These States Experience Alarming Shifts in Drug Overdose Deaths

Based on the analysis concluded by the Healthnews team, Washington saw the highest increase in drug overdose deaths over the past year, with a surge of 40.02%. Following closely were Nevada (37.93%) and Oregon (37.53%).

Overall, the United States witnessed a 2.8% increase in drug overdose deaths, reaching 112,127 in 2023 compared to 111,036 in 2022. This is a significant surge from 2015, when the count was a mere 53,356, indicating a growth of over 110% in the past eight years.

These numbers echo the persistent opioid crisis in the U.S. In fact, opioids stand out as the primary cause of drug overdoses in four out of five states that witnessed the highest rise in drug overdose rates in 2023.


We based our analysis on the latest available data, predicting the percentage change in drug overdose deaths from the National Center for Health Statistics. Predicted provisional counts are estimates of deaths adjusted for incomplete reporting over the 12 months ending in August 2023.

Now, let's take a closer look at the state-by-state statistics.

Drug overdose in U.S. statistics

#1 Washington

In Washington state, drug overdose deaths have surged by 40.02% within a year, jumping from 2,456 to 3,439. Over eight years, the increase reached 222%. The spike in drug poisonings is driven by psychostimulants, such as methamphetamine, and synthetic opioids like fentanyl and its analogs. Opioids contribute to over 80% of drug-related fatalities.

Recently, the state has reached a nearly $150 million settlement with Johnson & Johnson. A significant portion ($123.3 million) is allocated to initiatives aimed at providing comprehensive support and recovery services to address the opioid crisis.

In August 2023, Senator Mike Padden and other members of the Senate Freedom Caucus pointed out that King County is struggling to find space in morgues to accommodate the increasing number of victims.

He argues for a reconsideration of the state's drug policies, suggesting that restoring felony laws and considering prison time for drug-related offenses might be necessary steps to effectively address the overdose crisis.


#2 Nevada

Nevada’s drug overdose deaths surged from 1,023 in 2022 to 1,411 in 2023, marking an increase of 37.93%. Looking back further, Nevada has experienced a dramatic rise of 123% since 2015.

The state’s response features financial settlements, including a $285 million agreement with Walgreens. This is part of a broader initiative that has amassed over $1.1 billion from opioid-related claims, directing critical resources toward recovery and support for affected Nevadans.

The state is strengthening its strategic response with the SHIELD Training Initiative and legislative measures, such as Senate Bill 35. However, Jonathan Sprecher, the director of nursing at Desert Hope Center, is calling for an approach that doesn't just enforce the law but also provides support and treatment for addiction patients.

#3 Oregon

In Oregon, the drug crisis is also intensifying, evidenced by a 37.53% spike in drug overdose deaths from 2022 to 2023, leaping from 1,247 to 1,715 incidents. Over the past eight years, there has been a 233% increase.

In 2020, Oregon passed Measure 110, which decriminalizes the possession of small amounts of drugs, including heroin, methamphetamine, and cocaine. Instead of criminal penalties, individuals found in possession of these drugs face a civil citation, similar to a traffic ticket, and a fine of $100.

This policy, however, has faced backlash as public drug use surged, fueled by substances like fentanyl, leading to a dramatic rise in opioid-related deaths — including those of children.

There's also a growing push among lawmakers to reimpose legal penalties. The proposal includes recriminalizing the possession of small amounts of drugs as a low-level misdemeanor. Meanwhile, Rep. Maxine Dexter is advocating for legislation to prevent opioid overdoses.

House Bill 2887, for instance, aims to make life-saving tools like naloxone kits (used for reversing opioid overdose) more accessible, while House Bill 2885 focuses on making naloxone kits readily available in public buildings.


#4 Alaska

In Alaska, the rate of drug overdose deaths has also increased, with a 19.68% rise from 2022 to 2023, from 249 to 298 deaths. This growth is part of a long-term trend that has seen numbers escalate by 140% since 2015.

The opioid overdose crisis was exacerbated by the COVID-19 pandemic. However, in September 2023, an over-the-counter version of naloxone, commonly known by the brand name Narcan, was introduced in pharmacies across the state and nationwide. This makes life-saving medication more accessible to the public.

#5 Hawaii

Hawaii marks an 18.43% increase in drug overdose deaths from 2022 to 2023, escalating from 293 to 347. This rise is part of a concerning long-term trend as drug overdose deaths have more than doubled over the last eight years, surging by 103%.

Based on reports from November 2023, millions of dollars from opioid settlement funds — meant to combat the epidemic — remain unspent due to bureaucratic delays. The state is poised to receive over $80 million from settlements with opioid distributors and manufacturers. Of this, $20 million has already been received, yet almost none has been utilized to address the community's urgent needs.

States showing positive decreases

Indiana and Arkansas reported the largest decreases in the nation (14.79% and 14.17%, respectively) in drug overdose deaths from 2022 to 2023. However, over the eight-year period, these states still experienced substantial increases in drug overdose deaths, with rates escalating by 93% and 35%.

The data presented by Healthnews clearly emphasizes the ongoing and severe nature of the drug overdose and opioid crises in the U.S. The trend of significant increases, both in the short term and over an extended timeline, points to a deeply rooted issue many states continue to confront.


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