We speak with Rhiannon Thomas and Sarah Greig from South Riverdale Community Health Centre in Toronto about how the COVID-19 pandemic has intensified the ongoing overdose and opioid pandemic. We explore how the team at South Riverdale CHC has worked, against significant odds, to ensure continuous, accessible, and timely support for members of the community throughout the COVID-19 pandemic and we touch on some of the systemic and policy shifts needed to save lives and to better support community-based first responders.