The number of overdose deaths in Nova Scotia linked to cocaine has significantly increased in recent years, with nearly half of the accidental overdose deaths last year involving cocaine. The trend mirrors a similar pattern in the United States, where there has been a rise in deaths involving a mix of opioids and stimulants like cocaine and methamphetamine. The data suggests that the public discussion around drug fatalities needs to broaden beyond the focus on potent opioids. It remains unclear whether the victims intentionally used both cocaine and opioids or unknowingly took cocaine tainted with an opioid.

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