Cook County breaks opioid overdose record with 2,000 deaths logged in 2022

COOK COUNTY, Ill. - Cook County residents continue to die of opioid overdoses at an unprecedented rate, with fatalities reaching an all-time high last year, according to data released Tuesday.

The Cook County medical examiner’s office announced that 2,000 people died of opioid overdoses in 2022, breaking the previous record of 1,935 deaths set the year before.

Those overdose deaths spiked significantly around the beginning of COVID-19-related lockdowns, jumping 42% from 2019 to 2020.

And although overdose deaths have plateaued since then, "We are still seeing a steady increase year over year," said Natalia Derevyanny, spokesperson for the medical examiner’s office.

Overdose deaths in the county have risen nearly every year since 2018. Opioid deaths were only a fraction of today’s levels in 2015, when 676 overdose deaths were recorded.

Dave Jimenez, director of the University of Illinois Chicago’s Community Outreach Intervention Projects, which operates a mobile narcotics treatment center, said it was "disheartening" to know that the opioid crisis was still raging despite the local and national attention it has received.

"It shows that we need to expand the harm reduction work," said Jimenez, adding that the state should also consider allowing organizations to open overdose prevention sites, where people can have their drugs tested before they are given clean needles.

Such sites have been credited with preventing fatal overdoses in Canada and Australia, among other countries.

"We can address the possibility of an overdose and at the same time use that interaction to link people to treatment services," Jimenez said. "Use that experience to develop relationships to offer other options to people besides drug use. Overdose prevention sites offer the opportunity to talk with people about those kinds of changes while providing a safe context for their drug use."

Jimenez also said that although many organizations in Chicago are collaborating to address the crisis in the city, some parts of the county are more underserved than others.

"There are areas right outside of the city that are not necessarily being addressed because of a lack of resources," Jimenez said. "The nearby western suburbs, the southern suburbs. I know that some organizations are able to go out there one day a week, but they are really underserved."

The vast majority of opioid overdoses last year — 91% — involved fentanyl, the synthetic drug that’s often mixed with heroin but is 50 times more potent, the medical examiner’s office said.

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Deaths in the county involving fentanyl have been rising yearly for nearly a decade — from 103 in 2015 to 1,825 last year.

The latest numbers from the medical examiner’s office reflect the opioid overdose epidemic that now claims the lives of more than 100,000 people in the U.S. every year, according to the Centers for Disease Control and Prevention.

The epidemic has been fueled by a spike in fentanyl in the drug supply, and the isolation related to COVID-19-related lockdowns. Drug overdoses are now the leading cause of injury-related deaths, the CDC says.

In Cook County, overdoses have outnumbered murders since at least 2015, when there were 611 murders and 676 fatal overdoses, according to medical examiner office data.

Last year, men made up about 78% of the overdose deaths in Cook County. About 56% of those who died were African American. Latinos accounted for just under 15%, and whites about 29%, the office said. Just over 70% of the county’s opioid deaths were in Chicago.

The age range most affected were 50- to 59-year-olds, accounting for 27% of deaths, according to the medical examiner’s office.

The youngest overdose victim last year was 12-year-old Joel Watts, who was found dead of an accidental overdose at his Roseland home on Aug. 19. The state’s child welfare agency had been visiting the family and reported the child was subject to "concerns for abuse and neglect," CBS 2-Chicago reported.

The oldest overdose victim was an 84-year-old Chicago woman from the Sauganash neighborhood. She died June 14, 2022, at Swedish Hospital.

Cook County also saw a 46% increase in overdose deaths related to the animal tranquilizer xylazine, which caused at least 161 deaths last year, WBEZ reported in April. Xylazine was listed as a primary cause of death in more than 8% of all opioid-related deaths in Cook County last year.

This month, President Joe Biden’s administration released a plan to combat the threat of fentanyl mixed with xylazine. It tasks the CDC and Food and Drug Administraton with expanding testing and prevention while taking steps to disrupt the xylazine supply chain.

The medical examiner’s office sometimes takes weeks or months to confirm overdose deaths because of delays in toxicology testing. So far in 2023, the medical examiner’s office has recorded 775 overdose deaths.