Data on drug overdose death rates, by drug type and selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions, and changes over time. SOURCE: NCHS, National Vital Statistics System, numerator data from annual public-use Mortality Files; denominator data from U.S. Census Bureau national population estimates; and Murphy SL, Xu JQ, Kochanek KD, Arias E, Tejada-Vera B. Deaths: Final data for 2018. National Vital Statistics Reports; vol 69 no 13. Hyattsville, MD: National Center for Health Statistics.2021. Available from: https://www.cdc.gov/nchs/products/nvsr.htm. For more information on the National Vital Statistics System, see the corresponding Appendix entry at https://www.cdc.gov/nchs/data/hus/hus19-appendix-508.pdf.

From 1999 to 2022, the number of drug overdose deaths among U.S. females increased from ***** in 1999 to ****** in 2022. Globally, drug use is a general problem. As of 2021, there were an estimated *** million global drug consumers and **** million drug addicts. Opioid use in the United States Among many demographics, drug overdose deaths continue to rise in the United States. Opioids are the most commonly reported substance in drug-related deaths. The number of drug-related deaths in the U.S. due to opioids has dramatically increased since the early 2000s. In 2017, then-President Donald Trump declared a national emergency over the opioid crisis in the United States. Since then, there have been joint efforts among various governmental departments to address the opioid crisis through education and outreach. Substance use treatment Substance abuse treatment is vital in reducing the number of drug overdose deaths in the United States. As of 2020, the state of California had the largest number of substance abuse treatment facilities . However, many states in the U.S. have less than 100 substance abuse treatment facilities.

We collect data and report statistics on opioid, stimulant, and other substance use and their impact on health and well-being.

West Virginia is currently the state with the highest drug overdose death rate in the United States, with ** deaths per 100,000 population in 2022. Although West Virginia had the highest drug overdose death rate at that time, California was the state where the most people died from drug overdose. In 2022, around ****** people in California died from a drug overdose. The main perpetrator Opioids account for the majority of all drug overdose deaths in the United States. Opioids include illegal drugs such as heroin, legal prescription drugs like oxycodone, and illicitly manufactured synthetic drugs like fentanyl. The abuse of opioids has increased in recent years, leading to an increased number of drug overdose deaths. The death rate from heroin overdose hit an all-time high of *** per 100,000 population in 2016 and 2017, but has decreased in recent years. Now, illicitly manufactured synthetic opioids such as fentanyl account for the majority of opioid overdose deaths in the United States. Opioid epidemic The sharp rise in overdose deaths from opioids have led many to declare the United States is currently experiencing an opioid epidemic or opioid crisis. The causes of this epidemic are complicated but involve a combination of a rise in dispensed prescriptions, irresponsible marketing from pharmaceutical companies, a lack of physician-patient communication, increased social acceptance of prescription drugs, and an increased supply of cheap and potent heroin on the streets.

A. SUMMARY This dataset includes unintentional drug overdose death rates by race/ethnicity by year. This dataset is created using data from the California Electronic Death Registration System (CA-EDRS) via the Vital Records Business Intelligence System (VRBIS). Substance-related deaths are identified by reviewing the cause of death. Deaths caused by opioids, methamphetamine, and cocaine are included. Homicides and suicides are excluded. Ethnic and racial groups with fewer than 10 events are not tallied separately for privacy reasons but are included in the “all races” total. Unintentional drug overdose death rates are calculated by dividing the total number of overdose deaths by race/ethnicity by the total population size for that demographic group and year and then multiplying by 100,000. The total population size is based on estimates from the US Census Bureau County Population Characteristics for San Francisco, 2022 Vintage by age, sex, race, and Hispanic origin. These data differ from the data shared in the Preliminary Unintentional Drug Overdose Death by Year dataset since this dataset uses finalized counts of overdose deaths associated with cocaine, methamphetamine, and opioids only. B. HOW THE DATASET IS CREATED This dataset is created by copying data from the Annual Substance Use Trends in San Francisco report from the San Francisco Department of Public Health Center on Substance Use and Health. C. UPDATE PROCESS This dataset will be updated annually, typically at the end of the year. D. HOW TO USE THIS DATASET N/A E. RELATED DATASETS Overdose-Related 911 Responses by Emergency Medical Services Preliminary Unintentional Drug Overdose Deaths San Francisco Department of Public Health Substance Use Services F. CHANGE LOG 12/16/2024 - Updated with 2023 data. Asian/Pacific Islander race/ethnicity group was changed to Asian. 12/16/2024 - Past year totals by race/ethnicity were revised after obtaining accurate race/ethnicity for some decedents that were previously marked as “unknown” race/ethnicity.

