Self-Reported Drug Use Among Ottawa Adults |
- An estimated 3% of the Ottawa population aged 19 and over reported using an illicit drug other than cannabis in the past year. [1] This is not different from Ontario-less-Ottawa. Estimates cannot be made for individual drugs because of small counts. Self reports likely underestimate drug use due to the stigmatic and illegal nature of many of these drugs.
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Self-Reported Substance Use Among Ottawa Youth in the Past Year |
In Ottawa:
- Approximately 10% of students in Grades 7 to 12 use cough and cold medicine, opioids or other illicit substances. This is less common that alcohol or cannabis (Figure 2).
- More than 6,100 (14%) Grade 9 to 12 students used prescription medication (e.g., opioids, tranquilizers, attention deficit hyperactivity disorder medications) non-medically. This is not different from Ontario-less-Ottawa. Non-medical opioid use was reported by approximately 4,800 (11%) Grade 9 to 12 students. [2]
- About one in ten (9%) Grade 9 to 12 students reported using a substance other than alcohol, cannabis, prescription, or over-the-counter (OTC) medication (e.g., hallucinogens, cocaine, or ecstasy). [2]
Figure 2. Reported use of selected substances by Ottawa students in the past year, 2017
Data Source and Notes for Figure 2 |
Ottawa Public Health. Public Health Monitoring of Risk Factors in Ontario – Ontario Student Drug Use and Health Survey 2017. Centre for Addictions and Mental Health
- The 2017 OSDUHS data used in this section are from the Ontario Student Drug Use and Health Survey conducted by the Centre for Addiction and Mental Health and administered by the Institute for Social Research, York University. Its contents and interpretation are solely the responsibility of the authors and do not necessarily represent the official view of the Centre for Addiction and Mental Health.
- The Ontario Student Drug Use and Health Survey (OSDUHS) is the longest ongoing biennial school survey in Canada, and the only province-wide survey of this population. The 2017 statistics are based on a random representative sample of over 1,400 Ottawa students enrolled in any of the four publicly funded school boards in grades 7 through 12.
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Data Table for Figure 2 |
Table 2. Reported use (% of Ottawa students) in the past year for selected substances, 2017
Substance |
Percentage of Student Reporting Use |
Alcohol |
35.9 |
Cannabis |
18.0 |
Non medical opioids (Gr 7-8) |
8.6 |
Non medical opioids (Gr 9-12) |
11.3 |
Cough/cold medicine |
9.4 |
Tobacco |
5.8 |
Illicit drug use (Gr 9-12) |
9.9 |
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Emergency Department Visits for Drug Use |
In Ottawa:
- Unintentional opioid drug overdose emergency department visits exceed overdoses from all other drugs combined (e.g., cocaine, barbiturates and amphetamines). Opioid overdoses have increased markedly since 2015 (Figure 3).
- Young adults have the highest rates of unintentional opioid overdose emergency department visits, peaking in the 30 to 34 year age group (Figure 4).
Figure 3. Emergency department visits for unintentional opioid and non-opioid drug related overdoses in Ottawa from 2008 to 2017
Data Source and Notes for Figure 3 |
Unscheduled emergency department visits, National Ambulatory Care System (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes poisonings from opioids (T400, T401, T402, T403, T404 and T406) and non-opioid drug poisonings (T405, T408, T423, T409 and T436).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis overdoses (T407).
- Data includes patients with Ottawa as their public health unit of residence.
- For clarity, rates are not graphed, but are provided in the accompanying data table.
