States ranked by declines in overdose deaths | 2024

West Virginia, Virginia and the District of Columbia saw the largest declines in overdose deaths from 2023 to 2024. 

Nationwide, overdose deaths fell by 27% in 2024, reaching the lowest levels since 2019, according to CDC data published May 14. 

Overdose deaths decreased in every state, aside from South Dakota and Nevada. 

Here is how states compared on rates of overdose death declines in 2024: 

1. West Virginia: -43.5% 
2. Virginia: -38.5% 
3. District of Columbia: -37.3% 
4. Wisconsin: -36.3% 
5. New Hampshire: -36.1% 
6. Michigan: -36% 
7. Ohio: -35.3% 
8. Louisiana: -35.2% 
9. Delaware: -34.9% 
10. Massachusetts: -34.5% 
11. New York: -34.3% 
12. South Carolina: -33% 
13. Tennessee: -32.5% 
14. New Jersey: -32% 
15. Florida: -31.3% 
16. Maryland: -31.2% 
17. Pennsylvania: -31% 
18. Illinois: -30.5% 
19. Kentucky: -29.4% 
20. North Carolina: -29.1% 
21. New York City: -28.9%*
22. Alabama: -28.7% 
23. Missouri: -28% 
24. Minnesota: -27.5% 
25. Connecticut: -26.7% 
26. Arkansas: -26.5%
27. Mississippi: -25.5%
28. California: -24.6% 
29. Indiana: -24.5%
30. Georgia: -24.1% 
31. Oklahoma: -24% 
32. New Mexico: -23.4%
33. Oregon: -22.1% 
34. Rhode Island: -21.2%
35. Maine: 20.9% 
36. Nebraska: -17.7% 
37. Wyoming: -17.7% 
38. Vermont: -17.5% 
39. Colorado: -16.8% 
40. Kansas: -15.2%
41. Texas: -15% 
42. Idaho: 13.3% 
43. Washington: -12% 
44. Montana: -9.6% 
45. Arizona: -8.7% 
46. North Dakota: -8.5%
47. Alaska: -7.1% 
48. Iowa: -7% 
49. Utah: -3.5% 
50. Hawaii: -0.3% 
51. South Dakota: 2.3% 
52. Nevada: 3.5% 

Note: New York state and New York City report data separately. Data for New York does not include New York City.