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According to a review by a federal court-appointed receiver controlling medical care, the rate of drug overdose deaths in California prisons continued to increase between 2006 and 2013, and was roughly triple the national average for state prisons. In 2006, there were 17 inmate overdoses, which left California with an overdose rate of 9.9 per 100,000 prisoners compared to 4 across the nation. By 2013, there were 24 overdose deaths, which left it with a rate of 18.