Illicit Drug Deaths Jan-Oct 2016

Illicit Drug Overdose Deaths in BC
January 1, 2007 October 31, 2016
This report summarizes all unintentional illicit drug overdose deaths in British Columbia (accidental
and undetermined) that occurred between January 1, 2007 and October 31, 2016, inclusive. It
includes confirmed and suspected illicit overdose deaths.
Inclusion Criteria: The illicit drug overdose category includes the following:
Street drugs (heroin, cocaine, MDMA, methamphetamine, illicit fentanyl.)
Medications that may not have been prescribed to the deceased
Combinations of the above, with prescribed medications
Origin of drug not known
Summary
There were 622 apparent illicit drug overdose deaths from Jan to Oct 2016. This is a 56.7%
increase over the number of death occurring during the same period in 2015 (397).
The number of illicit drug overdose deaths in Oct 2016 (63) is close to the average number of
illicit drug overdose deaths for the past 12 months (61.3).
Illicit Drug Overdose Deaths by Month, 2015-2016[2]

90
80
70
60
50
40
30
20
10
2015
Average since 2015
Ministry of Public Safety & Solicitor General

Office of the Chief Coroner
Metrotower II, Suite 800 4720 Kingsway, Burnaby BC V5H 4N2
Phone: 604 660-7745
Fax: 604 660-7766
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
2016
Average over past 12 months
November 14, 2016 draft
Page 1 of 11
BC Coroners Service

January 1, 2007 to October 31, 2016
Fentanyldetected deaths appear to account largely for the increase in illicit drug overdose
deaths since 2012 as the number of illicit drug overdose deaths excluding fentanyl -detected
has remained relatively stable since 2011 (average of 294 deaths per year).
Illicit Drug Overdose Deaths including and excluding Fentanyl, 20072016[2]

600
500
400
300
200
100
0
2007
2008
2009
2010
Illicit Drug Deaths
2011
2012
2013
2014
2015
2016
Illicit Drug Deaths (excluding fentanyl)
Individuals aged 19-29 and 30-39 have accounted for the largest percentage of illicit drug
overdose deaths in Jan Oct 2016 (24.4% and 28.1%, respectively). Males accounted for
80.7% of apparent illicit drug overdose deaths in Jan Oct 2016. The proportion of male
deaths has steadily increased since 2012 (71.8%).
Saturdays and Sundays were the days of the week most fatal illicit drug overdoses occurred
in Jan to Oct 2016.
Top three townships where fatal illicit drug overdoses occurred in 2007-2016, were
Vancouver, Surrey, and Victoria.
Fraser Health Authority had the highest number (211) of illicit drug overdose deaths in Jan
Oct 2016 which makes up 33.9% of all illicit drug overdose deaths during that period.
Vancouver Island Health Authority had the highest rate of illicit drug overdose deaths (18.7
deaths per 100,000 individuals) in Jan Oct 2016 among all health authorities and saw the
largest increase in rate from 2015 (140% increase). Overall, the rate of illicit drug overdose
deaths in BC increased 45.0% in Jan Oct 2016 compared with 2015.
Page 2 of 12
BC Coroners Service

The majority of fatal illicit drug overdoses in Jan Oct 2016 occurred inside (87.1%) while
11.4% occurred outside and 1.4% had an unknown injury location.
Preliminary data for Jan Sep 30, 2016, suggest that the proportion of illicit drug overdose
deaths for which fentanyl was detected (alone or in combination with other drugs) increased
to approximately 59% in 2016 from 30% in 2015.
Page 3 of 12
BC Coroners Service

BC Data and Rates

Illicit Drug Overdose Deaths and Death Rate per 100,000 Population[2,5]
650
16
600
14
550
500
10
Deaths
400
350
300
250
200
4
150
100
50
0
'90
'91
'92
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
'15 '16*
Deaths 80
117 162 354 308 217 301 300 400 272 236 236 172 190 183 230 229 202 183 201 211 292 273 331 370 510 622
Rate
3.5
2.4
4.7
9.9
8.4
5.7
7.8
7.6 10.0 6.8
5.8
5.8
4.2
4.6
4.4
5.5
5.4
4.7
4.2
4.6
4.7
6.5
6.0
7.2
8.0 10.9 15.8
Illicit Drug Overdose Deaths by Month, British Columbia, 2007-2016 [2]

Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Subtotal
Nov
Dec
Total
Death Rate per 100,000 Pop.
12
450
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
15
14
19
24
10
18
11
21
14
15
161
19
22
202
18
8
17
18
18
18
24
16
12
10
159
9
15
183
23
15
10
8
19
16
19
27
16
13
166
18
17
201
16
14
15
9
22
21
23
24
20
18
182
18
11
211
24
24
25
26
21
22
33
22
22
23
242
26
24
292
20
17
25
31
20
25
29
20
17
20
224
28
21
273
20
21
32
31
28
25
37
21
28
19
262
31
38
331
23
39
28
30
41
28
25
37
31
35
317
28
25
370
41
30
30
35
43
34
36
52
44
52
397
46
67
510
82
60
76
66
47
63
59
49
57
63
622
622
Page 4 of 12
BC Coroners Service
Average
16.8

15.3
16.8
17.6
24.3
22.8
27.6
30.8
42.5
62.2
BC Data by Place of Injury

Illicit Drug Overdose Deaths by Place of Injury, 2016
[2]
Place of Injury
542
71
9
622
Inside
Outside
Unknown
Total
Preliminary circumstances suggest that the majority of fatal illicit drug overdoses in Jan Oct 2016
occurred inside (87.1%) while 11.4% occurred outside and 1.4% had an unknown injury location.
Inside - includes all housing (temporary or permanent), facilities, occupational sites, public buildings, and
businesses.
Outside includes vehicles, streets, sidewalks, parking lots, public parks, wooded areas, and campgrounds
BC Data by Gender/Age:
Illicit Drug Overdose Deaths by Gender, 2007-2016 [2]
Gender
Female
Male
Total
2007
47
155
202
2008
49
134
183
2009
55
146
201
2010
49
162
211
2011
81
211
292
2012
77
196
273
2013
79
252
331
2014
86
284
370
2015
101
409
510
2016*
120
502
622
2013
6
94
78
73
59
21
2014
3
84
103
86
70
24
2015
5
115
134
121
108
26
2016*
9
152
175
141
120
22
Illicit Drug Overdose Deaths by Age Group, 2007-2016 [2]

Age Group
10-18
19-29
30-39
40-49
50-59
60-69
2007
5
33
53
70
36
4
2008
6
36
48
42
43
8
2009
2
46
51
57
33
12
2010
4
40
49
66
45
7
2011
4
74
74
76
54
10
2012
5
61
61
67
59
19
Page 5 of 12
BC Coroners Service

1
202
70-79
Total
183
201
211
292
1
273
331
370
1
510
3
622
Illicit Drug Overdose Deaths by Age Group, 2007-2016[2]

100%
2%
18%
23%
80%
60%
35%
6%
3%
3%
16%
21%
18%
4%
28%
23%
7%
22%
26%
31%
6%
6%
5%
18%
19%
21%
23%
24%
22%
25%
4%
19%
23%
60-69
50-59
40-49
40%
26%
25%
26%
25%
23%
24%
0%
25%
22%
2%
1%
2%
2010
2011
2012
20%
23%
19%
2%
3%
1%
2007
2008
2009
26%
30-39
19-29
10-18
20%
16%
28%
22%
28%
28%
23%
23%
24%
2%
1%
1%
1%
2013
2014
2015
2016
Age-Specific Illicit Drug Overdose Death Rates per 100,000, 2007-2016 [2,5]
Age Group
10-18
19-29
30-39
40-49
50-59
60-69
70-79
Total
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
1.0
5.2
9.1
10.1
5.8
1.0
0.4
4.7
1.3
5.5
8.2
6.1
6.8
1.8
0.0
4.2
0.4
6.9
8.6
8.3
5.1
2.6
0.0
4.6
0.9
5.9
8.3
9.7
6.8
1.5
0.0
4.7
0.9
10.9
12.5
11.3
8.0
2.0
0.0
6.5
1.1
8.9
10.2
10.1
8.6
3.7
0.3
6.0
1.3
13.7
12.9
11.2
8.5
3.9
0.0
7.2
0.7
12.1
16.7
13.4
10.0
4.3
0.0
8.0
1.1
16.5
21.4
19.1
15.3
4.5
0.3
10.9
2.7
28.9
36.9
30.2
22.4
4.9
1.2
15.8
2016 age-specific population was estimated by adding the average population change over the past 5 years to the 2015
population estimate for each age group. 2016 age-specific rates were calculated by dividing the number of deaths by the
estimated 2016 population multiplied by the fraction of months that have passed in the year for this reporting period for
each age group.
Page 6 of 12
BC Coroners Service

