A wide-angle, eye-level photograph captures six people gathered in an outdoor pavilion setting. The group is diverse and appears to be having a discussion. Four members of the group, which includes two women with dark hair, one Asian man, and a young person, are wearing purple t-shirts and two are holding signs. A sign held by two of the group members reads, "Tri-Cities Community Action Team - Overdose Awareness" in white font against a purple background. A second sign, held by the young person, states, "International Overdose Awareness Day - Remember. Act. End Stigma." in the same purple background and white lettering. Also included is a white text to the left side that reads, "Tri-Cities Community Action Team." The two remaining people are not in uniform, and are wearing more casual attire. To the lower half of the photograph is a purple table that holds pamphlets, four framed pictures of youth, and four candles of varying heights. A building, city skyline, and body of water form the background, and there are some green, healthy-looking trees.

International Overdose Awareness Day | August 31 2026

Remembering, Educating, and Mobilizing: International Overdose Awareness Day in the Tri-Cities

Every year on August 31st, communities across the globe pause to observe International Overdose Awareness Day (IOAD). It is a day defined by profound grief, reflection, and relentless advocacy. People pin purple and silver ribbons to their lapels, candlelight vigils light up city parks, and families gather to honour the thousands of lives cut short by drug overdoses and a poisoned drug supply. IOAD serves as a stark reminder that overdose does not discriminate—it touches every demographic, every neighbourhood, and every corner of society.

Understanding the history behind this global movement, why its central message remains vital, and how the crisis manifests at a localized level—specifically within British Columbia’s Tri-Cities region—is essential to breaking the stigma and saving lives.

The Origins of International Overdose Awareness Day

International Overdose Awareness Day was born out of a desire to create a safe space for grief without judgment. In 2001, Sally J. Finn initiated the event while working at the Salvation Army in St. Kilda, Melbourne, Australia. Finn recognized that families and friends who lost loved ones to fatal overdoses were often forced to grieve in silence due to the intense social stigma surrounding substance use.

What began as a localized effort in Melbourne rapidly resonated worldwide. Today, IOAD is coordinated globally by Penington Institute, an Australian non-profit public health organization. Each year, thousands of events take place in dozens of countries—ranging from naloxone training sessions and policy panel discussions to memorial walks and public art installations.

The core campaign messages of IOAD remain steadfast:

  • To mourn: Honour the memory of those who have died or suffered permanent injury as a result of a drug overdose.
  • To end stigma: Send a clear message to surviving drug users, families, and people in recovery that their lives and their grief matter.
  • To educate: Inform communities about the risks of drug overdose, how to recognize an emergency, and how harm reduction tools like Naloxone save lives.

Why Recognizing IOAD Matters More Than Ever

Recognizing International Overdose Awareness Day is not an act of passive remembrance; it is an active intervention. For decades, addiction and drug-related deaths have been shielded behind shame, silence, and moral failure narratives. This stigma directly costs lives, preventing individuals from seeking healthcare, accessing safe supply, or using drugs in the presence of others who could call for help.

IOAD reframes overdose as a preventable public health crisis. By bringing these conversations into the open, community members are educated on how to respond to an overdose, how to administer nasal or injectable Naloxone, and how to advocate for evidence-based healthcare. Most importantly, it reminds those who are grieving that they are not alone in their pain, fostering a community of shared support.

On the Front Lines: The Tri-Cities Community Action Team (TC CAT)

While global and provincial frameworks set policies, grassroots action on the ground saves lives. In the Tri-Cities, the Tri-Cities Community Action Team (TC CAT) plays a pivotal role in spearheading local solutions, reducing stigma, and educating the public. Formed as part of B.C.’s broader community response to the public health emergency, TC CAT brings together a coalition of healthcare providers, local service agencies, peer support workers, youth advocates, municipal leaders, and individuals with lived and living experience of substance use.

