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## The Opioid Epidemic: An Ongoing Crisis in the United States

The opioid epidemic, declared a national public health emergency in 2017, continues to plague the United States, despite some recent indications of progress. Here’s a snapshot of the current state of this devastating crisis.

### Historical Context and Evolution

The opioid epidemic has evolved through several distinct phases. From 1999 to 2010, there was a steady increase in opioid prescriptions and overdose deaths involving these prescription opioids. Between 2010 and 2013, heroin overdose deaths surged, and since 2013, synthetic opioids like fentanyl have driven a rapid and substantial increase in overdose deaths[2][5].

### Current Statistics

The numbers are stark. Between 1999 and 2022, nearly 727,000 people died from opioid overdoses, with the number of overdose deaths in 2022 being 10 times higher than in 1999[2]. In 2021, opioid-related deaths accounted for almost 75% of all drug overdose deaths, with synthetic opioids like fentanyl involved in an estimated 87% of opioid deaths and 65% of all drug overdose deaths[3].

### Local Impact

While national statistics suggest a slight decrease in opioid-related overdose deaths, with a nearly 4% decrease from 2022 to 2023, local communities continue to struggle. Municipal leaders report that the opioid crisis remains a top issue, with 61% indicating it is one of the top issues or the top issue impacting their community. Many of these leaders also report inadequate resources to respond to the crisis, particularly in larger cities and Western states like Alaska, Montana, Nevada, and Utah[2].

### Projections and Challenges

Research using mathematical models predicts that the opioid epidemic is far from over. Even with declining prescription opioid misuse, the overall number of opioid overdose deaths is projected to remain high. For instance, if prescription opioid misuse rates remain unchanged, an estimated 700,400 people will die from opioid overdoses between 2016 and 2025, with 80% of those deaths attributed to illicit opioids like heroin or fentanyl[1].

### Synthetic Opioids and Fentanyl

The rise of synthetic opioids, particularly fentanyl, has been a significant factor in the escalating death toll. Since 2013, synthetic opioid overdose deaths in Illinois have increased by a staggering 3,341%, highlighting the lethal impact of these substances[4].

### Need

This content was created in partnership and with the help of Artificial Intelligence AI