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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Reduce overdose deaths involving heroin — IVP‑23 Data

National Status: Target met or exceeded

  
Learn more about our data release schedule

Most Recent Data:
0.8 deaths per 100,000 population (2024) *

National Target:
4.2 per 100,000  *

Desired Direction:
Decrease desired

National Baseline:
4.7 deaths per 100,000 population were caused by an overdose involving heroin in 2018 *

* Age adjusted to the year 2000 standard population.

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Overdose deaths involving heroin, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Total
4.7
CI 4.6 / 4.8
SE 0.039
4.4
CI 4.3 / 4.4
SE 0.038
4.1
CI 4.0 / 4.2
SE 0.036
2.8
CI 2.7 / 2.8
SE 0.030
1.8
CI 1.7 / 1.8
SE 0.023
1.2
CI 1.1 / 1.2
SE 0.019
0.8
CI 0.7 / 0.8
SE 0.015

Overdose deaths involving heroin by Sex, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Male
7.1
CI 6.9 / 7.2
SE 0.068
6.6
CI 6.4 / 6.7
SE 0.065
6.1
CI 6.0 / 6.2
SE 0.063
4.1
CI 4.0 / 4.2
SE 0.051
2.6
CI 2.5 / 2.7
SE 0.040
1.7
CI 1.7 / 1.8
SE 0.032
1.1
CI 1.1 / 1.2
SE 0.026
Female
2.3
CI 2.3 / 2.4
SE 0.039
2.2
CI 2.1 / 2.3
SE 0.037
2.0
CI 2.0 / 2.1
SE 0.036
1.5
CI 1.4 / 1.5
SE 0.031
0.9
CI 0.9 / 0.9
SE 0.024
0.6
CI 0.5 / 0.6
SE 0.019
0.4
CI 0.4 / 0.5
SE 0.016

