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flag Nebraska's overdose death certificates often omit fentanyl, hindering response to the evolving drug crisis.

flag John Anderson’s brother Max died of a drug overdose in 2017 at 20, but the official death certificate did not list fentanyl—despite evidence it was involved—instead citing general causes. flag This lack of specificity is common in Nebraska, where about a quarter of overdose deaths from 2014 to 2020 lacked a identified drug. flag Public health and law enforcement officials say incomplete data hampers efforts to track dangerous substances like fentanyl-laced methamphetamine or marijuana, delaying effective responses and accountability. flag Experts stress the need for thorough toxicology testing to understand the evolving crisis and prevent future deaths.

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