Overdose & Drug Poisoning Data

BC Emergency Health Services is consistently monitoring the potential overdose/poisoning call volumes across the province and reporting out on the data.

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Overdose event volumes

Overdose patient events

The yearly total reflects the number of overdose/poisoning patient events paramedics have responded to in each community. Here are the top communities within the province, with the number of patient events for 2025.​

To see the number of patient events broken down by year, from 2016 to 2025​, see Overdose Response in B.C. Com​munities (PDF). 

  • 100 Mile House: 29
  • Abbotsford: 1661
  • Agassiz: 39
  • Armstrong: 15
  • Burnaby: 765
  • Burns Lake: 34
  • Campbell River:656
  • Castlegar: 53
  • Central Saanich: 40
  • Chase: 11
  • Chemainus: 17
  • Chilliwack: 1,162
  • Cobble Hill: 4
  • Coldstream: 6
  • Colwood: 50
  • Comox: 28
  • Coquitlam: 391
  • Courtenay: 462
  • Cranbrook: 232
  • Creston: 24
  • Dawson Creek: 139
  • Delta: 172
  • Duncan: 794
  • Enderby: 31
  • Esquimalt: 86
  • Fort Nelson: 22
  • Fort St James: 30
  • Fort St John: 152
  • Gabri​ola Island: 10
  • Gibsons: 30
  • Golden: 13
  • Grand Forks: 74
  • Hope: 68
  • Houston: 18
  • Kamloops: 1,086
  • Kamloops IR No 1: 21
  • Kelowna: 1,862
  • Keremeos: 16
  • Kimberley: 24
  • Kitimat: 25
  • Ladysmith: 36
  • Lake Country: 35
  • Lake Cowichan: 11
  • Langford: 189
  • Langley: 927
  • Lillooet: 46
  • Lumby: 10
  • Mackenzie: 9
  • Maple Ridge: 847
  • Merritt: 168
  • Mission: 570
  • Nanaimo: 1,287
  • Nelson: 273
  • New Westminster: 880
  • North Saanich: 19
  • North Vancouver: 335
  • Oak Bay: 28
  • Oliver: 34
  • Osoyoos: 32
  • Parksville: 141
  • Peachland: 11
  • Penticton: 670
  • Pitt Meadows: 34
  • Port Alberni: 456
  • Port Coquitlam: 161
  • Port Hardy: 73
  • Port Moody: 49
  • Powell River: 164
  • Prince George: 1,555
  • Prince Rupert: 88
  • Princeton: 22
  • Qualicum Beach: 39
  • Quesnel: 164
  • Revelstoke: 12
  • Richmond: 419
  • Saanich: 350
  • Salmon Arm: 115
  • Salt Spring Island: 23
  • Sechelt: 105
  • Shawnigan Lake: 8
  • Sidney: 23
  • Smithers: 63
  • Sooke: 132
  • Squamish: 116
  • Summerland: 34
  • Surrey: 3,618
  • Terrace: 249
  • Thornhill: 10
  • Tofino: 18
  • Trail: 239
  • Vancouver: 9,537
  • Vanderhoof: 20
  • Vernon: 711
  • Victoria: 2,282
  • View Royal: 40
  • West Kelowna: 264
  • West Vancouver: 104
  • Whistler: 47
  • White Rock: 86
  • Williams Lake: 268
  • Other communities: 984​

Key findings 2025

Key findings in BCEH​S 2025 overdose/poisoning patient event data

(Data are subject to change as they may be updated following reviews)

Since the public health emergency for toxic drugs was declared in 2016, BCEHS has seen a 105% total increase in annual overdose/poisoning events.​​​

In 2025, BCEHS paramedics responded to a total of 39,592 overdose/poisoning patient events, compared to 40,543 overdose/poisoning patient events in 2024. This represents a 2% decrease from the previous year.

BCEHS paramedics responded to an average of 108 overdose/poisoning patient events a day in 2025, down from an average of 111 overdose/poisoning patient events a day in 2024. 

