Opioid prescription rates by states and counties

From prescriptions to street drugs: Opioids trajectory across America

Exclusive data obtained by The Washington Post from the Centers for Disease Control and Prevention shows how individual counties moved through three waves of the opioid crisis, each wave paving the way for the next. Between 2011 and 2017, the drug responsible for the majority of overdose deaths shifted from prescription pills to heroin to fentanyl. Together, oxycodone, hydrocodone, heroin, and fentanyl have been major drivers in declining life expectancy in the US.

The three waves of the opioid crisis: overprescription, heroin, and fentanyl

The US opioid crisis has unfurled in three distinct waves, each spiraling into an epidemic that's killed millions. The first crested in the 1990s with the overprescription of opioids for pain relief. The second manifested as heroin overdoses in the 2010s. The third began in 2013 with the rise of deaths related to tramadol and fentanyl.

One person dies from opioids every 7 to 8 minutes

This collection of infographics by the National Institute for Health Care Management helps put the crisis into perspective. The opioid epidemic has had three waves. Opioid-related deaths increasingly involve synthetic versions of the drug class, contributing to 83 percent of all opioid-related deaths in 2020. Use these infographics to learn more about the crisis.

Opioid epidemic 101: lawsuits and settlements

State and local governments trying to address the opioid epidemic have sued organizations they believe started and supported the crisis. Companies that made, distributed, or contributed to sales of the highly addictive painkillers are expected to pay more than $50B in settlements. These settlements specifically state that at least 85% of settlement funds must be spent on addressing the epidemic, though where exactly the money is going is unclear.

Synthetic opioids: a historical and clinical review

In the 19th century, researchers began synthesizing and isolating poppy plant alkaloids, leading to the invention of morphine, codeine, heroin, oxycodone, and others. These highly addictive variants eventually gave rise to illicit use and a widespread underground market, laying the foundation for the current opioid crisis.

Learn about the US opioid crisis in this free course

Where did the US opioid crisis come from, and how did it spread? Learn this and more in this free, online Harvard University course. Learn about the disease model of addiction treatment and management, and get up-to-date with public health and law enforcement's current harm reduction practices. This free resource gives users a greater understanding of opioid addiction and the epidemic still haunting the US.

The Cincinnati Enquirer's Pulitzer-winning look at the opioid epidemic

Synthetic opioids kill someone in the US every 16 minutes. Communities across the country have been ravaged by deaths, overdoses, jail time, and babies born with drug-related medical problems as opioid abuse became a typical feature of many American towns. This seven-part exposé provides an inside look at the effect in southern Ohio and northern Kentucky.

The story of the Sackler empire behind highly addictive OxyContin

This investigative report examines how the Sackler family built its fortune through Purdue Pharma’s aggressive marketing of OxyContin, a highly addictive painkiller. Through 2017, the drug had generated more than $30B in sales for Purdue Pharma, controlled by the Sacklers.

Overuse of opioids can lead to hypersensitivity to pain

Opioid misuse can lead opioid-induced hyperalgesia, where the body becomes increasingly sensitive to pain. The body produces its own opioids as a way to temporarily block pain signals. When met with external opioid use, the body ratchets up pain sensitivity to ensure it senses the pain necessary to trigger its own response.

The US war on drugs, explained

The United States has been fighting a global war on drugs for decades. By making drugs more expensive and less available, the US has sought to reduce drug use and inhibit the international drug trade. However, increasing prison populations,...

Look up where your generic prescription drugs are made

This project from investigative journalism outlet ProPublica compiled source data for most generic prescription drugs in the US. Roughly 90% of drugs on the market are generic, and in rare cases investigators have noted issues with compliance or safety at some plants. Using your drug's name and the company on the label, find out any issues with your drugs here.

How America's cocaine habit fueled its migrant crisis

The United States has been facing a migration crisis along its southern border. Thousands of people have been fleeing their homes in Central America, traveling north through Mexico, and claiming asylum in the USA. Much of this crisis can be traced...

The US had about 155.4 million emergency room visits in 2022

Of those emergency incidents, the largest share of patients were between the ages of 25 and 44 and were in the southern part of the US. More than 43 million of the visits involved injuries, including poisonings.

How the Myanmar coup fueled a rise in illegal drugs

According to the UN, Myanmar remains the world’s second-largest producer of heroin. Inside Myanmar, almost all the drugs come from one place: Shan state in the Golden Triangle region, south of China, where Myanmar meets Thailand and Laos. The...

Murder rates spiked in the US after COVID-19, and then declined in 2023

Criminologist and former investigator Jillian Peterson says whether a murder is solved in the US is nearly up to the flip of a coin, with the clearance rate for murder cases being about 50%. The US, which has more guns than citizens, has about roughly five gun homicides per 100,000 residents, resulting in the 28th-highest rate of deaths from gun violence compared to the rest of the world.

Over 28% of US adults use yoga for pain management

According to a 2022 study, 28.8% of adults used yoga as a way to manage pain. That's a significant uptick from 2002, when only 11.2% did. The most used approach was chiropractic, which 85.7% used.

Explore a timeline of US dependence on crude oil from 1850 to 2023

Oil dependence began with the rise of oil as a commodity, followed by an era of geopolitical competition for the resource after World War II. The domestic fracking boom, which started around 2006, was driven by a desire to reduce the nation's dependence on international adversaries for energy.

