By any objective measure, the opiate crisis has affected British Columbia far more severely than Alberta. Both legal and illegal opiate use is more prevalent, and it was the first province to see this unprecedented number of deaths due to overdoses of fentanyl and other opiates. B.C.'s response has been robust. The declaration of a public health state of emergency led to resources being mobilized across government departments and between all stakeholders in a co-ordinated plan. Their Provincial Health Officer reports monthly on the efforts to combat the crisis, and the province has embraced early harm reduction measures such as naloxone kits and supervised injection sites. [continues 400 words]