CDC scientists are seeing "very promising" signs in the latest figures for US overdose deaths. Preliminary CDC figures show an estimated 69,973 people died from drug overdoses in 2025, a drop of nearly 14% from 2024 and the third straight yearly decline, the Wall Street Journal reports. Fatalities are now edging back toward pre-pandemic levels after years in which illicit fentanyl drove deaths to record highs of over 100,000. The biggest factor in the drop: a sharp fall in deaths linked to synthetic opioids, mostly fentanyl, from about 48,900 in 2024 to 38,084 in 2025.
Overdose deaths involving cocaine and meth-type stimulants also declined, contributing to a recent bump in US life expectancy. The progress isn't even. States including Alabama, New York, North Carolina, Rhode Island, and Vermont saw overdose deaths fall by at least 25%, while Arizona, Colorado, and New Mexico recorded increases of 10% or more. New Mexico reported local surges tied largely to fentanyl. Experts cite expanded telemedicine, mobile treatment clinics, and wider naloxone access as likely contributors to the national downturn, but warn that new synthetic drugs and state-level spikes could erase gains. "There's still a long way to go," says CDC scientist Farida Ahmad.
Brown University researcher Brandon Marshall tells the AP he is "cautiously optimistic that this represents really a fundamental change in the arc of the overdose crisis." The number of deaths, however, remains high and Marshall, who studies overdose trends, warns that the situation could change rapidly with changes in government policy or drug supply. "If deaths are going down rapidly, that means they can increase just as rapidly if we take our foot off the gas," Marshall says. According to the CDC, drug overdoses remain the leading cause of death for Americans between 18 and 44, the Journal notes.