看看大城市的情况。。。。
Based on the latest available data through early 2026, Baltimore and San Francisco have the highest fatal drug overdose rates among large U.S. city/county jurisdictions. Data indicates a significant surge in fentanyl-related deaths in these areas.
The following list highlights cities and city-county jurisdictions with the highest overdose death rates, with data for 2024–2025 showing high mortality, particularly in the Mid-Atlantic and Pacific regions.
Top U.S. Cities/Counties with Highest Drug Death Rates (2025–2026)
- Baltimore, MD: Holds the highest drug overdose death rate, with nearly
deaths perresidents during the 12-month period ending in August 2025.
- San Francisco, CA: Ranked second among large jurisdictions, with a rate of
perresidents in the same period.
- Philadelphia, PA: Consistently ranks among the top cities for opioid-related deaths, with rates elevated by the crisis in neighborhoods like Kensington.
- Washington, D.C.: Shows a high per capita overdose death rate, often ranking just below state-level leaders.
- Cleveland, OH (Cuyahoga County): Ohio consistently ranks high in fentanyl-related mortality.
- Cincinnati, OH (Hamilton County): A previous epicenter for carfentanil-related deaths, it maintains a high fatal overdose rate.
- Dayton, OH: Has consistently experienced high overdose mortality rates due to the opioid crisis in Ohio.
- Portland, OR: Has experienced a massive rise in overdose rates in recent years, placing it high among cities.
- Seattle, WA (King County): Has experienced high fatality rates, often related to synthetic opioid use.
- Indianapolis, IN (Marion County): Has reported drug intoxication as a leading cause of death, outranking car crashes and homicides.
Key Data Trends & Context
- Most Dangerous Drug Threats: Fentanyl and methamphetamine dominate current overdose mortality rates.
- Recent Changes: While San Francisco and Baltimore have high rates, some data from early 2026 suggests total overdose deaths nationwide may be beginning to decline.
- Location Trends: The highest concentrations of overdose deaths are in the Northeast, Mid-Atlantic, and Ohio Valley

