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The Numbers Behind America’s Opioid Epidemic

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Opioid Epidemic overdose map

The Numbers Behind America’s Opioid Epidemic

Drug overdoses are the leading cause of death for Americans under the age of 50, who are now more likely to die from a drug overdose than from car accidents or firearms. The United States has the dubious distinction of having the highest percentage of drug-related deaths in the world.

While opioid abuse is a nationwide problem, there are specific areas that are being hit harder by this epidemic. Using the location data above, from NORC at the University of Chicago, we can see clusters of counties that have an extremely high rate of overdose deaths. Between 2012 and 2016, West Virginia, Kentucky, and Ohio saw a combined 18,000 deaths related to opioid abuse.

A sharp increase in prescribed opioid-based painkillers and the rise of illegal fentanyl – which is up to 50 times stronger than heroin – has unleashed the worst public health crisis in American history.

It’s a problem that can be tough to understand, but by delving into the data, some key observations emerge.

Doctors Prescribed a lot of Pain Killers

Beginning in the 1980s, prescription opioids like oxycodone and hydrocodone were heavily marketed as a treatment for pain, and at the time, the risk of addiction to these substances was downplayed. Opioid prescriptions nearly tripled between 1991 and 2011.

opioid sales

Sales of these powerful painkillers are beginning to drop, in part because the risk of addiction has now been widely publicized. Another decelerating factor is the crackdown on clinics and pharmacies that were over-dispensing painkillers, in some cases directly feeding the elicit drug market.

In 2015, nearly 100 million Americans were prescribed painkillers by their doctor. A recent survey showed one-third of people who abused prescription painkillers in the past year got pills directly from a physician.

Source of opioids

This abundance of pills impacts the community at large when excess pills are sold, stolen, or simply given to others. In fact, receiving painkillers from a friend or family member was the most common gateway to abusing opioids.

Fentanyl is Killing a lot of People

If doctors have been prescribing opioids for decades, what is causing this recent spike in overdoses? The answer, for the most part, is fentanyl.

This synthetic opioid presents a problem because it’s extremely potent – it only takes about 2 milligrams to overdose on the drug. Since much of the fentanyl on the market is sourced illegally, doses can and do exceed this amount on a regular basis.

As a result, overdose deaths related to opioids have skyrocketed in recent years:

Overdoses by opioid drug type

Overdoses are the tip of the Iceberg

The thousands of overdose deaths around the country are the most extreme symptom of the opioid epidemic, but the problem runs much deeper.

In 2017, there were over 11 million “opioid misusers” in the United States. To put that number in perspective, that’s equivalent to the entire population of Ohio. In fact, the problem is so widespread, that it’s suspected to be influencing workforce participation rates.

The health care burden of the crisis is also staggering. The cost of opioid abuse ranges from $10,000 to $20,000 in annual medical costs per patient.

The hard truth is that, unless bold action is taken, the opioid epidemic is projected to claim nearly 500,000 lives over the next decade.

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Who Owns the Most Vehicles per Capita, by Country?

Here are the highest vehicles per capita by country as a growing global middle class is fueling car ownership rates around the world.

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This bar graph shows the number of vehicles per 1,000 people around the world.

Who Owns the Most Vehicles per Capita, by Country?

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

In 2020, there were 289 million vehicles in use in America, or about 18% of the global total.

With one of the largest car ownership rates worldwide, the number of U.S. cars on the road have more than doubled since the 1960s. But how does ownership compare to other countries, and who is seeing the fastest growth rates amid a rising global middle class?

This graphic shows vehicles per capita by country, based on data from the International Organization of Motor Vehicle Manufacturers (OICA).

Highest Car Ownership Rates Worldwide

Below, we rank countries based on the number of registered vehicles in use per 1,000 people, including both passenger cars and commercial vehicles as of 2020:

