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States where the opioid crisis is growing the most

  • Eric Norris // Flickr
    1/ Eric Norris // Flickr

    States where the opioid crisis is growing the most

    At its peak in 1995, the HIV/AIDS crisis killed over 40,000 Americans, and lives on in the country’s memory as one of its most devastating public health crisis. America’s opioid crisis will, too. In 2016, there were over 63,600 drug overdose deaths. Two-thirds were caused by opioids: either prescription painkillers like Oxycontin, or heroin or fentanyl. Millions more are estimated to be addicted.

    Despite the Trump administration declaring it a public health emergency, the crisis still growing. The social stigma surrounding addiction makes it difficult for those struggling to seek treatment; it’s estimated that in 2017, overdoses killed 72,000 Americans, with nearly 50,000 attributed to opioids.

    Communities across the country have been devastated by this catastrophe and Stacker analyzed data from the Kaiser Family Foundation (KFF) to determine the states where it’s growing the fastest. KFF used the National Vital Statistics system’s multiple cause-of-death mortality files to determine which deaths were caused by drug overdoses, as they were classified using the International Classification of Disease, Tenth Revision (ICD-10), and could be identified using ICD-10’s underlying cause of death codes: X40–44 (unintentional), X60–64 (suicide), X85 (homicide), or Y10–Y14 (undetermined intent).

    Death rates are deaths per 100,000 people, adjusted for age by applying death rates for different age ranges to the standard distribution of ages in the U.S. in 2000. All 50 states and the District of Columbia are ranked by highest percent change in opioid overdose death rate, with any ties broken by the highest overdose death rate.

    Read through to see how your state has been impacted by this deadly crisis.

    ALSO: Worst states for health care

  • ErgoSum88 // Wikimedia Commons
    2/ ErgoSum88 // Wikimedia Commons

    #51. Nebraska

    Percent change in opioid overdose death rate from prior year: -23%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 2.4 deaths
    Percent change in all drug overdose death rate from prior year: -7%
    All drug overdose death rate (age-adjusted, per 100,000 people): 6.4 deaths

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    #50. Arkansas

    Percent change in opioid overdose death rate from prior year: -18%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 5.9 deaths
    Percent change in all drug overdose death rate from prior year: 1%
    All drug overdose death rate (age-adjusted, per 100,000 people): 14 deaths

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    #49. Montana

    Percent change in opioid overdose death rate from prior year: -16%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 4.2 deaths
    Percent change in all drug overdose death rate from prior year: -15%
    All drug overdose death rate (age-adjusted, per 100,000 people): 11.7 deaths

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    #48. Kansas

    Percent change in opioid overdose death rate from prior year: -6%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 5.1 deaths
    Percent change in all drug overdose death rate from prior year: -6%
    All drug overdose death rate (age-adjusted, per 100,000 people): 11.1 deaths

  • Oregon Dept. of Transportation // Flickr
    6/ Oregon Dept. of Transportation // Flickr

    #47. Oregon

    Percent change in opioid overdose death rate from prior year: -4%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.6 deaths
    Percent change in all drug overdose death rate from prior year: -1%
    All drug overdose death rate (age-adjusted, per 100,000 people): 11.9 deaths

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    #46. Nevada

    Percent change in opioid overdose death rate from prior year: -4%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 13.3 deaths
    Percent change in all drug overdose death rate from prior year: 6%
    All drug overdose death rate (age-adjusted, per 100,000 people): 21.7 deaths

  • Ron Reiring // Flickr
    8/ Ron Reiring // Flickr

    #45. New Mexico

    Percent change in opioid overdose death rate from prior year: -2%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 17.5 deaths
    Percent change in all drug overdose death rate from prior year: 0%
    All drug overdose death rate (age-adjusted, per 100,000 people): 25.2 deaths

