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 January 2026, at 8,958. Wyoming had the lowest, at 84. The median was 1,019 and the figure for the United States was 69,544. Source: Centers for Disease Control and Prevention.

Highest8,958California
Lowest84Wyoming
Median1,01951 states
United States69,544History

All states, January 2026

CSVChart (SVG)

CaliforniaCalifornia: 8,958 count8,958TexasTexas: 4,442 count4,442FloridaFlorida: 4,035 count4,035New YorkNew York: 3,740 count3,740ArizonaArizona: 2,922 count2,922WashingtonWashington: 2,821 count2,821PennsylvaniaPennsylvania: 2,812 count2,812OhioOhio: 2,427 count2,427North CarolinaNorth Carolina: 2,366 count2,366TennesseeTennessee: 2,073 count2,073IllinoisIllinois: 1,935 count1,935ColoradoColorado: 1,823 count1,823MichiganMichigan: 1,768 count1,768GeorgiaGeorgia: 1,651 count1,651New JerseyNew Jersey: 1,583 count1,583IndianaIndiana: 1,393 count1,393MarylandMaryland: 1,343 count1,343MassachusettsMassachusetts: 1,329 count1,329South CarolinaSouth Carolina: 1,317 count1,317NevadaNevada: 1,254 count1,254MissouriMissouri: 1,222 count1,222LouisianaLouisiana: 1,197 count1,197VirginiaVirginia: 1,178 count1,178KentuckyKentucky: 1,156 count1,156OregonOregon: 1,026 count1,026MinnesotaMinnesota: 1,019 count1,019New MexicoNew Mexico: 999 count999WisconsinWisconsin: 973 count973OklahomaOklahoma: 875 count875AlabamaAlabama: 854 count854ConnecticutConnecticut: 848 count848West VirginiaWest Virginia: 658 count658UtahUtah: 652 count652KansasKansas: 502 count502MississippiMississippi: 430 count430MaineMaine: 377 count377ArkansasArkansas: 363 count363IowaIowa: 362 count362District of ColumbiaDistrict of Columbia: 349 count349AlaskaAlaska: 329 count329HawaiiHawaii: 317 count317DelawareDelaware: 311 count311IdahoIdaho: 290 count290New HampshireNew Hampshire: 267 count267Rhode IslandRhode Island: 211 count211MontanaMontana: 176 count176NebraskaNebraska: 157 count157VermontVermont: 149 count149North DakotaNorth Dakota: 125 count125South DakotaSouth Dakota: 96 count96WyomingWyoming: 84 count84
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesJanuary 2026
count		Change on January 2025
1California Provisional8,958-6.5%
2Texas Provisional4,442-10.7%
3Florida Provisional4,035-18.6%
4New York Provisional3,740-15.6%
5Arizona Provisional2,922+11.1%
6Washington Provisional2,821-12.4%
7Pennsylvania Provisional2,812-15%
8Ohio Provisional2,427-20.3%
9North Carolina Provisional2,366-11%
10Tennessee Provisional2,073-16.6%
11Illinois Provisional1,935-22.3%
12Colorado Provisional1,823+11.5%
13Michigan Provisional1,768-7.5%
14Georgia Provisional1,651-15.6%
15New Jersey Provisional1,583-15.9%
16Indiana Provisional1,393-14.9%
17Maryland Provisional1,343-21.2%
18Massachusetts Provisional1,329-14.8%
19South Carolina Provisional1,317-8.5%
20Nevada Provisional1,254-12.4%
21Missouri Provisional1,222-15.9%
22Louisiana Provisional1,197-19.2%
23Virginia Provisional1,178-22%
24Kentucky Provisional1,156-23%
25Oregon Provisional1,026-30.2%
26Minnesota Provisional1,019+4.1%
27New Mexico Provisional999+23.9%
28Wisconsin Provisional973-14.1%
29Oklahoma Provisional875-11.9%
30Alabama Provisional854-25%
31Connecticut Provisional848-11.3%
32West Virginia Provisional658-19.2%
33Utah Provisional652-7.5%
34Kansas Provisional502-12.4%
35Mississippi Provisional430-10.8%
36Maine Provisional377-18.6%
37Arkansas Provisional363-7.6%
38Iowa Provisional362-15%
39District of Columbia Provisional349-12.5%
40Alaska Provisional329+1.2%
41Hawaii Provisional317-2.5%
42Delaware Provisional311-11.9%
43Idaho Provisional290-9.1%
44New Hampshire Provisional267+0.8%
45Rhode Island Provisional211-32.4%
46Montana Provisional176+5.4%
47Nebraska Provisional157+8.3%
48Vermont Provisional149-25.1%
49North Dakota Provisional125+2.5%
50South Dakota Provisional96+14.3%
51Wyoming Provisional84-18.4%

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 8,958 in January 2026, according to Centers for Disease Control and Prevention.

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

Wyoming, with 84 in January 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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