As of Oct. 18, there have been 222 fatal ODs in Montgomery County (111 in Dayton), according to Public Health Dayton & Montgomery County.
And that number may change, Harshbarger said, as final causes of death are determined.
While the number of fatal ODs has declined, meth and cocaine use has increased at the same time, according to the coroner's office.
"There's many more treatment options," Harshbarger said. "There's much more information, there's support out there in the community."
He said the county wasn't ready to deal with the number of fatalities connected to opioids in 2017,
"From November, December of 2016 through May of 2017, the numbers were unheard of anywhere in the country," he said.
In 2017, 566 in Montgomery County died of ODs. The fatal tally was nearly 350 the year before, according to the coroner's office.
"We weren't prepared to handle that," Harshbarger said.
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