What are America's deadliest states for drug overdoses?
The Centers for Disease Control and Prevention publishes annual data on drug-overdose death rates in every state.
Here is a ranking of every state by overdose-related deaths for 2019, the most recent year available.
8.7 per 100,000 residents
There were 161 drug overdose deaths in Nebraska in 2019, 23 more than the state saw in the previous year.
49. South Dakota
10.5 deaths per 100,000 residents
Former meth user Jeremy Bucholz speaks to South Dakota students about the addictive drug. In 2018, South Dakota had the fewest drug overdoses per capita in the United States.
10.8 deaths per 100,000 residents
Then-President Donald Trump speaks during a visit to the U.S. Border Patrol's McAllen Station. Agents displayed bricks of heroin and meth wrapped in black tape.
47. North Dakota
11.4 deaths per 100,000 residents
A police officer searches a car for drugs during a routine traffic stop in New Town, North Dakota.
11.5 deaths per 100,000 residents
This recovering meth addict said he had to move more than 150 miles from his home to receive treatment.
13.1 deaths per 100,000 residents
Paul Connell, CEO of a Rossville methadone clinic, shows one liquid dose of methadone, which is used to treat opioid addiction.
13.5 deaths per 100,000 residents
A man is escorted from a medical clinic in Little Rock by Drug Enforcement Administration officers. The raid was part of a year-long DEA operation involving four states.
13.6 deaths per 100,000 residents
In 2009, 18 people were arrested in connection with what, at the time, was considered Mississippi's largest meth distribution ring.
14 deaths per 100,000 residents
Business owners near this Portland park have complained to authorities about public drug use.
40 (TIE). Montana
14.1 deaths per 100,000 residents
Drug abuse has devastated many families on the Blackfeet Indian Reservation in Browning, Montana.
40 (TIE). Wyoming
14.1 deaths per 100,000 residents
Community leaders of the Wind River Indian Reservation hang posters warning against the dangers of drugs such as meth.
14.2 deaths per 100,000 residents
An aid worker left a note with suggestions for maintaining a needle exchange program in a Minneapolis homeless camp.
14.3 deaths per 100,000 residents
A deputy sheriff holds holds two bags of methamphetamine.
15 deaths per 100,000 residents
A drug counselor hands out the overdose-antidote naloxone and fentanyl detection packets to people in an alley in San Francisco's Tenderloin neighborhood.
15.1 deaths per 100,000 residents
In 2018, an Idaho bill proposed a tax on opiates that would be used to fund addiction treatment centers. The bill was defeated.
15.8 deaths per 100,000 residents
A dog trains to aid the Department of Homeland Security in detecting drugs along the U.S.-Canadian border.
15.9 deaths per 100,000 residents
Vials of the overdose-reversing drug naloxone and clean syringes have been distributed in Honolulu to try to reduce deaths from overdoses.
16.3 deaths per 100,000 residents
A forensic chemist studies an opioid mixture nicknamed "gray death."
16.7 deaths per 100,000 residents
This woman is one of many Cherokee people in Oklahoma to test positive for hepatitis C as a consequence of drug use.
17.8 deaths per 100,000 residents
In 2017, the state of Alaska sued Purdue Pharma, the maker of the opioid OxyContin. Overdose deaths increased in Alaska in 2019 compared to the year before.
18 deaths per 100,000 residents
Heroin overdose deaths doubled in Colorado between 2011 and 2015. In this photo, a doctor demonstrates how to inject a dose of life-saving naloxone.
29. New York
18.2 deaths per 100,000 residents
Here, protesters rally outside of Governor Andrew Cuomo's office in New York City in 2019. They accused him of neglecting drug overdose numbers in the state.
18.3 deaths per 100,000 residents
An Alexandria man holds a photo of his nephew, who died in 2019 after overdosing on fentanyl.
18.9 deaths per 100,000 residents
Recovering addicts and families who have lost loved ones to overdoses attend a 2017 press conference on the opioid crisis in Utah.
20.1 deaths per 100,000 residents
This photo shows 212 pounds of meth seized in Las Vegas.
