The US Drug Overdose Epidemic is Extreme

Super fact 51 : In 1968 5,033 Americans died from a drug overdose. In 1978 5,506 Americans died from a drug overdose. In 1999 16,801 Americans died from a drug overdose. In 2022 107,941 Americans died from a drug overdose. 82,000 of those deaths involved opioids (about 76%). The number of people who died from an opioid overdose in 2022 was 10 times the number in 1999. More than half of all opioid deaths in the world were Americans despite being only 4.2% of the world population. The hardest hit demographic is white males.


Note the data in the super fact above is taken from Wikipedia, which in turn took it from CDC. However, the data across multiple sources look roughly the same (CDC / CDC, NIDA/NIH, Our world in Data, Wikipedia). I think this is a super fact. I should add that the statistics seem to have improved a little bit in 2023 and 2024.

I’ve posted about good super facts in this blog several times:

However, unfortunately there are also bad super facts, like this one.

The Severe Drug Overdose Epidemic in the US is a Super Fact

We recently went to the funeral for the young son (in his 20’s) of good friends of ours. He died from a drug overdose. The same thing happened to another friend of ours not too long ago. Despite all the talk about drugs, the war of drugs, and the “just say no campaign”, in the 1980’s I don’t remember this happening to people I knew when I was young, so I looked up the statistics. I knew we had an opioid epidemic with Fentanyl being the greatest culprit followed by Heroin. I just didn’t realize how severe it was and how American it was. This is important and shocking and the sources behind the data are reliable, which is why I consider this a super fact.

The United States Has by Far the Highest Death Rate from Opioids

If you play around with this graph from Our World in Data you will notice that the United States has a very high rate of deaths from drug overdoses, especially opioids, much higher than any other country. For example, take my home country Sweden, where 283 people died from opioid in 2021 (398 all drugs, data from IHME). Compare that with the United States, where 55,452 died from opioid in 2021 (70,893 all drugs, data from IHME). Adjust that for the population in each country you get a rate of 16.3 deaths per 100,000 inhabitants for the US and 2.7 deaths per 100,000 inhabitants for the Sweden. Sweden and the US are both open wealthy democracies in which certain opioids are legal for medical purposes but otherwise illegal. The graph below has slightly different numbers but notice that the year (2024) is different.

The picture shows a world map with the death rate from opioids for different countries shown in lighter to darker colors. United States out in dark brown with a death rate of 15.4. Canada also looks dark with a death rate of 6.9. Most of the rest of the world have a lighter color | The US Drug Overdose Epidemic is Extreme
Data source : Institute for Health Metrics and Evaluation (IHME), Global Burden of Disease (2024). The graph is taken from Our World in Data .

Some illustrative Graphics on Drug Deaths

The graphs below illustrate both the sharp rise in drug related deaths, especially opioids, as well as how hard hit the United States is compared to the rest of the world.

The graph shows a steep increase of deaths from opioids. Deaths from other drugs such as cocaine and amphetamine are relatively minor | The US Drug Overdose Epidemic is Extreme
The population of the United States is 340 million.
In this graph cocaine is the dominant cause of death. However, at less than 1,400 it is relatively minor compared to the deaths from opioids in the US | The US Drug Overdose Epidemic is Extreme
The population of South America is 438 million
This graph shows an increase in deaths from opiods, like the US graph, but it is more moderate.
The population of Europe is 744 million.
This graph is swinging up and then down, and does not show the strong upward trend that the US graph does.
The population of Asia is 4,800 million.
The graph shows a death rate per 100,000 of 21.4 for opioids, 17.8 for synthetic opioids such as fentanyl, 4.9 for prescription opioids, 4.1 for heroin, and 6.0 for cocaine | The US Drug Overdose Epidemic is Extreme
This graph shows the contribution to US deaths from specific drugs including synthetic opioids (Fentanyl), Heroin, prescription opioids, and cocaine. Notice that the vertical axis shows the death rate per 100,000 people and not the total number of deaths. Data source : US Centers for Disease Control and Prevention WONDER. Note: Opioids include prescription pain relief drugs, synthetic opioids, excluding methadone and other opioids such as heroin. The graph is taken from Our World in Data.


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