Fall in Drug Overdose Deaths by State 2025

What this chart shows. How much overdose deaths fell in 2025 compared with 2024, in per cent, for the 43 states (counting DC) where they fell. Rhode Island had the largest drop, 34.2 per cent, followed by Oregon at 27.5 and Vermont at 26.8. Nationally deaths fell 12.6 per cent.

How the data is collected. The counts come from provisional death certificate data that the National Center for Health Statistics (NCHS) at the CDC publishes every month, here for the 12 months ending December 2025. New York combines the separate figures CDC gives for New York City and the rest of the state. Both years are 12-month totals ending in December.

Background. Deaths rose in 8 states, which are not shown: New Mexico, Arizona, Colorado, North Dakota, Minnesota, Montana, South Dakota and Nebraska. New Mexico had the biggest increase, 22.6 per cent, and Arizona the next, 17.7 per cent. In numbers, Florida had the largest fall, from 5,151 to 4,079.

Limits. Percentage changes in small states rest on small numbers: the smallest 2024 count among the states shown was 107. The 2025 figures are provisional and can still rise as delayed cases are reported.