Fentanyl-related overdoses continue to be the leading cause of accidental overdose deaths in Travis County, according to a new report from the Travis County Medical Examiner’s Office. In 2023, 279 people died from a fentanyl-related overdose – up from 245 the year before. That’s about a 14 percent increase.
Travis County Medical Examiner Keith Pinckard said drug overdose deaths were the No. 1 cause of all accidental deaths in the community ahead of car crashes and falls. Overall, 486 people overdosed in 2023, which is about a 17 percent increase from 2022. Over the past four years, the number of drug deaths has roughly doubled, the data shows.
Pinckard said the majority of drug deaths are not due to a single drug but rather multiple drugs in a person’s system. More than half of the people who died from fentanyl-related overdoses also had methamphetamine in their systems. But, he said, there is some hope that things are improving. From 2021 to 2022, the number of fentanyl deaths more than doubled, but in 2023 the percentage increase in deaths was much lower.
Though that data point is encouraging, Travis County Judge Andy Brown said there is still work to do. Last year, the county allocated $860,000 to overdose prevention and mitigation resources, including purchasing Narcan, the life-saving drug used to reverse the effects of an overdose. This effort has saved many lives, Brown said, including as recently as last month during a surge of overdoses in which 11 people in Central Texas died, according to Austin-Travis County EMS.
All told, 79 people had accidental overdoses in a batch of drugs that contained fentanyl. Many of those people were revived with Narcan. “These prevention and intervention programs actually did save dozens of lives in a way that I don’t know that they would have before we started all this community work,” Brown said.
Austin police have so far been unsuccessful in finding the source of the fentanyl from the April surge. The investigation remains ongoing. Pinckard’s yearly analysis of deaths in the county is available here.