Special Report

States Where Fatal Drug Overdoses Are Rising Fastest

Source: DenisTangneyJr / Getty Images

45. Massachusetts
> Change in fatal drug overdoses: +5.8% (+133)
> Fatal drug overdoses, 12 mos. ending April 2021: 34.4 per 100,000 people — 17th highest (2,419 total)
> Fatal drug overdoses, 12 mos. ending April 2020: 32.5 per 100,000 people — 9th highest (2,286 total)
> Drug class with largest increase in deaths: Misc. psychostimulants — +69.0%

Source: Art Wager / Getty Images

44. Hawaii
> Change in fatal drug overdoses: +6.3% (+16)
> Fatal drug overdoses, 12 mos. ending April 2021: 18.4 per 100,000 people — 10th lowest (268 total)
> Fatal drug overdoses, 12 mos. ending April 2020: 17.3 per 100,000 people — 18th lowest (252 total)
> Drug class with largest increase in deaths: Synthetic opioids — +54.5%

Source: peeterv / Getty Images

43. Montana
> Change in fatal drug overdoses: +6.6% (+10)
> Fatal drug overdoses, 12 mos. ending April 2021: 14.8 per 100,000 people — 4th lowest (161 total)
> Fatal drug overdoses, 12 mos. ending April 2020: 13.9 per 100,000 people — 8th lowest (151 total)
> Drug class with largest increase in deaths: Synthetic opioids — +143.8%

Source: pabradyphoto / Getty Images

42. Iowa
> Change in fatal drug overdoses: +9.5% (+37)
> Fatal drug overdoses, 12 mos. ending April 2021: 13.4 per 100,000 people — 3rd lowest (426 total)
> Fatal drug overdoses, 12 mos. ending April 2020: 12.2 per 100,000 people — 4th lowest (389 total)
> Drug class with largest increase in deaths: Synthetic opioids — +43.2%

Source: DenisTangneyJr / Getty Images

41. North Dakota
> Change in fatal drug overdoses: +11.9% (+13)
> Fatal drug overdoses, 12 mos. ending April 2021: 15.7 per 100,000 people — 5th lowest (122 total)
> Fatal drug overdoses, 12 mos. ending April 2020: 14.0 per 100,000 people — 9th lowest (109 total)
> Drug class with largest increase in deaths: N/A

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