That number has to be mainly due to being laced with Fentanyl. Twenty years ago, the yearly deaths from cocaine had just recently doubled to six thousand.
https://www.narconon.org/drug-information/cocaine-circa-1990s-2012.html
President Trump [Digital Asset Summit]: We're ending the last administration's regulatory war on crypto and Bitcoin, and that includes stopping the lawless operation, Choke Point 2.0. Operation Choke Point went beyond regulation, and I mean far beyond. It was a form of lawfare through government weaponization.