Even though South Dakota has one of the lowest overdose rates in the country, our state’s trend has not declined as sharply as in other parts of the nation.
More than 80 South Dakotans died of overdoses between March 2024 and March 2025 – a 2.4% decrease, compared to a 25% national decline during the same period.
In Minnehaha and Lincoln counties alone, sheriff’s offices have reported 46 fatal overdoses in the past 18 months.
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Public health experts indicate that the larger national decline is due to the availability of Naloxone in more places, growth in treatment options, and opioid settlement funds reaching communities…