States With the Most Drug Overdose Deaths in 2020

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25. Michigan
> 2020 overdose fatality: 27 deaths for every 100,000 people (total: 2,743)
> 2019 overdose fatality: 24 deaths for every 100,000 people (total: 2,358)
> 2015 overdose fatality: 20 deaths for every 100,000 people (total: 1,973)
> Average deaths a year, 2015-2019: 24 per 10,000 people — 15th most (total average overdose deaths: 2,383 a year)
> Pct. change in overdose deaths, 2019-2020: 16.3% — 10th smallest increase
> Pct. change in overdose deaths, 2015-2020: 39.0% — 12th smallest increase
> Population: 9,986,857

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24. Illinois
> 2020 overdose fatality: 28 deaths for every 100,000 people (total: 3,528)
> 2019 overdose fatality: 22 deaths for every 100,000 people (total: 2,775)
> 2015 overdose fatality: 15 deaths for every 100,000 people (total: 1,864)
> Average deaths a year, 2015-2019: 20 per 10,000 people — 23rd most (total average overdose deaths: 2,513 a year)
> Pct. change in overdose deaths, 2019-2020: 27.1% — 20th smallest increase
> Pct. change in overdose deaths, 2015-2020: 89.3% — 12th largest increase
> Population: 12,671,821

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23. North Carolina
> 2020 overdose fatality: 29 deaths for every 100,000 people (total: 3,011)
> 2019 overdose fatality: 21 deaths for every 100,000 people (total: 2,236)
> 2015 overdose fatality: 15 deaths for every 100,000 people (total: 1,537)
> Average deaths a year, 2015-2019: 20 per 10,000 people — 24th most (total average overdose deaths: 2,064 a year)
> Pct. change in overdose deaths, 2019-2020: 34.7% — 20th largest increase
> Pct. change in overdose deaths, 2015-2020: 95.9% — 10th largest increase
> Population: 10,488,084

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22. New Hampshire
> 2020 overdose fatality: 29 deaths for every 100,000 people (total: 393)
> 2019 overdose fatality: 29 deaths for every 100,000 people (total: 395)
> 2015 overdose fatality: 31 deaths for every 100,000 people (total: 415)
> Average deaths a year, 2015-2019: 32 per 10,000 people — 6th most (total average overdose deaths: 438 a year)
> Pct. change in overdose deaths, 2019-2020: -0.5% — the smallest decrease
> Pct. change in overdose deaths, 2015-2020: -5.3% — the largest decrease
> Population: 1,359,711

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21. Nevada
> 2020 overdose fatality: 30 deaths for every 100,000 people (total: 914)
> 2019 overdose fatality: 23 deaths for every 100,000 people (total: 710)
> 2015 overdose fatality: 22 deaths for every 100,000 people (total: 665)
> Average deaths a year, 2015-2019: 23 per 10,000 people — 18th most (total average overdose deaths: 716 a year)
> Pct. change in overdose deaths, 2019-2020: 28.7% — 22nd smallest increase
> Pct. change in overdose deaths, 2015-2020: 37.4% — 11th smallest increase
> Population: 3,080,156