There seems to be less talk of the Opioid Epidemic but much work left to do.

With fewer than two months left in 2018, there have been 36 confirmed drug-related deaths in Madison County so far this year.

Madison County Coroner Jimmy Cornelison told The Register Friday drug-related deaths are trending above last year. The coroner said there were 40 drug-related deaths in 2017, which was up from 33 in 2016.

“I still see a lot of combinations of (drugs),” he said. “Most times on the report, I write the combined effects of (multiple drugs). … People don’t know what they’re getting with heroin or meth.”

Fentanyl is still playing a large role as well. Cornelison said he’s seeing methamphetamine mixed with fentanyl. He added heroin hasn’t gone away either.

After seeing a decrease in the amount of Narcan administered in the first six months of the year compared with 2017, Madison County EMS Director Carlos Coyle said that’s changed.

Coyle previously told The Register, from Jan. 1 through June 30 of this year, EMS administered 208 doses to 176 patients. Last year, 261 doses were administered to 179 patients during that same time frame.

However, through the end of October, 413 doses have been administered to 343 patients, which is close to 2017’s yearly totals — 511 doses to 361 patients.