Life expectancy slips in Oregon
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Oregon experienced one of the greatest decreases in life expectancy at birth from 2020 to 2021 in all of the U.S., according to a new Centers for Disease Control and Prevention analysis — declining from 78.8 to 77.4 years.
Why it matters: While Oregon's life expectancy still ranks among the top half of states in the nation, the dramatic drop highlights just how hard the state was hit by the COVID-19 pandemic and rising drug overdoses, per the report.
Zoom in: From 2019 to 2023, there was a five-fold increase in opioid overdose deaths, from 280 to 1,392, according to the latest data from the Oregon Health Authority.
- "What we're seeing can be attributed to the increase in fentanyl in our drug supply," Todd Korthuis, head of Oregon Health & Science University's Addiction Medicine Section, told Axios.
The latest: To address skyrocketing deaths, lawmakers rolled back a key component of voter-approved Measure 110 earlier this spring, which decriminalized possession of small amounts of illicit drugs back in 2020.
- Starting Sunday, possession will once again be a misdemeanor.
What they're saying: However, COVID had a "50% bigger impact on 2021 life expectancy than did drug overdoses," Ethan Sharygin, director of Portland State University's Population Research Center, told Axios in an email.
- COVID mortality has since waned, whereas "drug overdoses overtook cancer as the most significant cause of premature deaths in 2021 and remained there in 2022," Sharygin added.
The big picture: Nationwide, life expectancy nationwide fell by 0.6 years between 2020 and 2021. The U.S. average is 76.4 years as of 2021.
- Hawaii (79.9 years), Massachusetts (79.6) and Connecticut (79.2) have the longest life expectancy at birth.
- Mississippi (70.9 years), West Virginia (71.0) and Alabama (72.0) have the shortest. In general, southern states had the lowest life expectancy.
Between the lines: Women are expected to live longer than men across the country.
- In Oregon, women are expected to live 80.2 years, while men are at 74.8 years.
How it works: The findings are based on a combination of mortality statistics and census and Medicare data.
The bottom line: With the worst of the COVID-19 pandemic behind us, these numbers will likely improve in future reports — as earlier preliminary data suggests.
- Still, both COVID and drug overdoses remain serious public health challenges.

