Skip Navigation

Drug overdoses killed a record number of Americans in 2020, jumping by nearly 30%

  • By Bill Chappell/NPR
Sharon Rivera adjusts flowers at the grave of her daughter, Victoria, at Calvary Cemetery in New York last Mother's Day. Victoria died of a drug overdose in 2019, when she was 21. According to new data released by the Centers for Disease Control and Prevention, drug overdose deaths soared to a record of more than 93,000 last year.

 Kathy Willens / AP Photo

Sharon Rivera adjusts flowers at the grave of her daughter, Victoria, at Calvary Cemetery in New York last Mother's Day. Victoria died of a drug overdose in 2019, when she was 21. According to new data released by the Centers for Disease Control and Prevention, drug overdose deaths soared to a record of more than 93,000 last year.

More than 93,000 people died of a drug overdose in the U.S. last year — a record number of cases that reflects a rise of nearly 30% from 2019, according to new data released by the Centers for Disease Control and Prevention. Officials say the increase was driven by the lethal prevalence of fentanyl, as well as pandemic-related stressors and problems in accessing care.

“This is the highest number of overdose deaths ever recorded in a 12-month period, and the largest increase since at least 1999,” Dr. Nora Volkow, director of the National Institute on Drug Abuse, tells NPR.

The data is provisional, as states are still reporting their tallies to the CDC’s National Center for Health Statistics. But even with some data not yet complete, the numbers tell a dire story.

Ten states are predicted to have at least a 40% rise in drug overdose deaths from the previous 12-month span, according to the CDC: Vermont, Kentucky, South Carolina, West Virginia, Louisiana, California, Tennessee, Nebraska, Arkansas and Virginia.

Volkow, whose agency is part of the National Institutes of Health, calls the data “chilling.” It’s another sign, she says, that both the COVID-19 pandemic and the opioid crisis are whipsawing the country, with deadly effects.

“This has been an incredibly uncertain and stressful time for many people and we are seeing an increase in drug consumption, difficulty in accessing life-saving treatments for substance use disorders, and a tragic rise in overdose deaths,” Volkow says.

Drug overdoses accounted for roughly one-quarter as many deaths as COVID-19 did in 2020, using the CDC’s number of 375,000 pandemic deaths in 2020.

The provisional 93,331 U.S. drug overdose deaths are a sharp increase from the 72,151 deaths estimated in 2019. Deaths in 2020 from opioids alone — 69,710 — nearly eclipsed the total number of fatal overdoses in the previous year, although deaths involving other drugs such as methamphetamine and cocaine also contributed to the increase.

It’s urgent, Volkow says, for governments and agencies to widen access to treatment for people who are suffering from substance use disorders.

As NPR’s Brian Mann reported last month, “If current trends continue, illicit drugs will soon kill more Americans every day than COVID-19.”

Before 2016, more Americans died from heroin overdoses annually than from powerful synthetic opioids such as fentanyl, according to the CDC. But the number of lives lost to overdoses from synthetic opioids has soared since then.

Roughly 57,000 people died from synthetic opioids (predominantly fentanyl) last year, compared to around 13,000 people who died from heroin overdoses.

Fentanyl’s properties are similar to morphine — but it’s “50 to 100 times more potent,” according to the National Institute on Drug Abuse. It is also frequently cut into other illegal drugs, including cocaine. That dangerous trend has triggered outreach efforts to train people in using naloxone, which can reverse an opioid overdose.

Support for WITF is provided by:

Become a WITF sponsor today »

Support for WITF is provided by:

Become a WITF sponsor today »

Up Next
Health

A tragic death shows how ERs fail patients who struggle with addiction