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MILWAUKEE (AP) — As he walks the streets of Milwaukee's South Side in the middle of the night, Rafael Mercado fears he's fighting a losing battle.

"Things are getting worse here," said Mercado, as he fended off pimps while other volunteers talked to prostitutes about getting help for their addiction.

Statistics show that Mercado — leader of Team HAVOC, a volunteer group that conducts needle cleanups, among other activities — is correct.

If current trends continue, Milwaukee County could record 423 overdose deaths in 2019, its highest total in a decade, according to the medical examiner's office.

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The nonprofit news outlet Milwaukee Neighborhood News Service provided this article to The Associated Press through a collaboration with Institute for Nonprofit News.

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The most recent data shows 184 overdose deaths from Jan. 1 to July 26, with another 80 to 90 suspected cases pending toxicology reports. Those cases include 14 deaths that occurred during the last weekend in July. Not included is a body found last week in the bushes behind a gas station on South 20th Street and West National Avenue.

Those statistics, and the reality of what he's seeing in the streets, paint a grim picture for Mercado, 49, the co-founder of MKE Heroin Diaries, a Facebook page devoted to increasing awareness and providing resources about opioids.

Mercado conducts the majority of his outreach on the near South Side, which has become the city's heroin hotspot. There have been 22 confirmed overdose deaths in the 53204 ZIP code and 10 in 53215, adjoining areas on the South Side.

Those aren't the only Central City neighborhoods in Milwaukee that have been hit hard. Ten residents each from 53206, 53208, 53209 and 53212 have also lost their lives to overdoses so far in 2019.

The victims are diverse — 91 are minorities compared to 93 whites. In fact, nearly 35 percent of overdose victims were African American, and 12 percent were Hispanic. Seventy percent of the overdose victims were men. In addition, deaths involving only cocaine comprise 13 percent of the fatalities, while opioids were involved in 82 percent, according the medical examiner data.

The data shows that 140 deaths have occurred within the city limits, while 44 have occurred in the suburbs. Fentanyl, a synthetic opioid that officials said is commonly used as a cutting agent for heroin, cocaine and other drugs was involved in 58 percent of all deaths.

The increasing number of opioid deaths in Milwaukee County was cited in a Wisconsin Policy Forum report as a factor in the decrease of life expectancy in the state. Another report from RAND, a nonprofit global think tank, states that synthetic opioids like fentanyl are responsible for tens of thousands of deaths annually in the U.S.

The drug manufacturer Johnson & Johnson was just recently ordered to pay $572 million to the state of Oklahoma for downplaying the dangers of opioids and for overselling the drug.

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Ald. Michael Murphy, co-chairman of the City-County Heroin, Opioid and Cocaine Task Force, has also recommended legal action against manufacturers as a method to recover costs associated with drug abuse locally and to fund treatment.

Michelle Jaskulski, director of faith-based initiatives for the Washington D.C.-based Addiction Policy Forum, said she sees an increase in awareness and talk in Milwaukee about drug abuse and, more specifically, the opioid epidemic.

"But not a lot of action," she said.

Many addicts simply aren't quitting despite the dangers, said Jaskulski, who lives in Cudahy and became involved in the movement after experiencing her two sons struggle with addiction. The reason addicts ignore the dangers of using opioids, including fentanyl, is because they hijack the brain, she explained.

"It makes your brain feel like you need that drug like you need air or water," said Jaskulski, whose organization focuses on education and bringing high-level science into discussions about addiction. "It affects the part of the brain that makes rational decisions."

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Jonathan Martin, who grew up on the South Side, said he became involved in the drug and gang lifestyle at an early age.

"I was always selling drugs, then started using drugs, then got addicted to Percocet and eventually heroin," Martin said.

Though he's been clean for a year, Martin said it wasn't easy.

It took cutting off old friends, two months of intensive inpatient treatment and two more months of outpatient service. He also experienced a spiritual transformation.

"I gave my life to Jesus," Martin said. "So the key for me was a lifestyle change and finding a higher calling."

He still runs into old friends and comes across plenty of people who are addicted and struggling. But he has found the strength to stay clean.

"I have a whole different view and direction in life. I hope that those who are addicted realize that they can change, too, and that they don't have to end up in the grave," Martin said.

It's those successes that keep Mercado, who became an advocate after losing four cousins to opioids within a year, walking the streets in hopes that someone will listen.

"We just keep doing what we do and letting them know that we care about them," he said.

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