BC Data by Day of Week:
Illicit Drug Overdose Deaths by Day of Week of Injury, British Columbia, 2007-2016(YTD) [2,3]
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
25
23
24
24
38
34
34
202
21
24
25
25
31
34
23
183
15
24
31
27
28
34
42
201
29
26
30
33
33
35
25
211
39
26
34
51
42
53
47
292
33
35
39
34
32
47
53
273
33
42
35
41
55
73
52
331
38
37
50
60
60
73
52
370
69
60
65
72
81
85
78
510
63
68
89
98
84
114
106
622
BC Data by Township of Injury:
Illicit Drug Overdose Deaths by Top Townships of Injury, 2007-2016
[2,4]
Township
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
Vancouver
Surrey
Victoria
Kelowna
Burnaby
Abbotsford
Nanaimo
Maple Ridge
Kamloops
Langley
Other Township
Total
59
22
19
6
9
3
2
5
11
3
63
202
38
20
29
2
12
4
2
2
7
5
62
183
60
23
13
5
8
4
6
6
7
2
67
201
42
32
13
9
9
10
4
4
10
3
75
211
68
42
17
14
10
16
8
4
2
9
102
292
67
44
17
8
10
7
6
5
5
5
99
273
80
36
25
12
13
9
20
10
8
10
108
331
100
44
20
12
11
7
16
14
8
10
128
370
134
75
18
20
16
26
19
28
7
10
157
510
124
76
51
37
22
28
23
24
31
21
185
622
Page 7 of 12
BC Coroners Service

Health Authority Data:

Illicit Drug Overdose Deaths by Health Authority, 2007-2016[2,4,6]
HA
Interior
Fraser
Vancouver Coastal
Vancouver Island
Northern
BC
2007
35
57
64
35
11
202
2008
22
65
47
43
6
183
2009
35
58
69
33
6
201
2010
37
86
52
23
13
211
2011
38
115
80
44
15
292
2012
32
104
74
45
18
273
2013
53
105
96
58
19
331
2014
48
127
118
55
22
370
2015
65
205
154
60
26
510
2016*
108
211
147
120
36
622
Illicit Drug Overdose Death Rates by Health Authority per 100,000, 2007-2016[2,4-6]
HA
Interior
Fraser
Vancouver Coastal
Vancouver Island
Northern
BC
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
5.0
3.8
6.0
4.8
3.9
4.7
3.1
4.2
4.4
5.9
2.1
4.2
4.9
3.7
6.3
4.5
2.1
4.6
5.2
5.3
4.7
3.1
4.6
4.7
5.3
7.0
7.2
5.9
5.3
6.5
4.4
6.2
6.6
6.0
6.4
6.0
7.4
6.2
8.5
7.7
6.7
7.2
6.6
7.4
10.3
7.2
7.7
8.0
8.8
11.8
13.3
7.8
9.3
10.9
17.5
14.3
15.1
18.7
15.4
15.8
Page 8 of 12
BC Coroners Service

Illicit Drug Overdose Death Rates by Health Authority, 2007-2016[2,4-6]

20
18
Rate per 100,000
16
14
12
10
8
6
4
2
0
2007
Interior
2008
Fraser
2009
2010
2011
Vancouver Coastal
2012
2013
2014
Vancouver Island
2015
Northern
2016*
BC
2016 population was estimated by adding the average population change over the past 5 years to the 2015
population estimate. 2016 rates were calculated by dividing the number of deaths by the estimated 2016
population multiplied by the fraction of months that have passed in the year for this reporting period.
[2,4,6]
Illicit Drug Overdose Deaths by Month of Death and Health Authority, 2016
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Total
Interior
16
10
13
8
9
9
8
7
14
14
108
Fraser
28
20
28
25
19
25
21
15
16
14
211
Vancouver
Coastal
20
16
13
14
6
18
12
16
13
19
147
Vancouver
Island
14
12
15
14
9
7
15
10
12
12
120
Northern
4
2
7
5
4
4
3
1
2
4
36
Total
82
60
76
66
47
63
59
49
57
63
622
Page 9 of 12
BC Coroners Service

Illicit Drug Overdose Deaths by Health Services Delivery Area, 2007-2016[2,4,6]

