The drug crisis in the United States, particularly in South Carolina, has been a significant public health challenge. Recent data shows some encouraging trends, but the situation remains serious and requires continued attention and resources.
South Carolina has been experiencing an ongoing drug overdose crisis, though recent data shows the first signs of improvement in many years. In 2022, 2,296 South Carolinians died from drug overdoses, with 1,864 of these deaths related to opioids and 1,660 involving fentanyl. This represented a continuation of a troubling trend, as overdose deaths had been increasing annually since 2014.
However, 2023 marked an important turning point. According to recent data, South Carolina recorded 2,157 drug overdose deaths in 2023, representing a 6.1% decrease from the previous year. This is the first time since 2014 that South Carolina has seen a decrease in the number of drug overdose deaths. The rate of drug overdose deaths in 2023 was 41.0 per 100,000 population.
The latest provisional data from the CDC's National Vital Statistics Systems predicts even more significant improvements for 2024. The data forecasts approximately 1,475 overdose deaths in South Carolina for 2024, which would represent a substantial 33% decline from 2023. This trend mirrors national improvements, as the CDC predicts 80,391 drug overdose deaths nationwide during 2024, a decrease of nearly 27% from the estimated 110,037 deaths in 2023.
South Carolina has implemented several key initiatives to combat the overdose crisis. The South Carolina Overdose Prevention Project was established to reduce opioid-related deaths by training first responders and caregivers to recognize overdose signs and administer naloxone, a life-saving medication that can reverse opioid overdoses.
Working in collaboration with the S.C. Department of Health and Environmental Control, the Department of Alcohol and Other Drug Abuse Services (DAODAS) has trained law enforcement officers across the state through the Law Enforcement Officer Narcan (LEON) program. Additionally, the Reducing Opioid Loss of Life (ROLL) program provides similar training to firefighters throughout South Carolina.
Due to the success of these programs, DAODAS has secured additional federal funding to continue these initiatives through August 2025. This extended support will allow the state to build on its current progress and potentially save more lives.
A critical component of South Carolina's overdose prevention strategy involves increasing access to naloxone, an FDA-approved medication that reverses the toxic effects of opioid overdoses. Since January 2018, county alcohol and drug abuse authorities, opioid treatment programs, recovery organizations, and other service providers have distributed thousands of doses of naloxone to patients, caregivers, and community members through the Overdose Education and Naloxone Distribution program.
South Carolina has also taken steps to make naloxone more accessible to the general public. The medication is now available without a prescription from pharmacies and community distributors throughout the state.
The recent progress in reducing overdose deaths demonstrates the effectiveness of collaboration between state agencies. The South Carolina Department of Public Health and the Department of Behavioral Health and Developmental Disabilities, through its Office of Substance Use Services (OSUS), have worked together to implement and promote overdose prevention initiatives.
These agencies have also emphasized the importance of continued work to further reduce overdose deaths and educate the public on substance use. This ongoing commitment to public education and awareness is essential for maintaining and building upon the recent positive trends.
While the recent data showing a decline in overdose deaths is encouraging, addressing the drug crisis remains a priority for South Carolina. The continued federal funding through 2025 will support ongoing prevention and intervention efforts. The collaborative approach between state agencies, healthcare providers, and community organizations provides a solid foundation for further progress.
The provisional data for 2024 suggests that these efforts are having a meaningful impact, but sustained commitment will be necessary to address the complex factors contributing to substance use disorders and overdose deaths in the state.