Special Report

States With the Most Drug Overdose Deaths in 2020

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50. South Dakota
> 2020 overdose fatality: 8 deaths for every 100,000 people (total: 74)
> 2019 overdose fatality: 10 deaths for every 100,000 people (total: 88)
> 2015 overdose fatality: 7 deaths for every 100,000 people (total: 62)
> Average deaths a year, 2015-2019: 8 per 10,000 people — 2nd fewest (total average overdose deaths: 70 a year)
> Pct. change in overdose deaths, 2019-2020: -15.9% — the largest decrease
> Pct. change in overdose deaths, 2015-2020: 19.4% — 3th smallest increase
> Population: 884,659

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49. Nebraska
> 2020 overdose fatality: 11 deaths for every 100,000 people (total: 209)
> 2019 overdose fatality: 8 deaths for every 100,000 people (total: 146)
> 2015 overdose fatality: 6 deaths for every 100,000 people (total: 123)
> Average deaths a year, 2015-2019: 7 per 10,000 people — the fewest (total average overdose deaths: 136 a year)
> Pct. change in overdose deaths, 2019-2020: 43.2% — 8th largest increase
> Pct. change in overdose deaths, 2015-2020: 69.9% — 23rd largest increase
> Population: 1,934,408

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48. Iowa
> 2020 overdose fatality: 13 deaths for every 100,000 people (total: 419)
> 2019 overdose fatality: 11 deaths for every 100,000 people (total: 350)
> 2015 overdose fatality: 10 deaths for every 100,000 people (total: 300)
> Average deaths a year, 2015-2019: 10 per 10,000 people — 5th fewest (total average overdose deaths: 316 a year)
> Pct. change in overdose deaths, 2019-2020: 19.7% — 13th smallest increase
> Pct. change in overdose deaths, 2015-2020: 39.7% — 13th smallest increase
> Population: 3,155,070

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47. Texas
> 2020 overdose fatality: 14 deaths for every 100,000 people (total: 4,153)
> 2019 overdose fatality: 11 deaths for every 100,000 people (total: 3,123)
> 2015 overdose fatality: 9 deaths for every 100,000 people (total: 2,579)
> Average deaths a year, 2015-2019: 10 per 10,000 people — 3rd fewest (total average overdose deaths: 2,887 a year)
> Pct. change in overdose deaths, 2019-2020: 33.0% — 25th largest increase
> Pct. change in overdose deaths, 2015-2020: 61.0% — 24th smallest increase
> Population: 28,995,881

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46. Montana
> 2020 overdose fatality: 15 deaths for every 100,000 people (total: 157)
> 2019 overdose fatality: 13 deaths for every 100,000 people (total: 139)
> 2015 overdose fatality: 12 deaths for every 100,000 people (total: 131)
> Average deaths a year, 2015-2019: 12 per 10,000 people — 8th fewest (total average overdose deaths: 124 a year)
> Pct. change in overdose deaths, 2019-2020: 12.9% — 9th smallest increase
> Pct. change in overdose deaths, 2015-2020: 19.8% — 4th smallest increase
> Population: 1,068,778