Substance use

The use of substances like alcohol, tobacco, and cannabis can be a healthy and pleasurable activity—and is connected to many cultural practices. It is when substances are misused that they can cause harm to our health and relationships.

A person rolling cannabis into a joint.
A close-up of a person’s hand holding a lit cigarette.

Tobacco smoking

Tobacco is a plant that contains nicotine—a mood-altering chemical that makes a person feel good. The most common way people consume tobacco is by smoking cigarettes. [1]

1 in 10 people in our community smoke cigarettes daily

Smoking tobacco is the leading preventable cause of disease and premature death in Canada. Tobacco smoke—from both the tobacco plant and additives to cigarettes—contains chemicals that can harm the body and cause cancer, heart disease, stroke, and chronic obstructive pulmonary disease (COPD). Tobacco smoke can also harm others in the same space as someone smoking through “second-hand smoke”. [2] 

An icon array shows the percentage of people age 20 years and older in Guelph, Wellington County, and Dufferin County who smoked cigarettes daily in 2019 and 2020. For a full description of the graph, refer to the “Read graph as text” section.
In 2019 and 2020, 1 in 10 people age 20 years and older in Guelph, Wellington County, and Dufferin County smoked cigarettes daily. An icon array shows the percentage of people age 20 years and older in Guelph, Wellington County, and Dufferin County who smoked cigarettes daily in 2019 and 2020. Ten cigarettes are shown in circles; one in coloured bright red (representing people who smoked cigarettes daily) and nine are coloured pale grey and have a diagonal line through them indicating “no smoking”. Source: Public Health Ontario
A wine glass sits on a table at a restaurant next to a menu.

Alcohol use

Alcohol is produced by fermenting or distilling fruits, vegetables, and grains. Consuming alcohol affects thinking and behaviour. [1] 

Canada’s low risk drinking guidelines previously recommended that men limit alcohol use to 3 drinks per day (max 15 per week) and women limit use to 2 drinks per day (max 10 per week). [2] In 2023, the guidelines were updated. Low-risk drinking is now considered to be one to two drinks per week, regardless of a person’s sex. [3]

At least half of adults in our community exceed the low risk drinking guidelines

Prior to 2023, when the guidelines were updated, about half of adults in our community exceeded the low risk drinking guidelines. It is likely that more adults exceed the new guidelines, considering they are considerably more conservative. 

Alcohol causes impaired thinking and behaviour, which can have immediate consequences, such as injury, violence, and issues with employment. Over time, heavy drinking can cause severe health issues such as liver disease, cancer, and depression. [4] 

An area graph shows the percentage of people age 19 years and older in Guelph, Wellington County, and Dufferin County who exceeded Canada’s low risk drinking guidelines from 2015 and 2016 to 2019 and 2020. For a full description of the graph, refer to the “Read graph as text” section.
Before the guidelines were updated in 2023, about half of people age 19 years and older in Guelph, Wellington County, and Dufferin County exceeded Canada’s low risk drinking guidelines. An area graph shows the percentage of people age 19 years and older in Guelph, Wellington County, and Dufferin County who exceeded Canada’s low risk drinking guidelines from 2015 and 2016 to 2019 and 2020. The x-axis shows the years, and the y-axis shows the percentage of people age 19 years and older. The percentage of people who exceeded the low risk drinking guidelines ranged from 43% to 51%. Source: Public Health Ontario
An open naloxone kit sits on a table.

Overdose

Overdose occurs when too much of one substance—or a combination of substances—is used and overwhelms the body. Overdoses can have severe consequences, including brain injury and death. [1] 

In Canada, there is an ongoing opioid overdose epidemic. The high numbers of overdoses and related deaths is having a tragic impact on people who use drugs, their families, and their communities. [2]

Opioid-related emergency department visits have remained high in Guelph following a rapid increase in 2017 and 2018

Ensuring that people who use opioids have access to a safe supply and a safe place to use can prevent overdose and reduce the need for emergency care if an overdose does occur. [1] 

Like all substances, people use opioids for a variety of reasons. Some may use opioids to cope with untreated mental illness, trauma, or other stressors. To reduce the harms of opioid misuse, addressing these underlying stressors is essential. [1] 

A line graph shows the number of opioid-related emergency department visits per 100,000 population in Guelph and Wellington County from 2014 to 2023. For a full description of the graph, refer to the “Read graph as text” section.
Opioid-related emergency department visits have remained high in Guelph following a rapid increase in 2017 and 2018. A line graph shows the number of opioid-related emergency department visits per 100,000 population in Guelph and Wellington County from 2014 to 2023. The x-axis shows the year, and the y-axis shows the number of opioid-related emergency department visits per 100,000 people. Separate lines are shown for Guelph and Wellington County. In Guelph, the number of emergency department visits per 100,000 people increased from 37 in 2016 to 121 in 2018. The number has remained around 100 since 2018. Source: Wellington-Dufferin-Guelph Public Health
Library books on a shelf.

References

The Centre for Addiction and Mental Health (CAMH). (n.d.). Tobacco

Public Health Agency of Canada. (2024, July 19). Health effects of smoking and second-hand smoke. Government of Canada. 

The Centre for Addiction and Mental Health (CAMH). (n.d.). Alcohol

Health Canada. (2024, October 15). Low-risk alcohol drinking guidelines. Government of Canada. 

Canadian Centre on Substance Use and Addiction. (2023). Canada’s guidance on alcohol and health, public summary: Drinking less is better [Infographic]

Canadian Centre on Substance Use and Addiction. (2023). Canada’s guidance on alcohol and health: Final report

Canadian Mental Health Association. (2018, August 31). Overdose prevention

Health Infobase. (2024, December 23). Key findings: Opioid- and stimulant-related harms in Canada. Government of Canada. 

An open drawer in a card catalog.

Data sources

Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2023). Smoking snapshot [Data file]. Retrieved December 12, 2024. 

Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2023). Alcohol use snapshot [Data file]. Retrieved December 12, 2024. 

Wellington-Dufferin-Guelph Public Health. (2024). Substance harm information & education dashboard [Dashboard]. Retrieved December 12, 2024.

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