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Data Table for Figure 3 |
Table 3. Emergency department visits for unintentional opioid and non-opioid drug related overdoses in Ottawa from 2008 to 2017
Year |
All Opioid Overdoses Counts |
Non-Opioid Overdoses Counts |
Population |
Opioid Overdose Rates (per 100,000 population) |
Non-Opioid Overdoses Rates (per 100,000 population) |
2008 |
103 |
63 |
869,015 |
11.9 |
7.2 |
2009 |
104 |
61 |
883,741 |
11.8 |
6.9 |
2010 |
128 |
62 |
899,016 |
14.2 |
6.9 |
2011 |
138 |
72 |
912,248 |
15.1 |
7.9 |
2012 |
153 |
68 |
924,466 |
16.6 |
7.4 |
2013 |
198 |
82 |
936,180 |
21.1 |
8.8 |
2014 |
196 |
87 |
946,870 |
20.7 |
9.2 |
2015 |
178 |
94 |
956,929 |
18.6 |
9.8 |
2016 |
243 |
115 |
973,481 |
25 |
11.8 |
2017 |
370 |
122 |
996,651 |
37.1 |
12.2 |
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Figure 4. Emergency department visit rates (counts per 100,000 population) for unintentional opioid overdose by age group in Ottawa, 2017
Data Sources and Notes for Figure 4 |
Unscheduled emergency department visits, National Ambulatory Care System (2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes unintentional poisonings from opioids (T400, T401, T402, T403, T404 and T406) and non-opioid drug poisonings (T405, T408, T423, T409 and T436).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis overdoses (T407).
- Data includes patients with Ottawa as their public health unit of residence.
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Data Table for Figure 4 |
Table 4. Emergency department visit rates (counts per 100,000 population) for unintentional opioid overdose by age group in Ottawa, 2017
Age Group (in Years) |
Opioid Overdose Rate (per 100,000 population) |
Less than 1 |
No cases |
1 to 4 |
No cases |
5 to 9 |
No cases |
10 to 14 |
5.8 |
15 to 19 |
40.5 |
20 to 24 |
55.5 |
25 to 29 |
71.7 |
30 to 34 |
83.4 |
35 to 39 |
50.1 |
40 to 44 |
33.5 |
45 to 49 |
51.5 |
50 to 54 |
32.1 |
55 to 59 |
37 |
60 to 64 |
27.1 |
65 and Older |
17.2 |
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- A different pattern is seen when looking at drug-related emergency department visits for mental and behavioural disorders in Ottawa (Figure 5, Table 6). Non-opioid related mental and behavioural disorder emergency department visits exceed those of opioids and show an increasing trend beginning in 2015 (Figure 5).
Figure 5. Emergency department drug-related mental and behavioural disorder visits in Ottawa from 2008 to 2017
Data Source and Notes for Figure 5 |
Unscheduled emergency department visits, National Ambulatory Care System (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes mental and behavioural disorders for opioids (F110-F119) and non-opioids (F130-139, F140-149, F150-159, F160-169, F180-F189 and F190-F199).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis (F120-129).
- Data includes patients with Ottawa as their public health unit of residence.
- Rates are not graphed for clarity, but are provided in the accompanying data table.
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Data Table for Figure 5 |
Table 5. Emergency department drug related mental and behavioural disorder visits and rates as counts per 100,000 population in Ottawa from 2008 to 2017
Year |
All opioid mental disorder counts |
Non-opioid mental disorder counts |
Opioid mental disorder rate |
Non-opioid mental disorder rate |
2008 |
209 |
1029 |
24.1 |
118.4 |
2009 |
229 |
879 |
25.9 |
99.5 |
2010 |
345 |
1014 |
38.4 |
112.8 |
2011 |
312 |
1005 |
34.2 |
110.2 |
2012 |
295 |
1008 |
31.9 |
109 |
2013 |
230 |
926 |
24.6 |
98.9 |
2014 |
236 |
1058 |
24.9 |
111.7 |
2015 |
285 |
1148 |
29.8 |
120 |
2016 |
294 |
1487 |
30.2 |
152.8 |
2017 |
395 |
1714 |
39.6 |
172.0 |
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Table 6. Number of mental and behavioural disorder emergency department visits in Ottawa by drug type, 2017
Drug Type |
Number of emergency department visits |
Multiple drug use |
947 |
Cocaine |
537 |
Opioids |
395 |
Stimulants |
209 |
Hypnotics |
97 |
Hallucinogens |
21 |
Solvents |
Less than 10 visits |
Data Source and Notes for Table 6 |
Unscheduled emergency department visits, National Ambulatory Care System (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes mental and behavioural disorders for opioids (F110-F119) and non-opioids (F130-139, F140-149, F150-159, F160-169, F180-F189 and F190-F199).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis (F120-129).
- Data includes patients with Ottawa as their public health unit of residence.
- Rates are not graphed for clarity, but are provided in the accompanying data table.
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Hospitalizations for Drug Use |
In Ottawa:
- Unintentional opioid drug overdose hospitalizations exceeded overdoses from all other drugs combined (e.g., cocaine, barbiturates, amphetamines) (Figure 6).
- Adults aged 65 and older have the highest rates of unintentional opioid overdose hospitalizations (Figure 7). This group also has the highest rate of opioid prescription for pain (Figure 8).
Figure 6. Hospitalizations for unintentional drug related overdoses in Ottawa from 2008 to 2017
Data Source and Notes for Figure 6 |
Unscheduled hospitalizations, Discharge Abstract Database (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes poisonings from opioids (T400, T401, T402, T403, T404 and T406) and non-opioid drug poisonings (T405, T408, T423, T409 and T436).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis overdoses (T407).
- Data includes visits with Ottawa as the public health unit of the patient.
- Rates are not graphed for clarity, but are provided in the accompanying data table
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Data Table for Figure 6 |
Table 7. Hospitalization counts and rates (per 100,000 population) for opioid and non-opioid overdoses
Year |
Hospitalization counts for opioids |
Hospitalization counts for non-opioids |
Hospitalization rates for opioids |
Hospitalization rates for non-opioids |
2008 |
32 |
16 |
3.7 |
1.8 |
2009 |
33 |
12 |
3.7 |
1.4 |
2010 |
15 |
13 |
1.7 |
1.4 |
2011 |
43 |
9 |
4.7 |
1 |
2012 |
45 |
15 |
4.9 |
1.6 |
2013 |
45 |
11 |
4.8 |
1.2 |
2014 |
55 |
23 |
5.8 |
2.4 |
2015 |
44 |
18 |
4.6 |
1.9 |
2016 |
64 |
22 |
6.6 |
2.3 |
2017 |
67 |
33 |
6.7 |
3.3 |
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Figure 7. Hospitalization rates (counts per 100,000 population) for unintentional opioid overdose by age group in Ottawa, 2017
Data Source and Notes for Figure 7 |
Unscheduled hospitalizations, Discharge Abstract Database (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
- Data includes poisonings from opioids (T400, T401, T402, T403, T404 and T406) and non-opioid drug poisonings (T405, T408, T423, T409 and T436).
- Data excludes intentional events (X61, X62 and Y87) and those related to cannabis overdoses (T407).
- Data includes visits with Ottawa as the public health unit of the patient.
- Rates for those aged 0 to 19 are suppressed due to low counts.
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Data Table for Figure 7 |
Table 8. Hospitalization rates (counts per 100,000 population) for unintentional opioid overdose by age group in Ottawa, 2017
Age Group (in Years) |
Hospitalization Rate (per 100,000 population) |
0 to 19 |
Not reportable |
20 to 29 |
7 |
30 to 39 |
7 |
40 to 49 |
9.1 |
50 to 64 |
7 |
65 and older |
12.6 |
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Figure 8. Prescription rates as counts per 1,000 population for opioid prescriptions for pain by age group in Ottawa, 2017
Data Source and Notes for Figure 8 |
Ontario Drug Policy Research Network. Ontario Prescription Opioid Tool. Toronto, ON; July 2018. Available from: http://odprn.ca/ontario-opioid-drug-observatory/ontario-prescription-opioid-tool/ [Extracted Oct 2, 2018] |
Data Table for Figure 8 |
Table 9. Individual prescription rates as counts per 1,000 population for opioid prescriptions for pain by age group in Ottawa, 2017
Age Group (in Years) |
Prescription Rate (per 100,000 population) |
0 to 14 |
10.4 |
15 to 24 |
71.6 |
25 to 44 |
75.6 |
45 to 64 |
130.2 |
65 and older |
197.6 |
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- Although non-opioid mental health and behavioural hospitalizations exceed those that are opioid-related, this difference has narrowed in recent years (Figure 9).
