The Injury and Violence Prevention Branch of the Division of Public Health (IVPB) recently posted an update of suspected overdose deaths, fentanyl-positive deaths, and provisional data on Emergency Department (ED) visits for overdose reports.
This month, due to missing data for some counties, the IVPB is unable to update the statewide opioid overdose ED report.

Last month, the IVPB alerted partners to an upward trend. Both fatal and non-fatal overdose indicators have increased slightly in 2025. While the increases are not large and numbers are still lower than the same time last year, they do come after over a year of steady decreases.
For information on overdose prevention strategies and resources, please visit NaloxoneSaves-nc.org.

Suspected Overdose Deaths
There were 259 suspected overdose deaths in June 2025 compared to 275 in June 2024.
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Fentanyl-Positive Deaths
There were 175 fentanyl-positive deaths in April 2025 compared to 204 in April 2024. Please note that due to the time needed to finalize toxicology results, this report is three months behind the other reports shared in this update.
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Overdose Involving Medication or Drugs with Dependency Potential
There were 892 overdose ED visits in June 2025 involving medication or drugs with dependency potential compared to 1,023 in June 2024.
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