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

Year20172018201920202021
Scioto91111
Vinton73386742
Lawrence1382283
Meigs6621934
Ross379765
Jackson451745246
Perry702635237
Mahoning151310148
Pike187459
Hocking5020628010
Brown53332511
Jefferson2815283112
Clark45153613
Montgomery1651314
Gallia1042215
Richland301491916
Trumbull8185717
Butler710111718
Adams1419121619
Hardin4869395620
Columbiana1730202721
Marion201181122
Guernsey5559444223
Franklin412416924
Lorain2533302925
Hamilton1112133026
Highland4679365027
Clermont2222214528
Fayette242223429
Clinton336141530
Lucas382131031
Cuyahoga1627224032
Summit2351263933
Muskingum5816252134
Stark5660405135
Fairfield5167614836
Coshocton7163663737
Ashtabula5254313238
Athens8284706139
Darke1228554440
Seneca4052602241
Preble646343542
Licking6153475243
Washington6357725944
Wayne6772646345
Morrow4460272846
Wyandot7734796747
Sandusky3441377648
Pickaway4729291849
Lake3236324150
Madison2177176851
Tuscarawas6080685352
Erie2732492653
Greene3540466254
Shelby2658384655
Portage5964547056
Belmont5447413357
Warren3964566658
Hancock2939535759
Huron1944181260
Monroe7425807861
Williams8156716962
Knox5686698363
Allen3574745464
Champaign2450523865
Harrison4348887466
Ottawa6735645867
Wood7981567168
Henry8023587769
Miami3348504770
Medina6162747271
Fulton8566784972
Defiance8470596073
Auglaize7888778774
Geauga5278518475
Van Wert4975626476
Noble8643818177
Delaware7576738278
Union6571487579
Crawford3031424380
Ashland8785837381
Mercer6987867982
Morgan7644812083
Paulding7267848584
Holmes8882878685
Carroll6473765586
Logan4155436587
Putnam8383858888

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