Overdose Dashboard

Public Health

Overdose Deaths Involving Opioids, Crude Rates/100,000 Greene County vs. NYS Excluding NYC, 2014-2024

Data Source: NYSDOH County Annual Opioid Reports
Last Updated: 07/15/2025
Update Frequency: Annual

Between 2014 and 2024, the average annual crude rate of overdose deaths involving opioids in Greene County was 24.0 per 100,000, approximately 1.3 times higher than the NYS rate excluding NYC (18.3 per 100,000).

In 2024, Greene County’s crude overdose death rate was 23.4 per 100,000, compared to 14.4 per 100,000 in NYS excluding NYC.

In 2024, among 57 upstate NY counties, Greene ranked 4th for overdose deaths involving opioids.



Annual Overdose Volume and Approximate Fatality Rates

Data Source: ODMAP & Greene County Coroners' Office
Last Updated: 07/15/2025
Update Frequency: Annually
  • Overdose volume peaked in 2021; 22% of all cases in the last 5 years occurred in 2021.
  • Since peaking in 2021, overdose volume has decreased annually.  Total overdose volume in 2024 was 34% lower than 2021.
  • The average approximate fatality rate over 5 years is 13%.  The rate in 2024 was slightly above average at 14%, but lower than the prior year (17%).

**The approximate fatality rate is an estimated value.  The actual fatality rate is could possibly be lower, as the number of deaths (numerator) is fixed, but the number of non-fatal overdoses (denominator) could be more than the reported value.**



Total Greene County Overdose Events Entered into ODMAP

Data Source: ODMAP
Last Updated: 07/15/2025
Update Frequency: Annual

Based on available data, overdose events in Greene County have decreased by 33% from 2021 (130 events) to 2024 (78 events). This marks the third consecutive year of decline since the 2021 peak.

*Overdose event data in ODMAP reflect only incidents where a first responder was on scene and entered a record. Not all overdoses are captured due to variations in reporting protocols and cases without emergency response.



Proportion of Overdose Deaths by Substance Involved, Greene County, 2021-2024

Data Source: Greene County Coroners' Office
Date of Update: 07/15/2025
Update Frequency: Annual

Overdose death rates remain high, driven by a toxic and evolving drug supply. While overdose deaths remain a serious concern, the substances involved are shifting.

  • Fentanyl remains the most common substance involved in overdose deaths in Greene County, but the proportion of deaths involving Fentanyl is decreasing—from 90% in 2021 to 50% in 2024.
  • Prescription opioids and benzodiazepines are becoming more prevalent in fatal overdoses.
  • Though deaths involving methamphetamine/ amphetamine and xylazine had been rising, both declined in 2024 after peaking in prior years.
  • Since 2021, no overdose deaths involved heroin in Greene County


Overdose Death Location Types, Greene County, 2024 (N=12)

Data Source:
Date of Update: 07/15/2025
Update Frequency: Annual

In 2024 in Greene County, 100% of all overdose deaths occurred in a private home; 75% in the decedent’s own home and 25% in someone else’s private home.

All homes should keep a naloxone kit.



Proportion of Overdose Deaths by Age Group, Greene County, 2024 (N=12)

Data Source: Greene County Coroners' Office
Date of Update: 07/15/2025
Update Frequency: Annual

Overdose deaths by Age, 2024

  • 20- 29: 25%
  • 30-39: 8%
  • 40-49:17%
  • 50-59: 25%
  • 60-69:17%
  • 70 and above:8%


Proportion of Overdose Deaths by Gender, Greene County, 2024 (N=12)

Data Source: Greene County Coroners' Office
Date of Update: 07/15/2025
Update Frequency: Annual

More males than females died of overdose in Greene County last year. 58% of overdose deaths were among males.



Proportion of Overdose Deaths by Race, Greene County, 2024 (N=12)

Data Source: Greene County Coroners' Office
Date of Update: 08/13/2025
Update Frequency: Annual

The majority of overdose decedents in Greene County are Caucasian/White. In 2024, 92% (11 out of 12 decedents) were Caucasian/White and 1 individual was Hispanic/Latinx.



Volume of all ODs by Region, Greene County, 2020-2024 (N=511)

Data Source: ODMAP
Last Updated: 07/15/2025
Update Frequency: Weekly

Between 2020 and 2024, there have been 511 overdose events entered into ODMAP in Greene County.

Highest- Region #1: 49%

Lowest- Region #6: 1.3%

 

Greene County Data By Municpality Region #6: 7 Region #5: 35 Region #1: 252 Region #4: 91 Region #3: 20 Region #2: 106
Region #1: 252(Catskill, Palenville, Leeds)
Region #2: 106(Durham, Cairo, South Cairo, Acra, Purling, East Durham, Round Top, Cornwallville)
Region #3: 20(Greenville, Freehold)
Region #4: 91(New Baltimore, Coxsackie, Athens, Earlton, West Coxsackie, Hannacroix)
Region #5: 35(Lexington, Jewett, Halcott, East Jewett, Elka Park, Tannersville, Hunter, Lainesville)
Region #6: 7(Prattsvile, Ashland, Windham, Hensonville)


Proportion of Overdose Deaths by Regions, Greene County, 2020-2024 (N=67)

Data Source: Greene County Coroners' Office
Last Updated: 08/13/2025
Update Frequency: Annually

There were 67 deaths to overdose in Greene County between 2020 and 2024.

Highest- Region #1: 43%

Lowest- Region #3: 0%

 

 

Greene County Data By Municpality Region #6: 4 Region #5: 7 Region #1: 29 Region #4: 10 Region #3: 0 Region #2: 17
Region #1: 29(Catskill, Palenville, Leeds)
Region #2: 17(Durham, Cairo, South Cairo, Acra, Purling, East Durham, Round Top, Cornwallville)
Region #3: 0(Greenville, Freehold)
Region #4: 10(New Baltimore, Coxsackie, Athens, Earlton, West Coxsackie, Hannacroix)
Region #5: 7(Lexington, Jewett, Halcott, East Jewett, Elka Park, Tannersville, Hunter, Lainesville)
Region #6: 4(Prattsvile, Ashland, Windham, Hensonville)


Monthly Volume of Overdose Entries into ODMAP, YTD

Data Source: ODMAP
Last Updated: 09/15/2025
Update Frequency: Monthly
  • Over the past 12 months (July 2024 – June 2025), a total of 65 overdose events were recorded in ODMAP, with a monthly average of approximately 5 entries.
  • While entries remained relatively steady throughout the year, there were a few fluctuations—most notably overdoses peaked to 8 in September 2024, followed by a drop to just 2 events in October 2024.

Anyone who may be at risk of witnessing or experiencing an overdose can obtain naloxone free of charge from Greene County Public Health.