Drug Overdose Deaths Per Capita

Top 25 of 244 US Counties & County-Equivalents with Population > 300,000 | Rate per 100,000 | Spokane currently ranks #2 nationally

Source: CDC NCHS, CDC VSRR & Spokane County Medical Examiner

Jurisdictions

Data Period: 2018 - December 2025 | Sources: Spokane County ME Annual Reports (Spokane 2018-2019 & CY2025), NCHS Drug Poisoning Mortality (other counties 2018-2019, model-based), CDC VSRR Provisional County-Level Counts (all counties 2020-Sep 2025)
*Spokane 2018 = 93 deaths (ME Annual Report, occurrence-based); 2019 = 88 deaths (ME, occurrence-based); Oct-Dec 2025 derived from ME CY 2025 preliminary 344 deaths (occurrence-based). Spokane Jan 2020 - Sep 2025 = CDC VSRR (residence-based). Methodology note: ME counts overdose deaths occurring in Spokane County regardless of where decedent lived; CDC counts deaths of Spokane residents regardless of where they died. Because Spokane hospitals serve a multi-state regional population, the ME figure is consistently ~8-10% higher than CDC. Other counties: 2018-2019 = NCHS Bayesian model-based estimates; 2020-2025 = CDC VSRR residence-based data.