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Background: Mass media campaigns have been effectively used in the past to shape public opinion on health. As the synthetic opioid epidemic sadly continues to take the lives of people across the globe, there is little information available on the power of mass media influenced by the advocacy and engagement of people who use drugs (PWUDs). Methods: Using the Vancouver Area Network of Drug Users (VANDU), as a case study, this study reports on the relationship between overdose-related deaths and the level of community action taken by PWUDs. Results: After conducting Kendall’s correlation, the results indicate a weak but statistically significant relationship between community action and the level of overdose deaths and overdose death rates. Additionally, a simple linear regression model was estimated. Based on the regression equation, there was a significant effect between the community action level (frequency of news items shaped by VANDU membership), rate and number of deaths, where increasing drug overdose death numbers and rates predicted the level of community action by PWUDs. Conclusion: This research has highlighted that the PWUDs have the capacity and potential to influence, shape, and change public opinion through engagement with news media. Therefore, government, cities, health agencies, and policymakers must engage with PWUDs and establish similar organizations, such as VANDU, to promote harm reduction, human rights, and treatment during an overdose crisis to facilitate shaping public opinion around addiction as a relapsing medical issue.