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In 2016, the Cuyahoga County Medical Examiner's Office confirmed that "opioids killed more people in 2016 than any year in the county's history," according to Cleveland.com . There was a rise from 666 overdose deaths in 2016 to 775 deaths in 2017. Fentanyl was a factor in the majority of those 666 deaths; 399 people had used fentanyl. This drug is the primary reason that overdose deaths have doubled in three years. When you do not know what you are getting or you do not know the purity of the drug, then overdoses are more common. These deaths are spreading across all demographics and across all areas of the country. According to the CDC , "recent increases in drug overdose deaths are driven by continued sharp increases in deaths involving synthetic opioids other than methadone, such as illicitly manufactured fentanyl." Men between the ages of 25 and 44 are most at risk of overdose, and overall, drug overdose rates have increased by nearly 22 percent. Unfortunately, drug overdoses from opioids have doubled across the country, just as they have in Cleveland. While there is a specific demographic that is most commonly dying from overdoses, opioids cross all demographic boundaries, and everyone from teens to Xanax seniors is affected by these drugs. In part, this is because prescription opioids are easy to access. From teens who break an arm to seniors who experience a painful surgery, people are being prescribed opioids and can then become addicted. Drug trafficking does not always happen in person anymore. It also occurs online. Unfortunately, it has become easier to order drugs online, and this is how many drugs get into the United States, including Cleveland. Packages can be sent through the mail and they are hard to find in the huge number of packages coming from around the world. Many drugs come from China and Southeast Asia, and some come from Mexico as well. Drug-sniffing dogs cannot look for these packages as sniffing the drugs could kill them. Even law enforcement agents need to take precautions if they find a shipment of drugs.https://www.columbusrecoverycenter.com/blog/city-on-the-edge-a-closer-look-at-cleveland-drug-trends/