VICTORIA – The toxic illicit drug supply claimed the lives of at least 2,224 British Columbians in 2021, according to preliminary data released by the BC Coroners Service.
The last two months of 2021 saw the largest number of suspected illicit drug deaths ever recorded in the province, with 210 deaths in November and an additional 215 in December. The 2,224 total number of deaths is 26% more than the 1,767 illicit drug-related deaths investigated by the BC Coroners Service in 2020, and equates to an average of 6.1 lives lost every day.
The provincewide death rate in 2021 was 42.8 per 100,000 residents. Every health authority in B.C. experienced a record loss of lives.
Since the public health emergency into substance-related harms was first declared in April 2016, more than 8,800 British Columbians have been lost to toxic drugs.
Toxicological testing once again underscores the reality that the illicit drug supply continues to be unstable and increasingly toxic. Fentanyl was detected in 83% of samples tested in 2021. Carfentanil was present in 187 results, almost triple the number recorded in 2020 (66).
Additionally, 50% of samples in December tested positive for etizolam, more than three times the rate of detection in July 2020 (15%). Benzodiazepines create significant challenges for life-saving efforts as naloxone does not reverse its effects. As with previous reporting, almost all test results included the presence of multiple substances.
In 2021, 71% of those who died as a result of suspected drug toxicity were between 30 to 59, and 78% were male.
The townships that experienced the highest number of illicit drug toxicity deaths in 2021 were Vancouver, Surrey and Victoria.
By health authority, in 2021, the highest numbers of illicit drug toxicity deaths were in the Fraser and Vancouver Coastal health authorities (765 and 615 deaths, respectively), making up 62% of all such deaths during this period.
By health authority, in 2021, the highest rates of death were in Vancouver Coastal Health (49 deaths per 100,000 individuals) and Northern Health (48 per 100,000).
By Health Service Delivery Area, in 2021, the highest rates of death were in Vancouver, Thompson Cariboo, Northwest, Northern Interior and Fraser East.
By Local Health Area, in 2021, the highest rates of death were in Upper Skeena, Merritt, Enderby, Lillooet and North Thompson.
