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Fairfax County, Virginia
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  1. Home
  2. Topics
  3. Opioids

Topics Alert:

Opioids

Opioids - such as fentanyl, heroin, hydrocodone, methadone, morphine, oxycodone and tramadol - act on the brain, producing a euphoric effect. Addiction is a chronic disease, which can lead to death if not treated.

ON THIS PAGE

Fentanyl / Fake Pills
What We're Doing
Learn What You Can Do

Emergency / Overdose

Call or text 9-1-1 if the situation is immediately life-threatening. Our Fire and Rescue personnel carry medication that can prevent death from an opioid overdose. 

Call the Fairfax Detoxification Center at 703-502-7000, available 24/7, every day of the year, including weekends and holidays. Our staff will talk with you about your options.

See More Options at Opioids: How to Get Help

Fentanyl / Fake Pills

Stay Informed

  • Opioid Overdose Awareness: Recognize Signs and Learn How to Help
  • National Fentanyl Awareness Day 2026
  • New Adolescent Residential Treatment Center Opens to Meet Growing Behavioral Health Needs in Northern Virginia
  • 30th Annual National Drug Take Back Day Results
  • Spread Awareness with Messaging from Our Updated Communications Toolkit
Opioid Overdoses Continue; Learn How to Get Help

fake-and-real-opioid-pillsFENTANYL 

  • Fentanyl is a synthetic opioid that is up to 50 times stronger than heroin and 100 times stronger than morphine.
  • Fentanyl is extremely fatal, even in the smallest doses.
  • Most fatal overdoses in Fairfax County in recent years have involved fentanyl, which is a common substitute or cutting agent in illicit narcotics such as cocaine, heroin, MDMA (also known as ecstasy or molly), and counterfeit pills.
  • Two mg of fentanyl – the amount on the tip of the pencil – is a potentially deadly dose, according to the U.S. Drug Enforcement Administration (DEA).
  • The DEA has seized over 16 million fentanyl pills and 6,271 pounds of fentanyl powder as of July 2026, representing over 151 million deadly doses.
  • Counterfeit pills laced with fentanyl can look the same as authentic pills, making it almost impossible to know whether a pill has a deadly dose of fentanyl or not.
     

fake and real opioid pills, including those with fentanylrainbow fentanyl pills in multiple colors

 

Rainbow fentanyl – or fentanyl pills and powder that come in a variety of bright colors, shapes, and sizes – is also a national concern, according to the U.S. DEA.

  • Fentanyl and Fake Pills – Helping Families and Children Get Smart and Be Safe
  • National Fentanyl Awareness Day 2026

 

Polysubstance Use

Polysubstance use is the use of more than one drug taken together or within a short time period, either intentionally or unintentionally. 

Intentional polysubstance use occurs when a person takes a drug to increase or decrease the effects of a different drug or wants to experience the effects of the combination. Unintentional polysubstance use occurs when a person takes drugs that have been mixed or cut with other substances, like fentanyl, without their knowledge. 

Whether intentional or not, mixing drugs is never safe. The effects from combining drugs may be stronger and more unpredictable than one drug alone, and even deadly. Find more information on polysubstance use in the link below. 

  • Facts on Polysubstance Use 
     

burnt tin foil with opioid residueOur Police Department has found that numerous youth overdoses have involved burnt tin foil which is often used to facilitate the inhalation of the pills (other Northern Virginia jurisdictions are also observing this).

Signs of Opioid Overdose: 

  • Face is pale or clammy
  • Breathing is infrequent or has stopped
  • Deep snoring or gurgling (death rattle)
  • Unresponsive to any stimuli
  • Slow or no heart rate and/or pulse
  • Bluish purple, or ashen skin color
  • Fingernails turn blue or blue-black
Signs of Opioid Use Webpage
What We're Doing

What We're Doing

The Opioid Overdoses in the Fairfax Health District Dashboard provides information about opioid overdoses that are reported for Fairfax County Health District residents. While there may be differences in the risk of overdose from one person to another, everyone who uses substances or is prescribed opioids is at risk of overdose.

