Fentanyl pushes US drug deaths to record levels with 93,000 fatal overdoses last year
A record number of people died of a drug overdose in the US last year, according to government estimates.
The death toll of 93,000 is a big increase from the 72,000 estimate in the previous year, and it means there were more than 250 deaths each day, roughly 11 every hour.
Only two states – New Hampshire and South Dakota – did not see an increase in drug overdose deaths.
Kentucky saw a 54% increase to more than 2,100 and Vermont was up 58% – from 118 to 186, with large increases also seen in South Carolina, West Virginia, and California.
There is no evidence that more Americans started using drugs last year but the deaths were more likely to be among those who were already struggling with their addiction, according to Shannon Monnat, an associate professor of sociology at Syracuse University.
Prof Monnat, who researches geographic patterns in overdoses, said some addicts also told her that, when benefits were extended and evictions were paused as part of government pandemic measures, they had more money to feed their addiction.
Lockdowns and other pandemic-related restrictions left addicts isolated and made it more difficult for them to get treatment.
Needle exchange programmes, opioid substitution therapy, safe injection sites, support groups, and therapy sessions were all curtailed by social distancing and stay-at-home orders.
Jordan McGlashen, left, and his brother, Collin
Jordan McGlashen died after overdosing on heroin and fentanyl in his Michigan apartment in May last year, a day before his 39th birthday.
The musician had seen his father die of cancer a few months earlier and had also lost his job in the early days of the pandemic.
His brother Collin said: “He was alone, and suffering emotionally and felt like he had to use again.”
“Someone can be doing really well for so long and then, in a flash, deteriorate.
“It was really difficult for me to think about the way in which Jordan died.”
Decades ago, overdoses were driven by prescription painkillers but they were overtaken by heroin, with around 7,200 deaths in 1970.
By 1988, crack cocaine was the drug of choice and there were about 9,000 overdose deaths.
Then fentanyl took over and it is thought to have been involved in more than 60% of overdose deaths last year, with opioids overall blamed for 74.7%.
Fentanyl, which is 80-100 times stronger than morphine, was made to treat pain from illnesses such as cancer but it is now mixed with other drugs and sold illicitly.
It is too soon for national figures covering 2021 but state data so far indicates that fentanyl is continuing to push up the number of drug overdose deaths.
Rhode Island reported 34 in January and 37 in February – the most for those months in at least five years.
Prof Monnat said: “What’s really driving the surge in overdoses is this increasingly poisoned drug supply.
“Nearly all of this increase is fentanyl contamination in some way. Heroin is contaminated. Cocaine is contaminated. Methamphetamine is contaminated.”
Donald Trump has told members of his cabinet that Elon Musk will leave his government role in the coming months.
A senior White House official told NBC News, Sky’s US partner network, that the US president had discussed the Tesla and X boss transitioning back to the private sector at a cabinet meeting last month.
Mr Trump is said to have called Mr Musk a “patriot” at the end of the meeting on 24 March, and told the room that “he has never asked me for a thing”.
On Monday in the Oval Office, the president said Mr Musk would at some point be going back to his businesses.
The official said Mr Musk would leave at the end of his 130 days as a special government employee.
That would be 30 May, but it is unclear if the billionaire businessman will indeed leave on that date.
The SpaceX and Tesla boss has headed the Department of Government Efficiency since 20 January. File pic: Reuters
Previously, the White House said that as a temporary organisation, the Department of Government Efficiency (DOGE) would be terminated on 4 July next year – the 250th anniversary of the US.
It comes days after Mr Musk said some members of his DOGE team were getting death threats on a daily basis.
Mr Musk had drawn criticism over his efforts to downsize the US federal government.
In just weeks, entire agencies were dismantled, and tens of thousands of workers from the 2.3 million federal workforce have been fired or have agreed to leave their jobs.
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Val Kilmer, the actor who starred in Top Gun and played Batman and Jim Morrison, has died aged 65.
His daughter Mercedes told the Associated Press he died of pneumonia on Tuesday night in Los Angeles surrounded by family and friends.
Kilmer was diagnosed with throat cancer in 2014 but later recovered, she said.
The actor, who played Tom ‘Iceman’ Kazansky in Top Gun alongside Tom Cruise in 1986, previously admitted he didn’t want the role, which made him famous.
But he said he begged to be part of the sequel, Top Gun: Maverick in 2022, even going as far as contacting the producers and creating “heartrending scenes with Iceman”. It would be his final acting role.
Kilmer had a colourful romantic past, having dated Hollywood stars including Cindy Crawford, Angelina Jolie, Carly Simon and Cher.
He starred in Willow in 1988 and married his British co-star Joanne Whalley. The couple had two children before they divorced in 1996.
Kilmer with his former wife British actress Joanne Whalley in 1989. Pic Shutterstock
Val Kilmer appeared alongside Nicole Kidman in Batman Forever. Pic: Warner Bros/Kobal/Shutterstock
Kilmer portrayed Batman in the 1995 film Batman Forever and received critical acclaim for his portrayal of rock singer Jim Morrison in the 1991 movie The Doors.
