Read the original article and watch the video on the WRAL News website.
Data from the Department of Health and Human Services shows midway through 2026, North Carolina is seeing a 27% reduction of reported opioid overdoses across state emergency departments.
Between January and June, to include six months of DHHS data, there are 2,031 reported opioid overdoses in the state. That’s down by more than 700 overdoses compared to the same period of time last year.
Illicit opioids, which includes fentanyl, make up more than half of the emergency department visits in the state.
This comes six months after WRAL reported that North Carolina, as a state, saw another consecutive year of declining opioid and fentanyl overdose numbers. An analysis of state health data showed that opioid overdose hospitalizations had decreased by more than 20% in the last year, marking two consecutive years of declining emergency department visits in North Carolina. The same data source shows similar trends for fentanyl positive deaths, which decreased by 24% in the last year.
Even still, local police departments are issuing public safety notices about localized spikes in suspected fentanyl.
In Fayetteville, policer offers report an increase of overdoses believed to be caused by fentanyl in the local community.
“The increase has prompted concern that particularly potent or contaminated illegal drugs may currently be circulating in the Fayetteville area,” a spokesperson for the department said.
This rare spike comes as Cumberland County is experiencing a drastic reduction in overdoses reported to hospitals. Monthly DHHS data shows there are 33 reported cases so far this year, down from 95 over the same window of time last year.
Illicit opioids, which includes fentanyl, make up more than half of the emergency department visits in the state.
This comes six months after WRAL reported that North Carolina, as a state, saw another consecutive year of declining opioid and fentanyl overdose numbers. An analysis of state health data showed that opioid overdose hospitalizations had decreased by more than 20% in the last year, marking two consecutive years of declining emergency department visits in North Carolina. The same data source shows similar trends for fentanyl positive deaths, which decreased by 24% in the last year.
Even still, local police departments are issuing public safety notices about localized spikes in suspected fentanyl.
In Fayetteville, policer offers report an increase of overdoses believed to be caused by fentanyl in the local community.
“The increase has prompted concern that particularly potent or contaminated illegal drugs may currently be circulating in the Fayetteville area,” a spokesperson for the department said.
This rare spike comes as Cumberland County is experiencing a drastic reduction in overdoses reported to hospitals. Monthly DHHS data shows there are 33 reported cases so far this year, down from 95 over the same window of time last year.
By the numbers: Hospitalizations, deaths track down
Statewide, North Carolina recorded 4,960 emergency department visits related to opioid overdoses in 2025. That marks a 21% decrease in the last year, and a 48% decrease since 2023 when the state recorded a record number of 9,624.
In total, overdose emergency department visits decreased by 14% between 2024 and 2025. Last year’s 10,627 cases still mark a 43% reduction since 2023.
Total Overdose Emergency Department visits
WRAL analyzed data across the Raleigh area, including the North Carolina counties that surround the capital city. Eight counties did not offer county-level reporting. The year-over-year data revealed that rural counties are among those that have seen the largest gains in opioid hospitalization reduction from a per capita standpoint.
“Since the spike stream of the pandemic, we’re following national trends and exceeding national trends. Not only state but county-level data,” Dr. Kelly Crosbie says, Director of DHHS’ Division of Mental Health, Developmental Disabilities, and Substance Use Services
Percent change between 2024 and 2025