In 2022, the death rate from opioid poisoning in the United States was around 36.6 per 100,000 population among Black, non-Hispanics. This was a significant increase compared to the death rate reported in 1999. This statistic shows the death rate from drug poisonings involving opioids in the U.S. from 1999 to 2022, by race/ethnicity.

In 2023, around 72,776 people in the United States died from a drug overdose that involved fentanyl. This was the second-highest number of fentanyl overdose deaths ever recorded in the United States, and a significant increase from the number of deaths reported in 2019. Fentanyl overdoses are now the driving force behind the opioid epidemic, accounting for the majority of overdose deaths in the United States. What is fentanyl? Fentanyl is an extremely potent synthetic opioid similar to morphine, but more powerful. It is a prescription drug but is also manufactured illegally and is sometimes mixed with other illicit drugs such as heroin and cocaine, often without the user’s knowledge. The potency of fentanyl makes it very addictive and puts users at a high risk for overdose. Illegally manufactured fentanyl has become more prevalent in the United States in recent years, leading to a huge increase in drug overdose deaths. In 2022, the rate of drug overdose death involving fentanyl was 22.7 per 100,000 population, compared to a rate of just one per 100,000 population in the year 2013. Fentanyl overdoses by gender and race/ethnicity As of 2022, the rate of drug overdose deaths involving fentanyl in the United States is over two times higher among men than women. Rates of overdose death involving fentanyl were low for both men and women until around the year 2014 when they began to quickly increase, especially for men. In 2022, there were around 19,880 drug overdose deaths among women that involved fentanyl compared to 53,958 such deaths among men. At that time, the rate of fentanyl overdose deaths was highest among non-Hispanic American Indian or Alaska Natives and lowest among non-Hispanic Asians. However, from the years 2014 to 2018, non-Hispanic whites had the highest fentanyl overdose death rates.

Dataset is comprised of heroin overdose-related and prescription opioid overdose-related hospitalization rates for the years 2000 through 2014. Data is derived from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS). Included are rates by census region and division with separate rates for age and race.

In 2022, the death rate from opioid overdose was ** per 100,000 population. Opioids are the main driver of overdose deaths in the United States. This statistic presents the death rate from opioid overdose in the U.S. from 1999 to 2022, per 100,000 population.

View annual counts of Accidental or Undetermined overdose deaths for 2012 forward, including provisional estimates of annual counts of overdose deaths for recent years, as noted with an asterisk and the month the data was pulled.
NOTE: Finalized death records for overdose deaths are often delayed by 3-6 months. Counties labeled “no value” have data suppressed because the counts are between 1 and 9.
- Overdose Deaths are classified using the International Classification of Diseases, Tenth Revision (ICD–10). Drug-poisoning deaths are identified using underlying cause-of-death codes X40–X44, and Y10–Y14, and include the following:
- R99 when the Injury Description indicates an overdose death.
- X49 when literal COD is Mixed or Combined or Multiple Substance Toxicity, as these are likely drug overdoses
- X47 when substance indicated is difluoroethane, alone or in combination with other drugs
- Source Pennsylvania Prescription Drug Monitoring Program*
* These data were supplied by the Bureau of Health Statistics and Registries, Harrisburg, Pennsylvania. The Bureau of Health Statistics and Registries specifically disclaims responsibility for any analyses, interpretations or conclusions.
- Estimates are broken down by type of drugs involved in the overdose
- Any Drug Overdose Death - all drug overdose deaths, regardless of type of drug involved, excluding alcohol only deaths
- Opioid Overdose Death - any overdose death involving opioids, prescription or illegal

