It's is the same in Wisconsin, Ohio, Massachuesetts, Virginia, Pennsylvania, New Mexico, Texas etc as it is everywhere.
You want to stem the heroin overdose deaths, you have to diminish the heroin availability on the street.
Sanctuary Cities + Illegal Aliens = Transnational Crime
It's just that simple friends.
It is just that the people making money or consolidating power off the heroin crisis don't want it to stop.