Despite the US seeing an overall national decline in overdose fatalities Oregon experienced the second-largest surge in drug overdose deaths of any state in 2023, setting a record in the state. The findings come as Oregon has been one of the most pro-drug states in the country over the last few years.

Federal data from the US Centers for Disease Control and Prevention shows that roughly 1,880 people in Oregon died from overdoses involving opioids, stimulants, and other substances last year—representing a 35 percent increase from 2022 and setting a record for overdose deaths in the state. Only Alaska, with a 45 percent year-over-year increase, saw a sharper rise in 2023.

Nationwide, overdose deaths declined by 2 percent in 2023, dropping from 109,400 in 2022 to 107,700. This marked the first national decrease since 2018. However, Oregon’s overdose death rate has grown dramatically—by 237 percent since 2018—far outpacing the 58 percent national increase during the same period.