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Where Overdose Deaths Are Highest in the US

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The United States is in the grip of a severe drug overdose crisis that’s claiming the lives of over 200 Americans every day. As Overdose Awareness Day approaches (August 31), it’s important to identify the regions most affected by this epidemic in order to foster greater understanding and action.

In preparation for this important day, we analyzed the latest CDC data to map the areas suffering the most from drug overdose deaths. Our study not only reveals alarming trends but also provides insights and actionable advice on how to combat these tragic statistics effectively.
By identifying the hardest-hit states, we aim to drive meaningful conversations and inspire actions that can prevent further loss of life. Our findings shed light on the severity of the crisis and emphasize the importance of Overdose Awareness Day in mobilizing communities to address this pressing issue.

Key Takeaways

  • Over the last year, approximately 280 people died from a drug overdose per day in the US.
  • West Virginia was impacted the most by drug overdose fatalities over the last year, with 75.2 deaths per 100,000 residents.
  • Nebraska and South Dakota had the fewest overdose fatalities per capita, 8.2 and 9.3, respectively.
  • California (32.3), Florida (19.3), and Texas (15.4) suffered the most overdose deaths each day.

Top States Impacted by the Most Annual Overdose Fatalities

  • West Virginia was impacted the most by drug overdose fatalities over the last year, with 75.2 deaths per 100,000 residents.
  • Alaska (51.3), Tennessee (50.3), Delaware (47.9), and Louisiana (47.2) round out the top 5 states most impacted by fatalities. 
  • Nebraska and South Dakota had the fewest fatalities per capita, 8.2 and 9.3, respectively.

Top 10 States Impacted by Overdose Fatalities Per Capita

  1. West Virginia (75.2)
  2. Alaska (51.3)
  3. Tennessee (50.3)
  4. Delaware (47.9)
  5. Louisiana (47.2)
  6. New Mexico (46.1)
  7. Nevada (45.9)
  8. Kentucky (45.5)
  9. Washington (43.6)
  10. Oregon (42.7)

Bottom 10 States Impacted by Overdose Fatalities Per Capita

  1. Nebraska (8.2)
  2. South Dakota (9.3)
  3. Iowa (14.4)
  4. Montana (15.4)
  5. Arkansas (15.9)
  6. New York (16.4)
  7. North Dakota (16.4)
  8. Idaho (17.8)
  9. Texas (18.5)
  10. Utah (20.1)

Overdose Prevention Tips

While abstaining from drug use is the most effective method for preventing overdose, harm reduction strategies like these can significantly mitigate risks for those who use drugs:

  • Test drugs before use: Ensure the substance is safe and free from harmful additives.
  • Start with a small dose: This helps gauge the drug’s potency and reduce the risk of overdose.
  • Avoid mixing substances: Combining opioids with alcohol or benzodiazepines greatly increases the overdose risk.
  • Carry Naloxone (Narcan): Be prepared to administer this life-saving antidote for opioid overdoses.
  • Recognize overdose signs: Look for symptoms like shallow breathing, blue lips or fingertips, and unresponsiveness.
  • Seek immediate help: Call emergency services if you suspect an overdose. Many states have Good Samaritan laws to protect those who report overdoses.

Top States Suffering From the Most Daily Overdose Deaths

  • Over the last year, about 280 people died from a drug overdose per day in the US.
  • California (32.3), Florida (19.3), and Texas (15.4) had the most overdose deaths per day. 
  • South Dakota and Wyoming had the fewest overdose deaths per day, 0.2 and 0.3, respectively.

Top 10 States Suffering From Overdose Deaths Each Day

  1. California (32.3)
  2. Florida (19.3)
  3. Texas (15.4)
  4. Pennsylvania (12.3)
  5. Ohio (12.1)
  6. Tennessee (9.8)
  7. Washington (9.4)
  8. Illinois (9.2)
  9. New York (8.8)
  10. North Carolina (8.0)

Bottom 10 States Suffering From Overdose Deaths Each Day

  1. South Dakota (0.2)
  2. Wyoming (0.3)
  3. North Dakota (0.4)
  4. Nebraska (0.4)
  5. Montana (0.5)
  6. Vermont (0.7)
  7. Hawaii (0.8)
  8. Idaho (1.0)
  9. Alaska (1.0)
  10. Rhode Island (1.1)

Methodology

We gathered the latest CDC data on drug overdose fatalities in the US. The data reflected numbers from the 12-month period of March 1, 2023, to February 28, 2024. These data are based on available records that meet certain data quality criteria at the time of analysis and may not include all deaths that occurred during a given time period.

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Updated August 15, 2024
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