States Hit Hardest by the Opioid Epidemic [+ Overdose Rates]
The opioid epidemic by state reveals that West Virginia has the highest number of opioid deaths in the country. According to opioid epidemic statistics, people aged 30-39 have the highest opioid overdose death rates, two times more than the national average.
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UPDATED: Oct 22, 2020
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In 2017, the U.S. Department of Health and Human Services declared the growing opioid epidemic a public health emergency. That year, there were 47,600 deaths from opioids nationwide.
According to the CDC, between 1999 and 2017, the age-adjusted opioid overdose fatality rate grew from 2.9 to 14.9 per 100,000 people, an increase of more than 5X.
Opioids are a class of drugs that include opium, heroin, methadone, synthetic narcotics, and natural and semisynthetic opioids used in pain medication. Research from the CDC shows that synthetic narcotics are even more likely than heroin to lead to overdose and death. These synthetic drugs include fentanyl and tramadol, which are many times more potent than heroin.
Methadone is also a synthetic narcotic but is tracked separately by the CDC. Deaths from synthetic narcotics besides methadone have increased from about 9 percent of opioid deaths in 1999 to about 60 percent of opioid deaths in 2017. While fentanyl is a legal medical drug, illegally manufactured fentanyl is on the rise and is commonly found during police encounters.
Despite the nationwide increase in opioid-related death rates, not all states have felt the impact equally. Six states—Montana, Hawaii, Oregon, Washington, Nevada, and Oklahoma—actually experienced decreases in opioid death rates between 2007 and 2017. By contrast, the Rust Belt suffered the largest increases in opioid overdose death rates over the same time frame. Michigan, Indiana, Pennsylvania, and Ohio all experienced increases in excess of 300 percent.
It’s important to note that economic conditions have a huge impact on opioid usage. Though a state like Hawaii has been one of the places least hit by the current opioid crisis, we found Honolulu to be most at risk to weather a recession. As areas see higher unemployment, they could also see increases in drug and alcohol abuse.
To find which states have suffered the most and the least by the opioid epidemic as well as which opioids are responsible for the most overdoses, our researchers here at www.expertinsurancereviews.com analyzed data from the CDC Wonder database, which reports on causes of death related to opioid use.
When comparing the age-adjusted opioid overdose death rate in each state, states in the West have fared better than states in the East, especially the Rust Belt. Interestingly, in the ten states most impacted by the opioid crisis, synthetic narcotics such as fentanyl and tramadol were the opioid category with the highest death rate in 2017. Here are the ten most and ten least impacted states by the opioid crisis.
10 States Most Impacted by the Opioid Crisis
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#1 – West Virginia
- Opioid overdose death rate (age-adjusted): 49.6 per 100K
- Total opioid deaths in 2017: 833
- 10-year percent change: 161.1%
- Most common opioid category: Synthetic opioids, other than Methadone
- Most impacted age group: 30-34 years (119.7 per 100K)
- Most impacted county: Cabell County (157.6 per 100K)
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#2 – Ohio
- Opioid overdose death rate (age-adjusted): 39.2 per 100K
- Total opioid deaths in 2017: 4,293
- 10-year percent change: 532.3%
- Most common opioid category: Synthetic opioids, other than Methadone
- Most impacted age group: 30-34 years (99.5 per 100K)
- Most impacted county: Fayette County (108.6 per 100K)
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#3 – District of Columbia
- Opioid overdose death rate (age-adjusted): 34.7 per 100K
- Total opioid deaths in 2017: 244
- 10-year percent change: 567.3%
- Most common opioid category: Synthetic opioids, other than Methadone
- Most impacted age group: 60-64 years (137.4 per 100K)
- Most impacted county: District of Columbia (34.7 per 100K)
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#4 – New Hampshire
- Opioid overdose death rate (age-adjusted): 34 per 100K
- Total opioid deaths in 2017: 424
- 10-year percent change: 211.9%
- Most common opioid category: Synthetic opioids, other than Methadone
- Most impacted age group: 25-29 years (91.4 per 100K)
- Most impacted county: Belknap County (46.5 per 100K)