This report highlights the percent change for each state in overdose death counts. It includes an interactive map of the United States highlighting the percent increase in overdose death rates from February 2020 through February 2021. States with the highest percent change include Vermont with 76.4%.increase. Kentucky is next highest with 56.4% change and West Virginia is third with 55.2%. Louisiana is 4th at 56%. Nebraska is 5th with 54.2%. South Carolina is 6th with 51.9%. Tennessee is 7th with 51.1%.California (8th) with 49.6% and Virginia is 9th with 46.1%.