Distribution of Illicit Drug Toxicity Deaths (2020) by Community Health Service Areas

Recently established Community Health Service Areas (CHSA) offer the most granular geographic level at which illicit overdose deaths in British Columbia are released. Illicit overdose deaths are notified by the BC Coroners Service and include all illicit drug overdose1 deaths in British Columbia (accidental and undetermined) that occurred in 2020. The BC Centre for Disease Control geocoded the data using information that best represents the location2 of the overdose according to the following algorithm: location of injury, death (if not a medical facility), home (if township of residence is the same as township of injury or death), or death at a medical facility (in this order).

The public release of these data at the Community Health Service Area (CHSA) level meets the BCCDC Policy for Public Release of Aggregate Data. This requires data suppression if the 2020 all‐cause mortality count is less than 20 (data provided by BC Vital Statistics). Additional data suppression occurs when the CHSA name is a traditional First Nations name or if the CHSA population is greater than 25% First Nations (data from 2016 Census).

Please note that the BC Coroners Service operates in a live database environment and values are subject to change as investigations are concluded; data may not be directly comparable to previously published counts. Data are collected and disclosed under Order of the Provincial Health Officer.

Note: Illicit drug overdose category includes the following:  Street drugs (controlled and illegal drugs: heroin, cocaine, MDMA, methamphetamine, illicit fentanyl, etc.)  Medications not prescribed to the decedent but obtained/purchased on the street, from unknown sources or where origin of drug not known  Combinations of the above with prescribed medications 2020 Illicit Drug Toxicity Deaths by CHSA in Interior Health

Williams Lake/ East Cariboo North Thompson 4 West Cariboo Golden 100 Mile House

Lower Thompson Revelstoke

Kamloops Centre North Salmon Arm Windermere Lillooet Enderby

Kamloops Centre South North Kootenay South Okanagan/ Arrow Lakes Lake Cariboo Lumby Central Interior Inset Merritt See inset Kimberley Arm./ map Spall. Cranbrook North Okanagan/ Nelson Lumby Sum. Fernie Kettle Grand Penticton Valley Castlegar Creston Vernon Centre/ Princeton Forks Coldstream South Trail Okan. Central Keremeos Okanagan Notes: 0 25 50 KM 100 Rural Data suppressed if 2020 Lake all-cause mortality count Country is <20. Additional data Central suppression by FNHA Kelowna- Okanagan when the CHSA name is a Downtown Rural Glenmore traditional First Nations name or when the 2016 census population of the CHSA is Community Health Service Area overdose death rate per 100,000 population Rutland >25% First Nations. Data from BC Coroners West Service, BC Vital Statistics and Statistics 0.0 40.0 80.0 > 100.0 Ok.- Kelowna Canada. The BCCS operates in a live data- Mission base environment and values are subject to change as investigations are concluded. Data Penticton K.V. disclosed under Order of the Provincial Health 20.0 60.0 100.0 suppressed Officer. Map created March 2021 by BCCDC. 2020 Illicit Drug Toxicity Deaths by CHSA in Fraser Health

Extent Map Community Health Service Area overdose death rate per 100,000 population 0.0 40.0 80.0 > 100.0

20.0 60.0 100.0 suppressed Maple Ridge Rural

North Agassiz/ Mission North Harrison Hope Inset Map Coq.

Port Moody/ See inset map Anmore/Belcarra North Coquitlam Notes: N.Chill. Data suppressed if 2020 all- cause mortality count is <20. South Chilliwack Additional data suppression by Burnaby NW FNHA when the CHSA name is Burnaby Southwest Coquitlam a traditional First Nations name NE Port Coquitlam or when the 2016 census population of the CHSA is >25% First Southeast Nations. Data from BC Coroners Coquitlam Burnaby Burnaby Pitt Meadows Service, BC Vital Statistics and SW SE Haney Statistics Canada. The BCCS New West. Maple Ridge Rural operates in a live database North Mission environment and values are North Surrey Guildford subject to change as investigations are concluded. Data Walnut Grove/ 4 Fort Langley disclosed under Order of the Whalley Provincial Health Officer. North Fleetwood Map created March Delta South 2021 by BCCDC. Willoughby East Newton Mission Cloverdale North Langley Township

Ladner City of Panorama Langley Abbotsford Rural

Brooks./Murray. West East Abbotsford Abbotsford Aldergrove Central South Surrey Abbots. South Langley Township

Tsaw. 0 2 4 KM 8 White Rock 2020 Illicit Drug Toxicity Deaths by CHSA in Vancouver Coastal Health

West Vancouver - Upper North Van. North Vancouver DM - West DM - Central Whistler West Van. - Lower North Vancouver North Van. qathet Rural North DM - East Howe Sound Rural City - West Van. City Powell East River Sunshine Coast Rural City West End Squam.

