In Maryland, heroin-related deaths tripled from 2011 to 2015, rising from 247 to 748. There has also been an alarming spike in deaths from the synthetic opioid fentanyl, rising 105 percent during the first quarter of 2016 as compared to 2015. Increases in overdose deaths have been reported throughout the state, including western and central Maryland and the Eastern Shore. It is essential to alert people about the dangers of opiate use, whether obtained through prescriptions or on the street. Everyone is at risk if they are not informed.