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-Related Deaths in Peel, 2016 to 2018
Between 2005 and 2013, the number of opioid-related 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 has been constant through the first 9 months of 2018.
Type of Opioid Directly Contributing to Accidental Opioid-Related Deaths, May 2017 to September 2018
Before 2014, the percentage of opioid-related deaths in Peel where fentanyl was detected was low (average: 13%). Coinciding with the increase in total opioid-related deaths in 2014, the percentage of opioid-related deaths where fentanyl was detected also increased sharply to 35% between 2014 and 2016.
Of the most recent opioid-related deaths in Peel (May 2017 to September 2018), a form of fentanyl was detected in approximately three quarters of the deaths.
|Type of Opioid||Peel (number and per cent)
|Ontario (number and per cent)
|All types of fentanyl combined||103 (77%)||1,221 (72%)|
|Fentanyl||92 (69%)||1,107 (65%)|
|Heroin||28 (21%)||208 (12%)|
|Carfentanil||18 (13%)||161 (9%)|
|Methadone||17 (13%)||242 (14%)|
|Morphine||15 (11%)||169 (10%)|
|Oxycodone||11 (8%)||155 (9%)|
|Hydromorphone||8 (6%)||166 (10%)|
Source: Coroner’s Opioid Investigative Aid. May 2017 to September 2018, Office of the Chief Coroner for Ontario, extracted January 21, 2019.
Note: The following substances had five or fewer deaths in Peel – buprenorphine, codeine, fentanyl analogues, hydrocodone (0), oxymorphone, tramadol (0), and UA7700.
What We're Doing
The opioid strategy brings together local organizations and stakeholders to develop actions and long-term strategies at the regional level to prevent and reduce harms related to opioid use in Peel.
Identify and support implementation of effective strategies to prevent opioid use and misuse.
Ensure access to effective harm reduction strategies for people who use opioids.
Ensure access to effective addictions and mental health treatment.
Enforcement and Justice
Identify and implement interventions to reduce the burden of illegal opioids.
The strategy is supported by three themes:
- Surveillance and health status data
- Urgent response planning and coordination
- Policy and advocacy
- Region of Peel – Public Health, Health Status Data Website
- Peel Works Needle Exchange Program
- Peel HIV/AIDS Network
- Public Health Ontario Interactive Opioid Tool
- Ontario Drug Policy Research Network Ontario Prescription Opioid Tool
- Public Health Agency of Canada Apparent Opioid-Related Deaths Data
- Ontario Ministry of Health and Long-Term Care Opioid Overdose Information