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September 5, 2026Injury Prevention

Locations of emergency medical services attended non-fatal opioid-involved overdoses, 888 counties, USA, 2022–2024

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Authors

BLB. Casey LyonsEFEmily A G FahertyJPJoohyun Park

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Overview

Surveillance study finds most non-fatal overdoses occur in private residences, indicating a critical need for targeted community naloxone distribution.

Key Points

  • To identify the specific geographic settings and demographic patterns of non-fatal opioid overdoses attended by emergency medical services across the United States.
  • Analyzed emergency medical service (EMS) encounter data from biospatial by ImageTrend across 888 consistently reporting US counties covering roughly 30.6% of the population from January 2022 to December 2024.
  • Calculated frequencies and proportions of non-fatal opioid overdoses stratified by location type, sex, race/ethnicity, age group, and US Census Bureau region, assessing quarterly trends using average quarterly percent change (AQPC).
  • Private residences represented the most frequent site of non-fatal overdoses (55.3%), followed by streets and highways (19.5%) across all demographic groups.
  • Encounters frequently occurred in schools and administrative buildings among individuals aged <19 years and in healthcare facilities among those aged ≥55 years.
  • Proportions of residential overdoses experienced a slight decline from January 2022 through September 2024 (AQPC: −0.9), while proportions on streets and highways remained stable.

Cite This Study

Lyons et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4536b95aff0620ebe82https://doi.org/10.1136/ip-2026-046301
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Development of a Definition to Identify Severe Opioid Overdoses Treated in Emergency Departments, 2019-20222024
  2. 2Pediatric Emergency Department Visits for Opioid Overdose in the United States2026
  3. 3Mortality Due to Opioid Overdose in the United States: Trends from a CDC WONDER Analysis (1999–2024)2025 · 6 citations
  4. 4A Qualitative Study of EMTs’ Perceptions of Opioid Overdose Reversals With Naloxone2026
  5. 5State-level variation in distribution of oxycodone and opioid-related deaths from 2000 to 2021: an ecological study of ARCOS and CDC WONDER data in the USA2024 · 8 citations