Heroin Overdose Data

Nearly 143,000 people died from overdoses involving heroin from 1999-2020

In 2020, heroin-involved overdose death rates decreased nearly 7% from 2019 to 2020. However, more than 13,000 people died from a drug overdose involving heroin in the United States, a rate of more than four deaths for every 100,000 Americans.  The number of heroin-involved overdose deaths was nearly seven times higher in 2020 than in 1999. Nearly 20% of all opioid deaths involved heroin.1

Heroin Overdose Urbanicity

The figures below show the changes in age-adjusted death rates involving heroin by urbanization classification of residence from year to year.

  • Large central metro—Counties in metropolitan statistical areas of 1 million or more population that:
    • Contain the entire population of the largest principal city
    • Have their entire population contained in the largest principal city
    • Contain at least 250,000 inhabitants of any principal city
  • Large fringe metro—Counties of 1 million or more population that did not qualify as large central metro counties.
  • Medium metro—Counties of populations of 250,000 to 999,999.
  • Small metro—Counties of populations less than 250,000.
  • Micropolitan—Counties in micropolitan statistical areas that have a population of at least 10,000 but less than 50,000.
  • Noncore—Nonmetropolitan counties that did not qualify as micropolitan.

Categories of 2013 NCHS Urban-Rural Classification Scheme for Counties

2018 heroin overdose dot plot
chart showing Heroin overdose death rate 2016 to 2017
chart showing Heroin overdose death rate 2016 to 2017

References

  1. Wide-ranging online data for epidemiologic research (WONDER). Atlanta, GA: CDC, National Center for Health Statistics; 2021. Available at http://wonder.cdc.gov.
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