Dismantling Stigma Through Connection and Expression: TC CAT operates on the principle that shame thrives in the dark, but empathy flourishes when stories are shared. The team actively works to dismantle substance use stigma by meeting the community where it is:

Public Art and Visual Awareness: TC CAT routinely uses creative visual expressions to convey the human impact of the crisis. From public flag installations in local parks representing lives lost to community mural banners and memorial trees, these projects put the reality of the crisis into the public consciousness, reminding residents that behind every statistic is a cherished neighbour, child, or parent.

Youth Empowerment and Engagement: Recognizing that young people face distinct risks, TC CAT sponsors dedicated youth pop-ups and educational initiatives, partnering with local schools (SD43) and youth tables to reframe substance use education around safety, compassion, and mental wellness rather than fear tactics.

Peer-Led Advocacy: The team actively works with people with lived and living experience through dedicated peer groups. Giving voice to those who have navigated substance use ensures that local strategies remain grounded, respectful, and free of judgment.

Public Education and Lifesaving Outreach: Beyond challenging social attitudes, TC CAT is heavily focused on practical education. They organize interactive workshops, host public information booths at civic centres, and partner with health teams to deliver hands-on Naloxone training, distribute harm-reduction supplies, and promote harm-reduction resources, such as the Lifeguard app and local drug-checking services. Every August, TC CAT hosts the annual Tri-Cities IOAD event, uniting local organizations to provide the public with accessible health resources, guided meditation spaces, and compassionate education under one roof.

The Local Reality: Unregulated Drug Toxicity in the Tri-Cities

While the crisis affects communities worldwide, British Columbia has felt its weight with acute severity. Since declaring a public health emergency in April 2016, B.C. has seen the crisis evolve into a toxic drug supply emergency, driven primarily by illicitly manufactured fentanyl, fluorofentanyl, and unpredictable sedatives like benzodiazepines mixed into street drugs.

Within the Tri-Cities (Coquitlam, Port Coquitlam, and Port Moody), the impact of this public health emergency has been deeply felt by local families, first responders, and health workers.

Key Local Statistics & Trends

Community Loss: According to reports published by the BC Coroners Service, the Tri-Cities lost 47 residents to toxic drugs in 2023. Through the first eight months of 2024, at least 31 people died in the Tri-Cities area (Coquitlam, Port Coquitlam, Port Moody, Anmore, and Belcarra), with Coquitlam consistently recording the highest concentration of losses in the area (25 deaths in 2023).

Emergency Medical Responses: According to BC Emergency Health Services (BCEHS), paramedics responded to 11,494 overdose and poisoning events within the Fraser Health region in 2025—the highest of any health authority in B.C.

First Responder Call Dynamics: Data reported by local fire departments and published via the BC Centre on Substance Use (BCCSU) highlights fluctuating frontline trends. Between January and November 2025, Coquitlam Fire Rescue and Port Coquitlam Fire and Emergency Services observed a roughly 40% year-over-year decrease in overdose response calls (dropping from 446 to 264 in Coquitlam and 170 to 102 in Port Coquitlam). While an encouraging shift, neighbouring Port Moody fire crews reported stable response numbers, emphasizing that risk levels remain volatile across municipal borders.

Demographics and Location: Data from the BC Coroners Service reveal consistent demographic patterns: approximately 75% to 80% of individuals who die from unregulated drug toxicity are male, with people aged 30 to 59 accounting for nearly 70% of all fatalities. Crucially, over 80% of toxic drug deaths occur indoors—predominantly in private residences—underscoring the danger of using drugs alone behind closed doors due to social stigma.

Sources for Statistics:

  • BC Coroners Service: Unregulated Drug Toxicity Deaths in BC (Yearly & Monthly Preliminary Reports).
  • BC Emergency Health Services (BCEHS): Overdose and Drug Poisoning Data Reports.
  • BC Centre on Substance Use (BCCSU) / Tri-City News Archives: Fire Department Emergency Response Data Updates.
  • Moving Forward Together

As August 31st approaches, taking time to honour International Overdose Awareness Day means transforming sympathy into meaningful local action. Whether it involves picking up a free Take-Home Naloxone kit at a local pharmacy, supporting the ongoing work of the Tri-Cities Community Action Team, learning how to use drug-checking services available through Fraser Health, or simply having an open, compassionate conversation with friends and family, every step helps dismantle the stigma surrounding substance use.

