The drug epidemic is not a new problem in our society, but it has gotten worse over time. The overdose epidemic in the U.S. has led to thousands of deaths every year. This epidemic is characterized as four different epidemics: opioids, heroin, fentanyl, and stimulants. Despite numerous mandates and a decline in opioid prescriptions, drug overdoses have continued to increase in many cases.
According to the CDC, opioid-involved death rates increased by 15% from 2020 to 2021 while prescription opioid-involved death rates remained the same. On the contrary, death rates involving heroin decreased by nearly 32%.
Overall, the number of drug overdose deaths spiked during the COVID-19 pandemic. While numbers started to decline in the beginning of 2022, they were still higher than the overdose deaths prior to the pandemic.
There are many organizations working to fight the opioid epidemic and the overall drug epidemic in the U.S. Many states are working diligently to identify outbreaks and provide the necessary care and treatment to those in the community.
Some states in the U.S. have experienced an increase in fatal drug overdoses but the number of overdoses in other states have declined. Even though it is far from an easy fix, there are many ways communities can work together to fight the drug epidemic and reduce the rates of fatal overdoses across the country. We’ve gathered a list of the states where fatal drug overdoses are declining the fastest.
To identify the states where fatal drug overdoses are declining the fastest, 24/7 Tempo reviewed data from the National Center for Health Statistics, a division of the Centers for Disease Control and Prevention. States are ranked on the change in deadly overdoses reported between the 12 months through November 2023 and the same period one year earlier. Data for New York state does not include New York City, which is listed separately.
36. Maryland
- Change in fatal drug overdoses: -0.6%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,485
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,501
35. Tennessee
- Change in fatal drug overdoses: -1.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 3,736
- Fatal drug overdoses, 12 mos. ending Nov 2022: 3,784
34. Minnesota
- Change in fatal drug overdoses: -1.4%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 1,360
- Fatal drug overdoses, 12 mos. ending Nov 2022: 1,379
33. New York City
- Change in fatal drug overdoses: -1.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 3,029
- Fatal drug overdoses, 12 mos. ending Nov 2022: 3,083
32. Vermont
- Change in fatal drug overdoses: -2.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 250
- Fatal drug overdoses, 12 mos. ending Nov 2022: 256
31. South Dakota
- Change in fatal drug overdoses: -2.4%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 82
- Fatal drug overdoses, 12 mos. ending Nov 2022: 84
30. South Carolina
- Change in fatal drug overdoses: -2.4%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,195
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,248
29. Delaware
- Change in fatal drug overdoses: -2.4%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 536
- Fatal drug overdoses, 12 mos. ending Nov 2022: 549
28. Virginia
- Change in fatal drug overdoses: -2.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,418
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,480
27. Oklahoma
- Change in fatal drug overdoses: -2.6%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 1,132
- Fatal drug overdoses, 12 mos. ending Nov 2022: 1,162
26. Wisconsin
- Change in fatal drug overdoses: -3.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 1,726
- Fatal drug overdoses, 12 mos. ending Nov 2022: 1,782
25. New York
- Change in fatal drug overdoses: -4.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 3,231
- Fatal drug overdoses, 12 mos. ending Nov 2022: 3,369
24. Ohio
- Change in fatal drug overdoses: -4.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 4,855
- Fatal drug overdoses, 12 mos. ending Nov 2022: 5,098
23. Missouri
- Change in fatal drug overdoses: -4.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,080
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,185
22. Michigan
- Change in fatal drug overdoses: -5.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,814
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,971
21. Illinois
- Change in fatal drug overdoses: -6.2%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 3,610
- Fatal drug overdoses, 12 mos. ending Nov 2022: 3,847
20. Pennsylvania
- Change in fatal drug overdoses: -6.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 4,823
- Fatal drug overdoses, 12 mos. ending Nov 2022: 5,147
19. Louisiana
- Change in fatal drug overdoses: -6.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,270
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,427
18. North Dakota
- Change in fatal drug overdoses: -7%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 133
- Fatal drug overdoses, 12 mos. ending Nov 2022: 143
17. Kentucky
- Change in fatal drug overdoses: -7.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,143
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,308
16. Georgia
- Change in fatal drug overdoses: -7.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,455
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,655
15. Montana
- Change in fatal drug overdoses: -7.7%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 180
- Fatal drug overdoses, 12 mos. ending Nov 2022: 195
14. Florida
- Change in fatal drug overdoses: -8.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 7,265
- Fatal drug overdoses, 12 mos. ending Nov 2022: 7,919
13. Maine
- Change in fatal drug overdoses: -9.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 621
- Fatal drug overdoses, 12 mos. ending Nov 2022: 683
12. Massachusetts
- Change in fatal drug overdoses: -9.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,403
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,650
11. Connecticut
- Change in fatal drug overdoses: -9.3%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 1,343
- Fatal drug overdoses, 12 mos. ending Nov 2022: 1,481
10. Rhode Island
- Change in fatal drug overdoses: -10.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 402
- Fatal drug overdoses, 12 mos. ending Nov 2022: 447
9. Mississippi
- Change in fatal drug overdoses: -10.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 619
- Fatal drug overdoses, 12 mos. ending Nov 2022: 692
8. New Jersey
- Change in fatal drug overdoses: -11.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,586
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,933
7. Iowa
- Change in fatal drug overdoses: -11.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 440
- Fatal drug overdoses, 12 mos. ending Nov 2022: 499
6. Kansas
- Change in fatal drug overdoses: -12.1%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 649
- Fatal drug overdoses, 12 mos. ending Nov 2022: 738
5. New Hampshire
- Change in fatal drug overdoses: -13.7%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 430
- Fatal drug overdoses, 12 mos. ending Nov 2022: 498
4. Arkansas
- Change in fatal drug overdoses: -14.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 520
- Fatal drug overdoses, 12 mos. ending Nov 2022: 608
3. Indiana
- Change in fatal drug overdoses: -16.2%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,241
- Fatal drug overdoses, 12 mos. ending Nov 2022: 2,673
2. Nebraska
- Change in fatal drug overdoses: -20.5%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 171
- Fatal drug overdoses, 12 mos. ending Nov 2022: 215
1. North Carolina
- Change in fatal drug overdoses: -31.8%
- Fatal drug overdoses, 12 mos. ending Nov 2023: 2,900
- Fatal drug overdoses, 12 mos. ending Nov 2022: 4,251