This dashboard will help you stay informed on the trends (up or down) of overdoses, which reflect both the size of the problem and the extent of the County’s activities to counteract the effects of the opioid overdose epidemic on county residents.

Opioid Overdoses Dashboard

Fairfax County Opioid Response Plan FY 26-28

In Fairfax County, more people die from overdoses than car accidents. Data shows that treatment strategies are needed as the opioid epidemic evolves within our community.

Fairfax County's Opioid and Substance Use Task Force is a collaborative, cross-systems approach to combat the impact of the opioid epidemic. 

We have a plan to combat the opioid epidemic here in Fairfax County, but we need your help as well. Note: prior opioid plans for FY 23-25 and FY 21-22 are also available for review.

Read the Fairfax County Opioid Response Plan FY 26-28

Fairfax County's Opioid and Substance Use Task Force's primary goals are to: Screenshot of Fairfax County's Opioid and Substance Use Task Force infographic. Accessible infographic is linked below.

  • Reduce deaths from opioids.
  • Prevent opioid misuse.  
  • Improve the quality of life of individuals impacted by opioid use disorder.
  • Use data to describe the problem, target and improve interventions and evaluate effectiveness.
View the Latest FY 25 "Opioid and Substance Use Task Force at a Glance" Infographic (PDF)
Learn What You Can Do

What You Can Do

We need your help to fight this crisis as a community. There are a few ways you can make a difference for those in your community or somebody close to you who might be impacted.

  • Take REVIVE! training and know what to do in an overdose situation.
  • Dispose of unused medicines and keep current medication safe.
  • Make an overdose safety plan.
  • Create a Naloxone workplace plan.
  • Share resources on social media.
Learn How You Can Help

Opioid Overdose & Naloxone Education

This video has been made available for informational and educational purposes only.  Viewing this video does not make one eligible to receive naloxone from the Fairfax-Falls Church Community Services Board (CSB).  If you are a Fairfax County resident and would like to receive opioid overdose response training, along with naloxone, please register and complete the Fairfax-Falls Church CSB’s Opioid Overdose Naloxone Education (REVIVE) training. 

Información Sobre Sobredosis De Opioides Y Sobre La Naloxona

Este vídeo está disponible únicamente para el propósito de educación e información. Ver este video no lo hace elegible para recibir naloxona de la Junta de Servicios Comunitarios (CSB) de Fairfax-Falls Church. Si eres residente del condado de Fairfax y deseas recibir entrenamiento sobre la respuesta a un sobredosis de opioides y naloxona, por favor regístrese y complete el entrenamiento de Educación Sobre Sobredosis de Opiodes y Naloxona (REVIVE) de Fairfax-Falls Church CSB.

4Recovery Project

 

 

This video highlights the 4Recovery Project, a collaborative effort of the Fairfax County Opioid and Substance Use Task Force.  Through the 4Recovery Project, individuals encountered by the Fairfax County Police Department and Fairfax County Fire and Rescue Department are connected with the Fairfax-Falls Church Community Services Board for post-overdose follow up and support services. 

Fairfax County Recovery Court

 

 

Fairfax County's Recovery Court, operating since December 2018, is an intensive program lasting 14 months to 2 years for defendants with substance use disorders convicted of non-violent crimes and probation violations. Participants voluntarily adhere to close monitoring, treatment, and regular court hearings. The program involves a team of legal and treatment professionals overseeing participants' progress.

Contact Us for More Information

 

Ellen Volo

Fairfax County Opioid & Substance Use Task Force Coordinator

Ellen.Volo@fairfaxcounty.gov

703-324-7073, TTY 711

Opioids Topic Pages

Opioids
How to Get Help
What You Can Do
Settlement Funds
Comms Toolkit

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