Special Report
States With the Most Drug Overdose Deaths in 2020
July 19, 2021 7:00 am
20. Vermont
> 2020 overdose fatality: 30 deaths for every 100,000 people (total: 186)
> 2019 overdose fatality: 19 deaths for every 100,000 people (total: 118)
> 2015 overdose fatality: 16 deaths for every 100,000 people (total: 99)
> Average deaths a year, 2015-2019: 20 per 10,000 people — 22nd most (total average overdose deaths: 125 a year)
> Pct. change in overdose deaths, 2019-2020: 57.6% — the largest increase
> Pct. change in overdose deaths, 2015-2020: 87.9% — 13th largest increase
> Population: 623,989
19. Missouri
> 2020 overdose fatality: 31 deaths for every 100,000 people (total: 1,921)
> 2019 overdose fatality: 26 deaths for every 100,000 people (total: 1,603)
> 2015 overdose fatality: 18 deaths for every 100,000 people (total: 1,087)
> Average deaths a year, 2015-2019: 23 per 10,000 people — 19th most (total average overdose deaths: 1,422 a year)
> Pct. change in overdose deaths, 2019-2020: 19.8% — 14th smallest increase
> Pct. change in overdose deaths, 2015-2020: 76.7% — 20th largest increase
> Population: 6,137,428
18. New Jersey
> 2020 overdose fatality: 32 deaths for every 100,000 people (total: 2,815)
> 2019 overdose fatality: 31 deaths for every 100,000 people (total: 2,774)
> 2015 overdose fatality: 16 deaths for every 100,000 people (total: 1,423)
> Average deaths a year, 2015-2019: 26 per 10,000 people — 11th most (total average overdose deaths: 2,329 a year)
> Pct. change in overdose deaths, 2019-2020: 1.5% — the smallest increase
> Pct. change in overdose deaths, 2015-2020: 97.8% — 9th largest increase
> Population: 8,882,190
17. Massachusetts
> 2020 overdose fatality: 33 deaths for every 100,000 people (total: 2,293)
> 2019 overdose fatality: 32 deaths for every 100,000 people (total: 2,215)
> 2015 overdose fatality: 25 deaths for every 100,000 people (total: 1,723)
> Average deaths a year, 2015-2019: 31 per 10,000 people — 9th most (total average overdose deaths: 2,102 a year)
> Pct. change in overdose deaths, 2019-2020: 3.5% — 2nd smallest increase
> Pct. change in overdose deaths, 2015-2020: 33.1% — 8th smallest increase
> Population: 6,892,503
16. South Carolina
> 2020 overdose fatality: 34 deaths for every 100,000 people (total: 1,728)
> 2019 overdose fatality: 22 deaths for every 100,000 people (total: 1,131)
> 2015 overdose fatality: 14 deaths for every 100,000 people (total: 736)
> Average deaths a year, 2015-2019: 19 per 10,000 people — 25th fewest (total average overdose deaths: 969 a year)
> Pct. change in overdose deaths, 2019-2020: 52.8% — 4th largest increase
> Pct. change in overdose deaths, 2015-2020: 134.8% — the largest increase
> Population: 5,148,714
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