Understanding the Fentanyl Crisis in San Diego
Fentanyl has become one of the most pressing public health crises in the United States, and San Diego is no exception. Over the past few years, fentanyl-related deaths have risen dramatically across the county, affecting individuals and families from all walks of life. This synthetic opioid, which is up to 50 times more potent than heroin and 100 times stronger than morphine, is a leading contributor to the overdose epidemic. Comparing fentanyl vs. heroin helps highlight the increased risk associated with fentanyl use.
At Villa Oasis, a luxury residential and outpatient treatment center, we recognize the devastating impact of fentanyl abuse and strive to provide effective treatment and support for those struggling with opioid addiction. This resource page offers up-to-date fentanyl deaths in San Diego statistics, insights into the crisis, and information on how to seek help.
Fentanyl Deaths in San Diego: By the Numbers
San Diego County has seen an alarming rise in fentanyl-related fatalities over the past decade. The availability of illicit fentanyl, often mixed into other substances without users’ knowledge, has led to a surge in overdoses.
Latest Statistics on Fentanyl Deaths in San Diego
- In 2023, more than 1,000 fentanyl-related deaths were recorded in San Diego County—an increase from approximately 800 deaths in 2022.1
- 1,650% increase in fentanyl overdose deaths between 2016 and 2022.2
- Approximately 70% of opioid-related deaths in San Diego now involve fentanyl.1
- In California, there were 62,224 pounds of fentanyl seized by law enforcement in 2023 — a 1066% increase since 202.3
- The highest fentanyl overdose rates are reported among individuals aged 35-44, though cases among teenagers have also increased.4
Fentanyl-Related Overdose Trends
Fentanyl overdoses in San Diego are not just rising in number but also evolving in complexity. Some key trends include:
- Polysubstance use: Many overdose victims have fentanyl mixed with other drugs, including cocaine, methamphetamine, and counterfeit prescription pills.5
- Unexpected exposure: Recreational drug users are often unaware they are consuming fentanyl, leading to accidental overdoses.
- Higher risks among young adults: The fastest-growing demographic for fentanyl-related deaths includes individuals in their twenties and thirties.4
- Increasing availability of counterfeit pills: Illicitly manufactured fentanyl is often disguised as prescription opioids such as Oxycodone (M30s), Xanax, and Percocet.6 One dangerous variation is blue fentanyl, a counterfeit pill that resembles prescription oxycodone but contains lethal doses of fentanyl.

Why Is Fentanyl So Dangerous?
Fentanyl’s extreme potency and unpredictable nature make it one of the most lethal substances available. Understanding how long fentanyl stays in your system is crucial for individuals facing opioid dependence, as its effects can linger and increase the risk of overdose. Just 2 milligrams of fentanyl—an amount equivalent to a few grains of salt—can be fatal for an average adult.5 Here’s why fentanyl is particularly dangerous:
1. High Potency and Lethality
Fentanyl is 50 times stronger than heroin and 100 times more potent than morphine. Because it binds quickly to opioid receptors in the brain, even a tiny amount can cause respiratory failure and death. Many people who overdose on fentanyl are unaware they have consumed it, as it is often mixed with other substances.
2. Widespread Contamination in Street Drugs
Many fentanyl-related overdoses occur because users unknowingly ingest it. Illicit drug manufacturers frequently mix fentanyl into heroin, cocaine, and methamphetamine or press it into counterfeit pills designed to look like legitimate prescription medications, such as oxycodone (Percocet), alprazolam (Xanax), or hydrocodone (Vicodin).
3. Rapid Overdose Onset
Unlike heroin or prescription opioids, fentanyl can cause an overdose within seconds to minutes of ingestion. The drug is absorbed into the bloodstream quickly, shutting down breathing and leading to unconsciousness almost immediately.
4. Limited Awareness Among Users
Many recreational drug users underestimate the risk of fentanyl exposure. Some believe they can visually detect fentanyl-laced drugs, but in reality, fentanyl is odorless and tasteless. Even experienced users are unable to distinguish between fentanyl-laced substances and pure drugs.
