All U.S. states saw overdose deaths decline in 2024.

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Nearly all states saw declines, but South Dakota and Nevada experienced slight increases compared to 2023. Seven states—Louisiana, Michigan, New Hampshire, Ohio, Virginia, West Virginia, and Wisconsin—plus Washington, D.C. saw declines of 35% or more. Ohio and West Virginia's dramatic improvements were particularly significant given they'd been devastated by the opioid epidemic for years. The uneven progress reveals how drug supply chains, harm reduction infrastructure, and treatment access vary by region—federal policy changes don't automatically translate to uniform results across all communities.

All U.S. states saw overdose deaths decline in 2024.

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