Opioid-related harms among Ontario workers: a surveillance tool
Reasons for the study
Canada continues to face an unprecedented opioid crisis that has resulted in profound consequences for many Canadians. Current surveillance systems in Canada, aimed at monitoring opioid use and harms across the population, typically have no or incomplete information on employment-related characteristics. A collaboration between the Institute for Work & Health and the Occupational Cancer Research Centre (OCRC) at Ontario Health aims to fill this gap.
OCRC has developed a unique surveillance program called the Occupational Disease Surveillance System (ODSS). The ODSS was originally designed to detect and monitor risks of work-related disease in Ontario workers. This study aims to adapt the ODSS and establish a surveillance program to monitor opioid-related harms among injured workers and the Ontario workforce more broadly. By updating the ODSS and linking data from recent compensation claimants to health-care data, the ODSS will be able to capture current trends in opioid-related hospitalizations and emergency department visits among Ontario workers.
Objectives of the study
- Adapt and expand the ODSS to examine opioid-related adverse health events
- Monitor and describe trends of opioid-related hospitalizations and emergency department visits among Ontario workers since 2006
- Identify the demographic, injury and occupational characteristics associated with opioid-related hospitalizations and emergency department visits
- Compare incident rates of opioid-related harms in the ODSS to those in the general population of Ontario
Target audience
This project will result in a surveillance program aimed at identifying and monitoring opioid-related harms in the Ontario working population. The information will help health-care providers, injured worker advocates, workers' compensation organizations, employers and policy-makers understand whether rates of opioid-related harms are changing over time among particular worker subgroups, which will help inform targeted prevention and harm reduction activities.
Related research summaries
- In which occupations are Ontario workers who had a work-related injury most at risk of opioid-related harms?. Research Highlights: Institute for Work & Health, October 2024.
- Exploring how workplace solutions can mitigate opioid harms among workers. At Work article: Institute for Work & Health, May 2024.
- Workers who had a work-related injury have higher risk of opioid-related harms than the general population in Ontario. Research Highlights: Institute for Work & Health, April 2024.
Related scientific publications
- Carnide N, Sritharan J, Song C, Kooshki F, Demers PA. Risk of opioid-related harms by occupation within a large cohort of formerly injured workers in Ontario, Canada: findings from the Occupational Disease Surveillance System. Occupational and Environmental Medicine. 2024 epub ahead of print. doi:10.1136/oemed-2024-109458. (Open access)
- Carnide N, Feng G, Song C, Demers PA, Macleod JS, Sritharan J. Occupational patterns of opioid-related harms comparing a cohort of formerly injured workers to the general population in Ontario, Canada. Canadian Journal of Public Health. 2024;115(6):851-861. doi:10.17269/s41997-024-00882-w. (Open access)
Related interviews and articles
- Construction ranks high among occupations harmed by opioids: IWH study. Daily Commercial News. June 6, 2024. Available from: https://canada.constructconnect.com/dcn/news/associations/2024/06/construction-ranks-high-among-occupations-harmed-by-opioids-iwh-study
- ‘Unprecedented public health crisis’: Pioneering research studies links between workplaces, opioid harms. OHS Canada. February 7, 2024. Available from: https://www.ohscanada.com/features/opioids-in-the-workplace-pioneering-research-studies-links-between-workplaces-opioid-harms/
- Shining a light on opioid epidemic's link to the workplace. Canadian Occupational Safety. December 18, 2023. Available from: https://www.thesafetymag.com/ca/topics/safety-and-ppe/shining-a-light-on-opioid-epidemics-link-to-the-workplace/470527
- New data viz tool highlights patterns of opioid harms among Ontario workers. At Work: Institute for Work & Health; No. 114, Fall 2023.
- Workers in construction, mining most impacted by opioid-related harm: research. NWOnewswatch: Dougall Media (Thunder Bay, ON). July 2, 2023. Available from: https://www.nwonewswatch.com/local-news/workers-in-construction-mining-most-impacted-by-opioid-related-harm-research-7226839
- IWH, OCRC project delves into role of employment in opioid crisis. Daily Commercial News. August 2, 2022. Available from: https://canada.constructconnect.com/dcn/news/ohs/2022/08/iwh-ocrc-project-delves-into-role-of-employment-in-opioid-crisis
IWH Speaker Series presentations
- Opioids and Work: Evidence, Perspectives and Looking Ahead. Other events. March 20, 2024.
- Occupational patterns in opioid-related harms among Ontario workers . IWH Speaker Series. June 13, 2023.
Project status
Ongoing
Project website
Research team
Collaborators and partners
International Brotherhood of Boilermakers
Ontario Building Trades
Ontario Ministry of Labour, Training and Skills Development
Public Health Ontario
Workplace Safety & Insurance Board
Funded by
Public Health Agency of Canada