Both drugs have had past deadly epidemics, meth in the 2000s and cocaine (specifically crack-cocaine) in the 1980s and early 1990s, but both of the new epidemics are resurgent in different ways than before. In our previous analysis of the 2018 mortality data we identified that both methamphetamine and cocaine had contributed to more deaths overall in the US than in previous years and were increasingly associated with deaths in states and cities where they had not traditionally had a strong footprint. This increase has been driven disproportionately by the only three drugs that also did not see declines in mortality in 2018-methamphetamine, cocaine, and fentanyl. In the US, drug overdose deaths are predicted to have risen by 4.8 percent compared to the number of overdose deaths in 2018. Recent preliminary mortality data released by the Centers for Disease Control and Prevention (CDC) for 2019 and the first quarter of 2020 suggest, however, that 2018 was not the beginning of a sustained trend. In 2018, there was a downturn observed in overdose mortality.
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