Special Report

States With the Most Drug Overdose Deaths in 2020

Source: Sean Pavone / Getty Images

5. Tennessee
> 2020 overdose fatality: 45 deaths for every 100,000 people (total: 3,091)
> 2019 overdose fatality: 31 deaths for every 100,000 people (total: 2,138)
> 2015 overdose fatality: 21 deaths for every 100,000 people (total: 1,455)
> Average deaths a year, 2015-2019: 26 per 10,000 people — 12th most (total average overdose deaths: 1,771 a year)
> Pct. change in overdose deaths, 2019-2020: 44.6% — 6th largest increase
> Pct. change in overdose deaths, 2015-2020: 112.4% — 6th largest increase
> Population: 6,829,174

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4. Maryland
> 2020 overdose fatality: 46 deaths for every 100,000 people (total: 2,761)
> 2019 overdose fatality: 39 deaths for every 100,000 people (total: 2,360)
> 2015 overdose fatality: 22 deaths for every 100,000 people (total: 1,320)
> Average deaths a year, 2015-2019: 35 per 10,000 people — 4th most (total average overdose deaths: 2,086 a year)
> Pct. change in overdose deaths, 2019-2020: 17.0% — 12th smallest increase
> Pct. change in overdose deaths, 2015-2020: 109.2% — 7th largest increase
> Population: 6,045,680

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3. Delaware
> 2020 overdose fatality: 46 deaths for every 100,000 people (total: 449)
> 2019 overdose fatality: 43 deaths for every 100,000 people (total: 423)
> 2015 overdose fatality: 20 deaths for every 100,000 people (total: 195)
> Average deaths a year, 2015-2019: 34 per 10,000 people — 5th most (total average overdose deaths: 329 a year)
> Pct. change in overdose deaths, 2019-2020: 6.1% — 4th smallest increase
> Pct. change in overdose deaths, 2015-2020: 130.3% — 2nd largest increase
> Population: 973,764

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2. Kentucky
> 2020 overdose fatality: 47 deaths for every 100,000 people (total: 2,104)
> 2019 overdose fatality: 31 deaths for every 100,000 people (total: 1,369)
> 2015 overdose fatality: 28 deaths for every 100,000 people (total: 1,248)
> Average deaths a year, 2015-2019: 31 per 10,000 people — 7th most (total average overdose deaths: 1,391 a year)
> Pct. change in overdose deaths, 2019-2020: 53.7% — 3rd largest increase
> Pct. change in overdose deaths, 2015-2020: 68.6% — 24th largest increase
> Population: 4,467,673

Source: Sean Pavone / Getty Images

1. West Virginia
> 2020 overdose fatality: 74 deaths for every 100,000 people (total: 1,326)
> 2019 overdose fatality: 48 deaths for every 100,000 people (total: 852)
> 2015 overdose fatality: 41 deaths for every 100,000 people (total: 729)
> Average deaths a year, 2015-2019: 48 per 10,000 people — the most (total average overdose deaths: 868 a year)
> Pct. change in overdose deaths, 2019-2020: 55.6% — 2nd largest increase
> Pct. change in overdose deaths, 2015-2020: 81.9% — 17th largest increase
> Population: 1,792,147

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