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Medical emergency
United States drug overdose death rates and totals over time
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    United States drug overdose death rates and totals over time

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    Fentanyl 2 mg, a lethal dose in most people.US penny is 19 mm (0.75 in) wide.

    The United States Centers for Disease Control and Prevention has data on drug overdose death rates and totals. Over 1,106,000 US residents died from drug overdoses from 1968 to 2020. Over 932,000 from 1999 through 2020. Over 91,000 in 2020. 28 people out of every 100,000 died from drug overdoses in 2020 in the US. Around 108,900 people died in 2021. Opioids were involved in 70.6% (nearly 50,000) of the nearly 71,000 deaths in 2019.

    Around 106,800 people died in the 12-month period ending September 30, 2022, at a rate of 293 deaths per day.

    1968–2020 overdose death rates and totals

    U.S. yearly overdose deaths from all drugs.

    The numbers at the source for the table below are continually updated. So the numbers in the table below may be slightly different.

    1968–2020 US drug overdose deaths. 1,106,859 total.
    Year Deaths Population
    (July 1 residents)     		Crude death rate per 100,000 Age adjusted death rate per 100,000
    1968 5,033 199,533,564 2.5 2.8
    1969 6,006 201,568,206 3.0 3.3
    1970 7,101 203,458,035 3.5 3.8
    1971 6,771 206,782,970 3.3 3.5
    1972 6,622 209,237,411 3.2 3.4
    1973 6,413 211,361,965 3.0 3.2
    1974 6,449 213,436,958 3.0 3.2
    1975 7,145 215,457,198 3.3 3.4
    1976 6,765 217,615,788 3.1 3.2
    1977 6,130 219,808,632 2.8 2.9
    1978 5,506 222,102,279 2.5 2.6
    1979 2,544 224,635,398 1.1 1.1
    1980 2,492 226,624,371 1.1 1.1
    1981 2,668 229,487,512 1.2 1.2
    1982 2,862 231,701,425 1.2 1.2
    1983 2,866 233,781,743 1.2 1.2
    1984 3,266 235,922,142 1.4 1.3
    1985 3,612 238,005,715 1.5 1.5
    1986 4,187 240,189,882 1.7 1.7
    1987 3,907 242,395,034 1.6 1.6
    1988 4,865 244,651,961 2.0 2.0
    1989 5,035 247,001,762 2.0 2.0
    1990 4,506 248,922,111 1.8 1.8
    1991 5,215 253,088,068 2.1 2.0
    1992 5,951 256,606,463 2.3 2.3
    1993 7,382 260,024,637 2.8 2.8
    1994 7,828 263,241,475 3.0 3.0
    1995 8,000 266,386,596 3.0 3.0
    1996 8,431 269,540,779 3.1 3.1
    1997 9,099 272,776,678 3.3 3.3
    1998 9,838 276,032,848 3.6 3.6
    1999 16,849 279,040,168 6.0 6.1
    2000 17,415 281,421,906 6.2 6.2
    2001 19,394 284,968,955 6.8 6.8
    2002 23,518 287,625,193 8.2 8.2
    2003 25,785 290,107,933 8.9 8.9
    2004 27,424 292,805,298 9.4 9.4
    2005 29,813 295,516,599 10.1 10.1
    2006 34,425 298,379,912 11.5 11.5
    2007 36,010 301,231,207 12.0 11.9
    2008 36,450 304,093,966 12.0 11.9
    2009 37,004 306,771,529 12.1 11.9
    2010 38,329 308,745,538 12.4 12.3
    2011 41,340 311,591,917 13.3 13.2
    2012 41,502 313,914,040 13.2 13.1
    2013 43,982 316,128,839 13.9 13.8
    2014 47,055 318,857,056 14.8 14.7
    2015 52,404 321,418,820 16.3 16.3
    2016 63,632 323,127,513 19.7 19.8
    2017 70,237 325,719,178 21.6 21.7
    2018 67,367 327,167,434 20.6 20.7
    2019 70,630 328,239,523 21.5 21.6
    2020 91,799 329,484,123 27.9 28.3
    Total 1,106,859

    Overdose death rates by state. Map and timeline

    See: List of U.S. state and territory abbreviations.

