根据警方的说法，在安大略省北部进行的毒品调查中，用于帮助成瘾者的处方类阿片类药物的出现频率越来越高。
Prescription opioids meant to help people struggling with addiction are increasingly turning up in drug investigations in northern Ontario, according to police.
北湾警察局的侦探布拉德·雷奥姆（Brad Reaume）同时也是该局打击街头犯罪的负责人，他表示，警方在2023年和2024年的毒品调查中发现了大量处方类阿片类药物。
Brad Reaume, a detective with the North Bay Police Service and head of its street crime team, said officers began noticing unusually large quantities of prescription opioids during drug investigations in 2023 and 2024.
“我们认为这些药物来自北湾境内的药店，目前没有证据表明它们是从外部流入的，”雷奥姆说。
“We believe the drugs came from pharmacies within North Bay and there’s nothing to suggest it came from outside the community at this point,” he said.
去年夏天，在一次调查中，警方查获了187片奥施康定（Oxycodone）药片、90片其他鸦片类药物药片以及几瓶美沙酮（Methadone）。
This past summer, in one investigation, officers seized 187 oxycodone pills, 90 other opiate pills and several bottles of methadone.
“我们查获的大部分被非法使用的药物，其处方标签都被撕掉或篡改了，因此无法辨认出真正的处方持有人；不过也有一些药物的标签仍然完好无损。但大多数药物的标签明显被人为破坏过——药名要么被刮掉，要么被记号笔涂掉了。”
“Most of the diverted medication we get, the prescription labels are ripped off or altered, so they don't display the prescription holder,” Reaume said. “Some of them do actually. But the majority of them, it is very evident that they've been diverted because you'll see that the name has been scratched off or covered over with a marker.”
警方查获的药物中，氢吗啡酮（Hydromorphone，商品名通常为Dilaudid）和奥施康定属于“安全供应”类药物。这类药物原本是为有阿片类药物使用障碍的人设计的，作为街头毒品的替代品，通常在医疗专业人员的直接监督下使用。
How safer-supply drugs gained traction Among the medications that have been seized by police are hydromorphone, commonly known by the brand name dilaudid, and oxycodone. Both are for safer-supply use — when someone with opioid use disorder is prescribed pharmaceutical-grade opioids as an alternative to street drugs, often without direct supervision by a health-care professional.
随着加拿大全国范围内过量用药事件的增加，“安全供应”药物的使用方式在COVID-19疫情期间逐渐流行起来。
The practice of safer supply gained traction during the COVID-19 pandemic as overdoses increased across Canada.
2020年，加拿大卫生部开始资助多项试点项目，为患者提供处方类阿片类药物作为街头毒品的替代品。不过联邦政府在2025年停止了资金支持，导致这些项目被迫终止。不过，安大略省的医生仍然有权为成瘾者开具阿片类药物处方。
In 2020, Health Canada started funding several pilot programs that offered prescribed opioids as alternatives to street drugs. The federal government stopped providing funding in 2025, leading to closure of those programs, but doctors in Ontario still have the authority to prescribe opioids to someone struggling with addiction.
随着越来越多这类药物的被发现，以及我们与那些涉及这些药物使用和销售的人们的交流，我们的工作重点正在发生变化——我们开始更加关注处方药的非法流转问题。
With the increase of these drugs that are being discovered and the conversations we’re having with individuals involved in the use and sale of these drugs, we’re changing our priorities and putting more of a focus on prescription diversions.
对于该省的医生来说，处方指南由安大略省医师外科医学院（CPSO）制定，并受到医生个人判断的影响。不过，最近这些指南确实发生了一些变化。
For doctors in the province, prescribing guidelines are governed by the College of Physicians and Surgeons of Ontario (CPSO) and a doctor’s individual judgment. But there have been recent changes.
2026年6月，CPSO修订了其处方政策，明确了关于安全用药的相关规定：医生在开具相关药物（如美沙酮和丁丙诺啡）时，必须首先进行面对面的评估；如果需要持续为患者提供这些药物，医生还必须至少每三个月进行一次面对面的复查。
In June 2026, the CPSO amended its prescribing policy to clarify expectations around safer-supply prescribing. It now requires that physicians first conduct an in-person assessment, offer medications like methadone and suboxone, and conduct in-person assessments at least every three months when safer supply is prescribed on an ongoing basis.
CPSO的发言人劳拉·齐尔克（Laura Zilke）在接受CBC News采访时说：“这些修订旨在改进处方行为，从而优化患者的护理质量——尤其是在这个存在重大安全风险的领域。CPSO也认识到，虽然这些措施是重要的第一步，但它们并不能完全解决与药物非法流转及有毒药物供应相关的所有问题。”
“[These amendments] were intended to improve prescribing practices and optimize patient care in an area with significant safety considerations,” said CPSO spokesperson Laura Zilke in a statement to CBC News. “CPSO also recognizes that, while these amendments were an important step, they are not a complete solution to the broader challenges associated with drug diversion and the toxic drug supply. “This remains an active area of focus for the college.”
