Mecklenburg County Reports 200% Rise in Overdose Deaths Among Black and Hispanic Residents

Since 2019, there has been a 200% rise in overdose deaths among Black and Hispanic residents in Mecklenburg County, compared to a 14% increase among White residents over the same time. Additionally, over 55% of non-fatal overdoses have occurred in Black or Hispanic populations, who only make up 30% and 15% respectively of the total population in Mecklenburg County. The rise in overdose deaths and overdoses is largely driven by fentanyl being mixed with other street drugs such as cocaine and counterfeit pills. 

“These numbers are a stark reminder that the opioid epidemic is impacting every group in our community,” said Dr. Raynard Washington, Mecklenburg County Public Health director. “Despite making some progress among some groups, the rise in fatal overdoses among our Black and Hispanic residents is alarming. I’m strongly encouraging everyone to first avoid buying and sharing illicit drugs and pills, and secure access to naloxone if you or someone you know is struggling with any opioid or other illicit drug dependence.” 

Public Health’s CDC-funded Overdose Data to Action initiative is working with the Medical Examiner’s Office and Mecklenburg EMS Agency (MEDIC) on enhanced surveillance efforts tracking overdose deaths and overdose-related emergency responses and hospitalizations to better understand the impact of opioids locally and inform prevention strategies. The data are available in a new interactive dashboard.

“Almost every day we see the devastating burden of fentanyl in our community,” said Dr. Thomas Owens, Mecklenburg County medical examiner. “Many of the deaths are the result of people unknowingly taking fentanyl that has been mixed with other street drugs or pills and could have been prevented with detection and naloxone administration.”

With the support of Mecklenburg County’s Opioid Settlement funding, Public Health and community partners distributed 16,968 doses of naloxone in 2024. This includes distribution via MEDIC, which leaves naloxone kits with patients and bystanders on overdose-related emergency responses.

“We are proud of the work of our first responders who are saving lives every day through their tireless efforts,” said John Peterson, Mecklenburg EMS Agency executive director. “But we need your help in preventing overdose deaths. We encourage everyone to know the signs of a drug overdose, carry naloxone and call 9-1-1 immediately if you suspect someone is having an overdose.” 

Residents can request free naloxone directly from Mecklenburg County Public Health through its website. The site will also show you signs of overdose and how to request training for use of naloxone