    Drug overdose deaths in the US per 100,000 people by state.

    Asterisk (*) indicates Category:Health in STATE link in table below.

    Drug Overdose Mortality by State. Rates per 100,000 population.
    State 1999 2005 2014 2015 2016 2017 2018 2019 2020
     
     Alaska * 7.5 11.4 16.8 16 16.8 20.2 14.6 17.8 22
     Alabama * 3.9 6.3 15.2 15.7 16.2 18 16.6 16.3 22.3
     Arkansas * 4.4 10.1 18.2 13.8 14 15.5 15.7 13.5 19.1
     Arizona * 10.6 14.1 12.6 19 20.3 22.2 23.8 26.8 35.8
     California * 8.1 9 11.1 11.3 11.2 11.7 12.8 15 21.8
     Colorado * 8 12.7 16.3 15.4 16.6 17.6 16.8 18 24.9
     Connecticut * 9 8.5 17.6 22.1 27.4 30.9 30.7 34.7 39.1
     Delaware * 6.4 7.5 20.9 22 30.8 37 43.8 48 47.3
     Florida * 6.4 13.5 13.2 16.2 23.7 25.1 22.8 25.5 35
     Georgia * 3.5 8.2 11.9 12.7 13.3 14.7 13.2 13.1 18
     Hawaii * 6.5 9.4 10.9 11.3 12.8 13.8 14.3 15.9 18.3
     Iowa * 1.9 4.8 8.8 10.3 10.6 11.5 9.6 11.5 14.3
     Idaho * 5.3 8.1 13.7 14.2 15.2 14.4 14.6 15.1 15.9
     Illinois * 6.7 8.4 13.1 14.1 18.9 21.6 21.3 21.9 28.1
     Indiana * 3.2 9.8 18.2 19.5 24 29.4 25.6 26.6 36.7
     Kansas * 3.4 9.1 11.7 11.8 11.1 11.8 12.4 14.3 17.4
     Kentucky * 4.9 15.3 24.7 29.9 33.5 37.2 30.9 32.5 49.2
     Louisiana * 4.3 14.7 16.9 19 21.8 24.5 25.4 28.3 42.7
     Massachusetts * 7.5 12 19 25.7 33 31.8 32.8 32.1 33.9
     Maryland * 11.4 11.4 17.4 20.9 33.2 36.3 37.2 38.2 44.6
     Maine * 5.3 12.4 16.8 21.2 28.7 34.4 27.9 29.9 39.7
     Michigan * 4.6 9.8 18 20.4 24.4 27.8 26.6 24.4 28.6
     Minnesota * 2.8 5.4 9.6 10.6 12.5 13.3 11.5 14.2 19
     Missouri * 5 10.7 18.2 17.9 23.6 23.4 27.5 26.9 32.1
     Mississippi * 3.2 8.8 11.6 12.3 12.1 12.2 10.8 13.6 21.1
     Montana * 4.6 10.1 12.4 13.8 11.7 11.7 12.2 14.1 15.6
     North Carolina * 4.6 11.4 13.8 15.8 19.7 24.1 22.4 22.3 30.9
     North Dakota * 0 0 6.3 8.6 10.6 9.2 10.2 11.4 15.6
     Nebraska * 2.3 5 7.2 6.9 6.4 8.1 7.4 8.7 11.3
     New Hampshire * 4.3 10.7 26.2 34.3 39 37 35.8 32 30.3
     New Jersey * 6.5 9.4 14 16.3 23.2 30 33.1 31.7 32.1
     New Mexico * 15 20.1 27.3 25.3 25.2 24.8 26.7 30.2 39
     Nevada * 11.5 18.7 18.4 20.4 21.7 21.6 21.2 20.1 26
     New York * 5 4.8 11.3 13.6 18 19.4 18.4 18.2 25.4
     Ohio * 4.2 10.9 24.6 29.9 39.1 46.3 35.9 38.3 47.2
     Oklahoma * 5.4 13.8 20.3 19 21.5 20.1 18.4 16.7 19.4
     Oregon * 6.1 10.4 12.8 12 11.9 12.4 12.6 14 18.7
     Pennsylvania * 8.1 13.2 21.9 26.3 37.9 44.3 36.1 35.6 42.4
     Rhode Island * 5.5 14.3 23.4 28.2 30.8 31 30.1 29.5 38.2
     South Carolina * 3.7 9.9 14.4 15.7 18.1 20.5 22.6 22.7 34.9
     South Dakota * 0 5.5 7.8 8.4 8.4 8.5 6.9 10.5 10.3
     Tennessee * 6.1 14.5 19.5 22.2 24.5 26.6 27.5 31.2 45.6
     Texas * 5.4 8.5 9.7 9.4 10.1 10.5 10.4 10.8 14.1
     Utah * 10.6 19.3 22.4 23.4 22.4 22.3 21.2 18.9 20.5
     Virginia * 5 7.5 11.7 12.4 16.7 17.9 17.1 18.3 26.6
     Vermont * 4.7 8.5 13.9 16.7 22.2 23.2 26.6 23.8 32.9
     Washington * 9.3 13 13.3 14.7 14.5 15.2 14.8 15.8 22
     Wisconsin * 4 9.3 15.1 15.5 19.3 21.2 19.2 21.1 27.7
     West Virginia * 4.1 10.5 35.5 41.5 52 57.8 51.5 52.8 81.4
     Wyoming * 4.1 4.9 19.4 16.4 17.6 12.2 11.1 14.1 17.4

