Heroin-related deaths tripled in the U.S. between 2010 and 2014, and the largest increase in overdoses from 2013 to 2014 involved synthetic opioids — particularly illegally-made fentanyl — according to the Centers for Disease Control and Prevention. Nearly 80% of recent heroin initiates reported using Rx opioids prior to heroin, according to the National Institute on Drug Abuse. While implications of this devastating heroin trend will be covered in all tracks of the National Rx Drug Abuse & Heroin Summit, the Heroin Track will delve deeper into this scourge. Presentations will explore the forces driving the heroin crisis, with an eye toward identifying effective solutions. Participants will learn from states and communities that have responded on the policy, public health and law enforcement fronts. Topics will include fentanyl, novel forms of heroin, HIV and Hepatitis CE infections, and collaboration.