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Note: 2018 data is provisional; Data: Centers for Disease Control; Chart: Axios Visuals

Fewer Americans died from drug overdoses last year than the year before. It's the first time that number has gone down in almost 30 years.

Yes, but: This progress is both fragile and modest. Overdose deaths fell by about 5% last year, according to provisional data from the federal government. But overdose deaths rose by roughly 316% between 1999 and 2017. There's still a long way to go, and more than 68,000 Americans still died of overdoses last year.

  • "Lives are being saved, and we're beginning to win the fight against this crisis," Health and Human Services Secretary Alex Azar said in a statement yesterday.
  • "This crisis developed over two decades and it will not be solved overnight," Azar said.
  • Overdoses from prescription opioids are falling, but deaths from fentanyl, cocaine and meth all continued to increase last year.

Between the lines: The decline in overall mortality appears to be driven mainly by a decline in the abuse of prescription painkillers. But overdoses involving fentanyl, cocaine and meth are all continuing to increase.

  • Naloxone, the drug that reverses the immediate effects of an overdose, has also become much more widely available as the crisis has worsened, and that is all but certainly helping to save lives.
  • But it's not clear whether efforts to get people into longer-term treatment programs are making a dent yet, given the rising demand for illegal drugs.

Go deeper: How to change treatment for opioid addiction

Go deeper

Axios-Ipsos poll: Vaccine resistance grows

Data: Axios/Ipsos surveys. 1,100 U.S adults surveyed Aug. 28-31, 2020, and 1,008 U.S. adults surveyed Sept. 18-21,2020; Chart: Axios Visuals

The share of Americans eager to try a first-generation coronavirus vaccine dropped significantly in the latest installment of the Axios-Ipsos Coronavirus Index, as President Trump hyped suggestions that one could be ready before the election.

Why it matters: As the U.S. reaches a milestone of 200,000 deaths, this underscores the risks of politicizing the virus and its treatments.

Updated 2 hours ago - Science

Texas and Louisiana face fresh flood threat from Tropical Storm Beta

Tropical Storm Beta slowly approaching the Texas coast on Monday. Photo: National Weather Service/Twitter

Tropical Storm Beta was dumping heavy rains over Texas as it churned its way inland overnight, bringing the risk of "life-threatening storm surge" and flooding to parts of the state and Louisiana, the National Hurricane Center said.

What's happening: The slow-moving storm was causing coastal flooding along areas including the bays near Houston and Galveston in Texas Monday, per the National Weather Service. Texas Gov. Greg Abbott (R) made a disaster declaration and Louisiana Gov. John Bel Edwards (D) declared a state of emergency Monday.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 3 a.m. ET: 31,328,238 — Total deaths: 964,839— Total recoveries: 21,503,496Map.
  2. U.S.: Total confirmed cases as of 3 a.m. ET: 6,857,967 — Total deaths: 199,884 — Total recoveries: 2,615,949 — Total tests: 95,841,281Map.
  3. Health: CDC says it mistakenly published guidance about COVID-19 spreading through air.
  4. Media: Conservative blogger who spread COVID-19 misinformation worked for Fauci's agency.
  5. Politics: House Democrats file legislation to fund government through Dec. 11.
  6. World: U.K. upgrades COVID alert level as Europe sees worrying rise in infections — "The Wake-Up Call" warns the West about the consequences of mishandling a pandemic.

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