Exclusive: About 30 deaths in two months being examined for the involvement of heroin substitutes called nitazenes and xylazine

Synthetic opioids that have killed thousands of drug users in the US may be behind a rise of dozens of fatal overdoses in the West Midlands.

About 30 deaths over two months this summer are being examined for the involvement of the heroin substitutes called nitazenes and xylazine, which are up to 100 times more powerful, Birmingham city council’s director of public health, Justin Varney, told the Guardian.

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