Emergency room visits from opioid overdoses spiked 30 percent from July 2016 to September 2017, the government said Tuesday in a sobering report that underscores the need for targeted resources and expanded treatment. Every corner of the U.S. saw an uptick due to the prescription painkiller and heroin scourge, led by an average increase of 70 percent in the Midwest and followed by the West, at 40 percent.