Wednesday, October 1, 2025

NYC Sees First Decline in Overdose Deaths in Four Years

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NYC Sees Slight Decline in Drug Overdose Deaths in 2023 After 4-Year Streak of Increases

New York City has seen a slight decline in drug overdose deaths in 2023, with 3,046 reported deaths, a 1% decrease from 2022’s total of 3,070.

Decline in Overdose Deaths Linked to Comprehensive Efforts

The decline in overdose deaths is being attributed to the city’s comprehensive efforts to address the opioid crisis. "I’m very cautiously and humbly excited about these data, because it shows overall that our comprehensive efforts here in New York City are starting to have an impact," said Health Commissioner Dr. Ashwin Vasan.

Provisional Data Suggest Continuation of Downward Trend

Provisional data for 2024 show a continuation of the downward trend, with 616 overdose deaths in the first quarter of the year, the lowest number of deaths per quarter since 2020.

Urban Initiatives Echo National Trends

The city’s data mirror national trends, with the Centers for Disease Control and Prevention reporting a 3% decrease in nationwide drug overdose deaths in 2023, the first annual decrease since 2018.

Disparities in Overdose Deaths Persist

Despite the decline, overdose deaths in New York City remain high, with the rate of overdose death more than doubling since 2018 and nearly quadrupling since 2013. The data also show widening disparities among the city’s residents who die of overdoses, with Black New Yorkers and Bronx residents shouldering a disproportionate burden.

Fentanyl and Xylazine Remain Common Causes of Overdose Deaths

Fentanyl, a synthetic opioid, appeared in 80% of the city’s overall overdose deaths in 2023, while xylazine, a veterinary tranquilizer, appeared in 31% of fatal overdoses last year.

Progress but More Work to Be Done

While the decline in overdose deaths is a positive sign, more work remains to be done to address the ongoing public health crisis. As Health Commissioner Vasan noted, "The first time since 2018 without a significant increase represents the beginnings, the green shoots, of progress."

Conclusion

The decline in overdose deaths in New York City is a promising sign that the city’s efforts to address the opioid crisis are starting to bear fruit. However, more work is needed to address the persistent and growing disparities in overdose deaths, particularly among Black New Yorkers and residents of the Bronx. The city must continue to invest in comprehensive solutions, including harm reduction strategies, treatment and recovery programs, and addressing the root causes of the crisis.

FAQs

  • Q: What is the current trend in drug overdose deaths in New York City?
    A: The trend has seen a slight decline in 2023, with 3,046 reported deaths, a 1% decrease from 2022’s total of 3,070.
  • Q: What is driving the decline in overdose deaths?
    A: The decline is attributed to the city’s comprehensive efforts to address the opioid crisis, which include opioid settlement funds, expanded hours at overdose prevention centers, and support for syringe service providers and the Relay program.
  • Q: Are there disparities in overdose deaths among different demographic groups?
    A: Yes, the data show widening disparities among different demographic groups, with Black New Yorkers and Bronx residents shouldering a disproportionate burden.
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