In the Tri-Cities and beyond, remembering those we have lost requires us to fight for the living—ensuring that safety, support, and healthcare are accessible to everyone, without judgment.

Black Balloon Day – March 6

March 6 is International Black Balloon Day. Take a few minutes this week to educate yourself about the toxic drug crisis and learn how you can support loved ones who may be struggling with substance use issues.

The event brings awareness to the worldwide toxic drug crisis and highlights deaths from drug overdose and substance-related harm. On this day, people pay tribute to family and friends who have died from drug poisoning and overdose. The event also aims to deflate the stigma of addiction, which is the reason many don’t seek help. Addiction is a brain disease — not a moral failure. People need reassurance that addiction is not their fault.

Black Balloon Day began with one family’s tragic loss. On March 6, 2015, Greg Tremblay, a father of four aged 38, died of an overdose. His mother-in-law, Diane and sister-in-law, Lauren Hurley, initiated the event to remember Greg. It has since become an international event. Learn more.
#BlackBalloonDay

A map of the world created using coloured pills

People of the World — Wake Up to the Toxic Drug Crisis!

This poem is a call to action. Toxic drugs are killing our family and friends, and we can no longer look the other way. Where will this human disaster end if we fail to take action now?

 

The toxic drug crisis is a worldwide emergency
That needs to be treated with far greater urgency
Graphs display death rates with alarming increases
It’s a troublesome puzzle with numerous pieces

A toxic drug epidemic doesn’t discriminate,
Between rich folks and poor, there’s no single determinate
With a human catastrophe affecting millions of lives
We must prioritize solving it before countless more die

How can we manage such a challenging task?
Finding solutions that work is a formidable ask
We must seek out and examine all the root causes
Disconnection and anguish, body pain and trauma

Nobody chooses a life of addiction
Harrowing events often change life’s direction
Taking people to places we can’t imagine
To escape from torment too deep to fathom

People use substances to mask mental trauma
From childhood abuse or conditions they’re born with
Physical pain from work injuries and sports
May lead to the misuse of drugs of all sorts

Shame on Big Pharma for their part in this mess
And for those who make money off human distress
They’d be wise to step up and start work on redress
Because karma will dish out as good as it gets

Some recovery programs promote prayer and religion
These should not be required in a treatment equation
Twelve steps and faith are for many a dissuasion
From facilities and programs that could otherwise aid them

Faith works for some, but not all are believers
Should they have to be hypocrites — praying to Jesus?
Lay down the holy books, put religion on the shelf
Ask meaningful questions about how best to help

What if we invited more players to the table
People with a focus on recovery, not jail cells?
We know putting sick people in prison won’t work
Those with lived experience shouldn’t be overlooked

Folks in recovery have wrestled with pain
With treatment, they’ve discovered there’s so much to gain
Some generous souls have the courage to come back
From personal depths to get others on track

Many have experienced withdrawal and cravings
Been homeless and hungry without prospects or savings
They can give out tough love as their journey’s familiar
And are valuable mentors for those going through similar

Pay attention to workers in shelters and on streets
Those on the front lines who understand needs
People are people, not numbers and stats
Have the sense and compassion to meet them where they’re at

Listening with interest to opinions and thoughts
And considering all options leads to programs that work
Curiosity is a superpower well-known to the wise
More questions and less talking would help open eyes

And let’s respect science and use legitimate stats
Reject bias and conjecture and stick with the facts
Evidence-based research is what smart people use
For policy decisions where the impact is huge

In some other countries, success has been seen
Why not study their methods to see what we can glean?
We must switch focus from punishment to care
And consider testing programs that have worked well elsewhere

Substance Use Disorder is not a personal choice
A moral failing to be scorned by the media’s harsh voice
Stop penalizing those who treat their suffering with drugs
Save the jail time for dealers and underworld thugs

Giving fines for drug use belongs in the past.
The benefits of supervised consumption are vast
Free opioid treatment does not prolong addiction
It even saves society money in the long run

On the path to recovery, people need help
To find safe, low-cost homes, effective treatment and work
They need clean, free medication, support and connection
Experience-based guidance, non-judgemental direction
And treatment facilities with no stay-length restriction

Addiction could happen to you or to me
One nasty curveball, and where would we be?
And how would we hope to be treated by others
As worthless criminals or like sisters and brothers?