America doesn't have enough estradiol patches for menopause and perimenopause demand

Fueled in part by the lifting of the FDA's black box warning about HRT risks, sales of estradiol patches in the US have shot upward. More than 142 million units of the patches were sold in 2025 versus 46.5 million in 2020. Suppliers are failing to keep up with demand—11 patch products were in short supply in early 2026. (Some users may experience a paywall.)

Why Americans are drowning in credit card debt

Americans owe more than $1T to credit card companies. And with rising interest rates that prevent cardholders from paying down debt (not to mention the rising cost of living), that number is likely to keep growing. A podcast episode explains how the US got here, and what policymakers and individuals can do about it.

Obesity rates have more than doubled worldwide since 1990

In the US alone, the percentage of the population meeting the clinical standard of obesity rose from less than 20% to more than 40% over the past three decades. This rise has been matched by many countries across the globe, from industrialized to developing nations.

Overuse of antibiotics gives bacteria more opportunity to evolve their defenses

The overuse and misuse of antibiotics are significant contributors to the rise of antibiotic resistant bacteria. Experts say antibiotics should only be used for specific medical problems, and patients need to be sure to take antibiotics exactly as prescribed in order to reduce the risk of antibiotic resistance.

Poverty rates by US state

As of 2022, 37.9 million people in the US were living in poverty. But those people aren't evenly distributed among the 50 states. Some states and regions of the country are more impoverished than others. For instance, US poverty rates are relatively higher in the South than they are in the North. See the state-by-state breakdown with this map.

Vitamin D supplement pills are linked to rising cases of vitamin D toxicity in the US

Vitamin D deficiency is common. But taking Vitamin D supplements in doses exceeding 4,000 IU/day (a measurement of vitamin biological activity) for prolonged periods can raise bodily concentrations of this vitamin to dangerous values. US National Poison Data indicates that the annual average of vitamin D poisonings from 2000-05 was 196, but this rose by 1,600% to 4,535 per year for the period of 2005-11.

OTC hearing aids are now available in the US and cheaper than prescription ones

The devices, available in recent years, are typically more affordable than prescription ones and are intended for people with mild to moderate hearing loss, yet surveys suggest people often don't feel comfortable choosing one on their own. The nonprofit Consumer Reports ranked available OTC options to help patients navigate the market.

Fireworks-related ER visits are on the rise—in 2024, they increased by 52% as compared to the prior year.

US consumers collectively owe more than $1T to credit card companies—almost as much as they owe in auto loans.

Find fertility clinics and their success rates in your state

This database from the Centers for Disease Control and Prevention provides a searchable portal of fertility clinics across the US, with reported data on services, total procedures performed, and live births recorded for as recently as 2022.

Telehealth demand for GLP-1s for weight loss is booming as consumers seek easier access.

View the ten deadliest tornadoes in US history.

The price of gas is a composite made up of several different factors, with the federal gas tax making up less than 20% of what drivers pay at the pump.

Between 10 million and 50 million people in the US develop rashes from poison ivy, poison sumac, and poison oak each year.

Louisiana's 'Cancer Alley' is infamous for having some of the highest industrial pollution, toxic air emissions, and cancer risks in the US.

The USPS spent $3.97B in 2024, accounting for .058% of the federal budget.

44% of Americans say they pray at least once a day—discover how your state's religiosity stacks up against the rest of the country.

About 12.5% of US adults experience a phobia in their lifetime, a diagnosis that hinges on the intense fear interfering with daily life and persisting for at least six months.

This real-time tracking of the hantavirus cruise ship outbreak in May 2026 offers a unique glimpse into the global reach of the outbreak and whether the virus sickened passengers and their communities around the world.

The United States has had a tumultuous relationship with Cuba since its 1959 revolution, highlighted by a nuclear crisis and a decades-long trade embargo.

The hormonal disorder PCOS was renamed PMOS in 2026, a move designed to improve care and research by shifting the focus to the hormonal causes of this condition that affects 1 in 8 women.

20,000 letters to the advice columnist 'Dear Abby' provide insight into prevailing sex, religion, and LGBTQ fears, anxieties, and concerns from the 1950s onward.

At the beginning of the 20th century, a group of young men ate standard American food—replete with food additives like borax and formaldehyde—as part of government research to better understand food safety.

The US first hosted the World Cup in 1994, a tournament that lives in soccer infamy for its poor planning and the murder of Colombian player Andres Escobar, who'd accidentally scored on his own net.

Domino's Pizza's 30-minute delivery guarantee was responsible for the chain's 1980s surge, but it was discontinued after the company was found liable for delivery driver accidents.

The Russia-Ukraine conflict is the largest ground war in Europe since World War II in casualties, forces mobilized, and displacement of civilians.

Cultural norms about how to handle the bodies of loved ones in communities in West Africa have hampered Ebola responses.

A 2019 Facebook event called on attendees to "Storm Area 51, They Can't Stop All of Us," resulting in countless memes, the creation of a music festival, and eventually the arrests of those who did try to approach the area.

Hear 50 years of iconic hip-hop samples, the genre's foundational looped tracks

Stanford built a Google Maps for the Roman Empire, revealing how much it cost to travel in the ancient world

Sears sold DIY house kits starting at $600 in its famous catalog from 1908 through the 1940s, resulting in roughly 10,000 'Sears and Roebuck houses' being built.

The 19th-century painters of the Hudson River School were among the first American romantics, with portraits that displayed the natural beauty of the young country.