Surviving an opioid overdose may depend on where you live

In southwest Ohio, people die from drug overdoses at more than double the national rate. In the future, whether someone survives could hinge on what county they are in.

The sheriff in Butler County this summer declared that his officers wouldn’t carry medication to reverse overdoses. In Middletown, a city of 49,000 that overlaps the county, a council member frustrated by ballooning costs went even further, suggesting ambulance crews shouldn’t have to save the lives of some people who have been revived before.

In neighboring Hamilton County, which includes Cincinnati, officials are taking the opposite approach. They want to create the Narcan capital of America, putting more than 30,000 doses of the opioid-overdose reversal spray in the hands of Ohioans ready to use it. That’s about one for every 27 residents. In addition to police, firefighters, and medics who already carry the drug, Hamilton County plans to distribute Narcan to syringe exchanges, houses of…

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