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HAGERSTOWN, MD News (6/18/2024) – Recent data analysis reveals that Washington County has experienced significant levels of fatal overdoses over the past four years. The statistics provided by the State of Maryland’s Office of Overdose Response, spanning January 2020 to January 2024, offer a comparative look at overdose fatalities across Maryland and highlight critical trends. Note that data beyond 2021 is considered preliminary data, and data beyond the county level (such as zip code or municipality) was not available.

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Preliminary data from the State shows that Washington County reported a total of 425 fatal overdoses during the period, making up approximately 4.07% of the 10,858 overdose deaths statewide. This translates to an average of 8.67 fatal overdoses per month in the county, slightly below the statewide monthly average of 9.23.

When population size is considered, Washington County’s cumulative per-capita overdose rate 2020-2023 stands at approximately 273 per 100,000 residents, significantly higher than the statewide average of 176 per 100,000 residents. Baltimore City has the highest per-capita overdose rate in the state at 746 per 100,000 residents, underscoring the severe impact of the crisis in that area. In contrast, Montgomery County reported the lowest per-capita overdose rate at 50 per 100,000 residents, highlighting a significant disparity in overdose impacts across different regions.

Editor’s note: These are estimates based upon published population estimates of counties.

Per-Capita overdose rates by Maryland county
Per-Capita overdose rates by Maryland county

Examining yearly data, Washington County saw 110 overdose deaths in 2020, 103 in 2021, 114 in 2022, and 93 in 2023. This indicates a fluctuating trend with a slight decrease in 2023.

Statewide, Maryland recorded 2,799 overdose deaths in 2020, 2,800 in 2021, 2,577 in 2022, and 2,509 in 2023. The overall trend shows a gradual decrease in overdose deaths over the past two years, which may reflect the impact of ongoing public health interventions and policies.

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Monthly data shows significant fluctuations in overdose numbers in both Washington County and statewide, with no clear seasonal pattern. Some months, such as July and August, show spikes in overdose fatalities in Washington County, while other months like January and February do not follow a consistent trend. This suggests that factors other than seasonality are at play in influencing overdose incidents.

Statewide data mirrors this variability. Monthly overdose figures rise and fall without a discernible seasonal pattern, indicating a complex interplay of factors such as drug availability, economic conditions, and public health measures.

A comparison between Washington County and the rest of Maryland reveals some notable differences. While Washington County’s average monthly overdose numbers are slightly below the state average, when looking at county population its per-capita rate is considerably higher. This indicates that Washington County may face specific challenges that contribute to its higher relative overdose impact.

Despite the county’s lower overall percentage of total overdoses, the high per-capita rate underscores the urgent need for effective intervention strategies. Public health initiatives, community outreach, and law enforcement efforts remain critical in addressing this public health crisis. The findings highlight the importance of ongoing efforts to monitor and reduce overdose fatalities at both county and state levels. By leveraging this data, public health officials and policymakers can better identify trends, allocate resources, and develop targeted interventions to curb the overdose epidemic.


The lack of a clear seasonal pattern in overdose deaths suggests the need for year-round vigilance and support. Community programs that provide education, resources, and support to individuals affected by substance abuse must be consistently maintained throughout the year. The analysis of overdose fatalities in Washington County sheds light on the extent and nature of this pressing public health issue. With a per-capita overdose rate higher than the statewide average, Washington County faces significant challenges that require sustained and focused efforts.

Story by multiple RFHC contributors.

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