 First Nations in Canada carry a disproportionate burden of the harms related to substance use.Surveys on First Nations people show that around 75% of residents feel alcohol use is a problem in their community, and 25% report they have a problem with alcohol use themselves.Although First Nations adults living on reserve report lower overall alcohol consumption rates (65.6%) compared to the general Canadian population (76%), a much higher proportion of First Nations people engage in heavy drinking weekly (16%) as opposed to the general population (8%).