Just wanted to add the explosion in fentanyl and other synthetic heroin ODs in your community is also related. I'm not going to pretend the users are innocent, maybe they a teenagers who start off buying pills to get high -- point being that RX drugs are a very real and literal gateway drug to street narcotics, which are cheaper and far more dangerous.
I agree, it was never clearly divulged if the ~28 OD's were fentanyl-related (I assume the majority were), or for anything else - I can attest that the lion's share of people I have known to have opioid drug problems did start out with Rx abuse and progressed from there. As much as it pains me to say it, the culture around my area seems to perpetuate the idea that doctors generally do no wrong unless they botch a surgery, in which case, you sue.