LA County Reports Historic 22% Drop in Overdose Deaths

Los Angeles County experienced a historic 22% decline in drug-related overdose deaths in 2024, the largest annual drop on record, with fatalities falling from 3,137 in 2023 to 2,438, the lowest since 2019. This decline was largely driven by a 37% reduction in fentanyl-related deaths and a 20% drop in methamphetamine-related deaths, reflecting the impact of the county's substantial investments in prevention, treatment, and harm reduction services, which increased by 260%, 275%, and 500% respectively. The overdose crisis particularly affected adults aged 26 to 64, with males disproportionately represented, and Black residents facing the highest fentanyl overdose death rates when adjusted for population. Despite these improvements, fentanyl deaths remain nearly three times higher than in 2019 and continue to disproportionately impact individuals in less affluent areas. Public health officials attribute the progress to a multi-pronged approach including widespread naloxone distribution and comprehensive community efforts, though they caution that continued work is necessary to sustain and build on these gains. This positive trend contrasts with national and Canadian data, where overdose deaths remain elevated compared to pre-pandemic levels.