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1) According to CDC's most current opioid poisoning death data, for 12 months in a row, opioid deaths didn't rise. This is the first time in 23 years (when crisis began) that opioid deaths didn't increase. 
2) Opioid prescribing continues to trend in the right direction- but we have a very long way to go before we get to pre-epidemic levels of opioid consumption.
3) Fentanyl has spread much from the eastern half of the United States. But it could.
4) The geographic area hardest hit by fentanyl has been Washington, DC - many aging long-time heroin users in the city lost their lives to fentanyl. Fentanyl deaths recently dropped in DC- possibly because fentanyl decimated this cohort so that fewer are left to die.
