Unintentional drug overdose and poisoning deaths plunged by 22% in Los Angeles County final 12 months, based on a brand new report, marking probably the most substantial single-year decline on report.
The 2024 overdose demise toll of two,438 is the bottom since 2019 and a notable drop from the three,137 deaths recorded in 2023. The sharpest decline was in fentanyl-related deaths, which fell 37% from 2,001 deaths in 2023 to 1,263 in 2024, based on a report launched Wednesday from the county Public Well being Division.
Well being officers credited measures together with large-scale investments in drug therapy and overdose prevention for the reversal of an extended upward development.
“It demonstrates that what we’re doing is working,” stated Dr. Gary Tsai, director of the county’s Substance Abuse Prevention and Management division, citing elevated prevention measures and different efforts.
Even so, the county nonetheless suffers “very high numbers of overdose deaths,” Tsai stated. “Now is actually the time to be pressing our foot on the gas even more.”
Whereas fentanyl remained the main reason behind unintended overdose deaths, its share dropped to 52% of all circumstances, down from 64% in 2023. Deaths involving methamphetamine additionally declined by 20%, the county report stated.
The report additionally detailed drug deaths by race, gender, age group and different elements.
By age, adults aged 40–64 made up practically half (47%) of all fentanyl deaths, adopted by adults aged 26–39 (38%). There have been decrease charges for different age teams.
When adjusting for inhabitants measurement, adults 26–39 had the very best fentanyl overdose demise price at 22.7 deaths per 100,000 individuals, adopted by adults aged 40-64, younger adults aged 18-25, individuals age 65 and over and youth 17 and below. The report famous that since 2021, charges amongst younger adults aged 18-25 have persistently decreased.
By race, Latino residents accounted for the very best uncooked variety of fentanyl deaths in 2024 (508 deaths), adopted by white (456), Black (232), and Asian (26) residents.
Nevertheless, the fentanyl overdose demise price per 100,000 was highest amongst Black residents – 29 per 100,000, practically triple that of Latino residents at 10.5 per 100,000. Deaths have been 17.4 per 100,000 for whites. Black county residents made up simply 8% of the county’s inhabitants however practically one in 5 fentanyl-related deaths.
By gender, related disparities to 2023 remained, with males having a price greater than 4 occasions that of females.
The report highlights the continued disparities related to socioeconomic standing.
Residents in census tracts the place greater than 30% of households lived under the federal poverty line had a fentanyl overdose demise price practically 4 occasions that of these in additional prosperous areas. These figures underscore the structural inequities that form who’s most vulnerable to overdose and who has entry to sources, based on the report.
This 12 months’s report builds on a shift first noticed in 2023, when drug-related deaths in Los Angeles County plateaued for the primary time in a decade, following years of constant will increase.
In distinction, the 2024 information replicate a extra widespread and vital downturn throughout practically all demographics and areas, with sharp declines in each uncooked demise counts and population-adjusted charges. Nonetheless, persistent racial and financial disparities recognized in final 12 months’s report stay related: Black residents proceed to expertise the very best fentanyl overdose demise price per capita, and fatality charges stay disproportionately excessive within the county’s poorest neighborhoods.
Regardless of these continued disparities, Public Well being officers are hopeful that their concerted efforts are having a significant influence on saving lives.
Public Well being officers say that current expansions in prevention, therapy providers, and so-called hurt discount measures — reminiscent of broader entry to naloxone, fentanyl take a look at strips, and safer consumption websites — performed an important function within the dramatic reductions reported within the research.
Containers of Narcan stapled to timber round MacArthur Park in November 2023 run by The Sidewalk Challenge’s “Tree of Life program.”
(Francine Orr/Los Angeles Occasions)
In 2024 alone, investments in prevention packages elevated by over 260%, therapy providers by 275%, and hurt discount packages by 500%, county officers stated.
Initiatives such because the Fentanyl Frontline marketing campaign and the creation of ByLAforLA.org, a group useful resource hub, aimed to increase entry to naloxone, cut back stigma, and join residents to care and help providers.
Trying forward, Tsai famous early indicators for 2025 are cautiously encouraging.
“Preliminarily, we are seeing ongoing reduction in overdose deaths when we compare January 2025 to January 2024,” he stated. That development, he added, diverges from nationwide preliminary information, which suggests an uptick in early 2025, although he cautioned these outcomes can change as medical experts proceed processing circumstances for January 2025.
Even because the county celebrates progress, Tsai emphasised that longstanding inequities, particularly these associated to race, poverty, and entry to care, proceed to form overdose dangers.
“Although we’ve seen the numbers go down across the board, disparities have been consistent,” he stated. “Clearly, even though we’re seeing the overdose numbers go down, we still have a lot of work ahead of us.”
In a press release, county Public Well being Director Barbara Ferrer stated that “sustained investment in prevention, treatment, and recovery services is essential to ensuring every person in our community has the opportunity to live a healthy, supported life.”
Los Angeles County residents can entry 24/7 help for substance use providers by calling 800-854-7771.