    Overdose death counts by state over time

    Overall US totals by year, followed by breakdown by state by year.

    States 1999 2005 2014 2015
    Deaths 16,801 29,736 46,959 52,279
    States 2016 2017 2018 2019 2020
    Deaths 63,363 69,927 67,113 70,319 91,375
    Drug overdose deaths by state over time
    State 1999 2005 2014 2015 2016 2017 2018 2019 2020
     
     Alaska 46 79 124 122 128 147 110 132 160
     Alabama 169 283 723 736 756 835 775 768 1029
     Arkansas 113 269 1211 392 401 446 444 388 546
     Arizona 511 794 356 1274 1382 1532 1670 1907 2550
     California 2662 3214 4521 4659 4654 4868 5348 6198 8908
     Colorado 349 608 899 869 942 1015 995 1079 1492
     Connecticut 310 295 623 800 971 1072 1069 1214 1371
     Delaware 50 62 189 198 282 338 401 435 444
     Florida 997 2371 2634 3228 4728 5088 4698 5268 7231
     Georgia 283 738 1206 1302 1394 1537 1404 1408 1916
     Hawaii 80 126 157 169 191 203 213 242 274
     Iowa 53 141 264 309 314 341 287 352 432
     Idaho 64 109 212 218 243 236 250 265 287
     Illinois 825 1067 1705 1835 2411 2778 2722 2790 3549
     Indiana 191 610 1172 1245 1526 1852 1629 1699 2321
     Kansas 89 241 332 329 313 333 345 403 490
     Kentucky 197 638 1077 1273 1419 1566 1315 1380 2083
     Louisiana 188 661 777 861 996 1108 1140 1267 1896
     Massachusetts 488 780 1289 1724 2227 2168 2241 2210 2302
     Maryland 629 656 1070 1285 2044 2247 2324 2369 2771
     Maine 67 163 216 269 353 424 345 371 496
     Michigan 460 985 1762 1980 2347 2694 2591 2385 2759
     Minnesota 136 282 517 581 672 733 636 792 1050
     Missouri 276 608 1067 1066 1371 1367 1610 1583 1875
     Mississippi 87 248 336 351 352 354 310 394 586
     Montana 41 96 125 138 119 119 125 143 162
     NC 366 1000 1358 1567 1956 2414 2259 2266 3146
     North Dakota 12 12 43 61 77 68 70 82 114
     Nebraska 39 86 125 126 120 152 138 161 214
     New Hampshire 54 142 334 422 481 467 452 407 393
     New Jersey 557 823 1253 1454 2056 2685 2900 2805 2840
     New Mexico 266 373 547 501 500 493 537 599 784
     Nevada 227 457 545 619 665 676 688 647 832
     New York 959 944 2300 2754 3638 3921 3697 3617 4965
     Ohio 467 1243 2744 3310 4329 5111 3980 4251 5204
     Oklahoma 178 478 777 725 813 775 716 645 762
     Oregon 210 386 522 505 506 530 547 615 803
     Pennsylvania 990 1613 2732 3264 4627 5388 4415 4377 5168
     Rhode Island 58 156 247 310 326 320 317 307 397
     South Carolina 147 427 701 761 879 1008 1125 1127 1739
     South Dakota 17 40 63 65 69 73 57 86 83
     Tennessee 344 872 1269 1457 1630 1776 1823 2089 3034
     Texas 1087 1910 2601 2588 2831 2989 3005 3136 4172
     Utah 205 438 603 646 635 650 624 571 622
     Virginia 366 581 980 1039 1405 1507 1448 1547 2240
     Vermont 29 53 83 99 125 134 153 133 190
     Washington 555 850 979 1094 1102 1169 1164 1259 1733
     Wisconsin 212 518 853 878 1074 1177 1079 1201 1531
     West Virginia 75 184 627 725 884 974 856 870 1330
     Wyoming 20 26 109 96 99 69 66 79 99

