Drug overdose is an evolving public health crisis. In 2022, an estimated 54.6 million Americans needed substance use disorder treatment, but only 13.1 million people with a substance use disorder in the past year received treatment. 1 Reducing the use of illegal drugs, the misuse of prescription opioids and other medications, and drug overdoses and deaths has been a longstanding challenge.
Drug overdoses dramatically increased over the last two decades, with deaths increasing more than 500% between 1999 and 2022. Deaths involving multiple drugs (i.e., polysubstance overdose deaths) also increased. 2 Research shows that people who have had at least one overdose are more likely to have another. 3 Drug overdoses impact families, communities, workplaces, and the economy.
Drug overdose data show troubling trends and widening disparities among different population groups. From 2019 to 2020, in 25 states and the District of Columbia, overdose death rates (number of drug overdose deaths per 100,000 people) increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. Most people who died by overdose had no evidence of substance use treatment before their deaths. 4
These statistics reflect the importance of action. CDC is addressing this crisis through evidence-based interventions that account for changes in the illegal drug supply that make the crisis deadlier than ever, continued threats from illegally made fentanyl and other synthetic opioids, and a rise in deaths involving stimulants and more than one drug.
One way CDC is working to address drug overdoses is to advance overdose prevention in communities across the country. There were two funding announcements made available in 2023 for city, county, and state health departments and territories to known as the Overdose Data to Action (OD2A) cooperative agreements. Through these funding opportunities, we support innovation, expand harm reduction strategies, link people to life-saving care, and make the latest data available so that we can get ahead of the constantly evolving epidemic.
Additionally, we support the Drug-Free Communities (DFC) Program, which is the nation's leading effort to support communities working to prevent youth substance use. The DFC program has been a central component of our nation's youth substance use prevention strategy and it provides funding and support to community coalitions to prevent and reduce youth substance use. DFC coalitions are uniquely situated to leverage historical knowledge and the unique needs and assets in their communities to address youth substance use by requiring comprehensive prevention planning with an emphasis on community level change.
It is important that comprehensive, community-based prevention and response efforts incorporate culturally responsive actions that address disparities in drug overdose deaths and the inequities that contribute to them. Evidence-based prevention interventions are informed by research, practice, and indigenous knowledge. Dissemination can be strengthened by partnerships and can be tailored and scaled up to meet local circumstances.
Not all overdoses have to end in death. Everyone has a role to play. It is important that more is done to prevent overdoses and deaths. Prevention activities help educate and support individuals, families, and communities and are critical for maintaining both individual and community health.