In 2025, BCEHS experienced 6 months with more than 3,000 overdose/poisoning patient events, with 3 of these months having more than 4,000 events. In 2024, BCEHS experienced 10 months with more than 3,000 overdose/poisoning events.  ​

Overdose/poisoning events in B.C.

  • 2025: 39,592 (down 2% from previous year)
  • 2024: 40,543 (down 4% from previous year)
  • 2023: 42,172 (up 25% from previous year)
  • 2022: 33,654 (down 5% from the previous year)
  • 2021: 35,585 (up 31% over the previous year)
  • 2020: 27,068 (up 12% over the previous year)
  • 2019: 24,166 (up 2% over the previous year)
  • 2018: 23,662 (up 1% over the previous year)
  • 2017: 23,441 (up 22% over the previous year
  • 2016: 19,275 (up 57% over the previous year)
  • 2015: 12,263
  • 2004-2015: Prior to 2016, overdose/poisoning events in B.C. fluctuated from 10,000 to 15,000 events a year.

Overdose/poisoning events by health authority region in 2025

Fraser Health and Vancouver Coastal Health regions (which together represent about 50% of B.C.’s population) continue to report the highest number of overdose/poisoning events.

Two health authorities, Fraser Health and Interior Health, had increases in overdose/poisoning events in 2025. 

The areas served by three other health authorities, Northern Health, Island Health and Vancouver Coastal Health, had decreases in overdose/poisoning events in 2025.

Breakdown of overdose/poisoning events in each health authority:​

  • Fraser Health: 11,494 (+8.5%) 
  • Interior Health: 6,823 (+0.3%) 
  • Northern Health: 2,834 (-17.4%)
  • Island Health: 7,514 (-12.9%)
  • Vancouver Coastal Health: 10,927 (-1.5%)

​​Highlights by Health Authority

​Here is the breakdown across the last ten years:

Fraser Health:

  • ​2025: 11,494
  • 2024: 10,585
  • 2023: 10,254
  • 2022: 9,537
  • 2021: 10,573
  • 2020: 7,272
  • 2019: 6,478
  • 2018: 6,513
  • 2017: 6,554
  • 2016: 5,927

Vancouver Coastal:

  • 2025: 10,927
  • 2024: 11,092
  • 2023: 11,830
  • 2022: 9,071
  • 2021: 11,204
  • 2020: 9,041
  • 2019: 9,407
  • 2018: 8,686
  • 2017: 8,697
  • 2016: 6,714

Island Health:

  • 2025: 7,514
  • 2024: 8,630
  • 2023: 9,086
  • 2022: 6,277
  • 2021: 5,917
  • 2020: 4,446
  • 2019: 3,852
  • 2018: 4,102
  • 2017: 3,821
  • 2016: 3,122

Interior Health:

  • 2025: 6,823
  • 2024: 6,804
  • 2023: 7,504
  • 2022: 5,931
  • 2021: 5,417
  • 2020: 4,211
  • 2019: 3,097
  • 2018: 3,129
  • 2017: 3,284
  • 2016: 2,599​

Northern Health:

  • 2025: 2,834
  • 2024: 3,432
  • 2023: 3,498
  • 2022: 2,838
  • 2021: 2,414
  • 2020: 2,077
  • 2019: 1,332
  • 2018: 1,232
  • 2017: 1,085
  • 2016: 913

British Columbia:

  • 2025: 39,592
  • 2024: 40,543
  • 2023: 42,172
  • 2022: 33,654
  • 2021: 35,585
  • 2020: 27,067
  • 2019: 24,116
  • 2018: 23,662
  • 2017: 23,441
  • 2016: 19,275



Top 5 communities for overdose/poisoning events

BCEHS receives the most calls for overdoses/poisonings from large metro centres: Vancouver, Surrey and Victoria.   

​The Top 5 communities for overdose/poisoning patient events in 2025 are below, with the percentage change from 2024:​​
  1. Vancouver:  9,537 (-0.3%)
  2. Surrey: 3,618 (+8.5%)
  3. Victoria: 2,282 (-4.2%)
  4. Kelowna: 1,862 (-8.4%)
  5. Prince George 1,555 (-11.5%)

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Highest call volume days

BCEHS paramedics responded to an average of 108 overdose/poisoning patient events per day in B.C. during 2025, down from 111 in 2024.