This indicator includes unintentional overdoses, homicides, and suicides from drug overdose. Death rate has been age-adjusted to the 2000 U.S. standard population. ICD-10 codes used to identify drug overdose related deaths are X40-X44, X60-X64, X85, and Y10-Y14.Drug overdose deaths have increased dramatically in the US over the past two decades. The first wave of deaths in the 1990s largely involved prescription opioids and was a consequence of increased prescribing of these drugs by medical providers. In the second wave that began in 2010, there was a rapid increase in the number of deaths involving heroin and, in the current wave that started in 2013, there has been a rise in the number of overdose deaths involving synthetic opioids, particularly illicitly manufactured fentanyl, which can be found in combination with heroin, counterfeit pills, cocaine, and other drugs. In Los Angeles County in recent years, the vast majority of all drug overdose deaths have involved fentanyl. Important inequities have been noted by sociodemographic characteristics, with low-income and Black individuals found to have the highest overdose death rates. Cities and communities can take an active role in preventing overdose deaths by promoting primary prevention and supporting evidence-based harm reduction and treatment strategies.For more information about the Community Health Profiles Data Initiative, please see the initiative homepage.

The incident locations represented are approximated and not the actual location of the incident. Latitudinal and longitudinal coordinates have been truncate to 3 decimal points. The estimated location lies within approximately a 1/4 mile radius. This approximated location data is also shown on the dashboard.This feature layer supports the Opioid Abuse Probable EMS Call Dashboard. The following documents what data are collected and why they are being collected. Opioid Abuse ProbableA call may be coded as “opioid abuse probable” for many reasons, such asAre there are any medical symptoms indicative of opioid abuse?Are there physical indicators on scene (i.e. drug paraphernalia, pill bottles, etc.)?Are there witnesses or patient statements made that point to opioid abuse?Is there any other evidence that opioid abuse is probable with the patient?“Opioid abuse probable” is determined by Tempe Fire Medical Rescue Department’s Emergency medical technicians and paramedics on scene at the time of the incident. Narcan/Naloxone Given“Narcan/Naloxone Given” refers to whether the medication Narcan/Naloxone was given to patients who exhibited signs or symptoms of a potential opioid overdose or to patients who fall within treatment protocols that require Narcan/Naloxone to be given. Narcan/Naloxone are the same medication with Narcan being the trade name and Naloxone being the generic name for the medication. Narcan is the reversal medication used by medical providers for opioid overdoses.Groups“Groups” are used to determine if there are specific populations that have an increase in opioid abuse. The student population at ASU was being examined for other purposes to determine ASU's overall call volume impact in Tempe. Data collection with the university is consistent with Fire Departments who provide service to the other PAC 12 universities. Since this data set was already being evaluated, it was included in the opioid data collection as well.The Veteran and Homeless Groups were established as demographic tabs to identify trends and determine needs in conjunction with the City of Tempe’s Veterans and Homeless programs. Since these data sets were being evaluated already, they were included in the opioid data collection as well.The “unknown” group includes incidents where a patient is unable to answer or refuses to answer the demographic questions. GenderPatient gender is documented as male or female when crews are able to obtain this information from the patient. There are some circumstances where this information is not readily determined and the patient is unable to communicate with our crews. In these circumstances, crews may document unknown/unable to determine. Information about the data can be found at https://bit.ly/2xXbD20

This dataset describes drug poisoning deaths at the county level by selected demographic characteristics and includes age-adjusted death rates for drug poisoning from 1999 to 2015.

Deaths are classified using the International Classification of Diseases, Tenth Revision (ICD–10). Drug-poisoning deaths are defined as having ICD–10 underlying cause-of-death codes X40–X44 (unintentional), X60–X64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent).

Estimates are based on the National Vital Statistics System multiple cause-of-death mortality files (1). Age-adjusted death rates (deaths per 100,000 U.S. standard population for 2000) are calculated using the direct method. Populations used for computing death rates for 2011–2015 are postcensal estimates based on the 2010 U.S. census. Rates for census years are based on populations enumerated in the corresponding censuses. Rates for noncensus years before 2010 are revised using updated intercensal population estimates and may differ from rates previously published.

Estimate does not meet standards of reliability or precision. Death rates are flagged as “Unreliable” in the chart when the rate is calculated with a numerator of 20 or less.

Death rates for some states and years may be low due to a high number of unresolved pending cases or misclassification of ICD–10 codes for unintentional poisoning as R99, “Other ill-defined and unspecified causes of mortality” (2). For example, this issue is known to affect New Jersey in 2009 and West Virginia in 2005 and 2009 but also may affect other years and other states. Estimates should be interpreted with caution.

