Counties where the most opioids are dispensed in Nebraska
This story originally appeared on Ophelia and was produced and distributed in partnership with Stacker Studio.
Counties where the most opioids are dispensed in Nebraska
When Purdue Pharma first began sales of OxyContin in the late 1990s, it was advertised as relief for cancer patients and people with chronic pain. Aggressive marketing fueled the drug's popularity, along with that of other opioid pain management drugs on the market. But as the company touted OxyContin to physicians, it downplayed the drug's addictiveness, according to confidential Justice Department reports obtained by news organizations, leading to widespread use that has fueled an opioid epidemic across the U.S.
More than 645,000 people have died from opioid-related overdoses between 1999 and 2021, according to the Centers for Disease Control and Prevention. Provisional data shows just under 80,000 people died in 2022 alone.
Opioid prescriptions have decreased dramatically over the past decade as physicians and public health officials learned about the dangers of OxyContin and other opioids prescribed for pain management. In 2020, the most recent year with data available, the national opioid dispense rate reached 43.3 per 100 people, the lowest rate ever recorded.
A 2022 study funded by the National Institute on Drug Abuse found that counties with higher dispensing rates had more cases of opioid misuse and dependence. The study suggested that reducing prescriptions at the local level can lower a community's rate of opioid abuse or misuse.
Other studies, however, have suggested that decreasing prescriptions may have fueled a new phase of the opioid epidemic: the rise of synthetics like fentanyl. In 2020, synthetics accounted for 82% of all opioid deaths.
It's also important to note that, as awareness has grown about the dangers of dispensing opioid prescription painkillers, more health care professionals are also prescribing medications like Suboxone–which contains buprenorphine and naloxone—for the treatment of addiction and opioid use disorders. While Suboxone is also an opioid medication, it works differently than typical opioid painkillers, blocking the effects of more powerful and addictive opioids to deter intentional misuse.
Using data from the Centers for Disease Control and Prevention, Ophelia broke down counties in every state with the highest opioid dispense rates. In the case of a tie, the county with the higher population and higher raw number is ranked higher. Data was available for 98% of counties in the United States. Overall in Nebraska, the opioid dispensing rate was 48.0 per 100 people, compared to 43.3 nationally.
Read the national story for additional historical context and see where other counties outside of Nebraska stand.
#50. Thurston County
- Opioid dispensing rate: 22.2 per 100 people
--- 53.8% lower than state average
--- 48.7% lower than national average
#49. Dawson County
- Opioid dispensing rate: 25.1 per 100 people
--- 47.7% lower than state average
--- 42.0% lower than national average
#48. Gage County
- Opioid dispensing rate: 25.6 per 100 people
--- 46.7% lower than state average
--- 40.9% lower than national average
#47. Saline County
- Opioid dispensing rate: 26.3 per 100 people
--- 45.2% lower than state average
--- 39.3% lower than national average
#46. Sarpy County
- Opioid dispensing rate: 26.6 per 100 people
--- 44.6% lower than state average
--- 38.6% lower than national average
#45. Platte County
- Opioid dispensing rate: 27.0 per 100 people
--- 43.8% lower than state average
--- 37.6% lower than national average
#44. Seward County
- Opioid dispensing rate: 27.3 per 100 people
--- 43.1% lower than state average
--- 37.0% lower than national average
#43. Kearney County
- Opioid dispensing rate: 28.3 per 100 people
--- 41.0% lower than state average
--- 34.6% lower than national average
#42. Knox County
- Opioid dispensing rate: 28.4 per 100 people
--- 40.8% lower than state average
--- 34.4% lower than national average
#41. Garden County
- Opioid dispensing rate: 30.2 per 100 people
--- 37.1% lower than state average
--- 30.3% lower than national average
#40. Dundy County
- Opioid dispensing rate: 30.8 per 100 people
--- 35.8% lower than state average
--- 28.9% lower than national average
#39. Cheyenne County
- Opioid dispensing rate: 30.8 per 100 people
--- 35.8% lower than state average
--- 28.9% lower than national average
#38. Furnas County
- Opioid dispensing rate: 31.6 per 100 people
--- 34.2% lower than state average
--- 27.0% lower than national average
#37. Wayne County
- Opioid dispensing rate: 33.1 per 100 people
--- 31.0% lower than state average
--- 23.6% lower than national average
#36. Boyd County
- Opioid dispensing rate: 33.8 per 100 people
--- 29.6% lower than state average
--- 21.9% lower than national average