​On November 19, 2025, BCEHS recorded 222 overdose/poisoning patient events which was the highest single day total at the time. That record has now been surpassed. On January 21, 2026, BCEHS recorded 256 overdose/poisoning patient events.

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Highest call volume months

In November 2025, paramedics in B.C. responded to 4,177 overdose/poisoning patient events. This was the highest number of overdose/poisoning responses recorded in a single month at that time. In January 2026, BCEHS recorded 4,380 overdose/poisoning patient events.​
In 2025, BCEHS experienced 6 months with more than 3,000 overdose/poisoning events, with 3 of these months having more than 4,000 overdose/poisoning events. In 2024, BCEHS experienced 10 months with more than 3,000 overdose/poisoning events. The average monthly call volume, prior to the pandemic, had been about 2,000 overdose events a month.

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Trends

2025 Data Trends

​Based on data in 2025 for Card 23 (overdose/poisoning events), the following observations can be made. Note, the data reflects the number of overdose/poisoning events paramedics have responded to in each health authority and province-wide.

  • In 2025, BCEHS experienced 6 months with more than 3,000 overdose/poisoning events, with 3 of these months having more than 4,000 overdose/poisoning events. 
  • In 2024, BCEHS experienced 10 months with more than 3,000 overdose/poisoning events for the year. 
  • In 2023, BCEHS experienced 11 months with more than 3,000 overdose/poisoning events for the year. 
  • In 2022, BCEHS experienced two months with more than 3,000 overdose/poisoning events for the year, including the first single-day total over 200 on Jan. 19, 2022 (203 events). 
  • As of December 31, 2025, in total, there have been 16 days when BCEHS experienced 170 or more overdose/poisoning patient events. In 2024, there were 12 days with 170 or more events.

​​Historic highest overdose/poisoning patient event days

​On November 19, 2025, BCEHS recorded 222 overdose/poisoning patient events which was the highest single day total at the time. That record has now been surpassed. On January 21, 2026, BCEHS recorded 256 overdose/poisoning patient events. 

Between January 1, 2022, and December 31,2025, there were 15 days in which BCEHS responded to more than 200 overdose/poisoning events in a single day.  

2025- Average events/day by month

  • January: 87.8
  • February: 86.5
  • March: 81.8
  • April: 86
  • May: 94
  • June: 99.5
  • July: 108
  • August: 124.5
  • September: 129.6
  • October: 129
  • November: 139.2
  • December: 134
​2024 - Average events/day by month
  • January: 108.7
  • February: 111.8
  • March: 112.5
  • April: 112
  • May: 116.5
  • June: 129.1
  • July: 126
  • August: 122.8
  • September: 111.4
  • October: 96.8
  • November: 92.1
  • December: 89.5
2023 - Average events/day by month
  • January: 97.9
  • February: 103.8
  • March: 118.4
  • April: 120.0
  • May: 115.9
  • June: 127.9
  • July: 127.2
  • August: 121.8
  • September: 120.3
  • October: 106.7
  • November: 112.6
  • December: 113.5
​2022 - Average events/day by month
  • January: 98.2
  • February: 97.3
  • March: 96.2
  • April: 99.6
  • May: 98.2
  • June: 94.3
  • July: 90.4
  • August: 89.6
  • September: 88.3
  • October: 84.7
  • November: 85.3
  • December: 84.8
2021 - Average events/day by month
  • January: 76.2
  • February: 81.9
  • March: 81.8
  • April: 91.9
  • May: 96.0
  • June: 100.6
  • July: 116.3
  • August: 112.6
  • September: 106.9
  • October: 105.0
  • November: 103.5
  • December: 95.8
2020 - Average events/day by month
  • January: 59.3
  • February: 59.2
  • March: 63.1
  • April: 71.9
  • May: 74.9
  • June: 79.0
  • July: 87.3
  • August: 76.5
  • September: 81.0
  • October: 83.3
  • November: 76.7
  • December: 74.9​​​

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