevent and reduce harms related to opioid use in the region.

The information reported on this page is updated quarterly.

Opioid toxicity deaths in Peel, 2017 to 2023

Between 2005 and 2013, the number of opioid toxicity deaths per year in Peel remained stable (average: 26 deaths per year).

The number of deaths increased sharply in 2014 (45 deaths) and again in 2017 (81 deaths). This graph shows the increase in 2017 deaths began in June and the number of deaths have remained high through 2018 and 2019. Following the decrease in opioid toxicity deaths between July 2019 and February 2020, deaths increased again starting in March 2020.

Type of opioid directly contributing to accidental opioid toxicity deaths, October 2022 to September 2023

Before 2014, the percentage of opioid toxicity deaths in Peel where fentanyl was detected was low (average: 13%). Coinciding with the increase in total opioid toxicity deaths in 2014, the percentage of opioid toxicity deaths where fentanyl was detected also increased sharply to 35% between 2014 and 2016.

Of the most recent opioid toxicity deaths in Peel (October 2022 to September 2023) fentanyl was detected in 90% of deaths. It should also be noted that more than one type of opioid can be detected per death.

Type of Opioid Peel (number and per cent)
Total: 122
Ontario (number and per cent)
Total: 2,343
All types of fentanyl combined 110 (90%) 2,057 (88%)
Fentanyl 97 (80%) 1,963 (84%)
Methadone 7 (6%) 189 (8%)
Carfentanil 20 (16%) 124 (5%)

Source: Coroner's Opioid Investigative Aid. October 2022 to September 2023, Office of the Chief Coroner for Ontario, March 22, 2024.

Note: The following substances had five or fewer deaths in Peel – buprenorphine, codeine (0),heroin, hydrocodone (0), hydromorphone, morphine, oxycodone, nitazenes (0), oxymorphone, tramadol (0), and UA7700 (0).

Resources related to opioid use data

Learn about Peel's opioid strategy.