#35. Harlan County
- Opioid dispensing rate: 34.6 per 100 people
--- 27.9% lower than state average
--- 20.1% lower than national average
#34. Kimball County
- Opioid dispensing rate: 35.9 per 100 people
--- 25.2% lower than state average
--- 17.1% lower than national average
#33. Dawes County
- Opioid dispensing rate: 35.9 per 100 people
--- 25.2% lower than state average
--- 17.1% lower than national average
#32. Howard County
- Opioid dispensing rate: 36.0 per 100 people
--- 25.0% lower than state average
--- 16.9% lower than national average
#31. Pawnee County
- Opioid dispensing rate: 37.8 per 100 people
--- 21.3% lower than state average
--- 12.7% lower than national average
#30. Otoe County
- Opioid dispensing rate: 38.0 per 100 people
--- 20.8% lower than state average
--- 12.2% lower than national average
#29. Merrick County
- Opioid dispensing rate: 39.0 per 100 people
--- 18.8% lower than state average
--- 9.9% lower than national average
#28. Antelope County
- Opioid dispensing rate: 40.5 per 100 people
--- 15.6% lower than state average
--- 6.5% lower than national average
#27. Butler County
- Opioid dispensing rate: 41.9 per 100 people
--- 12.7% lower than state average
--- 3.2% lower than national average
#26. Pierce County
- Opioid dispensing rate: 43.0 per 100 people
--- 10.4% lower than state average
--- 0.7% lower than national average
#25. Dodge County
- Opioid dispensing rate: 43.1 per 100 people
--- 10.2% lower than state average
--- 0.5% lower than national average
#24. Custer County
- Opioid dispensing rate: 43.3 per 100 people
--- 9.8% lower than state average
--- 0.0% lower than national average
#23. Jefferson County
- Opioid dispensing rate: 44.5 per 100 people
--- 7.3% lower than state average
--- 2.8% higher than national average
#22. Red Willow County
- Opioid dispensing rate: 45.3 per 100 people
--- 5.6% lower than state average
--- 4.6% higher than national average
#21. Keith County
- Opioid dispensing rate: 47.4 per 100 people
--- 1.3% lower than state average
--- 9.5% higher than national average
#20. Lancaster County
- Opioid dispensing rate: 47.6 per 100 people
--- 0.8% lower than state average
--- 9.9% higher than national average
#19. Adams County
- Opioid dispensing rate: 48.1 per 100 people
--- 0.2% higher than state average
--- 11.1% higher than national average
#18. Holt County
- Opioid dispensing rate: 48.8 per 100 people
--- 1.7% higher than state average
--- 12.7% higher than national average
#17. Johnson County
- Opioid dispensing rate: 51.0 per 100 people
--- 6.3% higher than state average
--- 17.8% higher than national average
#16. Hamilton County
- Opioid dispensing rate: 57.7 per 100 people
--- 20.2% higher than state average
--- 33.3% higher than national average
#15. York County
- Opioid dispensing rate: 58.2 per 100 people
--- 21.3% higher than state average
--- 34.4% higher than national average
#14. Douglas County
- Opioid dispensing rate: 64.3 per 100 people
--- 34.0% higher than state average
--- 48.5% higher than national average
#13. Box Butte County
- Opioid dispensing rate: 64.5 per 100 people
--- 34.4% higher than state average
--- 49.0% higher than national average
#12. Hall County
- Opioid dispensing rate: 64.7 per 100 people
--- 34.8% higher than state average
--- 49.4% higher than national average
#11. Chase County
- Opioid dispensing rate: 70.7 per 100 people
--- 47.3% higher than state average
--- 63.3% higher than national average
#10. Buffalo County
- Opioid dispensing rate: 73.1 per 100 people
--- 52.3% higher than state average
--- 68.8% higher than national average
#9. Garfield County
- Opioid dispensing rate: 75.0 per 100 people
--- 56.3% higher than state average
--- 73.2% higher than national average
#8. Scotts Bluff County
- Opioid dispensing rate: 75.0 per 100 people
--- 56.3% higher than state average
--- 73.2% higher than national average
#7. Valley County
- Opioid dispensing rate: 75.1 per 100 people
--- 56.5% higher than state average
--- 73.4% higher than national average
#6. Lincoln County
- Opioid dispensing rate: 76.8 per 100 people
--- 60.0% higher than state average
--- 77.4% higher than national average
#5. Nemaha County
- Opioid dispensing rate: 77.9 per 100 people
--- 62.3% higher than state average
--- 79.9% higher than national average
#4. Franklin County
- Opioid dispensing rate: 80.6 per 100 people
--- 67.9% higher than state average
--- 86.1% higher than national average
#3. Perkins County
- Opioid dispensing rate: 86.9 per 100 people
--- 81.0% higher than state average
--- 100.7% higher than national average
#2. Phelps County
- Opioid dispensing rate: 89.7 per 100 people
--- 86.9% higher than state average
--- 107.2% higher than national average
#1. Madison County
- Opioid dispensing rate: 92.2 per 100 people
--- 92.1% higher than state average
--- 112.9% higher than national average
