The State Where Fatal Drug Overdoses Are Rising Fastest

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By Douglas A. McIntyre Published
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The State Where Fatal Drug Overdoses Are Rising Fastest

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Early in November, the Centers for Disease Control and Prevention (CDC) released a grim report titled “Drug Overdose Deaths in the U.S. Top 100,000 Annually.” Even in a year in which COVID-19 deaths were in the hundreds of thousands, the news was shocking.

The primary conclusion of the report was that in the 12-month period that ended in April, the number of drug overdose deaths rose 28.5% to 100,306. The deaths were driven by increases in fatalities from opioids, methamphetamine and cocaine.

While no corner of the country has been spared from the scourge of substance abuse and addiction, overdose deaths during the COVID-19 pandemic have hit some states especially hard.

Using data from the CDC, 24/7 Wall St. identified the state where the rate of fatal overdoses is rising fastest. States were ranked on the change in deadly overdoses over the 12 months covered by the study.
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The year-over-year change in the number of overdose deaths varies considerably by state. Only four states reported a decline in overdose deaths, while in 11 states, fatal overdoses spiked by over 45%. Most of the states with the largest increases in overdose deaths are located in the South. Similarly, most of the states with the highest overdose rates (overdose deaths per 100,000 people) are also in the South.

The state where fatal overdoses are rising the fastest is Vermont. Here are the details:

  • Change in fatal drug overdoses: +69.9% (+86)
  • Fatal drug overdoses, 12 months ending April 2021: 32.5 per 100,000 people (20th highest); 209 total
  • Fatal drug overdoses, 12 months ending April 2020: 19.1 per 100,000 people (22nd lowest); 123 total
  • Drug class with the largest increase in deaths: Synthetic opioids (+76.1%)

To identify the state where fatal drug overdoses are rising fastest, 24/7 Wall St. reviewed data from the National Center for Health Statistics (NCHS), a division of the CDC. States are ranked on the change in deadly overdoses in the 12 months through April 2021.

To account for pending investigations and incomplete counts, the numbers reported are estimates calculated by the NCHS.

Population-adjusted fatality rates were calculated using population estimates from the U.S. Census Bureau’s decennial census.

Click here to see all the states where fatal drug overdoses are rising fastest.
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Photo of Douglas A. McIntyre
About the Author Douglas A. McIntyre →

Douglas A. McIntyre is the co-founder, chief executive officer and editor in chief of 24/7 Wall St. and 24/7 Tempo. He has held these jobs since 2006.

McIntyre has written thousands of articles for 24/7 Wall St. He is an expert on corporate finance, the automotive industry, media companies and international finance. He has edited articles on national demographics, sports, personal income and travel.

His work has been quoted or mentioned in The New York Times, The Wall Street Journal, Los Angeles Times, The Washington Post, NBC News, Time, The New Yorker, HuffPost USA Today, Business Insider, Yahoo, AOL, MarketWatch, The Atlantic, Bloomberg, New York Post, Chicago Tribune, Forbes, The Guardian and many other major publications. McIntyre has been a guest on CNBC, the BBC and television and radio stations across the country.

A magna cum laude graduate of Harvard College, McIntyre also was president of The Harvard Advocate. Founded in 1866, the Advocate is the oldest college publication in the United States.

TheStreet.com, Comps.com and Edgar Online are some of the public companies for which McIntyre served on the board of directors. He was a Vicinity Corporation board member when the company was sold to Microsoft in 2002. He served on the audit committees of some of these companies.

McIntyre has been the CEO of FutureSource, a provider of trading terminals and news to commodities and futures traders. He was president of Switchboard, the online phone directory company. He served as chairman and CEO of On2 Technologies, the video compression company that provided video compression software for Adobe’s Flash. Google bought On2 in 2009.

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