Special Report

States With the Most Drug Overdose Deaths in 2020

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35. Hawaii
> 2020 overdose fatality: 19 deaths for every 100,000 people (total: 274)
> 2019 overdose fatality: 17 deaths for every 100,000 people (total: 245)
> 2015 overdose fatality: 12 deaths for every 100,000 people (total: 171)
> Average deaths a year, 2015-2019: 15 per 10,000 people — 16th fewest (total average overdose deaths: 206 a year)
> Pct. change in overdose deaths, 2019-2020: 11.8% — 7th smallest increase
> Pct. change in overdose deaths, 2015-2020: 60.2% — 22nd smallest increase
> Population: 1,415,872

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34. Utah
> 2020 overdose fatality: 19 deaths for every 100,000 people (total: 622)
> 2019 overdose fatality: 18 deaths for every 100,000 people (total: 575)
> 2015 overdose fatality: 20 deaths for every 100,000 people (total: 649)
> Average deaths a year, 2015-2019: 20 per 10,000 people — 25th most (total average overdose deaths: 630 a year)
> Pct. change in overdose deaths, 2019-2020: 8.2% — 5th smallest increase
> Pct. change in overdose deaths, 2015-2020: -4.2% — the smallest decrease
> Population: 3,205,958

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33. Alaska
> 2020 overdose fatality: 20 deaths for every 100,000 people (total: 146)
> 2019 overdose fatality: 18 deaths for every 100,000 people (total: 133)
> 2015 overdose fatality: 17 deaths for every 100,000 people (total: 121)
> Average deaths a year, 2015-2019: 17 per 10,000 people — 20th fewest (total average overdose deaths: 126 a year)
> Pct. change in overdose deaths, 2019-2020: 9.8% — 6th smallest increase
> Pct. change in overdose deaths, 2015-2020: 20.7% — 5th smallest increase
> Population: 731,545

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32. Alabama
> 2020 overdose fatality: 20 deaths for every 100,000 people (total: 989)
> 2019 overdose fatality: 15 deaths for every 100,000 people (total: 739)
> 2015 overdose fatality: 15 deaths for every 100,000 people (total: 720)
> Average deaths a year, 2015-2019: 15 per 10,000 people — 18th fewest (total average overdose deaths: 749 a year)
> Pct. change in overdose deaths, 2019-2020: 33.8% — 22nd largest increase
> Pct. change in overdose deaths, 2015-2020: 37.4% — 10th smallest increase
> Population: 4,903,185

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31. Washington
> 2020 overdose fatality: 23 deaths for every 100,000 people (total: 1,724)
> 2019 overdose fatality: 16 deaths for every 100,000 people (total: 1,251)
> 2015 overdose fatality: 15 deaths for every 100,000 people (total: 1,109)
> Average deaths a year, 2015-2019: 15 per 10,000 people — 17th fewest (total average overdose deaths: 1,162 a year)
> Pct. change in overdose deaths, 2019-2020: 37.8% — 13th largest increase
> Pct. change in overdose deaths, 2015-2020: 55.5% — 17th smallest increase
> Population: 7,614,893