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It’s not yet clear what’s causing the trend: Are drug users knowingly using fentanyl and other drugs, or does fentanyl enter the larger drug supply via dealers and distributors? The spike of drug overdose deaths this year and last year has many drug abuse and addiction researchers, doctors, and health officials worried about a growing trend among overdose victims that appears to indicate a new and different wave of the opioid epidemic.  While the loneliness and the challenges of the coronavirus pandemic appear to have driven drug use, many experts say the latest overdose wave is driven in part by the use of fentanyl with other drugs.  Overdose deaths hit new heights in the U.S. — over 100,000 dead this year, according to the Centers for Disease Control and Prevention — but experts say it’s part of a fourth wave of the overdose epidemic, in which a growing number of drug users die with multiple substances in their systems.  Behind that 100,000 figure, they said, is an ongoing surg