United States

This archive collects solutions-journalism stories and milestones from the United States — covering policy wins, community-led efforts, scientific advances, and social progress happening across the country. Each entry highlights what’s working and why it matters.

|matthew t rader Y MzYPOLkXI unsplash, for article on overdose deaths

Overdose deaths in the United States drop for first time in two decades

Overdose deaths in the United States finally reversed course in 2018, ending nearly two decades of almost unbroken annual increases — a sign that the coordinated public health response is starting to work. Expanded naloxone access, medication-assisted treatment, and community outreach all appear to have contributed, though no single intervention gets the credit. The picture inside the data is mixed: while opioid deaths fell, deaths involving cocaine and methamphetamine rose, suggesting the epidemic shifted rather than ended. Still, experts say this is evidence that scaling up treatment saves lives — and that doing so remains the central, unfinished challenge.