Canada Injury Trends: Falls Up, Overdose Deaths Down

Two Toronto paramedics beside their ambulance
File photo: Toronto Paramedic Services. Photo: Raysonho via Wikimedia Commons, CC0.
Falls up, overdoses downUpdated 17 October 2026

Trend summary

  • Accidents are now Canada’s third leading cause of death, behind cancer and heart disease. Two things drove that rise: falls in old age and the toxic drug supply.
  • 20,597 Canadians died from unintentional injuries in 2023, more than double the number in 2000.
  • Accidental fall deaths reached 7,997 in 2023, five times the 2000 level, mostly among people over 75.
  • Opioid deaths are falling: 5,608 in 2025, down 23%, though that is still about 15 a day.
#3accidents’ rank among causes of death, 2024
7,997accidental fall deaths, 2023
5,608opioid-related deaths, 2025 (−23%)
$29.4Bannual cost of injury (2018 data)

What the numbers show

Statistics Canada counted 20,597 unintentional injury deaths in 2023, up 139% since 2000, and accidents stayed third among causes of death in 2024, at 6.2%. Falls killed 7,997 people in 2023; 90% of women and 78% of men who died from a fall were 75 or older. Accidental drug poisonings jumped 59% in 2020 and peaked at 7,405 in 2021.

The drug toll is now falling. The Council of Chief Medical Officers of Health reported 5,608 opioid-related deaths in 2025, down 23% from 2024. Hospitals are busier: CIHI counts about 291,000 injury hospitalizations in 2024-2025, with falls the leading cause. Workers’ compensation boards accepted 1,042 work-related death claims in 2024.

What is driving it

Ageing is the main driver of fall deaths. The Public Health Agency of Canada found the age-standardised fall death rate among older adults rose 111% between 2001 and 2019, and attributes the rise in fall hospitalisations mainly to an older population. Falls are also the costliest injury: $10.3 billion of the $29.4 billion a year that injuries cost Canada (Parachute). The drug crisis is driven by a fentanyl-dominated illegal supply; in early 2026, 96% of apparent opioid toxicity deaths were accidental (Health Infobase). Extreme heat is a newer risk: of 619 deaths in BC’s 2021 heat dome, 67% were aged 70 or over and 56% lived alone (BC Coroners Service).

Recent cases

  • 20 July 2026: the BC Coroners Service reports 40 accidental drownings between May and mid-July 2026, against 26 a year earlier (BC Government).
  • 15 June 2026: chief medical officers report 5,608 opioid deaths in 2025, down 23%, and warn the crisis is not over (PHAC).
  • 13 January 2026: Statistics Canada keeps accidents as the third leading cause of death in 2024 (Statistics Canada).

Press releases and official reports, 2023–2026

Five key releases a year for the last four years, newest first. Most come from federal departments and agencies, the Transportation Safety Board, Statistics Canada and provincial governments; a few news and trade reports are included where they are the clearest public record of an event. Releases from 2007–2022 are in the expandable list after 2023.

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View 20 years of major Canadian injury press releases (2007–2026)80 more from 2007–2022, five a year, newest first

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Photo list

An orange and white critical care ambulance at a city intersection
File photo: an Ornge critical care ambulance in Toronto. Photo: PvOberstein via Wikimedia Commons, CC0.
A tiny amount of white powder next to a coin
File photo: 2 milligrams of fentanyl next to a US penny, a lethal dose for most people (US Drug Enforcement Administration). Photo: US Drug Enforcement Administration via Wikimedia Commons, public domain.

How this page is built. Figures come from the official statistical releases linked above; where agencies publish provisional numbers we say so, because they are revised. Canadian statistics are often collected by provinces and territories, and some national series run several years behind, so we say which area and year each figure covers. Photos are public-domain or Creative Commons images credited in each caption; file photos are illustrative and are not from the events described unless the caption says so. This page tracks trends and is not personal safety, medical, legal or financial advice.