How the US turned the tide on drug overdose deaths

In 2020 and 2021, before I came to Vox, I worked as the future correspondent at Axios — yes, that was the actual job title — and I found myself writing almost solely about the Covid-19 pandemic, or major trends that appeared to be driven by the pandemic.

One of those trends was an alarming rise in drug overdose deaths. The trajectory was already bad before Covid: Between the widespread prescription and misuse of legal opioids and then the introduction of the ultra-powerful drug fentanyl to the illicit drug supply, overdose deaths in the US began taking off in the early 2010s. But the closure of treatment facilities during the pandemic and the isolation of users led to a sudden spike in deaths: In the year leading up to September 2020, as I wrote in April 2021, more than 87,000 Americans died of drug overdoses, a higher total than any 12-month period of the opioid epidemic up to that point.