Fentanyl

Drug overdose deaths spike in urban America

Reproduced from NCHS; Chart: Axios Visuals

For years, death rates from drug overdoses surged in rural America. But now, overdose death rates are rising faster in cities, according to a newly released data analysis from the Centers for Disease Control.

What's happening: The opioid crisis has devastated many rural areas while heroin deaths are climbing in urban centers.

U.S. drug overdose deaths fell last year

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.