Overdose Dashboard

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.

• Overdose volume peaked in 2021;  29% of all overdoses in the last 5 years occurred in 2021.
• Since peaking in 2021, overdose volume has decreased annually.  Total overdose volume in 2025 was 48% lower than 2021.
• The average approximate fatality rate over 5 years is 12%.  The rate in 2025 was just 3%.

**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.**

Based on available data, overdoses in Greene County have decreased by 48% from 2021 to 2025. This marks the fourth consecutive year of decline since the 2021 peak.

*Overdose 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.

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

• Fentanyl is the most common substance involved in overdose deaths in Greene County over the last 5 years;  about 3/4 of overdose deaths involved fentanyl. More recently, the proportion of deaths involving Fentanyl is decreasing—from 90% in 2021 to 0% in 2025.
• Since 2021, no overdose deaths involved heroin in Greene County.
• Prescription opioids and benzodiazepines are becoming more prevalent in fatal overdoses.
• Deaths involving stimulants like cocaine, amphetamine and methamphetamine are also common.  About 1/3 of deaths in the last 5 years have involved stimulants.

*These data are based on annual proportion of death, not volume of death.  With small annual numbers of deaths, these data should be interpreted with caution.

In Greene County between 2020 and 2025, 90% of all overdose deaths occurred in a private home; 73% in the decedent’s own home and 17% in someone else’s private home.

All homes should keep a naloxone kit.

Overdose deaths by Age, 2020-2025

• Most overdose decedents in Greene County are between 30-49 years old (54%).
• 29% are age 50 or older.
• 17% are in there 20s.
• There have been no overdose deaths in Greene County for anyone under 20 years of age.

Over the last 5 years, more males than females died of overdose in Greene County. About two thirds of overdose deaths were among males.

The majority of overdose decedents in Greene County are Caucasian/White. Between 2020-2025, out of 70 deaths, 65 people were White, 2 were Black, 2 were Hispanic and 1 was multiple races.

Between 2020 and 2025, there have been 584 overdose events entered into ODMAP in Greene County.

Region #1: 54%

Region #2: 20%

Region #3: 4%

Region #4: 14%

Region #5: 7%

Region #6:  2%

There were 70 deaths to overdose in Greene County between 2020 and 2025.

Region #1: 41%

Region #2: 24%

Region #3: 0%

Region #4: 17%

Region #5: 7%

Region #6: 7%

• Over the past 12 months (February 2025 – January 2026), a total of 65 overdose events were recorded in ODMAP, with a monthly average of approximately 5 entries.

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