Crisis Next Door reveals the devastating toll fentanyl has taken on the lives of thousands of North Carolinians, examining both the state's response to this growing epidemic and the urgent actions still needed to save lives. North Carolina is grappling with a severe drug overdose crisis, with fentanyl at the forefront as the leading cause of death. In 2021, the state recorded over 4,000 drug overdose fatalities, the highest number of substance abuse-related deaths in its history. According to the North Carolina Department of Health and Human Services (NCDHHS), fentanyl was involved in 77% of those deaths.