Drug Overdose - Rates
In 2024 there were 30 drug overdose deaths in San Juan County down from a peak of 47 deaths in 2023; giving an age-adjusted rate in 2024 of 25.5 per 100,000 population.
San Juan County's rate is below the state's rate of 35.6 deaths per 100,000, and similar to the national U.S. rate of 23.1.
Drug Overdose Deaths
Trends, Drug Overdose
The rates shown in the chart below are the most recent data from the NM Dept of Health (through 2024).
Overdose death rates have risen steadily in the past 20 years, increasing sharply since 2018. Rates across the U.S. and New Mexico decreased from 2021 through 2024. San Juan County's drug overdose rate showed a marked decrease from 2023 to 2024.
Trends, Preliminary Data for 2025
Preliminary data for 2025 from the CDC in the chart below shows San Juan County's downward trend maintained, with a similar number of overdose deaths in 2024 and 2025.
The rate across the U.S. continued to decline in 2025, whereas New Mexico experienced an upward trend in 2025, from 775 overdose deaths in 2024 to 967 in 2025, similar to the number in 2023 of 993. (Note: rates below are crude rates, not age-adjusted as above.)
Polysubstance Use
Polysubstance use, or the use of multiple substances together or within a short time frame, is a contributing factor that increases the risk of overdose, including accidental deaths resulting from the compounding effects of multiple substances used together.
(Substances include alcohol, prescription opioid and benzodiazepine medication, and illicit substances such as cocaine, methamphetamine and heroin.)
Polysubstance Overdose
Approximately one-half of overdose deaths in San Juan County involve the use of multiple substances.
Polysubstance Involvement
in Overdose Deaths
(2017-21)
Polysubstance Use
Polysubstance Use (2026)
New Mexico's Indicator-based Information System:
https://ibis.health.state.nm.us/
CDC WONDER - Provisional Mortality Statistics:
https://wonder.cdc.gov
Updated/Checked: Sept-Oct 2026
It is of note that NM Dept of Health (IBIS) and CDC WONDER often differ by 1-2 overdose deaths each year.
CDC WONDER also has the most current, up to date data available, as numbers of deaths and crude (not age-adjusted) rates.

