In these western US states positive tests for fentanyl generally coincided with overdose deaths

Washington

Alaska

California

40% positive

Positive fentanyl

test rates among

those in treatment

programs

30

20

10

0

2019

2025

2019

2025

2019

2025

50 deaths/100k

Overdose

deaths per

100k from

all drugs

40

30

20

10

0

2019

2025

2019

2025

2019

2025

Washington

Alaska

California

40% positive

Positive fentanyl

test rates among

those in treatment

programs

30

20

10

0

2019

2025

2019

2025

2019

2025

50 deaths/100k

Overdose

deaths per

100k from

all drugs

40

30

20

10

0

2019

2025

2019

2025

2019

2025

Washington

Alaska

California

40% positive

Positive fentanyl

test rates among

those in treatment

programs

30

20

10

0

2019

2025

2019

2025

2019

2025

50 deaths/100k

Overdose

deaths per

100k from

all drugs

40

30

20

10

0

2019

2025

2019

2025

2019

2025

Washington

Alaska

California

40% positive

30

Positive fentanyl test

rates among those in

treatment programs

20

10

0

2019

2025

2019

2025

2019

2025

50 deaths/100k

40

Overdose deaths per

100k from all drugs

30

20

10

0

2019

2025

2019

2025

2019

2025

Washington

Alaska

California

40% positive

30

Positive fentanyl test

rates among those in

treatment programs

20

10

0

2019

2025

2019

2025

2019

2025

50 deaths/100k

40

Overdose deaths per

100k from all drugs

30

20

10

0

2019

2025

2019

2025

2019

2025