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====Canada==== Opioid-related deaths in Ontario had increased by 242% from 1969 to 2014.<ref name="The_Star_2014">{{cite web|vauthors=Boyle T|title=Opioid deaths soaring, study finds Opioid-related deaths in Ontario jumped by a whopping 242 per cent over two decades, according to a study by ICES and St. Mike's|date=7 July 2014|url=https://www.thestar.com/life/health_wellness/2014/07/07/opioid_deaths_soaring_study_finds.html|work=The Star|location=Toronto, Ontario|access-date=23 January 2015|archive-date=23 January 2015|archive-url=https://web.archive.org/web/20150123191050/http://www.thestar.com/life/health_wellness/2014/07/07/opioid_deaths_soaring_study_finds.html|url-status=live}}</ref> By 2009 in Ontario there were more deaths from oxycodone overdoses than from cocaine overdoses.<ref name="The_Star_2009">{{cite web|vauthors=Donovan K|title=Oxycodone found to be more deadly than heroin|date=10 February 2009|url=https://www.thestar.com/life/health_wellness/2009/02/10/oxycodone_found_to_be_more_deadly_than_heroin.html|work=The Star|location=Toronto, Ontario|access-date=23 January 2015|archive-date=23 January 2015|archive-url=https://web.archive.org/web/20150123191054/http://www.thestar.com/life/health_wellness/2009/02/10/oxycodone_found_to_be_more_deadly_than_heroin.html|url-status=live}}</ref> Deaths from opioid pain relievers had increased from 13.7 deaths per million residents in 1991 to 27.2 deaths per million residents in 2004.<ref>{{cite news|title=Study finds huge rise in oxycodone deaths|publisher=[[CTV News]]|url=https://www.ctvnews.ca/study-finds-huge-rise-in-oxycodone-deaths-1.461899|access-date=7 December 2009|archive-date=28 June 2012|archive-url=https://web.archive.org/web/20120628112202/http://www.ctvnews.ca/study-finds-huge-rise-in-oxycodone-deaths-1.461899|url-status=live}}</ref> The non-medical use of oxycodone in Canada became a problem. Areas where oxycodone is most problematic are [[Atlantic Canada]] and [[Ontario]], where its non-medical use is prevalent in rural towns and in many smaller to medium-sized cities.<ref name="Oxyabuse">{{cite web|title=OxyContin Fact Sheet|url=http://www.ccsa.ca/2006%20CCSA%20Documents/ccsa-003642-2006.pdf|archive-url=https://web.archive.org/web/20081117203212/http://www.ccsa.ca/2006%20CCSA%20Documents/ccsa-003642-2006.pdf|archive-date=17 November 2008|access-date=10 May 2012|website=ccsa.ca|url-status=dead}}</ref> Oxycodone is also widely available across [[Western Canada]], but [[methamphetamine]] and [[heroin]] are more serious problems in larger cities, while oxycodone is more common in rural towns. Oxycodone is diverted through [[doctor shopping]], prescription forgery, pharmacy theft, and overprescription.<ref name="Oxyabuse" /><ref>{{cite web|date=11 January 2010|title=Health Canada β Misuse and Abuse of Oxycodone-based Prescription Drugs|url=http://www.hc-sc.gc.ca/hc-ps/pubs/precurs/oxycodone/fs-fi/index-eng.php|archive-url=https://web.archive.org/web/20111126013544/http://www.hc-sc.gc.ca/hc-ps/pubs/precurs/oxycodone/fs-fi/index-eng.php|archive-date=26 November 2011|access-date=10 May 2012|website=Hc-sc.gc.ca}}</ref> The recent formulations of oxycodone, particularly Purdue Pharma's crush-, chew-, injection- and dissolve-resistant OxyNEO<ref>{{cite news| vauthors = Kirkey S |date=23 May 2012|title=OxyNEO another prescription for disaster?|newspaper=Globe and Mail|location=Toronto, Ontario}}</ref> which replaced the banned OxyContin product in Canada in early 2012, have led to a decline in the recreational use of this opiate but have increased the recreational use of the more potent drug fentanyl.<ref>{{cite web|vauthors=Criger E|date=17 August 2015|title=Death of OxyContin behind rise of fentanyl?|url=https://toronto.citynews.ca/2015/08/17/death-of-oxycontin-behind-rise-of-fentanyl/|access-date=7 February 2019|website=CityNews|publisher=Rogers Digital Media|archive-date=9 February 2019|archive-url=https://web.archive.org/web/20190209180023/https://toronto.citynews.ca/2015/08/17/death-of-oxycontin-behind-rise-of-fentanyl/|url-status=live}}</ref> According to a Canadian Centre on Substance Abuse study quoted in [[Maclean's]] magazine, there were at least 655 fentanyl-related deaths in Canada in five years.<ref>{{cite web|vauthors=Gatehouse J, Macdonald N|date=22 June 2015|title=Fentanyl: The King of all Opiates, and a Killer Drug Crisis|url=http://www.macleans.ca/society/health/fentanyl-the-king-of-all-opiates-and-a-killer-drug-crisis/|access-date=15 December 2015|website=Maclean's|publisher=Rogers Media|archive-date=15 December 2015|archive-url=https://web.archive.org/web/20151215045912/http://www.macleans.ca/society/health/fentanyl-the-king-of-all-opiates-and-a-killer-drug-crisis/|url-status=live}}</ref> In Alberta, the Blood Tribe police claimed that from the fall of 2014 through January 2015, oxycodone pills or a lethal fake variation referred to as Oxy 80s<ref name="Southwick">{{cite news| vauthors = Southwick R |date=2 December 2015|title=Fentanyl brings tragedy to Blood Tribe|newspaper=Calgary Herald|location=Calgary, Alberta|url=https://calgaryherald.com/news/crime/fentanyl-brings-tragedy-to-blood-tribe|url-status=dead|access-date=15 December 2015|archive-url=https://web.archive.org/web/20151222143028/http://calgaryherald.com/news/crime/fentanyl-brings-tragedy-to-blood-tribe|archive-date=22 December 2015}}</ref> containing [[fentanyl]] made in illegal labs by members of organized crime were responsible for ten deaths on the [[Blood Indian Reserve No. 148|Blood Reserve]], which is located southwest of [[Lethbridge]], [[Alberta]].<ref name="Calgary_Herald_2015">{{citation|title=Police believe organized crime is flooding the Blood Tribe reserve with an illegal drug that has been linked to 10 deaths|date=23 January 2015|url=https://calgaryherald.com/storyline/police-believe-organized-crime-is-behind-flooding-the-blood-tribe-reserve-with-an-illegal-drug-that-has-been-linked-to-10-deaths|archive-url=https://web.archive.org/web/20160124073724/http://calgaryherald.com/storyline/police-believe-organized-crime-is-behind-flooding-the-blood-tribe-reserve-with-an-illegal-drug-that-has-been-linked-to-10-deaths|location=Alberta|publisher=Calgary Herald|access-date=23 January 2015|archive-date=24 January 2016|url-status=dead}}</ref> Province-wide, approximately 120 Albertans died from fentanyl-related overdoses in 2014.<ref name="Southwick" />
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