Year | All drug overdose | All opioid-involved overdose | Synthetic opioid-involved overdose† | Heroin-involved overdose | Stimulant-involved overdose | Opioid and stimulant polysubstance overdose | ||||||||||||
Fatal | Non-fatal | Ratio | Fatal | Non-fatal | Ratio | Fatal | Non-fatal | Ratio | Fatal | Non-fatal | Ratio | Fatal | Non-fatal | Ratio | Fatal | Non-fatal | Ratio | |
2010 | 38 329 | 780 981 | 0.05 | 21 089 | 133 501 | 0.16 | 3007 | 3036 | 22 300 | 0.14 | 5914 | 44 015 | 0.13 | 2662 | 5029 | 0.53 | ||
2011 | 41 340 | 794 941 | 0.05 | 22 784 | 145 752 | 0.16 | 2666 | 4397 | 29 054 | 0.15 | 6765 | 58 358 | 0.12 | 3255 | 8061 | 0.40 | ||
2012 | 41 502 | 797 284 | 0.05 | 23 166 | 153 165 | 0.15 | 2628 | 5925 | 40 223 | 0.15 | 6879 | 59 195 | 0.12 | 3340 | 8304 | 0.40 | ||
2013 | 43 982 | 775 046 | 0.06 | 25 052 | 158 623 | 0.16 | 3105 | 8257 | 49 810 | 0.17 | 8338 | 59 106 | 0.14 | 4037 | 9368 | 0.43 | ||
2014 | 47 055 | 803 582 | 0.06 | 28 647 | 180 299 | 0.16 | 5544 | 10 574 | 71 014 | 0.15 | 9395 | 59 906 | 0.16 | 4999 | 10 528 | 0.47 | ||
2015* | 52 404 | 888 926 | 0.06 | 33 091 | 220 659 | 0.15 | 9580 | 12 989 | 98 264 | 0.13 | 12 122 | 64 100 | 0.19 | 6594 | 11 596 | 0.57 | ||
2016 | 63 632 | 915 746 | 0.07 | 42 249 | 289 685 | 0.15 | 19 413 | 17 610 | 1.10 | 15 469 | 145 673 | 0.11 | 17 258 | 66 628 | 0.26 | 10 222 | 12 994 | 0.79 |
2017 | 70 237 | 961 395 | 0.07 | 47 600 | 301 643 | 0.16 | 28 466 | 19 506 | 1.46 | 15 482 | 152 699 | 0.10 | 23 139 | 81 860 | 0.28 | 14 455 | 15 564 | 0.93 |
2018 | 67 367 | 902 818 | 0.07 | 46 802 | 270 873 | 0.17 | 31 335 | 20 221 | 1.55 | 14 996 | 136 101 | 0.11 | 25 877 | 78 413 | 0.33 | 16 165 | 13 846 | 1.17 |
2019 | 70 630 | 895 805 | 0.08 | 49 860 | 269 986 | 0.18 | 36 359 | 23 350 | 1.56 | 14 019 | 123 561 | 0.11 | 30 231 | 82 257 | 0.37 | 19 192 | 13 699 | 1.40 |
2020 | 91 799 | 926 326 | 0.10 | 68 630 | 295 649 | 0.23 | 56 516 | 33 670 | 1.68 | 13 165 | 115 720 | 0.11 | 40 643 | 86 898 | 0.47 | 27 966 | 14 753 | 1.90 |
2010–2020 | 628 277 | 9 442 850 | 0.07 | 408 970 | 2 419 835 | 0.17 | 198 619 | 114 357‡ | 1.50§ | 118 309 | 984 419 | 0.12 | 186 561 | 740 736 | 0.25 | 112 887 | 123 742 | 0.91 |
*Beginning 1 October 2015 (corresponding with the start of Quarter 4 (Q4) 2015), coding for emergency department data transitioned from ICD-9-CM to ICD-10-CM which may impact the comparison of counts of non-fatal overdoses before and after this time period.
†Coding of non-fatal overdoses changed from ICD-9-CM to ICD-10-CM beginning 1 October 2015. Prior to this coding change, there were no diagnosis codes specific for synthetic opioids available for non-fatal data.
‡For non-fatal synthetic opioid-involved overdoses, this value represents the total number of overdoses from 2016 to 2020.
§This value represents the ratio of fatal to non-fatal synthetic opioid-involved overdoses from 2016 to 2020 (fatal=172 089; non-fatal=114 357; ratio of fatal to non-fatal=1.50).
ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification; ICD-10-CM, International Classification of Diseases, 10th Revision, Clinical Modification.