Letter: Restoring balance to Chatham-Kent’s four-pillar drug strategy

The Chatham-Kent Public Health Unit’s July 2026 Drug Strategy Report indicates that Chatham-Kent continues to experience drug-related harms at rates well above the provincial average. The rate of suspected drug-related deaths was 17.3 per 100,000 population compared with 6.7 per 100,000 across Ontario—approximately 2.6 times higher. The report also found that emergency department visits and EMS responses for drug overdoses continued to exceed provincial rates, demonstrating the ongoing impact of substance use on the community and local emergency services.

This report also mentions that overdose deaths are driven by an “increasingly volatile and toxic unregulated drug supply”.

While the unregulated drug supply is undoubtedly a significant contributor, there is insufficient evidence to conclude that local overdose deaths can be attributed solely to this factor. Overdose risk is influenced by many interacting factors, including easy access to drugs, the normalization of public drug use, mental health challenges, low drug prices, high drug dosages, fentanyl use, the mixing of multiple substances, reduced tolerance after periods of abstinence, and limited access to timely treatment and long-term recovery services.

Local opioid poisoning deaths have continued to rise despite the widespread availability of naloxone kits and other harm reduction initiatives. This does not mean harm reduction lacks value—naloxone has saved countless lives by reversing overdoses—but it does suggest that harm reduction alone has been insufficient to reverse the overall trend in overdose deaths.

The Four Pillar Drug Strategy was designed to provide a balanced approach through prevention, harm reduction, treatment and recovery, and community inclusion and safety. In Chatham-Kent, however, treatment and recovery services have not expanded at the same pace as harm reduction initiatives, leaving many residents with limited opportunities to break the cycle of addiction. At the same time, many neighbouring residents have expressed concerns that they have not been meaningfully included in housing and encampment decisions affecting their communities. This has contributed to increased demands on police and has left residents coping with the impacts of open drug use, public disorder, and related safety concerns.

If Chatham-Kent is serious about reducing overdose deaths, the solution is not to rely more heavily on one pillar while neglecting the others. Harm reduction should complement—not replace—meaningful investments in prevention, treatment, recovery, and community inclusion and safety. Restoring balance across all four pillars offers the most comprehensive and evidence-informed approach to reducing preventable deaths, supporting long-term recovery, and building healthier and safer communities.

Susan Schultz
Chatham

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