CountryNumber of Vehicles in Use
per 1000 Inhabitants
Average Annual Growth Rate
2015-2020
🇳🇿 New Zealand8693%
🇺🇸 U.S.8602%
🇵🇱 Poland7614%
🇮🇹 Italy7561%
🇦🇺 Australia7372%
🇨🇦 Canada7073%
🇫🇷 France7041%
🇨🇿 Czechia6583%
🇵🇹 Portugal6402%
🇳🇴 Norway6351%
🇦🇹 Austria6322%
🇬🇧 UK6322%
🇩🇪 Germany6272%
🇪🇸 Spain6272%
🇬🇷 Greece6171%
🇯🇵 Japan6120%
🇨🇭 Switzerland6041%
🇧🇪 Belgium5901%
🇳🇱 Netherlands5882%
🇫🇮 Finland5771%
🇸🇪 Sweden5441%
🇩🇰 Denmark5402%
🇮🇪 Ireland5403%
🇲🇾 Malaysia5356%
🇸🇰 Slovakia5133%
🇱🇾 Libya4904%
🇧🇬 Bulgaria485-1%
🇭🇷 Croatia4743%
🇸🇾 Syria4727%
🇭🇺 Hungary4634%
🇰🇷 South Korea4582%
🇷🇴 Romania4387%
🇮🇱 Israel4044%
🇷🇺 Russia3892%
🇧🇾 Belarus3871%
🇲🇽 Mexico3584%
🇹🇼 Taiwan3441%
🇦🇪 UAE3438%
🇷🇸 Serbia3304%
🇦🇷 Argentina3110%
🇹🇭 Thailand2775%
🇨🇱 Chile2461%
🇰🇿 Kazakhstan226-1%
🇨🇳 China22314%
🇹🇷 Türkiye2204%
🇧🇷 Brazil2141%
🇺🇦 Ukraine192-1%
🇮🇷 Iran1832%
🇿🇦 South Africa1761%
🇪🇨 Ecuador1523%
🇻🇪 Venezuela149-1%
🇩🇿 Algeria1443%
🇲🇦 Morocco1124%
🇨🇴 Colombia1111%
🇮🇶 Iraq1114%
🇵🇪 Peru884%
🇮🇩 Indonesia785%
🇪🇬 Egypt644%
🇳🇬 Nigeria565%
🇻🇳 Vietnam5017%
🇵🇭 Philippines383%
🇮🇳 India3310%
🇵🇰 Pakistan207%

Clinching top spot is New Zealand, a country known for its love of cars.

With nearly nine cars on the road to every 10 people, this figure is notably high considering that children make up about 20% of the population. The majority of cars are imported second hand from Japan thanks to a wave of deregulation in the 1980s along with the country being a major producer of right-hand drive cars.

The U.S. falls close behind, with a clear preference for trucks and SUVs. In fact, the Ford F-1 Series has been the best-selling vehicle in America for 42 consecutive years.

In Europe, Poland has the highest number of vehicles per person, but one of the lowest share of electric vehicles (EVs). While EVs make up nearly 16% of all cars in top-ranking country Norway, they comprise 0.1% in Poland. On average, EVs account for 0.8% of passenger cars in the European Union.

Driven by an expanding middle class, Vietnam has seen the fastest growth in ownership. Between 2015 and 2020, the motorization rate grew by an astonishing 17% each year. Additionally, China witnessed 14% growth while India’s vehicles per 1,000 people increased 10% annually over the period.

The Top EV Markets, by Country

As EV sales gain momentum, here are the biggest markets worldwide, based on the number of all-EV cars in use as of 2022:

CountryEstimated Number of EVs in Use
2022
🇨🇳 China11,000,000
🇺🇸 U.S.2,100,000
🇩🇪 Germany1,000,000
🇫🇷 France620,000
🇳🇴 Norway590,000
🇬🇧 UK550,000
🇳🇱 Netherlands340,000
🇰🇷 South Korea300,000
🇨🇦 Canada250,000
🇯🇵 Japan210,000

Source: IEA Global EV Outlook 2023

China is home to over half of the world’s EVs.

Its foothold on the global EV market can be explained by its close proximity to the raw materials used in EV batteries. In fact, China produces roughly 70% of the world’s rare earth metals and has more battery production capacity than all other countries combined.

Adding to this, China developed key government policies that specifically tackled operational hurdles, such as battery constraints, leading to innovation in core technologies. In 2023, EVs made up 31% of all car sales in China, boosted by government incentives and strong consumer demand.

Norway is another leader in the EV market, whose government began introducing EV policies as early as 1990. By 2025, the country aims to phase out internal combustion engine vehicle sales completely. About 80% of all vehicles sales in Norway were EVs in 2022, the highest in the world.

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