344 Accidental Overdose Deaths Happened In SF So Far in 2021, Most of Those From Fentanyl The opioid crisis persists in San Francisco, and a new report confirms how dire the situation, with 344 accidental overdose deaths so far this year, and thousands of lives likely saved by Narcan. The San Francisco Office of the Chief Medical Examiner (OCME) has released a preliminary report on overdose deaths from January 1 through June 30, and it shows a total of 344 deaths, with 256 of those caused by fentanyl. An average of 43 accidental deaths from fentanyl have happened each month so far this year, with an average of 32.5 deaths per month from methamphetamine overdoses. Around 20 deaths per month happened from accidental cocaine overdoses, and an average of 8 deaths per month were caused by heroin overdoses.