Earlier quoted context omitted.
That's pretty normal, at least for the last few decades of American life. There is not a major natural cause of death for people 18-65. They die of suicide, accidental overdoses, and car crashes.
When we say "overdoses", doesn't it sound like the person's fault, when it was probably that they were sold a poisoned/cut batch? I wonder how many "overdoses" would have been avoided if you could buy drugs at a pharmacy.
People do not die from smoking opium, much. But die a lot from popping pills.
Concentrated synthetic opioids are deadly.