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Data were aggregated from the unsuppressed county-level accidental fatal fentanyl poisoning counts and population estimates by border/non-border region. A cumulative count (FentD18_23) field was calculated and a cumulative rate field was calculated (FentD18_23/(pop 2018 + pop2019 + pop 2020 + pop2021 + pop2022 + pop2023) * 100000. Suppression was then applied to the counts and rates, with counts > 0 and < 10 suppressed and rates with numerators > 0 and < 21 suppressed.