Age-adjusted drug-overdose deaths per 100,000 by state, CDC/NCHS, 2024.
United States drug-overdose mortality is ranked by state and district for 2024. The data use age-adjusted deaths per 100,000 people, with the national rate included as a benchmark. West Virginia ranked highest at 48.9 per 100,000, followed by Alaska at 45.1. West Virginia’s rate was 2.12 times the national rate of 23.1 per 100,000.
| Rank | Entry | Value | Period |
|---|---|---|---|
| 1 | West Virginia | 48.9 | 2024 |
| 2 | Alaska | 45.1 | 2024 |
| 3 | District of Columbia | 43.2 | 2024 |
| 4 | Washington | 37.6 | 2024 |
| 5 | New Mexico | 37.1 | 2024 |
Source 1: CDC/NCHS
Publisher: CDC/NCHS
Dataset/table: Stats of the States drug overdose mortality table
Units: age-adjusted deaths per 100,000
Date checked: 2026-05-26
Evidence: Supports the state ranking basis and rate definition for 2024 overdose mortality.
Source 2: CDC/NCHS
Publisher: CDC/NCHS
Dataset/table: NCHS Data Brief
Units: age-adjusted deaths per 100,000
Date checked: 2026-05-26
Evidence: Supports the 2024 U.S. overdose death-rate benchmark.
Rates are age-adjusted mortality rates per 100,000 population. The row set includes states and the District of Columbia because the CDC state table reports the district in the same frame.
Rows use CDC/NCHS Stats of the States 2024 overdose mortality rates. The graphic plots raw rates; the top-versus-national multiple uses the national 2024 overdose death-rate benchmark.
Rows use the same CDC/NCHS year, rate definition and unit. Official-final-only is true because the state rates come from final NCHS mortality statistics.
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