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The opioid crisis: Every state's overdose death rate, ranked 2018
Intro
Drug overdoses are skyrocketing across the U.S., prompting multiple states and the Department of Health and Human Services to issue emergency declarations. Provisional data from the U.S. Centers for Disease Control estimate that drug overdoses are now responsible for at least 66,000 deaths annually (more than three times higher than in 1999) and are the leading cause of death among Americans under age 50. Drugs now kill more people in the U.S. each year than either car accidents or guns.
51. Nebraska
- Opioid overdose death rate (age-adjusted): 2.5 per 100,000
- 10-year percent change: 32% increase
- Most impacted age group: Unknown
- Most impacted county: Douglas County
50. Montana
- Opioid overdose death rate (age-adjusted): 4.2 per 100,000
- 10-year percent change: 28% decrease
- Most impacted age group: Unknown
- Most impacted county: Unknown
49. Texas
- Opioid overdose death rate (age-adjusted): 5.1 per 100,000
- 10-year percent change: 9% increase
- Most impacted age group: 45-54 years
- Most impacted county: Orange County
48. California
- Opioid overdose death rate (age-adjusted): 5.2 per 100,000
- 10-year percent change: 18% increase
- Most impacted age group: 45-54 years
- Most impacted county: Humboldt County
47. South Dakota
- Opioid overdose death rate (age-adjusted): 5.2 per 100,000
- 10-year percent change: 53% increase
- Most impacted age group: Unknown
- Most impacted county: Unknown
46. Hawaii
- Opioid overdose death rate (age-adjusted): 5.5 per 100,000
- 10-year percent change: 10% increase
- Most impacted age group: 45-54 years
- Most impacted county: Honolulu County
45. Kansas
- Opioid overdose death rate (age-adjusted): 5.7 per 100,000
- 10-year percent change: 21% increase
- Most impacted age group: 45-54 years
- Most impacted county: Sedgwick County
44. Arkansas
- Opioid overdose death rate (age-adjusted): 6.1 per 100,000
- 10-year percent change: 11% increase
- Most impacted age group: 35-44 years
- Most impacted county: Unknown
43. Mississippi
- Opioid overdose death rate (age-adjusted): 6.3 per 100,000
- 10-year percent change: 152% increase
- Most impacted age group: 35-44 years
- Most impacted county: Unknown
42. Iowa
- Opioid overdose death rate (age-adjusted): 6.6 per 100,000
- 10-year percent change: 89% increase
- Most impacted age group: 25-34 years
- Most impacted county: Polk County
41. Minnesota
- Opioid overdose death rate (age-adjusted): 7.5 per 100,000
- 10-year percent change: 108% increase
- Most impacted age group: 45-54 years
- Most impacted county: Hennepin County
40. Idaho
- Opioid overdose death rate (age-adjusted): 7.6 per 100,000
- 10-year percent change: 49% increase
- Most impacted age group: 35-44 years
- Most impacted county: Ada County
39. North Dakota
- Opioid overdose death rate (age-adjusted): 7.7 per 100,000
- 10-year percent change: Unknown
- Most impacted age group: Unknown
- Most impacted county: Unknown
38. Alabama
- Opioid overdose death rate (age-adjusted): 7.7 per 100,000
- 10-year percent change: 166% increase
- Most impacted age group: 35-44 years
- Most impacted county: Jefferson County
37. Oregon
- Opioid overdose death rate (age-adjusted): 7.9 per 100,000
- 10-year percent change: 25% decrease
- Most impacted age group: 45-54 years
- Most impacted county: Jackson County
36. Louisiana
- Opioid overdose death rate (age-adjusted): 8.0 per 100,000
- 10-year percent change: 70% increase
- Most impacted age group: 25-34 years
- Most impacted county: St. Tammany Parish
35. Wyoming
- Opioid overdose death rate (age-adjusted): 9.1 per 100,000
- 10-year percent change: Unknown
- Most impacted age group: Unknown
- Most impacted county: Unknown
34. Georgia
- Opioid overdose death rate (age-adjusted): 9.1 per 100,000
- 10-year percent change: 146% increase
- Most impacted age group: 45-54 years
- Most impacted county: Gwinnett County
33. Washington
- Opioid overdose death rate (age-adjusted): 9.6 per 100,000
- 10-year percent change: 8% decrease
- Most impacted age group: 45-54 years
- Most impacted county: Cowlitz County
32. Colorado
- Opioid overdose death rate (age-adjusted): 9.9 per 100,000
- 10-year percent change: 43% increase
- Most impacted age group: 45-54 years
- Most impacted county: Denver County
31. Oklahoma
- Opioid overdose death rate (age-adjusted): 11.8 per 100,000
- 10-year percent change: 4% increase
- Most impacted age group: 35-44 years
- Most impacted county: Tulsa County
30. Arizona
- Opioid overdose death rate (age-adjusted): 11.9 per 100,000
- 10-year percent change: 45% increase
- Most impacted age group: 45-54 years
- Most impacted county: Pima County
29. Indiana
- Opioid overdose death rate (age-adjusted): 13.1 per 100,000
- 10-year percent change: 337% increase
- Most impacted age group: 25-34 years
- Most impacted county: Marion County
28. Alaska
- Opioid overdose death rate (age-adjusted): 13.5 per 100,000
- 10-year percent change: 229% increase
- Most impacted age group: Unknown
- Most impacted county: Unknown
27. South Carolina
