Drug overdose deaths by state
These figures come straight from the CDC's provisional drug overdose death counts and refresh automatically as the federal dataset is updated. Each number is a rolling 12-month total, which smooths out month-to-month noise and shows the direction a state is actually heading.
66,937
12 months ending April 2026
-12.1%
vs. 76,176 a year earlier
53
Provisional, updated monthly
National trend, rolling 12-month totals
State rankings
Ranked by total reported deaths for the 12 months ending April 2026. Select a state to browse licensed detox and treatment programs there.
| # | State | Deaths | YoY | Relative |
|---|---|---|---|---|
| 1 | California | 8,642 | 9.2% | |
| 2 | Texas | 4,478 | 4.5% | |
| 3 | Florida | 3,996 | 11.2% | |
| 4 | Arizona | 2,853 | 2% | |
| 5 | Pennsylvania | 2,716 | 16.2% | |
| 6 | Washington | 2,546 | 21.6% | |
| 7 | Ohio | 2,315 | 18.6% | |
| 8 | North Carolina | 2,157 | 20% | |
| 9 | Tennessee | 2,004 | 15.5% | |
| 10 | Illinois | 1,912 | 17.2% | |
| 11 | New York City | 1,887 | 9.5% | |
| 12 | Colorado | 1,845 | 11.5% | |
| 13 | New York | 1,784 | 10% | |
| 14 | Michigan | 1,734 | 4.6% | |
| 15 | Georgia | 1,556 | 18.7% | |
| 16 | New Jersey | 1,520 | 14.8% | |
| 17 | Nevada | 1,363 | 8.6% | |
| 18 | Massachusetts | 1,311 | 9.7% | |
| 19 | Maryland | 1,308 | 16.5% | |
| 20 | Indiana | 1,269 | 20.3% | |
| 21 | Missouri | 1,204 | 9.7% | |
| 22 | South Carolina | 1,200 | 15.1% | |
| 23 | Louisiana | 1,178 | 12.6% | |
| 24 | New Mexico | 1,091 | 28.1% | |
| 25 | Kentucky | 1,061 | 25.7% | |
| 26 | Virginia | 993 | 29% | |
| 27 | Wisconsin | 993 | 3.6% | |
| 28 | Minnesota | 972 | 3.8% | |
| 29 | Oregon | 906 | 36.9% | |
| 30 | Oklahoma | 805 | 18.9% | |
| 31 | Alabama | 803 | 24% | |
| 32 | Connecticut | 795 | 13.3% | |
| 33 | West Virginia | 665 | 11.1% | |
| 34 | Utah | 636 | 7.6% | |
| 35 | Kansas | 464 | 18% | |
| 36 | Mississippi | 418 | 11.3% | |
| 37 | Puerto Rico | 411 | 27.8% | |
| 38 | Arkansas | 367 | 2.1% | |
| 39 | Maine | 359 | 13.9% | |
| 40 | Iowa | 345 | 18.4% | |
| 41 | District of Columbia | 324 | 15% | |
| 42 | Hawaii | 305 | 12.6% | |
| 43 | Alaska | 297 | 11.1% | |
| 44 | Idaho | 256 | 18.7% | |
| 45 | Delaware | 255 | 28.4% | |
| 46 | New Hampshire | 252 | 4.1% | |
| 47 | Rhode Island | 191 | 36.1% | |
| 48 | Montana | 172 | 1.2% | |
| 49 | Nebraska | 167 | 12.1% | |
| 50 | Vermont | 155 | 14.4% | |
| 51 | North Dakota | 113 | 0.9% | |
| 52 | South Dakota | 85 | 1.2% | |
| 53 | Wyoming | 85 | 4.5% |
Figures are provisional and modeled by the CDC to account for reporting lags, so they can change as death certificates are finalized. Counts reflect where a death was reported, not where a person lived or received care. New York City is reported separately from the rest of New York State in the federal file.
Source: CDC National Center for Health Statistics — VSRR Provisional Drug Overdose Death Counts. Last retrieved 10/13/2026.