US overdose deaths hit record 93,000 in pandemic last year

29% increase in 2020 deaths over 2019

JACKSONVILLLE, Fla. – Overdose deaths soared to a record 93,000 last year in the midst of the COVID-19 pandemic, the U.S. government reported Wednesday.

That estimate far eclipses the high of about 72,000 drug overdose deaths reached the previous year and amounts to a 29% increase.

“This is a staggering loss of human life,” said Brandon Marshall, a Brown University public health researcher who tracks overdose trends.

The nation was already struggling with its worst overdose epidemic but clearly "COVID has greatly exacerbated the crisis,” he added.

Lockdowns and other pandemic restrictions isolated those with drug addictions and made treatment harder to get, experts said.

Overdoses in Northeast Florida also set a new record last year -- 556 drug-related deaths in Duval, Clay and Nassau counties -- and these continue to happen almost daily even with the lockdowns lifted. The Jacksonville Sheriff’s Office said two people were found dead of overdoses Wednesday in a room at the InTown Suites on St. Johns Bluff Road.

Northeast Florida drug-related deaths

District 4 Medical Examiner's Office report on drug-related deaths in Clay, Duval and Nassau counties over the past six years.

“I know it is a huge epidemic and it’s happening all too often,” said Madeline Brame, who continues to grieve her son, Ravon Brame Sidoo, who died May 9, 2020, due to complications of an accidental overdose of cocaine laced with fentanyl. “During the pandemic, is was exasperated because people were quarantined. A lot of people turned to a lot of different things during the pandemic to cope and to get through.”

Brame remembered her son as a big Teddy bear.

“Ravon was amazing, he was a great father. He was a security guard. He was a bouncer at the club,” Brame said. “I had no idea Ravon was doing hard drugs like that. I never knew Ravon did hard drugs. He never gave me any indication.”

Ron Salem is a Jacksonville city councilman and heads a committee trying to help people fight their addictions and minimize overdoes.

“Our opioid committee meets monthly, so I am seeing numbers from JFRD every month, so in no way it doesn’t surprise me,” Salem said. “Very sad, but the numbers are not surprising to me.”

Project Save Lives is a mission Salem supports.

“It’s a project between the city of Jacksonville and Gateway Community Services where the city allots $1.2 million to allow Gateway to put peer-review specialists in seven Jacksonville hospitals,” Salem explained.

Rico Bodin, director of Recovery Connections at Gateway,” said these specialists are there to give addicted patients options other than returning to the life that led them in the emergency room.

“The peer support specialist, which is an individual with lived experience in recovery, are working directly bedside with an individual that has been brought in,” Bodin said. “What we have seen is they’re using more because of the isolation and, with substance use, it wants to get you alone. And with the pandemic, now you’re alone.”

For information regarding treatment with Gateway, call 1-877-389-9966, email info@gwjax.com or online at www.gwjax.com.

River Region Human Services Inc. is another resource that officers addiction and mental-health treatment, HIV education, services for pregnant and postpartum women, Duval County inmates, case management and housing placement. Contact River Region at 904-899-6300 or www.rrhs.org.

While prescription painkillers once drove the nation’s overdose epidemic, they were supplanted first by heroin and then by fentanyl, a dangerously powerful opioid, in recent years. Fentanyl was developed to treat intense pain from ailments like cancer but has increasing been sold illicitly and mixed with other drugs.

“What’s really driving the surge in overdoses is this increasingly poisoned drug supply,” said Shannon Monnat, an associate professor of sociology at Syracuse University who researches geographic patterns in overdoses. “Nearly all of this increase is fentanyl contamination in some way. Heroin is contaminated. Cocaine is contaminated. Methamphetamine is contaminated."

Fentanyl was involved in more than 60% of the overdose deaths last year, CDC data suggests.

There’s no current evidence that more Americans started using drugs last year, Monnat said. Rather, the increased deaths most likely were people who had already been struggling with addiction. Some have told her research team that suspensions of evictions and extended unemployment benefits left them with more money than usual. And they said “when I have money, I stock up on my (drug) supply,” she said.

Overdose deaths are just one facet of what was overall the deadliest year in U.S. history. With about 378,000 deaths attributed to COVID-19, the nation saw more than 3.3 million deaths.

The Centers for Disease Control and Prevention reviewed death certificates to come up with the estimate for 2020 drug overdose deaths. The estimate of over 93,000 translates to an average of more than 250 deaths each day, or roughly 11 every hour.

The 21,000 increase is the biggest year-to-year jump since the count rose by 11,000 in 2016.

More historical context: According to the CDC, there were fewer than 7,200 total U.S. overdose deaths reported in 1970, when a heroin epidemic was raging in U.S. cities. There were about 9,000 in 1988, around the height of the crack epidemic.

The CDC reported that in 2020 drug overdoses increased in all but two states, New Hampshire and South Dakota.

Kentucky's overdose count rose 54% last year to more than 2,100, up from under 1,400 the year before. There were also large increases in South Carolina, West Virginia and California. Vermont had the largest jump, of about 58%, but smaller numbers — 118 to 186.

The proliferation of fentanyl is one reason some experts do not expect any substantial decline in drug overdose deaths this year. Though national figures are not yet available, there is data emerging from some states that seems to support their pessimism. Rhode Island, for example, reported 34 overdose deaths in January and 37 in February — the most for those months in at least five years.


About the Authors

Zachery “Zach” Lashway anchors KPRC 2+ Now. He began at KPRC 2 as a reporter in October 2021.

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