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Tule River Tribe Vice Chairman Shine Nieto’s voice shook as he spoke about being visited by a teen in a tribal youth group he runs for young men in his community. It was 5 a.m., and the teen had just been discharged from the hospital after a fentanyl overdose when he showed up at the Vice Chairman’s house to tell him who was selling fentanyl pills to youth in the community. "He went home and took another pill," Nieto said.

Tule riverUnited statesSan diego countyViejas reservationPilar schiavoDanielle espinozaMatt haneyJim pattersonKelly martinezDavid alvarezJohn christmanSabino martinezHealth statisticsNational centerCalifornia assembly fentanylOverdose prevention committee