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

US states by drug overdose deaths (12 months)

California had the highest drug overdose deaths (12 months) of 51 states in July 2025, at 9,158. South Dakota had the lowest, at 78. The median was 1,022 and the figure for the United States was 72,987. Source: Centers for Disease Control and Prevention.

Highest9,158California
Lowest78South Dakota
Median1,02251 states
United States72,987History

All states, July 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,158 count9,158TexasTexas: 4,478 count4,478FloridaFlorida: 4,140 count4,140New YorkNew York: 3,872 count3,872WashingtonWashington: 3,144 count3,144PennsylvaniaPennsylvania: 3,063 count3,063ArizonaArizona: 2,844 count2,844OhioOhio: 2,640 count2,640North CarolinaNorth Carolina: 2,516 count2,516TennesseeTennessee: 2,328 count2,328IllinoisIllinois: 2,164 count2,164GeorgiaGeorgia: 1,773 count1,773MichiganMichigan: 1,730 count1,730New JerseyNew Jersey: 1,707 count1,707ColoradoColorado: 1,690 count1,690IndianaIndiana: 1,540 count1,540MarylandMaryland: 1,446 count1,446OregonOregon: 1,389 count1,389South CarolinaSouth Carolina: 1,388 count1,388MassachusettsMassachusetts: 1,355 count1,355KentuckyKentucky: 1,343 count1,343VirginiaVirginia: 1,319 count1,319NevadaNevada: 1,282 count1,282MissouriMissouri: 1,280 count1,280LouisianaLouisiana: 1,244 count1,244MinnesotaMinnesota: 1,022 count1,022AlabamaAlabama: 989 count989WisconsinWisconsin: 982 count982OklahomaOklahoma: 932 count932ConnecticutConnecticut: 895 count895New MexicoNew Mexico: 876 count876West VirginiaWest Virginia: 715 count715UtahUtah: 679 count679KansasKansas: 572 count572MississippiMississippi: 473 count473IowaIowa: 403 count403MaineMaine: 403 count403ArkansasArkansas: 364 count364DelawareDelaware: 344 count344District of ColumbiaDistrict of Columbia: 339 count339HawaiiHawaii: 326 count326AlaskaAlaska: 313 count313IdahoIdaho: 289 count289New HampshireNew Hampshire: 249 count249Rhode IslandRhode Island: 245 count245MontanaMontana: 172 count172VermontVermont: 150 count150NebraskaNebraska: 141 count141North DakotaNorth Dakota: 123 count123WyomingWyoming: 80 count80South DakotaSouth Dakota: 78 count78
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesJuly 2025
count		Change on July 2024
1California Provisional9,158-15.7%
2Texas Provisional4,478-18.4%
3Florida Provisional4,140-34.8%
4New York Provisional3,872-30.9%
5Washington Provisional3,144-8.4%
6Pennsylvania Provisional3,063-21.5%
7Arizona Provisional2,844+13.6%
8Ohio Provisional2,640-29.9%
9North Carolina Provisional2,516-12.2%
10Tennessee Provisional2,328-25.5%
11Illinois Provisional2,164-27.2%
12Georgia Provisional1,773-20.6%
13Michigan Provisional1,730-27.1%
14New Jersey Provisional1,707-23.8%
15Colorado Provisional1,690-8%
16Indiana Provisional1,540-20.4%
17Maryland Provisional1,446-32.6%
18Oregon Provisional1,389-21.7%
19South Carolina Provisional1,388-21.4%
20Massachusetts Provisional1,355-31.6%
21Kentucky Provisional1,343-25.5%
22Virginia Provisional1,319-30.4%
23Nevada Provisional1,282-16.9%
24Missouri Provisional1,280-27.6%
25Louisiana Provisional1,244-34%
26Minnesota Provisional1,022-11.8%
27Alabama Provisional989-25.9%
28Wisconsin Provisional982-30%
29Oklahoma Provisional932-18.7%
30Connecticut Provisional895-22%
31New Mexico Provisional876+3.3%
32West Virginia Provisional715-34.1%
33Utah Provisional679-8.7%
34Kansas Provisional572-0.3%
35Mississippi Provisional473-17.3%
36Iowa Provisional403-6.9%
36Maine Provisional403-25.6%
38Arkansas Provisional364-16.7%
39Delaware Provisional344-19.1%
40District of Columbia Provisional339-37%
41Hawaii Provisional326+0.3%
42Alaska Provisional313-22.7%
43Idaho Provisional289-20.6%
44New Hampshire Provisional249-29.9%
45Rhode Island Provisional245-37.8%
46Montana Provisional172-6.5%
47Vermont Provisional150-37.5%
48Nebraska Provisional141-4.7%
49North Dakota Provisional123-3.1%
50Wyoming Provisional80-36%
51South Dakota Provisional78-12.4%

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 9,158 in July 2025, according to Centers for Disease Control and Prevention.

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

South Dakota, with 78 in July 2025.

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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