Opioid-related deaths reached their highest levels of the decade in 2019, prompting the Marin County Civil Grand Jury to push for a stronger local response to the epidemic. Twenty-two Marin residents died from an opioid overdose in 2019, the most recent year for which data is available. For the first time ever, fentanyl, not heroin or prescriptions, was the leading cause of death. Emergency department visits for opioid overdoses also increased, and an estimated 4,400…