Surviving an opioid overdose may soon depend on where you live.
In southwest Ohio, people die from drug overdoses at more than double the national rate. In the future, whether someone survives could hinge on what county they are in. The sheriff in Butler County this summer declared that his officers wouldn’t carry medication to reverse overdoses. In neighboring Hamilton County, which includes Cincinnati, officials are taking the opposite approach. They want to create the Narcan capital of America, putting more than 30,000 doses of the opioid-overdose reversal spray in the hands of Ohioans ready to use it. The contrast between these approaches mirrors the national debate over how to deal with a drug crisis that killed 33,000 Americans in 2015, a tally expected to increase. The epidemic began years ago as doctors started to liberally prescribe opioid painkillers such as oxycodone. As addiction and abuse rose, the medical industry began to tighten access, driving up street prices. Drug cartels saw an opportunity and flooded U.S. cities with cheap heroin, a common substitute
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