San Francisco, California is in the midst of an overdose epidemic that killed more residents than the coronavirus last year, and it’s expected to get worse in 2021.

More than 700 Franciscans died from overdoses last year, compared with 300 deaths from coronavirus infections, the San Francisco Chronicle reported on Saturday.

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Additionally, from January through April 252 accidental overdose deaths occurred in the city, putting San Francisco on track to have even more overdose deaths this year than last year. Last year, which was a record year for drug overdoses, 181 people died of drug overdoses by April.

Chief medical officer data shows overdose deaths skyrocketed in San Francisco in 2019. At the same time, large amounts of fentanyl, a synthetic opioid that is 50 to 100 times more effective than morphine, have been released on the streets.

“We expected mortality to rise because that is exactly what has happened wherever fentanyl has settled,” said Dr. Phillip Coffin, director of drug abuse research at the Department of Health, on the rapid rise.

Coffin added that there is no quick fix to the problem and that “fentanyl is here forever”.

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“A big part of it is getting the intervention to where the people are, rather than forcing people to go where the interventions are,” he explained, saying that doing more people because of that their addiction can be treated.

The San Francisco Chronicle reported last year that the city was also facing a mass exodus of residents due to a variety of factors including coronavirus lockdowns, homelessness, drug overdose, and high taxes.