    Yearly overdose death totals by drug

    Concerning the data in the charts below (in this section and the following sections) deaths from the various drugs add up to more than the yearly overdose death total because multiple drugs are involved in many of the deaths.

    US yearly overdose deaths, and the drugs involved.

    Opioid overdose death rates and totals. Many charts

    Further information: Opioid overdose and Opioid epidemic in the United States

    Of the 70,200 overdose deaths in the US in 2017, opioids were involved in 47,600. This is an increase from 2016 where over 64,000 died from drug overdose, and opioids were involved in over 42,000. In 2017, the five states with the highest rates of death due to drug overdose were West Virginia (57.8 per 100,000), Ohio (46.3 per 100,000), Pennsylvania (44.3 per 100,000), Kentucky (37.2 per 100,000), and New Hampshire (37.0 per 100,000).

    U.S. overdose deaths involving all opioids. Deaths per 100,000 population.
    • US yearly deaths from all opioid drugs. Included in this number are opioid analgesics, along with heroin and illicit synthetic opioids.[6]

      US yearly deaths from all opioid drugs. Included in this number are opioid analgesics, along with heroin and illicit synthetic opioids.

    • US yearly deaths involving other synthetic opioids, predominately Fentanyl.[6]

      US yearly deaths involving other synthetic opioids, predominately Fentanyl.

    • US yearly deaths involving prescription opioids. Non-methadone synthetics is a category dominated by illegally acquired fentanyl, and has been excluded.[6]

      US yearly deaths involving prescription opioids. Non-methadone synthetics is a category dominated by illegally acquired fentanyl, and has been excluded.

    • US yearly overdose deaths involving heroin.[6]

      US yearly overdose deaths involving heroin.

    • The top line represents the yearly number of benzodiazepine deaths that involved opioids in the US. The bottom line represents benzodiazepine deaths that did not involve opioids.[6]

      The top line represents the yearly number of benzodiazepine deaths that involved opioids in the US. The bottom line represents benzodiazepine deaths that did not involve opioids.

    • Opioid involvement in cocaine overdose deaths.[6]

      Opioid involvement in cocaine overdose deaths.

    • Drug overdose deaths involving antidepressants, by opioid involvement.[6]

      Drug overdose deaths involving antidepressants, by opioid involvement.

    Overdose death rates by race and ethnicity. Timeline

    Timeline of US drug overdose death rates by race and ethnicity. Rate per 100,000 population.

    Overdose death rates by sex. Timeline

    Timeline of US drug overdose death rates by sex, Rate per 100,000 population.

    See also

    Further reading

    Look up overdose in Wiktionary, the free dictionary.
    Wikimedia Commons has media related to Drug-related death statistics in the United States.

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