One day, naloxone could be the most important tool onsite

Opioids are killing construction workers at much higher rates than people in other occupations in Canada.

A recent study by the Ontario Drug Policy Research Network examined opioid deaths in the province between 2017 and 2020. The study found that 428 Ontarians with employment history in construction died of opioid toxicity in that timeframe, representing about 8 per cent of all fatal opioid overdoses. However, construction employment represents about 3.6 per cent of Ontario’s entire population.

Pain was a recurring factor among construction workers that overdosed, with nearly 80 per cent experiencing a pain-related condition or injury in the five years before overdosing.

The report also outlined that opioid deaths among construction workers are primarily being driven by the illegal drug supply rather than prescriptions.

British Columbia has also reported staggering numbers for opioid deaths in construction. Nearly 20 per cent of overdose deaths in B.C. worked in the trades, transport or as equipment operators.

To reduce fatal opioid overdoses on the jobsite, Ontario is requiring employers to stock a naloxone kit as of June 1, 2023.

Under the Occupational Health and Safety Act (OHSA), all Ontario employers who know, or ought to know, there is a risk of an opioid overdose in their workplace, are required to ensure a naloxone kit is made available in good condition.

The Residential Construction Council of Ontario (RESCON) applauded the naloxone requirements, noting that kits on hand will also help to reduce the stigma around opioid abuse and raise awareness about the risks of accidental overdoses.

“Most RESCON members are already ahead of the game and have included naloxone kits on site as part of their health and safety protocols,” said RESCON Vice President Andrew Pariser who is chair of the association’s safety committee. “This is an easy best practice that can save lives.”

Naloxone is available at most pharmacies, or through the Ontario government. The drug can temporarily reverse the effects of an opioid overdose, including the use of morphine, heroin, oxycodone, fentanyl, codeine and hydromorphone.

Naloxone is generally considered safe for everyone, and employers are protect- ed from liability available under the Good Samaritan Act for a worker who voluntarily administers naloxone at the workplace in response to an opioid overdose. Regardless of legislation, all jobsites should keep a naloxone kit on hand.

The kits are often free, require minimal space and could literally make the difference between life and death.