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While the entire United States has been grappling with the opioid crisis since the 1990s, the epidemic has been hitting Baltimore City the hardest. Since 2017, Baltimore has had the highest opioid overdose fatality rate of any US city. A 2020 study reported 1028 opioid-related deaths in Baltimore City, and it continues to witness an upward trend in opioid-related deaths.  

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