San Francisco is on track to hit a record-breaking number of overdose deaths in 2023, according to a new report from the city’s chief medical examiner. The number of overdose deaths is expected to reach 845 by 2023, which would be more than double the record of 725 set in 2020.

“Fentanyl is so prevalent on the streets that it’s contaminating other drugs like meth and crack,” Tom Wolf, an ex-drug user and now-researcher, said. “I see people in tents and on the street using meth and fentanyl all the time.”

The medical examiner’s office reported that 456 of the 563 overdoses this year involved fentanyl, with August and January being the most dangerous months, with an average of nearly three overdoses a day.

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