For calendar year 2020, the number of accidental overdose deaths (203) represented a significant increase from the previous year (128). Data from 2020 indicated that the rise was almost entirely related to the potent opioid drug fentanyl. The data contained in this report indicates that fentanyl overdose deaths rose dramatically during the second half of 2020 and have continued at a similar rate during the first six months of 2021. If overdoses continue at this rate, the number of accidental overdoses in the county could exceed 250 by year end.