NPR

In 2023 fentanyl overdoses ravaged the U.S. and fueled a new culture war fight

Fentanyl fueled unprecedented carnage with 112,000 fatal overdoses. The nation is increasingly divided over how to respond.
Louise Vincent, a harm reduction activist and active drug user in North Carolina, says the more toxic street drug supply has ravaged people who use illegal drugs.

When the history of the fentanyl crisis is written, 2023 may be remembered as the year Americans woke up to an unprecedented threat scouring communities - and a deepening cultural divide over what to do about it.

For the first time in U.S. history, fatal overdoses peaked above 112,000 deaths, with young people and people of color among the hardest hit.

Drug policy experts, and people living with addiction, say the magnitude of this calamity now eclipses every previous drug epidemic, from crack cocaine in the 1980s to the prescription opioid crisis of the 2000s.

"We've had an entire community swept away," said Louise Vincent, a harm reduction activist in North Carolina, who says she still sometimes uses street opioids including fentanyl.

"We do have fentanyl that's dangerous, we have xylazine that's poison," Vincent told NPR. "We've had an entire community swept away. I can't even think of all the people I know who have died. My daughter died. Our mentors are dead. It is so dangerous right now."

Public health experts say fentanyl, a synthetic opioid far more powerful than heroin, is

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