2018 preview: Opioids will kill tens of thousands more people

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Tens of thousands of people will die from opioid drug use next year, as the US epidemic worsens.

It is thought there were more than 53,000 opioid-related deaths there in 2016. Official tallies won’t be released until next year, but a number of states – among them Missouri, Mississippi, Connecticut and Maryland – have already reported higher opioid-related death rates for 2017 than for 2016.

While prescription painkillers have played a role in the epidemic, crackdowns mean many now get opioids on the street – including fentanyl, which can be 100 times more powerful than heroin.

Given its trajectory, this trend is expected to worsen next year. In 2016, there were over 21,000 fentanyl-related deaths – more than double the number in 2015 – meaning the drug overtook heroin as a cause of death.

It isn’t just a US problem. Drug-related deaths have been rising in Europe, and there