. . "The trend, he said, is ???very recent,??? and the Louisville metro area seems to be the first outside of Northern Kentucky to feel the sting.Worst of all is the death rate.???This is a medical and societal pathological condition masquerading as a law-enforcement problem,??? said Dr. Tracey Corey, the Kentucky medical examiner.Northern Kentucky heroin overdose deaths doubled from 33 in 2011 to 66 i" . .