CHICAGO — Fentanyl is behind nearly all of a record number of opioid overdose deaths last year in Cook County, according to newly-released data.

The Cook County Medical Examiner’s Office said 2,000 opioid overdose deaths surpassed 2021’s previous record of 1,935. Of the 2,000, 1,825 were fentanyl-related.

Approximately 78% of the opioid overdose deaths were male and just over 70% took place in Chicago.

Last year, the DEA seized 225,913 fentanyl pills in Northern Illinois and over 200 lbs. of fentanyl powder.

Part of the rise in fentanyl-related deaths may be attributed to an increase in xylazine trafficking — aka “tranq dope.” It’s an animal tranquillizer street dealers are mixing with fentanyl and other drugs.

“Street dealers are looking to create a more powerful high,” DEA spokesperson Luis Agostini told WGN News earlier this year. “They’re looking to extend the shelf life of drugs like fentanyl, heroin and cocaine.”

In Cook County, one person died of an xylazine-related overdose in 2018. The following year it jumped to 32. By 2021, it reached 113 and topped out at 160 last year.

The following graphs are from the Cook County Medical Examiner’s Office.

YearTotal Opioid Overdose Deaths Fentanyl-Related 
20222,0001,825
20211,9351,721
20201,8461,533
20191,295961
20181,170847
20171,195669
20161,126560
2015676103
AgeOpioid Overdose Deaths
0 – 90
10 – 1924
20 – 29230
30 – 39398
40 – 49389
50 – 59538
60 – 69353
70 – 7964
80 +4

The National Drug and Alcohol Treatment Hotline is 1-800-662-HELP (4357).