A comprehensive look at county death rates
Are things getting better or worse in your county?
In the table below, Harm Reduction Ohio ranks the death rates for all 88 Ohio counties from 2017 through 2021.
Scioto County ranked No. 1 (the deadliest) in 2021, 2020, 2019 and 2018. It was No. 9, the ninth worst in 2017 and No. 12 in 2016 (not shown in this table).
By contrast, Montgomery County (Dayton) has fallen in the death rate rankings from 2017 to 2021, although it still ranks fairly high.
Search for your county by in the search box at the top of the table or alphabetize the counties to see all locations that interest you. You can also rank all counties from worst to best or best to worst in any year.
2021 is based on preliminary overdose death data found in the Ohio Department of Health mortality database. The ranks from 2017-2020 are based on complete and final data. About 85% of mortality data has been reported for 2021. County rankings for 2021 may change slightly as the final 15% of the data are entered.
In a typical year. the top 32 counties have overdose death rates above the state average. Counties ranked No. 33 to No. 88 are below the state average.
Ohio Overdose Death, Rates, Ranked By County
Year | 2017 | 2018 | 2019 | 2020 | 2021 |
---|---|---|---|---|---|
Scioto | 9 | 1 | 1 | 1 | 1 |
Vinton | 73 | 38 | 67 | 4 | 2 |
Lawrence | 13 | 8 | 22 | 8 | 3 |
Meigs | 66 | 2 | 19 | 3 | 4 |
Ross | 37 | 9 | 7 | 6 | 5 |
Jackson | 45 | 17 | 45 | 24 | 6 |
Perry | 70 | 26 | 35 | 23 | 7 |
Mahoning | 15 | 13 | 10 | 14 | 8 |
Pike | 18 | 7 | 4 | 5 | 9 |
Hocking | 50 | 20 | 62 | 80 | 10 |
Brown | 5 | 3 | 33 | 25 | 11 |
Jefferson | 28 | 15 | 28 | 31 | 12 |
Clark | 4 | 5 | 15 | 36 | 13 |
Montgomery | 1 | 6 | 5 | 13 | 14 |
Gallia | 10 | 4 | 2 | 2 | 15 |
Richland | 30 | 14 | 9 | 19 | 16 |
Trumbull | 8 | 18 | 5 | 7 | 17 |
Butler | 7 | 10 | 11 | 17 | 18 |
Adams | 14 | 19 | 12 | 16 | 19 |
Hardin | 48 | 69 | 39 | 56 | 20 |
Columbiana | 17 | 30 | 20 | 27 | 21 |
Marion | 20 | 11 | 8 | 11 | 22 |
Guernsey | 55 | 59 | 44 | 42 | 23 |
Franklin | 41 | 24 | 16 | 9 | 24 |
Lorain | 25 | 33 | 30 | 29 | 25 |
Hamilton | 11 | 12 | 13 | 30 | 26 |
Highland | 46 | 79 | 36 | 50 | 27 |
Clermont | 22 | 22 | 21 | 45 | 28 |
Fayette | 2 | 42 | 22 | 34 | 29 |
Clinton | 3 | 36 | 14 | 15 | 30 |
Lucas | 38 | 21 | 3 | 10 | 31 |
Cuyahoga | 16 | 27 | 22 | 40 | 32 |
Summit | 23 | 51 | 26 | 39 | 33 |
Muskingum | 58 | 16 | 25 | 21 | 34 |
Stark | 56 | 60 | 40 | 51 | 35 |
Fairfield | 51 | 67 | 61 | 48 | 36 |
Coshocton | 71 | 63 | 66 | 37 | 37 |
Ashtabula | 52 | 54 | 31 | 32 | 38 |
Athens | 82 | 84 | 70 | 61 | 39 |
Darke | 12 | 28 | 55 | 44 | 40 |
Seneca | 40 | 52 | 60 | 22 | 41 |
Preble | 6 | 46 | 34 | 35 | 42 |
Licking | 61 | 53 | 47 | 52 | 43 |
Washington | 63 | 57 | 72 | 59 | 44 |
Wayne | 67 | 72 | 64 | 63 | 45 |
Morrow | 44 | 60 | 27 | 28 | 46 |
Wyandot | 77 | 34 | 79 | 67 | 47 |
Sandusky | 34 | 41 | 37 | 76 | 48 |
Pickaway | 47 | 29 | 29 | 18 | 49 |
Lake | 32 | 36 | 32 | 41 | 50 |
Madison | 21 | 77 | 17 | 68 | 51 |
Tuscarawas | 60 | 80 | 68 | 53 | 52 |
Erie | 27 | 32 | 49 | 26 | 53 |
Greene | 35 | 40 | 46 | 62 | 54 |
Shelby | 26 | 58 | 38 | 46 | 55 |
Portage | 59 | 64 | 54 | 70 | 56 |
Belmont | 54 | 47 | 41 | 33 | 57 |
Warren | 39 | 64 | 56 | 66 | 58 |
Hancock | 29 | 39 | 53 | 57 | 59 |
Huron | 19 | 44 | 18 | 12 | 60 |
Monroe | 74 | 25 | 80 | 78 | 61 |
Williams | 81 | 56 | 71 | 69 | 62 |
Knox | 56 | 86 | 69 | 83 | 63 |
Allen | 35 | 74 | 74 | 54 | 64 |
Champaign | 24 | 50 | 52 | 38 | 65 |
Harrison | 43 | 48 | 88 | 74 | 66 |
Ottawa | 67 | 35 | 64 | 58 | 67 |
Wood | 79 | 81 | 56 | 71 | 68 |
Henry | 80 | 23 | 58 | 77 | 69 |
Miami | 33 | 48 | 50 | 47 | 70 |
Medina | 61 | 62 | 74 | 72 | 71 |
Fulton | 85 | 66 | 78 | 49 | 72 |
Defiance | 84 | 70 | 59 | 60 | 73 |
Auglaize | 78 | 88 | 77 | 87 | 74 |
Geauga | 52 | 78 | 51 | 84 | 75 |
Van Wert | 49 | 75 | 62 | 64 | 76 |
Noble | 86 | 43 | 81 | 81 | 77 |
Delaware | 75 | 76 | 73 | 82 | 78 |
Union | 65 | 71 | 48 | 75 | 79 |
Crawford | 30 | 31 | 42 | 43 | 80 |
Ashland | 87 | 85 | 83 | 73 | 81 |
Mercer | 69 | 87 | 86 | 79 | 82 |
Morgan | 76 | 44 | 81 | 20 | 83 |
Paulding | 72 | 67 | 84 | 85 | 84 |
Holmes | 88 | 82 | 87 | 86 | 85 |
Carroll | 64 | 73 | 76 | 55 | 86 |
Logan | 41 | 55 | 43 | 65 | 87 |
Putnam | 83 | 83 | 85 | 88 | 88 |