Smoothed county age-adjusted death rates (deaths per 100,000 population) were obtained according to methods described elsewhere (3–5). Briefly, two-stage hierarchical models were used to generate empirical Bayes estimates of county age-adjusted death rates due to drug poisoning for each year during 1999–2015. These annual county-level estimates “borrow strength” across counties to generate stable estimates of death rates where data are sparse due to small population size (3,5). Estimates are unavailable for Broomfield County, Colo., and Denali County, Alaska, before 2003 (6,7). Additionally, Bedford City, Virginia was added to Bedford County in 2015 and no longer appears in the mortality file in 2015. County boundaries are consistent with the vintage 2005-2007 bridged-race population file geographies (6).

This dataset includes the number and rate of drug overdose death among Virginians by year, drug class, age group and sex, and race and ethnicity.

Old dataset: https://data.virginia.gov/dataset/vdh-pud-overdose-deaths-by-sex-and-age

A feature layer that stores aggregated opioid overdoses, along with a table to store up to date overdose information with demographics.

In 2022, the age-adjusted drug overdose death rate for Hispanics was **** per 100,000 population. Opioids are the main driver of overdose deaths in the United States. This statistic presents the age-adjusted drug overdose death rate in the U.S. from 2013 to 2022, by race/ethnicity, per 100,000 population.

In 2022, the age-adjusted drug overdose death rate for males was 45.6 per 100,000 population. Opioids are the main driver of overdose deaths in the United States. This statistic presents the age-adjusted drug overdose death rate in the U.S. from 1999 to 2022, by gender, per 100,000 population.

This data represents all emergency medical services calls related to possible opioid abuse.

Locations represented are approximated and not the actual location of the incident. A computer generated randomized distance adjustment is applied to each incident location provided in the spreadsheet on the Open Data site to ensure data are anonymous. This approximated location data is also shown on the dashboard .

Opioid Abuse Probable

A call may be coded as “opioid abuse probable” for many reasons, such as

• Are there are any medical symptoms indicative of opioid abuse?
• Are there physical indicators on scene (i.e. drug paraphernalia, pill bottles, etc.)?
• Are there witnesses or patient statements made that point to opioid abuse?
• Is there any other evidence that opioid abuse is probable with the patient?

“Opioid abuse probable” is determined by Tempe Fire Medical Rescue Department’s Emergency medical technicians and paramedics on scene at the time of the incident.

Narcan/Naloxone Given

“Narcan/Naloxone Given” refers to whether the medication Narcan/Naloxone was given to patients who exhibited signs or symptoms of a potential opioid overdose or to patients who fall within treatment protocols that require Narcan/Naloxone to be given. Narcan/Naloxone are the same medication with Narcan being the trade name and Naloxone being the generic name for the medication. Narcan is the reversal medication used by medical providers for opioid overdoses.

Groups

“Groups” are used to determine if there are specific populations that have an increase in opioid abuse.

• The student population at ASU was being examined for other purposes to determine ASU's overall call volume impact in Tempe. Data collection with the university is consistent with Fire Departments who provide service to the other PAC 12 universities. Since this data set was already being evaluated, it was included in the opioid data collection as well.
• The Veteran and Homeless Groups were established as demographic tabs to identify trends and determine needs in conjunction with the City of Tempe’s Veterans and Homeless programs. Since these data sets were being evaluated already, they were included in the opioid data collection as well.
• The “unknown” group includes incidents where a patient is unable to answer or refuses to answer the demographic questions.

Gender

Patient gender is documented as male or female when crews are able to obtain this information from the patient. There are some circumstances where this information is not readily determined and the patient is unable to communicate with our crews. In these circumstances, crews may document unknown/unable to determine.

Data Set History

Data sets were evolving in 2017 due to software upgrades and identifying new parameters to focus data collection on. The 2018 data will be a more comprehensive set of data that includes all the fields identified throughout 2017. Data sets may continue to evolve based on the needs of the community and healthcare trends.

Information about the data can be found at Data Documentation

This study investigated demographic trends over time in the use of prescription opioids versus heroin among addicted individuals. ICD9 codes associated with hospitalizations for overdoses from either prescription opioids (POD) or heroin (HOD) were harvested from the Nationwide Inpatient Sample (NIS) for the years 1993 through 2009, inclusive. Population data were taken from U.S. Census statistics. Demographic specific rates of POD and HOD hospital admissions were analyzed to determine if fluctuations in the dynamics of one form of opiate, such as supply-based reduction, are correlated with changes in the rates of overdoses of the other. Dataset includes statistical and demographic data.