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in 2017 over 72,000 US citizens died drug overdose the majority of these deaths were due to opioid overdose the opioid epidemic is estimated to cost the u.s. 50 billion dollars a year including the cost of hospital care emergency response crime and infectious disease in Oregon drug overdoses increased 11% from 2011 to 2017 Oregon has one of the highest rates of prescription opioid abuse in the nation with seventy one point eight prescription for opioids of every 100 citizens as prescribing has become more restrictive to less than the use of opioids the country has seen an increase in heroin use frequently laced with deadly fentanyl putting even more at risk for overdose drug use deaths are the leading cause of injury and death in the US adapts response to this epidemic problem has included opening to opiate treatment programs using the most proven treatment interventions including the medications buprenorphine methadone and vivitrol in combination with medical s