The Need

Substance Abuse in Canada

Overall Impact and Costs

In 2020, substance use in Canada cost over $49 billion and led to the loss of nearly 74,000 lives or about 200 lives per day[1] [5].
The cost per Canadian is approximately $1,291, regardless of age. [4]

Substance-Specific Costs (2020)

Alcohol: $19.7 billion (40.1% of total costs)
Tobacco: $11.2 billion (22.7% of total costs)
Opioids: $7.1 billion (14.4% of total costs)
Cocaine: $4.2 billion (8.5% of total costs) [4]

Healthcare Costs Breakdown (2020)

Physician time: $4.48 billion
Prescription drugs: $4.24 billion
Inpatient hospitalizations: $3.29 billion [5]

Opioid Crisis and Fentanyl

From January 2016 to March 2023, 38,514 apparent opioid toxicity deaths occurred in Canada.
In 2021, there were 7,993 opioid-related deaths in Canada.
In the first six months of 2022, there were 3,556 opioid-related toxicity deaths.
The death rate in 2022 (first half) was 19 per 100,000 population, similar to 2021 levels.
Fentanyl contributed to 89.2% of accidental opioid-related deaths in Ontario in 2021, a 602% increase since 2016.

Trend

Between 2007 and 2020, the overall per-person cost of substance use increased by 11.8% from $1,154 to $1,291 [4].
Alcohol-related costs increased by 21.3% between 2007 and 2020 [1].
Opioid-related costs increased by 66.4% between 2007 and 2020 [1].