雷奥姆（Reaume）指出：“处方阿片类药物如今已被视为一种‘货币’；参与非法毒品市场的人告诉警方，这些药物经常被用来交易——既可以兑换现金，也可以用来换取其他毒品。例如，拿到某种处方药的个人完全可以将其出售或交易，以获取他们真正想要的药物。”
Prescription opioids now a currency, detective says Reaume said people involved in the illegal drug market have told police the medications are often used as currency — sold for cash or traded for other drugs. “An individual that receives a certain prescription could essentially just either sell or trade the drugs for the more desired drugs that they're trying to seek.”
雷奥姆还提到，这些处方阿片类药物的目标用户往往是那些‘年轻且缺乏经验的吸毒者’。根据安大略省药物政策研究网络的数据，2025年安大略省记录的1,398起阿片类药物中毒死亡案例中，约有五分之一与受监管的阿片类药物有关（约280例死亡）。
Reaume said prescription opioids are also marketed to “sometimes young, sometimes inexperienced drug users that are just entering into drug use.”Of the 1,398 opioid toxicity deaths recorded in Ontario in 2025, about one in five involved regulated opioids in the absence of fentanyl — roughly 280 deaths, according to the Ontario Drug Policy Research Network.
不只是北湾警方在毒品贩运调查中发现处方类阿片药物。服务16个第一民族社区的阿尼希纳贝克警察局表示，该局在开展毒品贩运调查时，查获的处方药数量也呈上升趋势。
North Bay police aren’t the only police service reporting prescription opioids in drug-trafficking investigations. The Anishinabek Police Service, which serves 16 First Nation communities, said it too has seen an increase in prescription medications being seized during drug-trafficking investigations.
这支第一民族警队于6月结束了一项为期六个月的调查，目标是一个由多名人员组成的网络，这些人沿省内主要公路分布，并“利用第一民族社区”。调查共查获近400片处方类阿片药物，其中包括羟考酮。
The First Nation force wrapped up a six-month investigation in June that targeted a network of individuals who “exploit First Nation communities” located along major provincial highways. It led to the seizure of almost 400 tablets of prescription opioids, including oxycodone.
阿尼希纳贝克警方发言人在向加拿大广播公司（CBC）新闻部发表的声明中说：“与阿片药物有关的危害继续对第一民族民众和社区造成不成比例的影响。”
“Opioid-related harms continue to disproportionately affect First Nations People and communities,” an Anishinabek police spokesperson said in a statement to CBC News.
雷奥姆说，这些处方类阿片药物运往越远的北方，价值就可能越高。
Reaume said these prescription opioids can become even more valuable as they’re moved farther north.
雷奥姆说，通过在安大略省各地开展调查，警方发现处方类阿片药物正被销往该省东北部和西北部；与该省南部地区相比，同样的药片在那里可能卖出高得多的价格。
Through investigations across Ontario, Reaume said, police have seen prescription opioids being pushed into northeastern and northwestern Ontario, where the same pills can go for significantly higher prices compared to southern parts of the province.
例如，在大多伦多地区，“这些药片可能只卖25美分。但到了詹姆斯湾沿岸，同样一片药可能会卖40加元，”他说。
In the Greater Toronto Area (GTA), for example, “they might go for a quarter. Up on the James Bay coastline, they might go for $40 for this exact same pill,” he said.
“任何想从［处方类阿片药物］中获取经济利益的人，都会设法把这些药物运往北方。”雷奥姆呼吁实行监督用药。他表示，北湾警察局一直在与当地及大多伦多地区的医生沟通，希望找到一种办法，防止处方类阿片药物流入街头。
“Individuals that are interested in generating financial benefit from [prescription opioids] would want to push them north.”Calls for observed consumption Reaume said the North Bay Police Service has been speaking with doctors from the local area and the GTA in hopes of finding a way to prevent prescription opioids from ending up on the streets.
“我们认为，对这个问题来说，在监督下服药算是显而易见的解决办法，”他说。
“What we believe would be sort of the no-brain solution to this is observed consumption,” he said.
“不要再允许个人把定量发放的药片或美沙酮带回家服用，而应由开具处方的医生或负责发药的药房监督其服用，从根本上杜绝药物被转用。”雷奥姆表示，一些接受警方咨询的医生担心，这项改变可能使人们无法为了治疗目的获得这些药物，但他认为，监督服用仍能在降低药物被出售或交易风险的同时，保证人们能够获得药物。
“Instead of allowing an individual to take an allotment of pills or methadone home, the consumption should be observed by the prescriber or the pharmacy that's dispensing them, essentially eliminating the diversion of medication.”Reaume said some doctors consulted by police worry the change could prevent people from getting the medication for therapeutic purposes, but he believes observed consumption would still maintain access while reducing risk of the drugs from being sold or traded. “We do recognize the benefit of diverting, so selling or trading these drugs is just continuing that cycle of addiction for people that are desperately looking for help.”
“我们确实承认药物被转用所带来的好处，因此出售或交易这些药物，只是在让那些迫切寻求帮助
North Bay police aren’t alone in asking for change. Doctors working in addiction medicine are also calling for stricter regulations.