Illegal drugs have become increasingly toxic and highly unpredictable during the COVID-19 pandemic. Toxic street drugs – combined with the unintended effects of some COVID-19 safety protocols on people who use substances – have led to a tragic increase in overdose deaths among First Nations people in BC. As we face these dual public health emergencies, we need to find new ways to stay safe, reduce harms, and support each other and our loved ones on their healing journeys.