21.1 deaths per 100,000 residents
Then Speaker of the House Paul Ryan holds a photo of a Wisconsin family whose son overcame addiction to prescription drugs.
21.9 deaths per 100,000 residents
An Illinois firefighter treats an overdose victim as she is transported to a hospital.
23. North Carolina
22.3 deaths per 100,00 residents
U.S. Marine Cpl. Robert Richards was buried at Arlington National Cemetery after he reportedly died of an accidental overdose in Jacksonville, North Carolina.
North Carolina's overdose death rate held steady from 2018 to 2019, decreasing by just 0.1 deaths per 100,000 residents.
22. South Carolina
22.7 deaths per 100,000 residents
In Lexington County, deputies stopped field testing drugs in 2017 as a precautionary measure due to the dangers of handling powerful synthetic opioids like fentanyl. Now, chemists analyze the substances in a lab to determine their contents.
23.8 deaths per 100,000 residents
A 23-year-old injects suboxone, an opioid that is sometimes prescribed to help recovering addicts cope with the symptoms of heroin withdrawal.
24.4 deaths per 100,000 residents
Michigan officials speak to reporters after announcing a new state opioid unit in 2017.
25.5 deaths per 100,000 residents
A Broward County sheriff's sergeant speaks to a woman to see if she is carrying the deadly synthetic drug flakka, categorized as bath salts.
26.6 deaths per 100,000 residents
An Indiana mother plays with her son while discussing her struggle with addiction.
26.8 deaths per 100,000 residents
This residential drug treatment center is located in Arizona.
26.9 deaths per 100,000 residents
This Missouri woodworking business hires former drug users and felons to help them reintegrate into society.
28.3 deaths per 100,000 residents
The Supreme Court ruled that police, like this officer in Louisiana, could legally use drug-sniffing dogs at traffic stops.
14. Rhode Island
29.5 deaths per 100,000 residents
An 11-foot, 800-pound sculpture of a burnt spoon is displayed outside a Rhode Island drugmaker's office to protest the opioid crisis.
29.9 deaths per 100,000 residents
After a marked decrease in Maine's overdose deaths from 2017 to 2018, the state's overdose death rate again increased by 2 fatalities per 100,000 residents from 2018 to 2019.
12. New Mexico
30.2 deaths per 100,000 residents
Albuquerque police officer Ryan Holets holds his adopted daughter, Hope. Holets persuaded a pregnant heroin user to let him adopt her unborn child.
31.2 deaths per 100,000 residents
A Tennessee woman sits in a holding cell after being arrested on suspicion of drug possession.
10. New Jersey
31.7 deaths per 100,000 residents
A recovering heroin addict in Camden points to a scar from injecting drugs.
9. New Hampshire
32 deaths per 100,000 residents
A New Hampshire firefighter helps a 35-year-old man who overdosed on heroin in 2018.
32.1 deaths per 100,000 residents
A Gloucester police officer holds bags of heroin confiscated as evidence.
32.5 deaths per 100,000 residents
A judge discusses a drug rehabilitation probation program with prisoners in Kentucky.
34.7 deaths per 100,000 residents
A heroin user injects himself in New London in 2016.
35.6 deaths per 100,000 residents
A man holds and injection of heroin by a railway underpass in Philadelphia. Pennsylvania's overdose death rate decreased slightly from 2018 to 2019.
38.2 deaths per 100,000 residents
This photo was taken after a 2016 news conference on the opioid crisis in Baltimore.
38.3 deaths per 100,000 residents
Medical workers and police treat a woman who has overdosed on heroin. Ohio's overdose death rate fell by 12.4 fatalities per 100,000 residents from 2017 to 2019.
48 deaths per 100,000 residents
This photo, provided by Delaware State Police, shows 15,000 packets heroin found during a traffic stop in Delaware.
In this state, the overdose death rate increased by 11 fatalities per 100,000 residents from 2017 to 2019.
1. West Virginia
52.8 deaths per 100,000 residents
Two West Virginia men wait outside while police search an abandoned house used by addicts.
West Virginia's overdose death rate fell, from 2017 to 2018, but increased again from 2018 to 2019. The state still remains the deadliest in the nation for drug overdoses per capita.