Hastings Dtn. DTES Grand. NE F.C. Sunrise Wood. N.Van BILB DM-E. Mount Kitsilano Sechelt University Fairview Pleasant of British Cedar Gibsons BILB Columbia West Cottage 0 10 20 KM 40 Point Renfrew- South Cambie/ Grey/ Shaughnessy/ Collingwood Dunbar- Riley Park Arbutus Ridge/ Kensington South. Kerrisdale See inset Extent Map map Victoria- Oakridge/ Sunset Fraserview Killarney Marpole

Notes: Data suppressed if 2020 all-cause Community Health Service mortality count is <20. Additional Thompson/Seafair East and West Cambie/ data suppression by FNHA when Bridgeport Area overdose death rate the CHSA name is a traditional per 100,000 population First Nations name or when the 2016 census population of the Richmond 0.0 CHSA is >25% First Nations. City Centre Bella Coola Valley and Central Coast CHSAs have zero illicit Gilmore/Shellmont/East/Hamilton 0.1 - 20.0 drug overdose deaths and are Blundell not shown on this map (outside 20.1 - 40.0 Broadmoor of the map extent). Data from BC Coroners Service, BC Vital 4 40.1 - 60.0 Statistics and Statistics Canada. Steveston The BCCS operates in a live 60.1 - 80.0 database environment and values are subject to change as 80.1 - 100.0 investigations are concluded. Data disclosed under Order of > 100.0 the Provincial Health Officer. Map created March 2021 by BCCDC. 0 1 2 KM 4 Vancouver Coastal suppressed Metro Area Inset 2020 Illicit Drug Toxicity Deaths by CHSA in Island Health

Parksville Central Vancouver Island Inset Vancouver Island North Remote Oceanside Campbell River Rural Rural Nan.North/Lantz. Dep. Vancouver Island Bay North Remote Port McNeill/ Sointula Dtn. Gabrio. Island Nan.South Nanaimo West/Rural Port Hardy/ Cedar/ Port Alice Welling.

Vancouver Island North Remote Lady. Ladysmith Rural C h Campbell River e m Rural . Cowichan Valley West C.R. Vancouver Island West 4 Greater Victoria Inset Courtenay Comox Valley Comox Rural Pender/ Galiano/ Saturna/ Sid. Community Health Service Mayne Alberni Valley/ Qual.B. See inset map North Area overdose death rate Bamfield Oceanside )" Saanich Rural per 100,000 population Port Alberni West Central 0.0 Coast Saanich Penelakut/ 0.1 - 20.0 0 15 30 KM 60 Thetis Island Lang/ Pender/Galiano/ High. Royal Oak/ 20.1 - 40.0 Saturna/Mayne Cordova Bay/ Salt Prospect 40.1 - 60.0 Notes: Cowichan Valley West Central Spring Cow. Island Data suppressed if 2020 all-cause Inter./ G.Head/ 60.1 - 80.0 mortality count is <20. Additional data TiIlicum Shelb. suppression by FNHA when the CHSA name See Quad/ South Cow. V.Royal 80.1 - 100.0 is a traditional First Nations name or when the 2016 inset SwanL. Juan de Fuca Coast map census population of the CHSA is >25% First Nations. Data DtVic/ Oak Colwood Esq. VicW > 100.0 from BC Coroners Service, BC Vital Statistics and Statistics Canada. O/F Bay The BCCS operates in a live database environment and values are subject JB/F suppressed to change as investigations are concluded. Data disclosed under Order of the Sooke Metchosin Provincial Health Officer. Map created March 2021 by BCCDC. 2020 Illicit Drug Toxicity Deaths by CHSA in Northern Health

Notes: Data suppressed if 2020 all-cause mortality count is Northern Boreal <20. Additional data suppression by FNHA when Stikine )" the CHSA name is a traditional Fort Nelson Population Centre Prince George Inset First Nations name or when the 2016 census PG North Fraser Rural population of the CHSA is >25% First Nations. City-North Data from BC Telegraph Creek Coroners Service, BC Vital Statistics and Statistics City-Central Mackenzie Peace River North Rural Canada. The BCCS operates in City-SW PG SW a live database Rural environment and Snow Country Fort St John values are subject )" to change as investigations are H.H. Dawson concluded. Data Creek )" disclosed under Chetwynd )" Order of the Community Health Service Provincial Health Peace River South Rural Area overdose death rate Officer. Map 4 Upper Fort St James North created March Nisga'a Tumbler per 100,000 population Skeena 2021 by BCCDC. Terrace Ridge Rural City Centre 0.0 )" City Centre Prince George Smithers Burns Lake North Fraser Rural 0.1 - 20.0 Haida Gwaii North )" Rural Rural Remote City Centre )" Prince Town Centre Rupert Houston 20.1 - 40.0 Rural )" Vanderhoof Fraser See inset map Lake )" 40.1 - 60.0 Vanderhoof Kitimat PG SW Burns Lake Rural 60.1 - 80.0 Haida South Remote Rural Gwaii 80.1 - 100.0 South McBride/ City Centre )" Valemount > 100.0 Quesnel Rural suppressed 0 25 50 KM 100