St. Louis Area Drug-Involved Death Information
On this page, you will find reports on St. Louis Area (Franklin, Jefferson, St. Charles, St. Louis City, and St. Louis County) drug-involved deaths based on information received from the corresponding Medical Examiners’ offices. If you have any additional questions about this information, please reach out to our team at nomodeaths@mimh.edu.
St. Louis Area Drug-Involved Death Preliminary Data
January - June 2024
SAINT LOUIS AREA: FRANKLIN, JEFFERSON, ST. CHARLES, ST. LOUIS CITY, & ST. LOUIS COUNTY
This data comes from the Franklin, Jefferson, St. Charles, St. Louis City and St. Louis County Medical Examiners' Offices and includes deaths where the Initial Incident occurred within each county.
For more information on what data is included and how drug-involved deaths are defined, please visit the Data FAQ Sheet on our website:
httP-s://www.mimhaddisci.org/missouri-overdose-data-2
Summary Points
In Missouri statewide, preliminary data shows that the total number of overdose deaths from January-June of 2024 decreased by 29% compared to January-June of 2023 (2023= 1048 deaths vs 2024=802 deaths).
St. Louis City still reports the highest number of drug-involved deaths in the region, but a notable decrease (-41%) in the first six months of 2024 has narrowed the gap with St. Louis County.
Jefferson was the only county with an increase (+2%) in the number of drug-involved deaths in 2024.
The number of deaths across all drug types decreased in 2024, with opioid-involved deaths showing the largest decline (-38%).
St. Louis Area Counties combined experienced a reduction in drug-involved deaths across all reported demographics (Black/White, male/female). Notably, drug-related deaths among Black males decreased by 46% and Black females by 40%.
Download PDF version of the report here.
St. Louis Area Drug-Involved Death Report
January -December 2023
SAINT LOUIS AREA: FRANKLIN, JEFFERSON, ST. CHARLES, ST. LOUIS CITY, & ST. LOUIS COUNTY
This data comes from the Franklin, Jefferson, St. Charles, St. Louis City and St. Louis County Medical Examiners' Offices and includes deaths where the Initial Incident occurred within each county.
For more information on what data is included and how drug-involved deaths are defined, please visit the Data FAQ Sheet on our website:
httP-s://www.mimhaddisci.org/missouri-overdose-data-2
Summary Points
The total number of drug-involved deaths within these counties decreased by 6% in 2023 compared to 2022.
St. Louis City continues to have the highest number of drug-involved deaths across the region, showing little change in 2023 compared to 2022.
Jefferson County showed the highest decrease (-22%) in deaths in 2023 compared to 2022.
The number of deaths involving xylazine doubled in 2023 compared to 2022 highlighting it's increasing presence in the drug supply in Eastern Missouri.