  • Adoramassey // Wikimedia Commons
    9/ Adoramassey // Wikimedia Commons

    #44. California

    Percent change in opioid overdose death rate from prior year: 0%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 4.9 deaths
    Percent change in all drug overdose death rate from prior year: -1%
    All drug overdose death rate (age-adjusted, per 100,000 people): 11.2 deaths

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    #43. Washington

    Percent change in opioid overdose death rate from prior year: 1%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 9.4 deaths
    Percent change in all drug overdose death rate from prior year: -1%
    All drug overdose death rate (age-adjusted, per 100,000 people): 14.5 deaths

  • Bernard Gagnon // Wikimedia Commons
    11/ Bernard Gagnon // Wikimedia Commons

    #42. Utah

    Percent change in opioid overdose death rate from prior year: 3%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 16.4 deaths
    Percent change in all drug overdose death rate from prior year: -4%
    All drug overdose death rate (age-adjusted, per 100,000 people): 22.4 deaths

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    #41. Texas

    Percent change in opioid overdose death rate from prior year: 4%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 4.9 deaths
    Percent change in all drug overdose death rate from prior year: 7%
    All drug overdose death rate (age-adjusted, per 100,000 people): 10.1 deaths

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    #40. Oklahoma

    Percent change in opioid overdose death rate from prior year: 4%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 11.6 deaths
    Percent change in all drug overdose death rate from prior year: 13%
    All drug overdose death rate (age-adjusted, per 100,000 people): 21.5 deaths

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    #39. Georgia

    Percent change in opioid overdose death rate from prior year: 5%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 8.8 deaths
    Percent change in all drug overdose death rate from prior year: 5%
    All drug overdose death rate (age-adjusted, per 100,000 people): 13.3 deaths

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    #38. Iowa

    Percent change in opioid overdose death rate from prior year: 7%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 6.2 deaths
    Percent change in all drug overdose death rate from prior year: 3%
    All drug overdose death rate (age-adjusted, per 100,000 people): 10.6 deaths

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    #37. Colorado

    Percent change in opioid overdose death rate from prior year: 9%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 9.5 deaths
    Percent change in all drug overdose death rate from prior year: 8%
    All drug overdose death rate (age-adjusted, per 100,000 people): 16.6 deaths

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    #36. Wyoming

    Percent change in opioid overdose death rate from prior year: 10%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 8.7 deaths
    Percent change in all drug overdose death rate from prior year: 7%
    All drug overdose death rate (age-adjusted, per 100,000 people): 17.6 deaths

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    #35. Arizona

    Percent change in opioid overdose death rate from prior year: 12%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 11.4 deaths
    Percent change in all drug overdose death rate from prior year: 7%
    All drug overdose death rate (age-adjusted, per 100,000 people): 20.3 deaths

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    #34. Kentucky

    Percent change in opioid overdose death rate from prior year: 12%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 23.6 deaths
    Percent change in all drug overdose death rate from prior year: 12%
    All drug overdose death rate (age-adjusted, per 100,000 people): 33.5 deaths

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    #33. Tennessee

    Percent change in opioid overdose death rate from prior year: 13%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 18.1 deaths
    Percent change in all drug overdose death rate from prior year: 10%
    All drug overdose death rate (age-adjusted, per 100,000 people): 24.5 deaths

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    #32. Alaska

    Percent change in opioid overdose death rate from prior year: 14.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 12.5 deaths
    Percent change in all drug overdose death rate from prior year: 5%
    All drug overdose death rate (age-adjusted, per 100,000 people): 16.8 deaths

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    #31. Delaware

    Percent change in opioid overdose death rate from prior year: 14.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 16.9 deaths
    Percent change in all drug overdose death rate from prior year: 40%
    All drug overdose death rate (age-adjusted, per 100,000 people): 30.8 deaths

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    #30. Rhode Island

    Percent change in opioid overdose death rate from prior year: 14.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 26.7 deaths
    Percent change in all drug overdose death rate from prior year: 9%
    All drug overdose death rate (age-adjusted, per 100,000 people): 30.8 deaths

