Last week, the Government of Alberta updated the data on the Alberta substance use surveillance system, which it uses to communicate information about substance use in the province.
The new data includes EMS responses to opioid-related events up to the end of April 2022. Hospitalization and SCS usage data haven’t been updated beyond December 2022, and deaths haven’t been updated since January.
My last story on EMS in Lethbridge had EMS data up to March. Since then, Lethbridge EMS responded to 39 opioid-related events, which is higher than what we saw the previous month.
This is the second highest number of calls for April, compared to the previous 5 years.
| 2018 | 41 |
| 2019 | 12 |
| 2020 | 15 |
| 2021 | 14 |
| 2022 | 12 |
| 2023 | 39 |
Here it is in graph form:
Last month’s numbers broke the previous second highest spot of 15, set in 2020 (the same year the supervised consumption site shut down), and was over 3 times as high as the record low of 12, set in 2019 and tied in 2022.
If these number continue this month and into June, we could see 117 drug responses in the second quarter of 2023, the highest number for any second quarter since 2018.
| 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | |
|---|---|---|---|---|---|---|
| Q1 | 72 | 55 | 32 | 80 | 98 | 126 |
| Q2 | 114 | 48 | 84 | 69 | 45 | 117 |
| Q3 | 77 | 54 | 112 | 136 | 68 | |
| Q4 | 77 | 39 | 73 | 97 | 96 |
As well, during the first 12 months after the SCS closed down in August 2020, Lethbridge saw 358 opioid-related events that EMS responded to. This is the highest number of such events during the same period over the last 4 years.
| Sep 2018–Aug 2019 | 236 |
| Sep 2019–Aug 2020 | 269 |
| Sep 2020–Aug 2021 | 358 |
| Sep 2021–Aug 2022 | 308 |
In the 12 months since the SCS was closed due to the UCP government cancelling funding, Lethbridge EMS responded to an average of 29.8 drug responses a month, up from 22.3 during the same 12-month period the previous year. They also increased from 5.1 reponses per week, on average, to 6.9 per week.
During the second year since the SCS was shut down, we saw 308 EMS responses to drug events.
While that’s less than the 358 we saw between September 2020 and August 2021, it’s the second highest number seen during the same period over the last 4 years.
And while we’re still only 8 months into the third year since the Alberta government effectively shut down the SCS, the monthly and weekly averages of EMS drug responses are on the rise.
| 2018–19 | 2019–20 | 2020–21 | 2021–22 | 2022–23 | |
|---|---|---|---|---|---|
| Avg/month | 19.7 | 22.4 | 28.1 | 26.8 | 35.3 |
| Avg/week | 4.5 | 5.2 | 6.5 | 6.2 | 8.3 |
As well, April’s numbers were tied for the third highest the city has seen since last April.
As you can see, the number of drug responses that the Lethbridge EMS were responding to began to decline in the latter half of 2021, but then the trend reversed last summer, with increases nearly every month since June of last year.
Here’s a look at all the months on record.
| 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | |
|---|---|---|---|---|---|---|
| Jan | 14 | 25 | 10 | 14 | 40 | 44 |
| Feb | 39 | 17 | 8 | 23 | 41 | 47 |
| Mar | 19 | 13 | 14 | 43 | 17 | 33 |
| Apr | 41 | 12 | 15 | 14 | 12 | 39 |
| May | 38 | 16 | 20 | 28 | 12 | |
| Jun | 35 | 20 | 49 | 27 | 21 | |
| Jul | 35 | 28 | 56 | 52 | 23 | |
| Aug | 24 | 10 | 42 | 49 | 24 | |
| Sep | 18 | 16 | 14 | 35 | 21 | |
| Oct | 28 | 10 | 15 | 32 | 29 | |
| Nov | 28 | 16 | 38 | 43 | 39 | |
| Dec | 21 | 13 | 20 | 22 | 28 |
April 2023 was also tied with February 2018 and November 2022 for having the 9th highest number of EMS drug responses since January 2018. It was tied for 7th highest since the SCS was shut down in August 2020.
One thing to keep in mind when reading these statistics is that just because EMS are responding to these drug events doesn’t necessarily mean these were the only drug events.
For example, if more people are carrying naloxone on them or more groups outfitted with naloxone (such as SAGE Clan) are patrolling public areas where people are using drugs, they may attend to overdoses and see such success that EMS is never called.
So, the actual number of drug events occuring in the city last month could have been higher.
