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Midwest Medical Examiner reports 2025 case mix for Wright County; fentanyl present in several deaths

Wright County Board of Commissioners · June 16, 2026
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Summary

Dr. Piper, chief medical examiner, presented Wright County figures for 2025: roughly 790 total deaths with about three-quarters reportable to the regional office; the office conducted about 35 autopsies and 35 medical‑record reviews and reported fentanyl in three County decedents. Commissioners asked questions about an infant death classified as undetermined.

Dr. Piper, chief medical examiner with the Midwest Medical Examiner's Office, gave a 12‑month update to the Wright County Board on June 16 covering case volume, manners of death, autopsy counts and substances detected.

“For Wright County specifically, in your county there were 790 total deaths in 2025,” Dr. Piper said, noting that about three‑quarters of those were reportable to the regional office because they occurred outside hospitals, involved non‑natural causes or otherwise met reporting criteria. She told commissioners the office signed the death certificate in the majority of reported cases and that, among those, the office performed roughly 35 autopsies and about 35 medical‑record reviews where a physical autopsy was not required.

On manners of death Dr. Piper said the county’s reported cases included one homicide, about 33 accidents (many in older adults from falls), about 32 natural deaths, 11 suicides and one young‑child death classified as undetermined. She highlighted that fentanyl has largely replaced heroin in toxicology findings and reported fentanyl present in three Wright County decedents in 2025; other detections included methamphetamine and cocaine in smaller counts.

Commissioner Moyna asked what factors lead to an ‘undetermined’ classification for an infant death. Dr. Piper explained manner determinations depend on scene circumstances and autopsy findings and said the office generally avoids using the term SIDS; infant classifications often hinge on incomplete information about sleep conditions.

Dr. Piper said the office now serves 39 Minnesota counties and has added neighboring jurisdictions over the past two years, increasing its regional caseload and enabling the office to provide a five‑year comparative view of trends. She told the board that some categories (notably accident‑related deaths and substance‑related fatalities) peaked during the COVID period and have since declined at the county level.

The board thanked Dr. Piper for the update and requested distribution of the county‑level total and comparative data in next year’s presentation.