- Table 11 shows the mental and behavioural disorder hospitalizations by drug type.
Figure 9. Opioid and non-opioid related mental and behavioural disorder hospitalizations in Ottawa from 2008 to 2017
Data Source and Notes for Figure 9 |
Unscheduled hospitalizations, Discharge Abstract Database (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
-
Data includes mental and behavioural disorders for opioids (F110-F119) and non-opioids (F130-139, F140-149, F150-159, F160-169, F180-F189 and F190-F199).
-
Data excludes intentional events (X61, X62 and Y87) and those related to cannabis (F120-129).
-
Data includes patients with Ottawa as their public health unit of residence.
-
Rates are not graphed for clarity, but are provided in the accompanying data table.
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Data Table for Figure 9 |
Table 10. Opioid and non-opioid related mental and behavioural disorder hospitalizations in Ottawa from 2008 to 2017
Year |
All Opioid Mental Disorder Counts |
Non-Opioid Mental Disorder Counts |
Opioid Mental Disorder Rate |
Non-Opioid Mental Disorder Rate |
2008 |
85 |
216 |
9.8 |
24.9 |
2009 |
97 |
214 |
11 |
24.2 |
2010 |
104 |
214 |
11.6 |
23.8 |
2011 |
95 |
188 |
10.4 |
20.6 |
2012 |
103 |
189 |
11.1 |
20.4 |
2013 |
103 |
171 |
11 |
18.3 |
2014 |
138 |
177 |
14.6 |
18.7 |
2015 |
131 |
166 |
13.7 |
17.3 |
2016 |
176 |
228 |
18.1 |
23.4 |
2017 |
211 |
242 |
21.2 |
24.3 |
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Table 11. Number of mental and behavioural disorder hospitalizations in Ottawa by drug type, 2017
Drug Type |
Number of hospitalizations |
Opioids |
211 |
Cocaine |
137 |
Multiple drug use |
104 |
Hypnotics |
26 |
Stimulants |
25 |
Hallucinogens |
<10 |
Solvents |
<10 |
Data Source and Notes for Table 11 |
Unscheduled hospitalizations, Discharge Abstract Database (2008-2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted Oct 2, 2018
-
Data includes mental and behavioural disorders for opioids (F110-F119) and non-opioids (F130-139, F140-149, F150-159, F160-169, F180-F189 and F190-F199).
-
Data excludes intentional events (X61, X62 and Y87) and those related to cannabis (F120-129).
-
Data includes patients with Ottawa as their public health unit of residence.
-
Rates are not graphed for clarity, but are provided in the accompanying data table.
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Fatalities and Drug Overdoses in Ottawa |
Unintentional Drug Overdose Deaths
- In 2016, there were 45 deaths associated with unintentional drug overdoses, including overdoses where intent was unknown. The majority of these deaths (37, 82%) were opioid related (Figure 10).
- Figure 11 shows the age distribution of unintentional drug overdose deaths in Ottawa in 2016.
- The rate of drug overdose deaths increased 32% in Ottawa between 2014 and 2015 and only 6% in the rest of Ontario (Figure 12). The increase in unintentional overdose deaths in Ottawa and the rest of Ontario has been due to increased unintentional opioid overdose deaths (Figure 12).
- Since 2014, fentanyl has been involved in the largest proportion of drug overdose deaths in Ottawa. For more information see the "Drug-related death in Ottawa, 2000-2015" report.
Figure 10. Unintentional drug overdose deaths in Ottawa by type of drug involved, 2016
Data Source and Notes for Figure 10 |
Office of the Chief Coroner for Ontario, extracted April 2018. Analyzed by Epidemiology Team, Ottawa Public Health.
