Daijiworld Media Network- Washington
Washington, May 15: In a landmark public health development, the United States recorded a 27% drop in drug overdose deaths in 2024, the largest one-year decline ever since records began 45 years ago, according to provisional data released by the Centers for Disease Control and Prevention (CDC).
An estimated 80,000 people died due to drug overdoses last year — 30,000 fewer than the 110,000 deaths recorded in 2023. This significant decline marks a hopeful turn in America’s long-fought battle against the opioid epidemic that has claimed hundreds of thousands of lives over the past two decades.

All but two states — Nevada and South Dakota — reported a drop in overdose fatalities. States such as Ohio and West Virginia, once considered epicentres of the crisis, saw some of the most dramatic improvements.
Health experts and policymakers are cautiously optimistic. While several factors are believed to have contributed to this positive trend, they warn that the fight is far from over.
Public health researchers cited multiple reasons for the steep drop:
• Wider access to naloxone, a life-saving medication that reverses opioid overdoses, especially now that over-the-counter versions are available.
• Expanded access to addiction treatment facilities and outreach programmes.
• Changing drug usage patterns, particularly among the younger population.
• A shrinking at-risk population, as previous waves of older adults fell victim to the epidemic.
• Inflow of opioid lawsuit settlement funds, amounting to tens of billions, being channelled into preventive and rehabilitation measures.
A key contributor has been the $50 billion secured from lawsuit settlements with drug manufacturers, distributors, and pharmacy chains — funds that are being invested in addiction recovery, testing kits, and housing support. An additional $7 billion settlement involving the Sackler family and Purdue Pharma is also anticipated to be finalised this year.
Despite the historic decline, experts urge policymakers not to be complacent.
“Now is not the time to take the foot off the gas pedal,” warned Dr. Daniel Ciccarone, a drug policy expert at the University of California, San Francisco.
Rep. Madeleine Dean (D-Pa.), in a congressional hearing, raised concerns over proposed plans by the Trump administration to shut down the Substance Abuse and Mental Health Administration, calling it counterproductive at a time when lives are still being lost daily.
The CDC echoed similar concerns, noting that drug overdoses remain the leading cause of death among people aged 18–44, and that sustained efforts are essential to prevent a reversal of progress — as was witnessed in 2018, when a temporary decline in deaths was followed by a resurgence.
As more money becomes available from lawsuits and federal support, the effectiveness of future outcomes may largely depend on how each state chooses to allocate these resources.
“States can either say, ‘We won, we can walk away,’ or they can double down on naloxone access, harm reduction, and recovery programs,” said Regina LaBelle, former acting director of the Office of National Drug Control Policy, now heading an addiction policy center at Georgetown University.
For now, 2024 stands as a turning point — a year where strategy, science, and social will combined to save thousands of lives. But as many experts stress, the path to a sustained solution requires consistent commitment and smarter policy decisions moving forward.