United States drug overdose death rates and totals over time

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Fentanyl. 2 mg. A lethal dose in most people.[1] Diameter of a US penny is 19.05 mm, or 0.75 inches.

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. Opioids were involved in 70.6% (nearly 50,000) of the nearly 71,000 deaths in 2019.[2][3][4]

Around 109,200 people died in the 12-month period ending March 31, 2022, at a rate of 299 deaths per day.[5]

1968–2020 overdose death rates and totals

U.S. yearly overdose deaths from all drugs.[6]

The numbers at the source for the table below are continually updated. So the numbers in the table below may be slightly different.[4]

1968–2020 US drug overdose deaths. 1,106,859 total.[4]
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.[2][3]

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

Drug Overdose Mortality by State. Rates per 100,000 population.[2]
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.[2]

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[2]
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

Overdose death rates and 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.[6]

US yearly overdose deaths, and the drugs involved.[6]

Opioid overdose death rates and totals

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.[6] This is an increase from 2016 where over 64,000 died from drug overdose, and opioids were involved in over 42,000.[7] 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).[3]

U.S. overdose deaths involving all opioids. Deaths per 100,000 population.[8]
  • 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.[6]

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

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

  • 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.[6]

  • US yearly overdose deaths involving heroin.[6]

    US yearly overdose deaths involving heroin.[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.[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.[6]

  • Opioid involvement in cocaine overdose deaths.[6]

    Opioid involvement in cocaine overdose deaths.[6]

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

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

Overdose death rates by race and ethnicity

Timeline of US drug overdose death rates by race and ethnicity.[9] Rate per 100,000 population.

See also

References

  1. ^ Fentanyl. Image 4 of 17. US DEA (Drug Enforcement Administration).
  2. ^ a b c d e Drug Overdose Mortality by State. Pick year from menu below map. From National Center for Health Statistics for the Centers for Disease Control and Prevention. The numbers are in the data table below the map, and by running your cursor over the map at the source. CSV data link below table.
  3. ^ a b c Drug Overdose Deaths. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Click on a map year. The data table is below the map. Number of deaths for each state, and the age-adjusted rates of death for each state. Also, place cursor on map states to get data.
  4. ^ a b c Data is from these saved tables from CDC Wonder at the Centers for Disease Control and Prevention, National Center for Health Statistics. The tables have totals, rates, and US populations per year. The numbers are continually updated: "This dataset has been updated since this request was saved, which could lead to differences in results." So the numbers in the table at the source may be slightly different.
  5. ^ Products - Vital Statistics Rapid Release - Provisional Drug Overdose Data. Centers for Disease Control and Prevention. Hover cursor over the end of the graph in Figure 1A to get the latest number. Scroll down the page and click on the dropdown data table called "Data Table for Figure 1a. 12 Month-ending Provisional Counts of Drug Overdose Deaths". The number used is the "predicted value" for the 12 month period that is ending at the end of that month. That number changes as more info comes in. If there are problems use a different browser.
  6. ^ a b c d e f g h i j k l m Overdose Death Rates. By National Institute on Drug Abuse (NIDA). See links section near the bottom of the page for the latest data link, and a PowerPoint link.
  7. ^ National Center for Health Statistics. "Provisional Counts of Drug Overdose Deaths, as of 8/6/2017" (PDF). United States: Centers for Disease Control and Prevention. Source lists US totals for 2015 and 2016 and statistics by state.
  8. ^ Opioid Data Analysis and Resources. Drug Overdose. CDC Injury Center. Centers for Disease Control and Prevention. Click on "Rising Rates" tab for a graph. See the data table below the graph.
  9. ^ NCHS Data Visualization Gallery - Drug Poisoning Mortality. From National Center for Health Statistics. Open the dashboard dropdown menu and pick "U.S. Trends". From the menus on the right pick all races, all ages, and both sexes. Run your cursor over the graph to see the data.

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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