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    #29. New Hampshire

    Percent change in opioid overdose death rate from prior year: 14.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 35.8 deaths
    Percent change in all drug overdose death rate from prior year: 14.%
    All drug overdose death rate (age-adjusted, per 100,000 people): 39 deaths

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    #28. South Carolina

    Percent change in opioid overdose death rate from prior year: 15%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 13.1 deaths
    Percent change in all drug overdose death rate from prior year: 15%
    All drug overdose death rate (age-adjusted, per 100,000 people): 18.1 deaths

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    #27. Mississippi

    Percent change in opioid overdose death rate from prior year: 17%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 6.2 deaths
    Percent change in all drug overdose death rate from prior year: -2%
    All drug overdose death rate (age-adjusted, per 100,000 people): 12.1 deaths

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    #26. Minnesota

    Percent change in opioid overdose death rate from prior year: 19%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.4 deaths
    Percent change in all drug overdose death rate from prior year: 18%
    All drug overdose death rate (age-adjusted, per 100,000 people): 12.5 deaths

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    #25. West Virginia

    Percent change in opioid overdose death rate from prior year: 21%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 43.4 deaths
    Percent change in all drug overdose death rate from prior year: 25%
    All drug overdose death rate (age-adjusted, per 100,000 people): 52 deaths

  • Ken Lund // Flickr
    29/ Ken Lund // Flickr

    #24. Louisiana

    Percent change in opioid overdose death rate from prior year: 22%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.7 deaths
    Percent change in all drug overdose death rate from prior year: 15%
    All drug overdose death rate (age-adjusted, per 100,000 people): 21.8 deaths

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    #23. Idaho

    Percent change in opioid overdose death rate from prior year: 23%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.4 deaths
    Percent change in all drug overdose death rate from prior year: 7%
    All drug overdose death rate (age-adjusted, per 100,000 people): 15.2 deaths

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    #22. Alabama

    Percent change in opioid overdose death rate from prior year: 23%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.5 deaths
    Percent change in all drug overdose death rate from prior year: 3%
    All drug overdose death rate (age-adjusted, per 100,000 people): 16.2 deaths

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    #21. Hawaii

    Percent change in opioid overdose death rate from prior year: 27%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 5.2 deaths
    Percent change in all drug overdose death rate from prior year: 13%
    All drug overdose death rate (age-adjusted, per 100,000 people): 12.8 deaths

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    #20. Massachusetts

    Percent change in opioid overdose death rate from prior year: 27%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 29.7 deaths
    Percent change in all drug overdose death rate from prior year: 28.%
    All drug overdose death rate (age-adjusted, per 100,000 people): 33 deaths

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    #19. Connecticut

    Percent change in opioid overdose death rate from prior year: 28%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 24.5 deaths
    Percent change in all drug overdose death rate from prior year: 24%
    All drug overdose death rate (age-adjusted, per 100,000 people): 27.4 deaths

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    #18. North Carolina

    Percent change in opioid overdose death rate from prior year: 29.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 15.4 deaths
    Percent change in all drug overdose death rate from prior year: 25%
    All drug overdose death rate (age-adjusted, per 100,000 people): 19.7 deaths

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    #17. Maine

    Percent change in opioid overdose death rate from prior year: 31%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 25.2 deaths
    Percent change in all drug overdose death rate from prior year: 35%
    All drug overdose death rate (age-adjusted, per 100,000 people): 28.7 deaths

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    #16. Ohio

    Percent change in opioid overdose death rate from prior year: 33%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 32.9 deaths
    Percent change in all drug overdose death rate from prior year: 31%
    All drug overdose death rate (age-adjusted, per 100,000 people): 39.1 deaths

