• A State-by-State Look at the Opioid Crisis

    Escalating use of prescription opioids for pain management has drastically contributed to America's opioid epidemic.

    Scroll down to see how the epidemic is affecting your state.

    Click here to learn more about the epidemic and safer ways to manage pain.

    Alaska

    Alaska's governor declared opioid abuse a public health emergency in 2017.

    Source: Office of the Governor

    Alabama

    Alabama has the highest rate of opioid prescribing in the country.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Arkansas

    66 of 75 Arkansas counties had opioid prescribing rates higher than the national average in 2016.

    Source: Centers for Disease Control and Prevention

    Arizona

     In 2016, 790 people died from opioid overdoses in Arizona, a 74% increase over 4 years.

    Source: Arizona Department of Health Services

    California

    1,925 Californians had opioid-linked overdose deaths in 2016.

    Source: California Department of Public Health

    Colorado

    Prescription opioid-involved deaths nearly doubled from 176 to 300 in Colorado from 2013 to 2017.

    Source: Colorado Department of Public Health and Environment

    Connecticut

    In Connecticut, 273 deaths involved prescription opioids in 2017, four times higher than in 2012.  

    Source: National Institutes of Health

    District of Columbia

    Opioid overdose deaths in Washington, DC, more than doubled from 2014 to 2016.

    Source: Government of the District of Columbia Office of the Chief Medical Examiner

    Delaware

    Delaware had the country’s highest high-dosage prescription rate in 2014-2016.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Florida

    Florida is among 6 states that declared opioid abuse a public health emergency in 2017.

    Source: NPR

    Georgia

    Of 1,462 overdose deaths in Georgia in 2016, 67% were due to opioid overdoses.

    Source: Georgia Department of Public Health

    Hawaii

    In 2015, there were 169 deaths in Hawaii from a drug overdose.

    Source: Centers for Disease Control and Prevention

    Iowa

    Admissions for opioid treatment in Iowa increased 274% from 2005-2016.

    Source: Iowa Department of Public Health

    Idaho

    There were 218 drug overdose deaths in Idaho in 2015.

    Source: Centers for Disease Control and Prevention

    Illinois

    Of 2,000+ overdose deaths in Illinois in 2016, more than 80% were opioid-related.

    Source: Illinois Department of Public Health

    Indiana

    In 2015, opioid pain relievers were responsible for 274 deaths in Indiana.

    Source: Indiana State Department of Health

    Kansas

    Drug poisoning deaths involving heroin increased by 71% from 2013-2015 in Kansas.

    Source: Kansas Department of Health and Environment

    Kentucky

    Of 1,330 overdose deaths in Kentucky in 2016, 31% were among people ages 35-44.

    Source: Kentucky Office of Drug Control Policy

    Louisiana

    Louisiana is the fifth-highest prescriber of painkillers, with 98.1 prescriptions per 100 people.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Massachusetts

    In 2017, Massachusetts had one of the lowest prescribing rates for opioids in the U.S. but still saw 321 prescription-related overdoses.

    Source: National Institutes of Health

    Maryland

    In 2017, there were 711 prescription-related opioid deaths in Maryland ‒ a rate double the national average.

    Source: National Institutes of Health

    Maine

    Maine is the fourth highest prescribing state for long-acting and extended-release opioids.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Michigan

    In 2016, 11 million opioid prescriptions were written in Michigan, about 1.1 per resident.

    Source: MLive.com

    Minnesota

    In 2016, there were 186 prescription opioid-related deaths in Minnesota.

    Source: Minnesota Department of Health

    Missouri

    One out of every 66 deaths in Missouri were due to opioid overdose in 2016.

    Source: Missouri Department of Health & Senior Services

    Mississippi

    In 2017, Mississippi was the fifth-highest prescriber of opioids. 

    Source: National Institutes of Health

    Montana

    There were 693 deaths in Montana from 2000-2015 attributed to prescription opioid poisoning.

    Source: Montana Department of Public Health and Human Services

    Nebraska

    At least 54 Nebraskans died of opioid overdoses in 2015.

    Source: Nebraska Department of Health & Human Services

    New Hampshire

    New Hampshire is among the top five states with the highest rate of opioid-involved deaths.

    Source: National Institutes of Health

    New Jersey

    Drug overdose deaths increased by 21% in New Jersey from 2014 to 2015.

    Source: New Jersey Medical Examiner's Office

    New Mexico

    There were 493 drug overdose deaths in New Mexico in 2015.

    Source: New Mexico Department of Health

    Nevada

    There were 276 prescription-related opioid deaths in Nevada in 2017.

    Source: National Institutes of Health

    New York

    Opioid-related emergency department visits increased by 73% in New York from 2010-2014.

    Source: 2015 Report to the Governor and NYS Legislature

    North Carolina

    From 1999 to 2016, more than 12,000 North Carolinians died from opioid-related overdoses, the majority of which were unintentional overdoses.

    Source: North Carolina Department of Health and Human Services

    North Dakota

    In North Dakota, the majority of drug overdose deaths in 2017 involved an opioid. 

    Source: National Institutes of Health

    Ohio

    Of all unintentional overdose deaths in Ohio in 2016, 20% had an opioid prescription in the previous 30 days.

    Source: Ohio Department of Health

    Oklahoma

    Oklahoma is the third-highest prescriber of long-acting and extended-release opioids.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Oregon

    An average of 3 Oregonians dies each week from a prescription opioid overdose.

    Source: Oregon Health Authority

    Pennsylvania

    An average of 13 people died from drug overdose each day in Pennsylvania in 2016.

    Source: Philly.com

    Rhode Island

    Rhode Island had the fifth-highest rate of drug overdose deaths in 2015.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    South Carolina

    In 2015, there were 594 opioid-related overdose deaths in South Carolina.

    Source: South Carolina Department of Alcohol and Other Drug Abuse Services

    South Dakota

    South Dakota, population 865,454, had 664,191 opioid prescriptions in 2016.

    Source: USA Today

    Tennessee

    In 2016, Tennessee was the third-highest prescriber of opioids.

    Source: CDC Annual Surveillance Report of Drug-Related Risks and Outcomes

    Texas

    There were 1,287 opioid-related deaths in Texas in 2015.

    Source: Kaiser Family Foundation

    Utah

    Prescription opioids were the main driver of overdose deaths in Utah in 2017.

    Source: Kaiser Family Foundation

    Virginia

    An average of 2 Virginians dies every day from a prescription opioid or heroin overdose.

    Source: Virginia Department of Health

    Vermont

    In 2016, there were 101 opioid-related overdose deaths­­­ in Vermont—a rate of 18.4 deaths per 100,000 persons and more than the national rate of 13.3 deaths per 100,000 persons.

    Source: Vermont Department of Health

    Washington

    More Washingtonians died from opioid overdose than from car accidents in 2015.

    Source: Washington State Office of the Attorney General

    Wisconsin

    More Wisconsinites died from opioid overdoses than from car accidents in 2015.

    Source: Wisconsin Department of Health Services

    West Virginia

    West Virginia had the country’s highest drug-overdose death rate in 2015.

    Source: Centers for Disease Control and Prevention

    Wyoming

    There were 96 opioid-related deaths in Wyoming in 2015.

    Source: Centers for Disease Control and Prevention

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