A glimmer of hope for U.S. overdose deaths: They are at their lowest levels since 2020, but officials warn to press on

A snapshot of overdose deaths from January 2015 to January 2024
(CDC graph, based on data available for analysis)

The U.S. opioid epidemic isn't over, but national totals for overdose deaths have declined for 12 months in a row, with current numbers "slowed to the lowest levels since 2020," reports Alexander Tin of CBS News. The decrease in deaths is attributed to several factors; however, experts warn that now is a time to "double down" on current efforts and keep looking for new ways to prevent drug abuse from starting.

American overdose deaths peaked in 2023, but the latest trend offers hope and some reassurance that current treatments are saving lives. "Around 70,655 deaths linked to opioids like heroin and fentanyl were reported for the year ending June 2024, the Centers for Disease Control and Prevention now estimates, falling 18% from the same time in 2023," Tin writes. "Almost all states, except for a handful in the West from Alaska through Nevada, are now seeing a significant decrease in overdose death rates."

In Appalachian states, such as West Virginia, where opioid addiction among residents was disproportionately high, overdose deaths have steadily declined with the rest of the nation. Emily Rice of West Virginia Public Radio reports, "A Sept. 1 analysis of provisional overdose death rate data from the CDC shows a rapid decrease in the number of drug overdose deaths in the U.S. and this time West Virginia appears to be keeping pace."

Even with good news, the current rates remain grim. Dr. Allison Arwady, head of the CDC's National Center for Injury Prevention and Control, told Tin, "We are encouraged by this data, but boy, it is time to double down on the things that we know are working. It is not a time to pull back, and I feel very strongly, and our data shows, that the threat continues to evolve." Brian Mann of NPR reports, "Roughly 100,000 deaths are still occurring per year. . .fentanyl, methamphetamines, xylazine and other synthetic chemicals are more poisonous than ever."

But the roughly 10.6 percent decline in overdose fatalities still speaks to some success. Tin writes, "Arwady pointed to a long list of factors that officials hope are contributing to the decline, ranging from broader availability of the overdose-reversing spray naloxone, also known as Narcan, to efforts to ease gaps in access to medications that can treat opioid use disorder."

Youth education programs may be contributing to the decline. Tin explains, "Trends in what health officials call 'primary prevention' have also improved in recent years — meaning fewer people using the drugs to begin with. As an example, Arwady cited CDC surveys showing a clear decline in high school students reporting that they have tried illegal drugs."