Overdose deaths involving heroin by Race/Ethnicity, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
American Indian or Alaska Native only
3.1
CI 2.5 / 3.7
SE 0.276
3.4
CI 2.8 / 4.0
SE 0.289
3.4
CI 2.9 / 4.0
SE 0.289
3.0
CI 2.5 / 3.6
SE 0.268
1.7
CI 1.3 / 2.1
SE 0.204
0.9
CI 0.6 / 1.3
SE 0.148
0.3
CI 0.2 / 0.6
SE 0.087
Asian only
0.4
CI 0.3 / 0.4
SE 0.042
0.4
CI 0.3 / 0.5
SE 0.044
0.5
CI 0.4 / 0.6
SE 0.049
0.3
CI 0.2 / 0.4
SE 0.037
0.2
CI 0.1 / 0.3
SE 0.030
0.2
CI 0.1 / 0.2
SE 0.027
0.1
CI 0.0 / 0.1
SE 0.017
Native Hawaiian or Other Pacific Islander only
1.4
CI 0.7 / 2.7
SE 0.417
1.9
CI 1.1 / 3.3
SE 0.463
DSU
DSU
DSU
DSU
DSU
Black or African American only
4.8
CI 4.6 / 5.0
SE 0.105
5.0
CI 4.7 / 5.2
SE 0.106
4.8
CI 4.6 / 5.1
SE 0.105
3.6
CI 3.4 / 3.8
SE 0.089
2.7
CI 2.5 / 2.8
SE 0.076
2.0
CI 1.9 / 2.2
SE 0.065
1.4
CI 1.3 / 1.5
SE 0.055
White only
5.2
CI 5.1 / 5.3
SE 0.048
4.8
CI 4.7 / 4.9
SE 0.046
4.4
CI 4.3 / 4.5
SE 0.044
2.9
CI 2.9 / 3.0
SE 0.035
1.8
CI 1.7 / 1.8
SE 0.028
1.2
CI 1.1 / 1.2
SE 0.022
0.8
CI 0.7 / 0.8
SE 0.018
2 or more races
2.2
CI 1.9 / 2.6
SE 0.185
2.0
CI 1.6 / 2.3
SE 0.173
2.4
CI 2.0 / 2.8
SE 0.191
1.8
CI 1.5 / 2.2
SE 0.165
0.9
CI 0.7 / 1.2
SE 0.117
0.5
CI 0.4 / 0.8
SE 0.090
0.5
CI 0.4 / 0.7
SE 0.087
Hispanic or Latino
3.1
CI 2.9 / 3.2
SE 0.074
3.1
CI 2.9 / 3.2
SE 0.073
3.0
CI 2.8 / 3.1
SE 0.072
2.3
CI 2.2 / 2.4
SE 0.063
1.8
CI 1.6 / 1.9
SE 0.054
1.2
CI 1.2 / 1.3
SE 0.045
0.9
CI 0.8 / 1.0
SE 0.037
Not Hispanic or Latino
5.1
CI 5.0 / 5.2
SE 0.046
4.7
CI 4.6 / 4.8
SE 0.044
4.3
CI 4.2 / 4.4
SE 0.042
2.9
CI 2.8 / 2.9
SE 0.033
1.7
CI 1.7 / 1.8
SE 0.026
1.1
CI 1.1 / 1.2
SE 0.021
0.7
CI 0.7 / 0.8
SE 0.017
American Indian or Alaska Native only, not Hispanic or Latino
4.8
CI 4.0 / 5.8
SE 0.464
5.3
CI 4.4 / 6.4
SE 0.489
5.4
CI 4.5 / 6.5
SE 0.486
4.6
CI 3.7 / 5.5
SE 0.445
2.7
CI 2.0 / 3.5
SE 0.347
1.3
CI 0.9 / 1.8
SE 0.234
0.5
CI 0.3 / 0.9
SE 0.150
Asian only, not Hispanic or Latino
0.3
CI 0.3 / 0.4
SE 0.040
0.4
CI 0.3 / 0.5
SE 0.046
0.5
CI 0.4 / 0.6
SE 0.049
0.3
CI 0.2 / 0.3
SE 0.036
0.2
CI 0.1 / 0.2
SE 0.026
0.1
CI 0.1 / 0.2
SE 0.024
0.1
CI 0.0 / 0.1
SE 0.019
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
DSU
DSU
DSU
DSU
DSU
DSU
DSU
Black or African American only, not Hispanic or Latino
4.9
CI 4.7 / 5.1
SE 0.110
5.1
CI 4.8 / 5.3
SE 0.111
5.0
CI 4.8 / 5.2
SE 0.110
3.6
CI 3.5 / 3.8
SE 0.092
2.7
CI 2.5 / 2.8
SE 0.078
2.0
CI 1.9 / 2.2
SE 0.067
1.4
CI 1.3 / 1.5
SE 0.056
White only, not Hispanic or Latino
5.9
CI 5.8 / 6.0
SE 0.058
5.2
CI 5.1 / 5.4
SE 0.055
4.8
CI 4.7 / 4.9
SE 0.053
3.1
CI 3.0 / 3.2
SE 0.042
1.8
CI 1.7 / 1.9
SE 0.032
1.1
CI 1.1 / 1.2
SE 0.025
0.7
CI 0.7 / 0.8
SE 0.020
2 or more races, not Hispanic or Latino
2.5
CI 2.0 / 3.0
SE 0.219
2.0
CI 1.7 / 2.5
SE 0.198
2.5
CI 2.0 / 2.9
SE 0.219
2.0
CI 1.6 / 2.4
SE 0.193
0.9
CI 0.6 / 1.2
SE 0.127
0.6
CI 0.4 / 0.9
SE 0.107
0.5
CI 0.3 / 0.7
SE 0.092