Toxic drugs are killing our family and friends
If we fail to take action — where will this end?
We must educate ourselves and start conversations
On behalf of our loved ones and the health of our nations

Thanks to all those who have generous hearts
Good intentions are always a great place to start
Reach out and help — don’t turn a blind eye
Because there but for good fortune,
Go you — and go I.

© Gill McCulloch, July 2023

Other related blog posts include:

Benefits of Free Opioid Addiction Treatment

Opioid Overdose: Four Things We Can Do Today to Stop Senseless Deaths

 

A man sits at a table in discussion with a doctor dressed in a white lab coat. In the background is a sign that reads, "Opioid addiction treatment."

Benefits of Free Opioid Addiction Treatment

​Since the public health emergency was declared in 2016, more than 30,000 people have died from opioid-related overdoses in Canada.

On June 6, 2023, British Columbia (BC) became the first Canadian province to provide universal treatment for opioid addiction. Previously, in BC, people struggling to overcome an addiction to opioids had to pay for their treatment drugs. The government has now removed financial barriers to treatment programs.

This article explores the arguments for and against providing free opioid addiction treatment.

Addiction and Opioid Use Disorder

People can become addicted to various types of opioids, including both prescription opioids and illicit drugs. Prescription opioids like oxycodone, morphine, and codeine are medications prescribed by healthcare professionals to manage pain. Illicit opioids like heroin, fentanyl, and carfentanil are obtained and used without a valid prescription. They are produced in clandestine laboratories or illegally diverted from legitimate sources.

Addiction can develop from legitimate medical use of prescription opioids and recreational or illicit use. Opioids have the potential to produce euphoria, pain relief, and relaxation, which can lead to misuse, dependence, and addiction.

Opioid use disorder (OUD) occurs when a person unsuccessfully attempts to cut down or when substance use leads to social problems and a failure to fulfill obligations at work, school, and home. OUD often occurs after the person has developed opioid tolerance and dependence, which makes it physically challenging to stop opioid use and increases the risk of withdrawal.

What does free opioid addiction treatment look like?

Treatment typically provides access to opioid agonist medications such as methadone or buprenorphine. It may also include counselling, behavioural support, and harm reduction measures without any direct cost to the individuals receiving the treatment.

Medical assessment and monitoring

Opioid agonist treatment typically begins with a medical evaluation to determine the appropriate medication and dosage for each individual. A healthcare professional will monitor the individual regularly to evaluate treatment progress, adjust dosages if necessary, and address any concerns or side effects.

Medication

Opioid agonist treatment drugs, like methadone or buprenorphine, work by occupying the same receptors in the brain as opioids and help reduce cravings and withdrawal symptoms without causing a person to get high.

Counselling and behavioural support

Addiction treatment often includes counselling and behavioural support services. These can involve individual therapy, group counselling, or support groups to address psychological and emotional health, help people develop coping mechanisms, and support long-term recovery.

A comprehensive treatment plan can offer additional healthcare services to address the holistic needs of individuals. The program may include access to primary healthcare, infectious disease screening (e.g., HIV or hepatitis C), mental health services, and social support services.

Harm reduction measures

Treatment programs often emphasize harm reduction strategies to promote the overall well-being of individuals. This service can include providing access to clean syringes, naloxone — an opioid overdose reversal medication, education on safer drug use practices, and referrals to other harm reduction services.

The specific details and structure of free opioid agonist treatment programs can vary depending on the healthcare system, country, and local resources. These programs are often implemented with input from healthcare providers, addiction specialists, and community organizations to ensure comprehensive care and support for individuals struggling with opioid addiction.

Some disagree with providing free opioid agonist treatment

There are various reasons why some people disagree with providing free opioid agonist treatment.

