Nancy Kern reports for Columbia-Greene Media that in 2022, deaths from opioids in Greene County were up 58 percent since 2019. But in 2021, deaths were up 143 percent since 2019. There were 11 deaths in 2022, and 21 opioid-related that in 2021. The Columbia-Greene Addiction Coalition estimates that Greene County's crude rate of overdose of 25.5 per 100,000 people is almost double the average of most upstate New York counties. "Fentanyl is contributing to almost every overdose," said Carl Quinn, the director of the Greener Pathways Mobile Outreach group that works to lower the death count. Veronica Silvas, an epidemiologist with the CDC Foundation says, "Heroin has largely been replaced by fentanyl. The drugs available are straight fentanyl.... Fentanyl is in every different substance. If someone thinks they're using cocaine or pills, it's fentanyl." The closest rehabilitation centers are in Albany, Kingston, or Rhinebeck. Locally, Twin County Recovery Services, Greene County Family Planning, and the Youth Clubhouse in Catskill all distribute fentanyl test strips. Read more about this story at HudsonValley360.com.