
Opioid Epidemic Showing Signs of Progress: Overdose Deaths Decline Nationwide
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The opioid crisis has evolved through three major waves over the last 25 years. The first wave was fueled by prescription opioids beginning in the late 1990s. The second was driven by heroin around 2010, and the third—and most deadly—has been marked by the rise of synthetic opioids such as fentanyl since 2013. According to Drug Abuse Statistics, 69 percent of all opioid overdose deaths are linked to synthetic opioids, especially illegally manufactured fentanyl, underscoring how the crisis today is very different than it was even a decade ago.
While there has been a recent decline in deaths, the toll remains staggering. The CDC noted that the 2023 opioid overdose death rate was nearly ten times higher compared to 1999. Even in the midst of recent progress, the epidemic still touches communities in every region. Roughly 3.2 percent of American adults abused opioids, including illegally made fentanyl, last year, and an estimated 8.9 million people aged 12 and older abused opioids in 2023. Health care systems feel the strain, with opioid abuse costing an estimated $1.5 trillion annually in medical expenses, lost productivity, and legal programs.
The COVID-19 pandemic had a disastrous impact, worsening overdose deaths due to social isolation, increased psychological stress, and reduced access to support services. In many states, like New York, opioid-involved overdose deaths spiked dramatically during the pandemic, with fatalities rising sharply among all
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