Regional Changes in Harm Reduction Services in Ontario over the COVID-19 Pandemic

To address the drug toxicity crisis, several public health units (PHUs) and harm reduction agencies from across the province came together on a Locally Driven Collaborative Project (LDCP), funded by Public Health Ontario (PHO), to understand what has been happening related to harm reduction service delivery and opioid-related morbidity and mortality in Ontario in recent years. This project created the opportunity to streamline available data from the ODPRN Ontario Opioid Indicator Tool and PHO’s Interactive Opioid Tool to provide PHUs with consolidated, contextualized information tailored to their regions.

The project lead was Kingston, Frontenac, and Lennox & Addington (KFL&A) Public Health in collaboration with Toronto Public Health and the ODPRN. This snapshot describes the regional changes to harm reduction service delivery in Ontario over the COVID-19 pandemic, and the relationship between these changes and opioid-related morbidity and mortality.

See the Notes page in the snapshot below and the demo video for how to use the tool.

Suggested Citation

Nagy, E., Gomes, T., Mayer, D., Maier, A., Shearer, D., Iacono, A., Cheng, C., Elankeeran, K., Bourgeois, S., Carter, M., and the LDCP Project Team (2023). Understanding regional changes in harm reduction services in Ontario over the COVID-19 pandemic. Findings from a Public Health Ontario funded Locally Driven Collaborative Project (November 2022 – March 2023). Available from:

For questions and inquiries about the project, contact:

Please note that this report is NOT COMPLETE and is still in progress. Click below if you would like to continue.