Health Report: Drug overdose deaths on the rise in Alaska

FAIRBANKS, Alaska (KTVF) – For the last four years, deaths caused by drug overdoses have been increasing. Currently, they’ve reached a record high as fentanyl and methamphetamine continue to spread across Alaska.

Prior to 2018, drug overdose deaths had remained relatively stagnant in the last frontier. Those deaths actually decreased to near double digit number in 2018. However, drug attributed deaths have since been climbing and 2023 saw an increase of 110 deaths compared to 2022.

“Between 2014 and 2023, 1,757 drug overdose deaths have occurred in Alaska.” That’s according to the 2023 Drug Overdose Mortality Update released by the Alaska Dept. of Health. The report goes over the race, age, location, and ethnicity of those that died from drug use as well as which drugs have been most prevalent in those fatalities.

Most of these drug overdose deaths are the result of unintentional overdoses with only 7% being attributed to suicides. This in part due to the increasing lethality of street drugs that often contain fentanyl.

The increasing lethality of street drugs does play a part in the increase of overdose deaths as that figure rose 44.5% between 2022 and 2023 reaching a record high of 357 deaths. That figure has increased drug related deaths in the state to an average of nearly 50 people per 100,000.

Men made up a majority of all cases but women still accounted for nearly 37% of all cases.

Breaking the numbers down by race, white Alaskans saw the highest total of drug related deaths in 2023 at 170. That number has been relatively high since 2020 when it nearly doubled from just 77. Despite the number for this demographic being the highest, the rate of drug attributed death remains relatively low at 34.2 people per 100,000. Comparatively, Alaska Natives and American Indians had the highest rate and the second highest to for 2023 at 114 per 100,00 and 119 in total. Those figures marking a major jump from just 82 deaths in 2022.

Mixed race, black and Hispanic Alaskans also had number in the double digits in 2023 with all three showing steady increases over the years. Asian and Pacific Islanders retained single digit figures however.

Breaking down the data by age, it was middle aged and older adults that saw the highest numbers in 2023 as well as year prior. 35-44-year-olds had the highest total at 115 with a rate of 110 per 100,000. This was the only group with triple digit numbers as the next highest totals were 75 and 67 pertaining to 25-34-year-olds and 45-54-year-olds respectively. Seniors and youth consistently had the lowest numbers.

These increase have been seen in nearly every region of the state with the exception of the North Slope and the Southwest. The growing number of drug related deaths is mostly coming out of Anchorage however. There the number of drug overdose deaths increased over 300% in just four years. In 2019 they had just 57 drug related deaths and in 2023 that had increased to 230.

Opioids remain the biggest perpetrator of these deaths causing 286 of the 357 drug overdose deaths in 2023. 265 of those being tied to fentanyl.

Methamphetamine was another common factor attributed to 193 deaths.

While those combined numbers surpass the total of 357, that’s because many of the overdose deaths were attributed to at least two substances and quite a few also attributed to just one substance.

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