Overdose deaths involving heroin by Age group, 2018-2024 †
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
<18 years
0.0
CI 0.0 / 0.0
SE 0.007
0.0
CI 0.0 / 0.0
SE 0.007
0.0
CI 0.0 / 0.0
SE 0.005
0.0
CI 0.0 / 0.0
SE 0.005
0.0
CI 0.0 / 0.0
SE 0.006
0.0
CI 0.0 / 0.0
SE 0.005
DSU
0-4 years
DSU
DSU
DSU
DSU
DSU
DSU
DSU
5-11 years
DSU
DSU
DSU
DSU
DSU
DSU
DSU
12-17 years
0.1
CI 0.0 / 0.1
SE 0.016
0.1
CI 0.0 / 0.1
SE 0.016
0.0
CI 0.0 / 0.1
SE 0.014
DSU
0.1
CI 0.0 / 0.1
SE 0.014
DSU
DSU
18-44 years
8.1
CI 7.9 / 8.3
SE 0.083
7.2
CI 7.1 / 7.4
SE 0.078
6.6
CI 6.4 / 6.7
SE 0.075
4.1
CI 4.0 / 4.3
SE 0.059
2.4
CI 2.4 / 2.5
SE 0.045
1.5
CI 1.4 / 1.5
SE 0.035
0.9
CI 0.9 / 1.0
SE 0.028
18-24 years
3.8
CI 3.5 / 4.0
SE 0.111
2.8
CI 2.7 / 3.0
SE 0.097
2.3
CI 2.2 / 2.5
SE 0.088
1.2
CI 1.1 / 1.3
SE 0.062
0.6
CI 0.5 / 0.7
SE 0.044
0.3
CI 0.3 / 0.4
SE 0.034
0.2
CI 0.1 / 0.2
SE 0.024
25-44 years
9.6
CI 9.4 / 9.8
SE 0.105
8.7
CI 8.5 / 8.9
SE 0.100
8.0
CI 7.8 / 8.2
SE 0.095
5.1
CI 5.0 / 5.3
SE 0.076
3.1
CI 3.0 / 3.2
SE 0.059
1.9
CI 1.8 / 2.0
SE 0.046
1.2
CI 1.1 / 1.3
SE 0.036
45-64 years
6.0
CI 5.8 / 6.1
SE 0.084
5.9
CI 5.8 / 6.1
SE 0.084
5.8
CI 5.6 / 6.0
SE 0.084
4.4
CI 4.3 / 4.6
SE 0.073
2.9
CI 2.8 / 3.0
SE 0.059
2.1
CI 2.0 / 2.2
SE 0.051
1.5
CI 1.4 / 1.6
SE 0.042
45-54 years
7.0
CI 6.8 / 7.3
SE 0.130
6.7
CI 6.5 / 7.0
SE 0.128
6.5
CI 6.3 / 6.8
SE 0.127
4.7
CI 4.5 / 4.9
SE 0.108
3.0
CI 2.8 / 3.1
SE 0.086
2.1
CI 2.0 / 2.3
SE 0.072
1.4
CI 1.3 / 1.5
SE 0.059
55-64 years
4.9
CI 4.7 / 5.1
SE 0.108
5.1
CI 4.9 / 5.3
SE 0.110
5.1
CI 4.9 / 5.3
SE 0.110
4.2
CI 4.0 / 4.4
SE 0.099
2.9
CI 2.7 / 3.1
SE 0.083
2.1
CI 2.0 / 2.3
SE 0.072
1.5
CI 1.4 / 1.7
SE 0.061
65 years and over
0.8
CI 0.8 / 0.9
SE 0.040
1.0
CI 0.9 / 1.1
SE 0.043
1.1
CI 1.0 / 1.1
SE 0.043
0.9
CI 0.9 / 1.0
SE 0.041
0.9
CI 0.8 / 0.9
SE 0.038
0.7
CI 0.7 / 0.8
SE 0.035
0.6
CI 0.5 / 0.7
SE 0.031
65-74 years
1.4
CI 1.3 / 1.6
SE 0.068
1.7
CI 1.5 / 1.8
SE 0.073
1.7
CI 1.6 / 1.9
SE 0.072
1.5
CI 1.3 / 1.6
SE 0.066
1.3
CI 1.2 / 1.5
SE 0.063
1.2
CI 1.1 / 1.3
SE 0.058
0.9
CI 0.8 / 1.0
SE 0.051
75-84 years
0.1
CI 0.0 / 0.1
SE 0.023
0.2
CI 0.1 / 0.2
SE 0.031
0.2
CI 0.1 / 0.3
SE 0.033
0.2
CI 0.1 / 0.3
SE 0.036
0.2
CI 0.1 / 0.3
SE 0.035
0.2
CI 0.1 / 0.2
SE 0.030
0.2
CI 0.1 / 0.3
SE 0.032
85 years and over
DSU
DSU
DSU
DSU
DSU
DSU
DSU

Overdose deaths involving heroin by Educational attainment (25-64 years), 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Educational attainment (25-64 years)
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving heroin by Family income, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Family income
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving heroin by Health insurance status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Health insurance status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving heroin by Geographic location, 2018-2024 *  1
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Metropolitan
5.0
CI 4.9 / 5.1
SE 0.043
4.6
CI 4.5 / 4.6
SE 0.041
4.2
CI 4.1 / 4.3
SE 0.039
2.8
CI 2.8 / 2.9
SE 0.032
DNA
DNA
DNA
Non-metropolitan
2.9
CI 2.8 / 3.1
SE 0.087
3.0
CI 2.9 / 3.2
SE 0.089
3.2
CI 3.0 / 3.3
SE 0.091
2.3
CI 2.2 / 2.5
SE 0.077
DNA
DNA
DNA

Overdose deaths involving heroin by Marital status (25 years and over), 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Marital status (25 years and over)
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving heroin by Country of birth, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Country of birth
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving heroin by Veteran status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Veteran status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving heroin by Disability status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Disability status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving heroin by Sexual orientation, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Sexual orientation
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving heroin by Gender identity, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Gender identity
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Disparity