PRELIMINARY reporting released by the BC Coroners Service (BCCS) finds that 165 people died from unregulated toxic drugs in April.
In 2025, deaths among those between the ages of 30 and 59 have accounted for 68% of drug-toxicity deaths in the province, and 77% have been male.
April marks a return to more than 160 deaths attributed to unregulated drug toxicity reported to the BC Coroners Service after six consecutive months of reporting fewer than 160 deaths a month.
By health authority in 2025, the highest number of unregulated drug deaths have been in Fraser and Vancouver Coastal health authorities (185 and 155 deaths, respectively) making up 57% of all such deaths during 2025.
Consistent with reporting throughout the public-health emergency, fentanyl and its analogues continue to be the most common substance detected in expedited toxicological testing. More than three-quarters of decedents who underwent expedited testing in 2025 were found to have fentanyl in their systems (68%), followed by methamphetamine (51%) and cocaine (48%).
It is important to note that data from the report is preliminary and subject to change as additional toxicological results are received and investigations conclude, says the BC Coroners Service.
Additional key findings in 2025 include:
* the number of unregulated drug deaths in April 2025 equates to approximately 5.5 deaths per day;
* the cities experiencing the highest number of unregulated drug deaths so far in 2025 are Vancouver, Surrey and Greater Victoria;
* the highest rates of deaths reported were in Northern Health (46 deaths per 100,000 individuals) and Interior Health (35 per 100,000 individuals);
* 47% of deaths reported occurred in a private residence, compared with 21% outdoors; and
* smoking continues to be the primary mode of consumption of unregulated toxic drugs, with 64% of investigations indicating the decedent smoked their substances.
MEANWHILE, the interim leader for the BC Greens, Jeremy Valeriote, said: “Behind every number is a person, and behind every life lost is a community left to grieve. Our hearts are with every person taken too soon due to the toxic drug crisis, and with their loved ones who now carry that unimaginable loss.”
Valeriote noted that the report released by BC’s Coroners Service reported a growing number of drug deaths occurring outdoors—now 21% of all fatalities in 2025, up from 15% in 2022.
He said: “This report underscores the widening gaps in care, housing, and access to life-saving services. The ongoing loss of life is not inevitable—it’s a consequence of political choices.”
These deaths are preventable, and the BC Greens are continuing to call on the government to provide urgent, coordinated action, including:
- A regulated alternative to the toxic drug supply
- Supervised consumption services that are accessible, low-barrier, and responsive to people’s needs
- Evidence-based, timely, and culturally safe treatment for those who seek it
- Safe, affordable, and accessible housing for all
- A government—and a society—that treats people who use drugs with respect and dignity, not stigma
See the latest report from BC’s Coroners Service on suspected unregulated drug deaths in British Columbia here.
