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This brief report describes, in very general terms, Montgomery County residents who presented to Emergency Departments (EDs) at hospitals in Montgomery County for treatment of an accidental drug overdose (OD) from 2007‐2010. Its purpose is to broaden the perspective on the unintentional drug overdose problem as manifested in Montgomery County, Ohio. To date, the issue has been framed largely by mortality data from the Montgomery County Coroner’s Office and the Ohio Department of Health. While highly informative and extremely useful, these data only partially reflect the nature and extent of the problem as they are based solely on people who have died from an accidental drug overdose. It is our hope that bringing local ED OD data to light will help inform the discussion and lead to an appropriate response to a public health problem that is affecting our community and many others.