NORTHEAST, Wyo.—Multiple state and federal law enforcement agencies are sounding the alarm as illicit opioids and other drugs laced with lethal fentanyl continue to pour into Wyoming communities as overdose deaths soar.

NORTHEAST, Wyo.– It smelled like death.

That was his first thought when he realized someone had laced his methamphetamine with illicit fentanyl. The former drug dealer had been smoking it with a friend when he had the heart-stopping realization that he’d just ingested fentanyl. It immediately made him vomit, and it was the first time anyone had tampered with his drugs.