New York

I’m seeing a rise in fentanyl-contaminated cocaine across New York City, Long Island, and the Hudson Valley. I share real cases, warning signs, and harm-reduction strategies families can use—including free 22-panel tests—to prevent fatal overdoses.

Cocaine-related harms on Long Island (Nassau & Suffolk) are increasingly polysubstance, with fentanyl present in most fatal cocaine overdoses in New York. Nationally, cocaine-involved mortality has nearly doubled since 2018. This fact sheet compiles verified NY/CDC sources and practical steps for families and providers: carry and train on naloxone, arrange benefits/transport to speed placement, screen for co-occurring mental health, and use evidence-based care (Contingency Management + CBT).

Summary What is already known about this topic? During 1999–2017, the rate of drug overdose deaths nationally approximately tripled; approximately 70,000 overdose deaths occurred nationally in 2017, with nearly 68% involving an opioid. What...