- Opioid overdose death rate (age-adjusted): 13.6 per 100,000
- 10-year percent change: 152% increase
- Most impacted age group: 45-54 years
- Most impacted county: Greenville County
26. Virginia
- Opioid overdose death rate (age-adjusted): 13.7 per 100,000
- 10-year percent change: 149% increase
- Most impacted age group: 35-44 years
- Most impacted county: Tazewell County
25. Florida
- Opioid overdose death rate (age-adjusted): 14.6 per 100,000
- 10-year percent change: 95% increase
- Most impacted age group: 45-54 years
- Most impacted county: Sarasota County
24. Nevada
- Opioid overdose death rate (age-adjusted): 14.8 per 100,000
- 10-year percent change: No change
- Most impacted age group: 45-54 years
- Most impacted county: Clark County
23. New York
- Opioid overdose death rate (age-adjusted): 15.4 per 100,000
- 10-year percent change: 185% increase
- Most impacted age group: 45-54 years
- Most impacted county: Bronx County
22. North Carolina
- Opioid overdose death rate (age-adjusted): 15.7 per 100,000
- 10-year percent change: 99% increase
- Most impacted age group: 45-54 years
- Most impacted county: Wilkes County
21. Illinois
- Opioid overdose death rate (age-adjusted): 15.8 per 100,000
- 10-year percent change: 116% increase
- Most impacted age group: 35-44 years
- Most impacted county: Cook County
20. Wisconsin
- Opioid overdose death rate (age-adjusted): 16 per 100,000
- 10-year percent change: 150% increase
- Most impacted age group: 25-34 years
- Most impacted county: Kenosha County
19. Missouri
- Opioid overdose death rate (age-adjusted): 16.3 per 100,000
- 10-year percent change: 123% increase
- Most impacted age group: 35-44 years
- Most impacted county: St. Louis city
18. New Jersey
- Opioid overdose death rate (age-adjusted): 16.5 per 100,000
- 10-year percent change: 284% increase
- Most impacted age group: 35-44 years
- Most impacted county: Cape May County
17. Utah
- Opioid overdose death rate (age-adjusted): 17.0 per 100,000
- 10-year percent change: 17% increase
- Most impacted age group: 45-54 years
- Most impacted county: Salt Lake County
16. Delaware
- Opioid overdose death rate (age-adjusted): 17.4 per 100,000
- 10-year percent change: 241% increase
- Most impacted age group: Unknown
- Most impacted county: New Castle County
15. New Mexico
- Opioid overdose death rate (age-adjusted): 18.3 per 100,000
- 10-year percent change: 41% increase
- Most impacted age group: 45-54 years
- Most impacted county: Bernalillo County
14. Vermont
- Opioid overdose death rate (age-adjusted): 18.7 per 100,000
- 10-year percent change: 91% increase
- Most impacted age group: Unknown
- Most impacted county: Unknown
13. Tennessee
- Opioid overdose death rate (age-adjusted): 18.8 per 100,000
- 10-year percent change: 138% increase
- Most impacted age group: 45-54 years
- Most impacted county: Knox County
12. Pennsylvania
- Opioid overdose death rate (age-adjusted): 18.8 per 100,000
- 10-year percent change: 422% increase
- Most impacted age group: 25-34 years
- Most impacted county: Cambria County
11. Michigan
- Opioid overdose death rate (age-adjusted): 18.9 per 100,000
- 10-year percent change: 195% increase
- Most impacted age group: 45-54 years
- Most impacted county: Wayne County
10. Kentucky
- Opioid overdose death rate (age-adjusted): 24.1 per 100,000
- 10-year percent change: 194% increase
- Most impacted age group: 25-34 years
- Most impacted county: Kenton County
9. Connecticut
- Opioid overdose death rate (age-adjusted): 24.8 per 100,000
- 10-year percent change: 265% increase
- Most impacted age group: 45-54 years
- Most impacted county: New Haven County
8. Maine
- Opioid overdose death rate (age-adjusted): 25.6 per 100,000
- 10-year percent change: 237% increase
- Most impacted age group: 25-34 years
- Most impacted county: Unknown
7. Rhode Island
- Opioid overdose death rate (age-adjusted): 26.8 per 100,000
- 10-year percent change: 116% increase
- Most impacted age group: 35-44 years
- Most impacted county: Providence County
6. Maryland
- Opioid overdose death rate (age-adjusted): 30.1 per 100,000
- 10-year percent change: 198% increase
- Most impacted age group: 45-54 years
- Most impacted county: Baltimore city
5. Massachusetts
- Opioid overdose death rate (age-adjusted): 30.2 per 100,000
- 10-year percent change: 196% increase
- Most impacted age group: 45-54 years
- Most impacted county: Bristol County
4. District of Columbia
- Opioid overdose death rate (age-adjusted): 30.6 per 100,000
- 10-year percent change: 181% increase
- Most impacted age group: 45-54 years
- Most impacted county: N/A
3. Ohio
- Opioid overdose death rate (age-adjusted): 33.6 per 100,000
- 10-year percent change: 460% increase
- Most impacted age group: 45-54 years
- Most impacted county: Trumbull County
2. New Hampshire
- Opioid overdose death rate (age-adjusted): 36.3 per 100,000
- 10-year percent change: 343% increase
- Most impacted age group: 35-44 years
- Most impacted county: Rockingham County
1. West Virginia
- Opioid overdose death rate (age-adjusted): 45.2 per 100,000
- 10-year percent change: 167% increase
- Most impacted age group: 25-34 years
- Most impacted county: Logan County
