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Every day, six Australians die of drug overdose. Are we doing enough to lower that number?

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Every four hours an Australian is dying of a drug overdose, prompting a renewed call for urgent action to combat the long-term crisis.

An annual report by public health research group Penington Institute shows that 2,231 drug-induced deaths were reported in Australia in 2021.

Of those, 1,675 were unintentional.

“Overdose deaths in Australia have exceeded the road toll since 2014, and we see little to no action to demonstrably change this,” Penington Institute CEO John Ryan said.

Drug-induced deaths are not evenly distributed

Seven out of 10 unintentional drug overdose deaths in 2021 were men and Indigenous Australians were almost four times more likely to die under those circumstances than non-Indigenous Australians.

Rural and regional areas also had a slightly higher rate of unintentional drug-induced deaths than metropolitan centres.

The most common drug found in people’s systems was opioids, contributing to 45.7 per cent of overdose deaths in 2021.

Opioids, which are prescribed as pain relief but are often linked to addiction and abuse, were found in 81 per cent of deaths involving multiple substances.

Deaths linked to the synthetic opioid fentanyl were cited by the report as a major cause for concern after skyrocketing by more than 800 per cent since 2001.

Benzodiazepines, a class of drugs prescribed for problems relating to anxiety and sleep, made up 32.5 per cent of unintentional drug-induced deaths, claiming 544 lives.

The figure is well above alcohol, which accounted for 313 such deaths.

“Deaths associated with multiple drug types are far more common than those associated with a single type of drug,” the report reads.

Calls to address ‘national crisis’

The global opioids crisis has coincided with drug overdose death rates increasing across all Australian age brackets above 30 over the past 20 years, especially among 50 to 59-year-olds (298 per cent).

Opioids contributed to 45.7 per cent of overdose deaths in 2021, many of them accidental. 

Despite Australia’s population only growing by 33 per cent in that time span, unintentional drug deaths have risen by 71 per cent.

Since 2001, Australia has seen over 37,000 drug-induced deaths.

The institute started producing the annual overdose report eight years ago to drive change, but Mr Ryan said the response has been wholly inadequate compared to the scale of the problem.

“The time to address this national crisis is now,” he said.

“We already have the tools and know-how to reduce overdose deaths – we just need to do it by implementing evidence-based solutions, supporting access to treatment, and closing the gap in overdose death rates between Indigenous and non-Indigenous Australians.”

Drug overdose death numbers from 2021 are likely to rise further as the data is revised and finalised in coming years.

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