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    #15. Virginia

    Percent change in opioid overdose death rate from prior year: 36%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 13.5 deaths
    Percent change in all drug overdose death rate from prior year: 35%
    All drug overdose death rate (age-adjusted, per 100,000 people): 16.7 deaths

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    #14. Missouri

    Percent change in opioid overdose death rate from prior year: 36%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 15.9 deaths
    Percent change in all drug overdose death rate from prior year: 32%
    All drug overdose death rate (age-adjusted, per 100,000 people): 23.6 deaths

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    #13. Michigan

    Percent change in opioid overdose death rate from prior year: 36%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 18.5 deaths
    Percent change in all drug overdose death rate from prior year: 20%
    All drug overdose death rate (age-adjusted, per 100,000 people): 24.4 deaths

  • Pixabay
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    #12. Vermont

    Percent change in opioid overdose death rate from prior year: 37%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 18.4 deaths
    Percent change in all drug overdose death rate from prior year: 33%
    All drug overdose death rate (age-adjusted, per 100,000 people): 22.2 deaths

  • Pixabay
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    #11. New York

    Percent change in opioid overdose death rate from prior year: 40%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 15.1 deaths
    Percent change in all drug overdose death rate from prior year: 32%
    All drug overdose death rate (age-adjusted, per 100,000 people): 18 deaths

  • Pixabay
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    #10. Wisconsin

    Percent change in opioid overdose death rate from prior year: 41%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 15.8 deaths
    Percent change in all drug overdose death rate from prior year: 25%
    All drug overdose death rate (age-adjusted, per 100,000 people): 19.3 deaths

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    #9. South Dakota

    Percent change in opioid overdose death rate from prior year: 43%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 5 deaths
    Percent change in all drug overdose death rate from prior year: 0%
    All drug overdose death rate (age-adjusted, per 100,000 people): 8.4 deaths

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    #8. Illinois

    Percent change in opioid overdose death rate from prior year: 43%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 15.3 deaths
    Percent change in all drug overdose death rate from prior year: 34%
    All drug overdose death rate (age-adjusted, per 100,000 people): 18.9 deaths

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    #7. Indiana

    Percent change in opioid overdose death rate from prior year: 48%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 12.6 deaths
    Percent change in all drug overdose death rate from prior year: 23%
    All drug overdose death rate (age-adjusted, per 100,000 people): 24 deaths

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    #6. Florida

    Percent change in opioid overdose death rate from prior year: 53%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 14.4 deaths
    Percent change in all drug overdose death rate from prior year: 46%
    All drug overdose death rate (age-adjusted, per 100,000 people): 23.7 deaths

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    #5. North Dakota

    Percent change in opioid overdose death rate from prior year: 58.%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 7.6 deaths
    Percent change in all drug overdose death rate from prior year: 23%
    All drug overdose death rate (age-adjusted, per 100,000 people): 10.6 deaths

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    #4. New Jersey

    Percent change in opioid overdose death rate from prior year: 63%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 16 deaths
    Percent change in all drug overdose death rate from prior year: 42%
    All drug overdose death rate (age-adjusted, per 100,000 people): 23.2 deaths

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    #3. Pennsylvania

    Percent change in opioid overdose death rate from prior year: 65%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 18.5 deaths
    Percent change in all drug overdose death rate from prior year: 44%
    All drug overdose death rate (age-adjusted, per 100,000 people): 37.9 deaths

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    #2. Maryland

    Percent change in opioid overdose death rate from prior year: 68%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 29.7 deaths
    Percent change in all drug overdose death rate from prior year: 59%
    All drug overdose death rate (age-adjusted, per 100,000 people): 33.2 deaths

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    #1. District of Columbia

    Percent change in opioid overdose death rate from prior year: 107%
    Opioid overdose death rate (age-adjusted, per 100,000 people): 30 deaths
    Percent change in all drug overdose death rate from prior year: 109.%
    All drug overdose death rate (age-adjusted, per 100,000 people): 38.8 deaths

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