He also starred in True Romance and Kiss Kiss Bang Bang, as well as playing criminal Chris Shiherlis in Michael Mann’s 1995 movie Heat and Doc Holiday in the 1993 film Tombstone.
Kilmer was one of the best-paid actors in the 1990s and in 1992 film critic Roger Ebert wrote, “if there is an award for the most unsung leading man of his generation, Kilmer should get it”.
In his 2020 memoir Your Huckleberry, Kilmer discussed his throat cancer diagnosis and recovery.
Actor Josh Brolin wrote on Instagram: “See ya, pal. I’m going to miss you. You were a smart, challenging, brave, uber-creative firecracker. There’s not a lot left of those.
“I hope to see you up there in the heavens when I eventually get there. Until then, amazing memories, lovely thoughts.”
In an Instagram post actor Josh Gad called Kilmer “an icon”.
He said: “RIP Val Kilmer. Thank you for defining so many of the movies of my childhood. You truly were an icon.”
Val Kilmer in 2017. Pic: AP
Kilmer made his Broadway debut in the 1983 production of Slab Boys with Sean Penn and Kevin Bacon.
He also appeared in Shakespeare plays in New York – playing the title role in Hamlet and appearing in Henry IV: Part One and As You Like It.
In 2005, he starred on London’s West End in Andrew Rattenbury’s adaptation of The Postman Always Rings Twice at the Playhouse Theatre.
Kilmer also enjoyed painting, with his website describing him as a “talented and prolific artist in a variety of mediums”.
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“Liberation day” was due to be on 1 April. But Donald Trump decided to shift it by a day because he didn’t want anyone to think it was an April fool.
It is no joke for him and it is no joke for governments globally as they brace for his tariff announcements.
It is stunning how little we know about the plans to be announced in the Rose Garden of the White House later today.
It was telling that we didn’t see the President at all on Tuesday. He and all his advisers were huddled in the West Wing, away from the cameras, finalising the tariff plans.
Follow the events of Liberation Day live as they unfold
Three key figures are central to it all.
Treasury Secretary Scott Bessent is the so-called ‘measured voice’. A former hedge fund manager, he has argued for targeted not blanket tariffs.
Peter Navarro is Trump’s senior counsellor for trade and manufacturing. A long-time aide and confidante of the president, he is a true loyalist and a firm believer in the merits of tariffs.
His economic views are well beyond mainstream economic thought – precisely why he appeals to Trump.
The third key character is Howard Lutnick, the commerce secretary and the biggest proponent of the full-throttle liberation day tariff juggernaut.
The businessman, philanthropist, Trump fundraiser and billionaire (net worth ranging between $1bn and $2bn) has been among the closest to Trump over the past 73 days of this presidency – frequently in and out of the West Wing.
If anything goes wrong, observers here in Washington suspect Trump will make Lutnick the fall guy.
What are Donald Trump’s tariffs, what is ‘liberation day’ and how does it all affect the UK?
And what if it does all go wrong? What if Trump is actually the April fool?
“It’s going to work…” his press secretary said when asked if it could all be a disaster, driving up the cost of living for Americans and creating global economic chaos.
“The president has a brilliant team who have been studying these issues for decades and we are focussed on restoring the global age of America…” Karoline Leavitt said.
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‘Days of US being ripped off are over’
Dancing to the president’s tune
My sense is that we should see “liberation day” not as the moment it’s all over in terms of negotiations for countries globally as they try to carve out deals with the White House. Rather it should be seen as the start.
Trump, as always, wants to be seen as the one calling the shots, taking control, seizing the limelight. He wants the world to dance to his tune. Today is his moment.
But beyond today, alongside the inevitable tit-for-tat retaliation, expect to see efforts by nations to seek carve-outs and to throw bones to Trump; to identify areas where trade policies can be tweaked to placate the president.
Even small offerings which change little in a material sense could give Trump the chance to spin and present himself as the winning deal maker he craves to be.
One significant challenge for foreign governments and their diplomats in Washington has been engaging the president himself with proposals he might like.
Negotiations take place with a White House team who are themselves unsure where the president will ultimately land. It’s resulted in unsatisfactory speculative negotiations.
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Treasury minister: ‘We’ll do everything to secure a deal’
Too much faith placed in the ‘special relationship’?
The UK believes it’s in a better position than most other countries globally. It sits outside the EU giving it autonomy in its trade policy, its deficit with the US is small, and Trump loves Britain.
It’s true too that the UK government has managed to accelerate trade conversations with the White House on a tariff-free trade partnership. Trump’s threats have forced conversations that would normally sit in the long grass for months.
Yet, for now, the conversations have yielded nothing firm. That’s a worry for sure. Did Keir Starmer have too much faith in the ‘special relationship’?
Downing Street will have identified areas where they can tweak trade policy to placate Trump. Cars maybe? Currently US cars into the UK carry a 10% tariff. Digital services perhaps?
US food? Unlikely – there are non-tariff barriers on US food because the consensus seems to be that chlorinated chicken and the like isn’t something UK consumers want.
Easier access to UK financial services maybe? More visas for Americans?
For now though, everyone is waiting to see what Trump does before they either retaliate or relent and lower their own market barriers.
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