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A growing number of Americans are dying from overdoses involving counterfeit pills, health officials have warned. 

The proportion of fatal overdoses involving fake tablets more than doubled from 2019 to 2021, a report from Centers for Disease Control & Prevention (CDC) found. 

The pills are made to look like legitimate tablets, such as Xanax and Oxycodone, and often contain fentanyl.

The CDC worked out the proportion of overdose deaths that involved counterfeit pill use across 30 jurisdictions between July 2019 and December 2021.

During that period, there were 106,293 overdose deaths from all drugs. 




The proportion of drug overdose deaths involving counterfeit pills has risen between 2019 and 2021, with a particularly dramatic increase in western states such as Alaska





The fentanyl seized by the DEA Task Force in October 2022 — 300,000 rainbow pills and 22lbs in powdered form





Deaths caused by fentanyl in the US surged in the 2010s. At the start of the decade, 2,666 Americans died of a fentanyl overdose. This figure shot up to 19,413 by 2016. Covid made the situation worse, with a record 72,484 deaths recorded in 2021

The proportion of overdose deaths that used counterfeit pills more than doubled from two percent during July - September 2019 to four percent during October - December 2021.

The percentage more than tripled from 4.7 percent to 14.7 percent in Western jurisdictions such as Alaska, New Mexico and Utah.

If pills found at the overdose scene were identified as fake, the tablets tested positive for drugs other than what they appeared to contain, or the pills were unmarked, they were considered counterfeit.

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