Since May 1, law enforcement from Roanoke City, Roanoke County and Salem have responded to eleven illegal drug-related overdose incidents. Of those, three have resulted in fatalities and one left the user in an irreversible coma, which later died from a medical decision made by family members. According to a Roanoke County spokesperson interviews with the survivors revealed that each had purchased and used a drug which they believed to be heroin. The Virginia State Laboratory tested two marked products called “COCK DEISEL” and “GRAND SLAM.” Both products teased were found to be nearly pure Fentanyl. All three deaths and the irreversible coma were a result of the victims using one of these two products.