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 2020
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 the number of deaths have remained high through 2018 and 2019. Following the decrease in opioid-related deaths between July 2019 and February 2020, deaths increased again starting in March 2020.
Type of Opioid Directly Contributing to Accidental Opioid-Related Deaths, January 2019 to June 2020
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 – April 2020) fentanyl was detected in 85% 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)
|Ontario (number and per cent)
|All types of fentanyl combined||244 (80%)||3,141 (77%)|
|Fentanyl||210 (69%)||2,688 (66%)|
|Carfentanil||56 (18%)||649 (16%)|
|Heroin||37 (12%)||292 (7%)|
|Methadone||31 (10%)||541 (13%)|
|Morphine||29 (10%)||326 (8%)|
|Oxycodone||26 (9%)||319 (8%)|
|Hydromorphone||15 (5%)||359 (9%)|
|Codeine||9 (3%)||97 (2%)|
|Fentanyl analogues||6 (2%)||71 (2%)|
Source: Coroner’s Opioid Investigative Aid. January 2019 to June 2020, Office of the Chief Coroner for Ontario, extracted July 20, 2020.
Note: The following substances had five or fewer deaths in Peel – buprenorphine (0), codeine, fentanyl analogues, hydrocodone (0), oxymorphone, tramadol (0), and UA7700 (0).
Resources related to opioid use data
- 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
Learn about Peel's opioid strategy.