- Data includes overdoses that were unintentional or of unknown intent. Data should be considered preliminary. Data includes people with Ottawa as their public health unit of residence.
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Data Table for Figure 10 |
Table 12. Unintentional drug overdose deaths in Ottawa by type of drug involved, 2016
Drug type |
Number of deaths |
Fentanyl |
18 |
Non-fentanyl opioids |
19 |
All opioids |
37 |
Non-opioid |
8 |
Total |
45 |
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Figure 11. Age distribution of unintentional drug overdose deaths in Ottawa, 2016 (45 deaths total)
Data Source and Notes for Figure 11 |
Office of the Chief Coroner for Ontario, extracted April 2018. Analyzed by Epidemiology Team, Ottawa Public Health. |
Data Table for Figure 11 |
Table 13. Age distribution of Ottawa unintentional drug overdose deaths, 2016 (45 deaths total)
Age Group |
Number of Unintentional Drug Overdose Deaths |
0 to 9 Years |
0 |
10 to 19 Years |
1 |
20 to 29 Years |
8 |
30 to 39 Years |
14 |
40 to 49 Years |
11 |
50 to 59 Years |
8 |
60 Years and Older |
3 |
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Opioid-Related Overdose Deaths Total opioid overdose deaths include those that are unintentional, intentional (suicide) or of unknown intent.
- There were a total of 64 opioid overdose deaths in 2017, an increase from 40 opioid overdose deaths in 2016 (Figure 12). The increase in opioid-related deaths is consistent with the trend seen in emergency room visits and hospitalizations: opioid-related harms have been increasing over the past few years (Figure 12).
- The mortality rate resulting from opioid use was highest in the 45 to 64 year old age group in 2017 (Figure 13).
- Fentanyl was the single most common opioid implicated in unintentional opioid-related overdose deaths in 2016 (Figure 10). In 2017, fentanyl was responsible for 72% of all-intent opioid related deaths (46 of 64). [4]
Figure 12. Total opioid overdose deaths in Ottawa and rates per 100,000 population, 2008 to 2017
Data Source and Notes for Figure 12 |
Ontario Agency for Health Protection and Promotion (Public Health Ontario). Interactive Opioid Tool. Toronto, ON: Queen’s Printer for Ontario; 2018. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Opioids/Opioids.aspx
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Data Table for Figure 12 |
Table 14. Total opioid overdose deaths in Ottawa from 2008 to 2017
Year |
Count of deaths |
Rate of deaths |
2008 |
14 |
1.6 |
2009 |
34 |
3.8 |
2010 |
22 |
2.4 |
2011 |
20 |
2.2 |
2012 |
19 |
2.1 |
2013 |
29 |
3.1 |
2014 |
30 |
3.2 |
2015 |
34 |
3.6 |
2016 |
40 |
4.1 |
2017 |
64 |
6.4 |
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Figure 13. Total opioid overdose related deaths by age group and rates as counts per 100,000 population in Ottawa, 2017
Data Source and Notes for Figure 13 |
Ontario Agency for Health Protection and Promotion (Public Health Ontario). Interactive Opioid Tool. Toronto, ON: Queen’s Printer for Ontario; 2018. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Opioids/Opioids.aspx
- Data includes all opioid overdoses and people with Ottawa as their public health unit of residence.
- The rates by age for a single year should be interpreted with caution because of low counts in some age groups.
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Data Table for Figure 13 |
Table 15. Total opioid overdose related deaths by age group and rates as counts per 100,000 population in Ottawa, 2017
Age Group (in Years) |
Count of Deaths |
Rate of Deaths (per 100,000 population) |
0 to 14 |
1 |
0.6 |
15 to 24 |
7 |
5.4 |
25 to 44 |
25 |
8.6 |
45 to 64 |
28 |
10.5 |
65 and Older |
3 |
2 |
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