The Role of Narcan (Naloxone) in Fentanyl Overdoses
Naloxone, commonly known as Narcan, is a life-saving medication that can rapidly reverse the effects of a fentanyl overdose.7 Given the rising fentanyl overdose rates, San Diego health officials have expanded access to Narcan through:
- Free community distribution programs
- Over-the-counter availability at pharmacies
- Training sessions for law enforcement and first responders
Individuals at risk of fentanyl exposure or those with loved ones struggling with opioid use disorder should carry Narcan and know how to administer it.
How Villa Oasis Can Help
At Villa Oasis, we offer luxury addiction treatment services designed to help individuals struggling with fentanyl and opioid addiction achieve lasting recovery. Our residential and outpatient programs provide a safe and structured environment where clients can heal physically, emotionally, and mentally.
Our Treatment Approach
- Medication-Assisted Detox: Our detox program provides medical supervision to manage fentanyl withdrawal, helping individuals safely navigate the symptoms and reduce discomfort
- Individualized Therapy: Our evidence-based therapies include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and trauma-informed counseling.
- Luxury Amenities and Holistic Treatments: Yoga, massage therapy, nutritional counseling, and wellness-focused activities can benefit clients.
- Relapse Prevention Strategies: We equip clients with coping mechanisms and relapse prevention techniques to support long-term sobriety.
- Family Support and Aftercare: Recovery extends beyond treatment, so we offer ongoing support and resources for families.
Why Choose Villa Oasis?
- Expert clinical team with extensive experience in opioid addiction treatment
- Comprehensive care for both detox and long-term rehabilitation
- Luxury accommodations in a serene and private setting
- Personalized treatment plans tailored to each individual’s needs
- Holistic and evidence-based therapies to support mind, body, and spirit
Getting Help for Fentanyl Addiction in San Diego
If you or a loved one is struggling with fentanyl addiction, seeking help as soon as possible can save a life. Villa Oasis provides compassionate, high-quality addiction treatment designed to help individuals regain control and break free from opioid dependency.
Fentanyl deaths in San Diego are at an all-time high, but recovery is possible. By spreading awareness about dangerous synthetic opioids like desomorphine, increasing access to treatment, and promoting harm reduction strategies, we can combat the opioid epidemic and save lives.
If you or someone you know is struggling with fentanyl addiction, Villa Oasis is here to help. Contact us today to learn more about our comprehensive addiction treatment programs and begin the journey to a healthier, drug-free life.
References:
- County of San Diego Health & Human Services Agency. (2024). Overdose quarterly report: Q1 2024. Retrieved from https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/od2a/Q1_2024_Overdose%20Quarterly%20Report.pdf
- California Correctional Health Care Services. (2024). Integrated substance use disorder treatment (ISUDT) annual outcomes report 2024. Retrieved from https://cchcs.ca.gov/wp-content/uploads/sites/60/ISUDT-Annual-Outcomes-Report-2024.pdf
- Office of Governor Gavin Newsom. (2024, February 27). California seizes record 62,000 pounds of fentanyl. Retrieved from https://www.gov.ca.gov/2024/02/27/california-seizes-record-62000-pounds-of-fentanyl/
- Kaiser Family Foundation. (2024). Opioid overdose deaths by age group. Retrieved from https://www.kff.org/other/state-indicator/opioid-overdose-deaths-by-age-group/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
- Drug Enforcement Administration. Facts about fentanyl. Retrieved from https://www.dea.gov/resources/facts-about-fentanyl
- Drug Enforcement Administration. (2021, May 13). Counterfeit pills fact sheet. Retrieved from https://www.dea.gov/sites/default/files/2021-05/Counterfeit%20Pills%20fact%20SHEET-5-13-21-FINAL.pdf
- National Institute on Drug Abuse. Naloxone: Drug facts. Retrieved from https://nida.nih.gov/publications/drugfacts/naloxone