HSDA
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
East Kootenay
Kootenay Boundary
Okanagan
Thompson Cariboo
Fraser East
Fraser North
Fraser South
Richmond
Vancouver
North Shore/Coast Garibaldi
South Vancouver Island
Central Vancouver Island
North Vancouver Island
Northwest
Northern Interior
Northeast
Total
2
4
13
16
9
19
29
0
59
5
21
8
6
2
7
2
202
2
0
9
11
14
22
29
1
38
8
31
6
6
2
3
1
183
1
2
15
17
9
23
26
3
60
6
15
13
5
0
5
1
201
0
3
18
16
22
26
38
4
42
6
13
6
4
3
7
3
211
1
4
28
5
31
25
59
4
68
8
17
17
10
1
8
6
292
2
4
16
10
20
30
54
1
67
6
20
20
5
0
12
6
273
4
2
32
15
19
35
51
3
80
13
26
24
8
6
8
5
331
4
3
27
14
16
51
60
3
100
15
23
25
7
2
12
8
370
2
6
44
13
40
73
92
5
134
15
22
30
8
5
16
5
510
5
5
53
45
36
70
105
7
124
16
60
45
15
8
15
13
622
Illicit Drug Overdose Death Rates by Health Services Delivery Area per 100,000, 20072016[2,4-6]
HSDA
East Kootenay
Kootenay Boundary
Okanagan
Thompson Cariboo
Fraser East
Fraser North
Fraser South
Richmond
Vancouver
North Shore/Coast Garibaldi
South Vancouver Island
Central Vancouver Island
North Vancouver Island
Northwest
Northern Interior
Northeast
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016*
2.7
5.2
3.9
7.5
3.3
3.3
4.3
0.0
9.5
1.9
5.9
3.2
5.2
2.7
5.0
3.1
2.6
0.0
2.6
5.1
5.1
3.8
4.2
0.5
6.1
3.0
8.6
2.3
5.1
2.7
2.1
1.5
1.3
2.6
4.3
7.8
3.2
3.8
3.7
1.6
9.6
2.2
4.1
5.0
4.2
0.0
3.6
1.5
0.0
3.9
5.2
7.4
7.8
4.2
5.3
2.0
6.6
2.2
3.5
2.3
3.4
4.1
5.0
4.5
1.3
5.1
8.1
2.3
10.9
4.0
8.0
2.0
10.7
2.9
4.6
6.5
8.3
1.4
5.6
8.9
2.6
5.2
4.6
4.6
7.0
4.8
7.2
0.5
10.4
2.2
5.4
7.6
4.2
0.0
8.5
8.8
5.3
2.6
9.2
6.9
6.6
5.5
6.6
1.5
12.2
4.7
7.0
9.1
6.7
8.2
5.7
7.2
5.2
3.9
7.6
6.3
5.5
7.9
7.7
1.5
15.1
5.3
6.2
9.4
5.8
2.7
8.5
11.3
2.6
7.8
12.2
5.9
13.5
11.2
11.6
2.4
20.1
5.3
5.8
11.2
6.6
6.9
11.6
7.2
7.8
7.8
17.4
24.4
14.5
12.7
15.6
4.0
22.1
6.8
18.9
20.0
14.8
13.3
13.0
22.2
Page 10 of 12
BC Coroners Service
Total

4.7
4.2
4.6
4.7
6.5
6.0
7.2
8.0
10.9
15.8
Notes:
1. The BCCS operates in a live database environment. Some data for more recent years is based on
preliminary circumstances and is subject to change as investigations are concluded. Data are not directly
comparable to published counts from previous years.
2. 2016 data includes January 1, 2016 to October 31, 2016.
3. Date of death was used in tables where date of injury was unknown.
4. Death township was used in 5 cases of unknown or out of province injury township.
5. 2016 population was estimated by adding the average population change over the past 5 years to the
2015 population estimate. 2016 rates were calculated by dividing the number of deaths by the estimated
2016 population multiplied by the fraction of months that have passed in the year for this reporting
period.
6. Health Region breakdowns can be found at:
http://www.bcstats.gov.ca/statisticsbysubject/geography/referencemaps/health.aspx
Page 11 of 12
BC Coroners Service

Illicit Drug Overdose Death Rate Maps by Health Services Delivery Area
References for health regions can be found at:

http://www.bcstats.gov.bc.ca/statisticsbysubject/geography/referencemaps/health.aspx.
Page 12 of 12

Illicit Drug Deaths Jan-Oct 2016

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Illicit Drug Overdose Deaths in BC

January 1, 2007 October 31, 2016

Illicit Drug Overdose Deaths by Month, 2015-2016[2]

Ministry of Public Safety & Solicitor General

November 14, 2016 draft

Illicit Drug Overdose Deaths in BC

Illicit Drug Overdose Deaths including and excluding Fentanyl, 20072016[2]