Moral concerns
Some individuals view opioid addiction as a consequence of personal choices and believe that providing free treatment could enable or condone addictive behaviour. They argue that individuals should bear the responsibility for their actions and that offering free treatment removes the consequences of their decisions.

Economic considerations
Critics might argue that providing free opioid agonist treatment places a significant financial burden on society. They claim that the costs associated with treatment, including medications, counselling, and support services, are too high and unsustainable in the long run. They may argue for allocating limited resources to other pressing healthcare needs.

Stigma and discrimination
Some individuals hold negative views or stereotypes about people with substance use disorders, including opioid addiction. They believe that offering free treatment encourages dependency and perpetuates the negative perception of individuals struggling with addiction. This perspective may reflect a lack of understanding of the complex nature of addiction and the potential for recovery with appropriate support.

Concerns about effectiveness
Some people question the effectiveness of opioid agonist treatments, such as methadone or buprenorphine, in addressing addiction. They may argue that providing these medications substitutes one addiction for another and does not solve the underlying issues. Additionally, critics might express concerns about the potential diversion or misuse of these medications.

Philosophical or ideological reasons
Opponents of free opioid agonist treatment may have philosophical or ideological objections to government intervention in healthcare or the concept of providing treatment as a public service. They advocate for a more limited role of government and believe that individuals should seek and pay for their own treatment.

While these viewpoints exist, the medical and public health consensus supports providing evidence-based treatment, including opioid agonist treatment, for individuals with opioid addiction. Many experts argue that offering free treatment can save lives, reduce harm, and improve public health and societal well-being.

Benefits of providing free addiction treatment

Finding the money to pay for treatment is one of the main reasons people don’t seek or get the help they need. When people can get free, safe treatment, they are far less likely to purchase illicit opioids from the toxic street drug market. Removing financial barriers and helping people get treatment leads to healthier, safer communities.

Other countries have had success with free treatment programs

Several countries have effectively implemented free opioid addiction treatment programs.

Portugal has successfully implemented a comprehensive approach to drug addiction, including opioids. In 2001, Portugal decriminalized the possession and use of drugs and redirected resources toward prevention, harm reduction, and treatment. This approach includes free access to opioid agonist treatment, such as methadone and buprenorphine, and a range of support services.

Over the years, Portugal has significantly reduced drug-related deaths, HIV transmission rates, and drug-related criminality. Portugal switched from treating addiction as a disease rather than a crime. Shifting from a criminal approach to a public health one — the so-called Portugal model — has dramatically reduced the number of heroin users in Portugal.

“You cannot work with people when they’re afraid of being caught and going to prison,” says psychologist Francisco Miranda Rodrigues, president of the Ordem dos Psicólogos Portugueses. “It’s not possible to have an effective health program if people are hiding the problem.”

Switzerland has a long history of offering free opioid addiction treatment programs, including heroin-assisted treatment. In this approach, individuals with severe opioid addiction who have not responded well to other treatments are given pharmaceutical-grade heroin under medical supervision. This program and other comprehensive treatment services have shown positive outcomes in reducing illicit drug use, improving health outcomes, and reducing criminality.

Australia has implemented various initiatives to provide free opioid addiction treatment. For example, the state of Victoria has established free community-based opioid treatment services, including access to medications like methadone and buprenorphine, counselling, and other support services. These programs have contributed to improved health outcomes, reduced overdose rates, and better retention in treatment.

These are just a few examples of countries that have successful free opioid addiction treatment programs. The success of these programs often relies on a combination of evidence-based treatment approaches, harm reduction strategies, and comprehensive support services tailored to the needs of individuals struggling with opioid addiction.

When people reach out for help, communities should offer them support. Everyone should have the opportunity and right to access free treatment for substance addiction, irrespective of income. When governments remove financial barriers to treatment, people can get the care they need to overcome their addictions, leading to safer, healthier communities.

Opioid agonist medications are cheap to manufacture. Providing free treatment medications is an inexpensive, easy, evidence-based way governments can address an urgent and deadly public health crisis.