WASHINGTON (WGNO) — On April 6, the Drug Enforcement Administration sent a letter to federal, state, and local law enforcement to warn of the potential spike in fentanyl-related, mass-overdose events.

According to the U.S Department of Justice, a fentanyl-related mass overdose event is described as three or more overdoses occurring close in time and at the same location.

According to the U.S Department of Justice, it has already happened in at least seven American cities in the past few months.

Cities impacted include Wilton Manors, Florida; Austin, Texas; Cortez, Colorado; Commerce City, Colorado; Omaha, Nebraska; St. Louis, Missouri; and Washington, D.C.

Fentanyl can be found in all 50 states, according to the DEA.

“Fentanyl is killing Americans at an unprecedented rate,” said DEA Administrator Anne Milgram.

The CDC estimated that each year more than 105,000 Americans died of drug overdoses, with 66 percent of those deaths related to synthetic opioids like fentanyl.

Here is the letter the DEA sent to law enforcement: