Opioid-Involved Overdose Deaths with Fentanyl or Fentanyl Analogs Detected in 28 States and the District of Columbia, July 2016–December 2018
Approximately two-thirds of the 70,237 U.S. drug overdose deaths reported in 2017 involved opioids. Since 2013, opioid-involved overdose deaths involving illicitly manufactured fentanyl has sharply increased. Fentanyl analogs are structurally similar to fentanyl but vary in potency, are primarily illicitly distributed, and require specific postmortem toxicology testing for detection. Deaths involving fentanyl analogs, particularly carfentanil, increased in 10 states during 2016–2017 and often co-occurred with fentanyl.
From 2013 to 2017, the number of opioid-involved overdose deaths in the United States increased 90%.
Drug Overdose Deaths Involving Cocaine and Psychostimulants with Abuse Potential – United States, 2003-2017
From 2016 to 2017, death rates involving cocaine and psychostimulants increased across age groups, racial/ethnic groups, county urbanization levels, and multiple states.
On January 7, 2019, three patients arrived at the Community Regional Medical Center emergency department in Fresno, California, after snorting white powder they thought was cocaine.