Overdose deaths are frequently underreported or misclassified, a critical issue that hinders an accurate understanding of the true scope of substance-related fatalities. Many causes of death can appear unrelated to substance use at first glance but are, in fact, directly or indirectly tied to it. For example, deaths from cardiac arrest, respiratory failure, or accidents may be attributed to these immediate causes without acknowledging that substance use was a contributing factor. This happens for a variety of reasons, including lack of toxicology testing, stigma around addiction, and the complex nature of substance-related health complications.

Substance use can weaken the immune system and worsen mental health, all of which increase vulnerability to various health risks. As a result, the full impact of the opioid crisis and other drug-related issues is often masked. Improved accuracy in recording these deaths is essential for effective policy and intervention, as it enables communities to allocate resources and address the root causes of the crisis more effectively.

In New Brunswick in 2023, there were 133 apparent substance toxicity deaths. 119 were accidental or pending intent. Between January 2016 and March 2024, there were 682 apparent substance toxicity deaths. One New Brunswicker dies every 3 days from substance-related toxicity. (Source)

In Nova Scotia in 2023, there were 73 confirmed substance toxicity deaths. So far in 2024, there have been 60. The Northern Health Zone in NS has the province's highest mortality rate per 100,000. Between January 2016 and March 2024, there were 513. One Nova Scotian dies every 5 days from substance-related toxicity. (Source)

By Ashley LegereBy Ashley Legere