Data / Rankings / Drug overdose deaths, 12 months ending / US states

US states by drug overdose deaths (12 months), April 2026

California had the highest drug overdose deaths (12 months) of 51 states in April 2026, at 8,373. Wyoming had the lowest, at 85. The median was 946 and the figure for the United States was 65,726. Source: Centers for Disease Control and Prevention.

Highest8,373California
Lowest85Wyoming
Median94651 states
United States65,726History

All states, April 2026

CSVChart (SVG)

CaliforniaCalifornia: 8,373 count8,373TexasTexas: 4,412 count4,412FloridaFlorida: 3,976 count3,976New YorkNew York: 3,566 count3,566ArizonaArizona: 2,835 count2,835PennsylvaniaPennsylvania: 2,657 count2,657WashingtonWashington: 2,538 count2,538OhioOhio: 2,315 count2,315North CarolinaNorth Carolina: 2,045 count2,045TennesseeTennessee: 2,000 count2,000IllinoisIllinois: 1,895 count1,895ColoradoColorado: 1,845 count1,845MichiganMichigan: 1,722 count1,722GeorgiaGeorgia: 1,526 count1,526New JerseyNew Jersey: 1,494 count1,494MassachusettsMassachusetts: 1,311 count1,311MarylandMaryland: 1,308 count1,308IndianaIndiana: 1,269 count1,269NevadaNevada: 1,213 count1,213MissouriMissouri: 1,204 count1,204South CarolinaSouth Carolina: 1,198 count1,198LouisianaLouisiana: 1,178 count1,178New MexicoNew Mexico: 1,072 count1,072KentuckyKentucky: 1,061 count1,061MinnesotaMinnesota: 972 count972WisconsinWisconsin: 946 count946VirginiaVirginia: 866 count866OklahomaOklahoma: 798 count798AlabamaAlabama: 795 count795ConnecticutConnecticut: 795 count795OregonOregon: 704 count704West VirginiaWest Virginia: 641 count641UtahUtah: 630 count630KansasKansas: 464 count464MississippiMississippi: 413 count413ArkansasArkansas: 367 count367MaineMaine: 355 count355IowaIowa: 345 count345District of ColumbiaDistrict of Columbia: 305 count305AlaskaAlaska: 297 count297HawaiiHawaii: 296 count296IdahoIdaho: 256 count256DelawareDelaware: 255 count255New HampshireNew Hampshire: 251 count251Rhode IslandRhode Island: 186 count186MontanaMontana: 172 count172NebraskaNebraska: 166 count166VermontVermont: 155 count155North DakotaNorth Dakota: 113 count113South DakotaSouth Dakota: 85 count85WyomingWyoming: 85 count85
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesApril 2026
count		Change on April 2025
1California Provisional8,373-10.8%
2Texas Provisional4,412-5.9%
3Florida Provisional3,976-10.9%
4New York Provisional3,566-11.1%
5Arizona Provisional2,835+1.4%
6Pennsylvania Provisional2,657-17.4%
7Washington Provisional2,538-21.9%
8Ohio Provisional2,315-18.6%
9North Carolina Provisional2,045-20.6%
10Tennessee Provisional2,000-15.6%
11Illinois Provisional1,895-17.8%
12Colorado Provisional1,845+11.5%
13Michigan Provisional1,722-4.8%
14Georgia Provisional1,526-19.5%
15New Jersey Provisional1,494-15%
16Massachusetts Provisional1,311-9.7%
17Maryland Provisional1,308-16.5%
18Indiana Provisional1,269-20.3%
19Nevada Provisional1,213-13.2%
20Missouri Provisional1,204-9.7%
21South Carolina Provisional1,198-15.3%
22Louisiana Provisional1,178-12.6%
23New Mexico Provisional1,072+26.1%
24Kentucky Provisional1,061-25.7%
25Minnesota Provisional972-3.8%
26Wisconsin Provisional946-7.9%
27Virginia Provisional866-38.1%
28Oklahoma Provisional798-19.6%
29Alabama Provisional795-24.4%
29Connecticut Provisional795-13.3%
31Oregon Provisional704-50.9%
32West Virginia Provisional641-13.5%
33Utah Provisional630-8.4%
34Kansas Provisional464-18%
35Mississippi Provisional413-12.3%
36Arkansas Provisional367-2.1%
37Maine Provisional355-14.9%
38Iowa Provisional345-18.4%
39District of Columbia Provisional305-19.5%
40Alaska Provisional297-11.1%
41Hawaii Provisional296-15.2%
42Idaho Provisional256-18.5%
43Delaware Provisional255-28.4%
44New Hampshire Provisional251+3.7%
45Rhode Island Provisional186-36.3%
46Montana Provisional172+1.2%
47Nebraska Provisional166+11.4%
48Vermont Provisional155-14.4%
49North Dakota Provisional113-0.9%
50South Dakota Provisional85+1.2%
50Wyoming Provisional85-4.5%

Other periods

About this ranking

Drug overdose deaths that occurred in the area during the 12 months ending in the month shown. The value for March 2026 covers April 2025 through March 2026. Underlying cause of death coded X40 to X44, X60 to X64, X85 or Y10 to Y14 (ICD-10).

United States: CDC National Vital Statistics System provisional counts, as reported, not the predicted counts CDC also publishes. Recent months are incomplete and usually rise as death records arrive; periods without final data are marked provisional. Deaths are counted where they occurred. The national figure covers the 50 states and DC. CDC publishes New York City separately; the New York State value is the sum of New York City and the rest of the state. Consecutive months overlap by 11 months, so they must not be added together.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. https://data.cdc.gov/resource/xkb8-kh2a.json?%24order=%3Aid&%24limit=50000&%24where=indicator%3D%27Number+of+Drug+Overdose+Deaths%27+AND+period%3D%2712+month-ending%27. Retrieved 2026-10-09.

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Questions

Which state has the highest drug overdose deaths (12 months)?

California, with 8,373 in April 2026, according to Centers for Disease Control and Prevention.

Which state has the lowest drug overdose deaths (12 months)?

Wyoming, with 85 in April 2026.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. Retrieved 2026-10-09.

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