2025 Coroner’s Report on Accidental Drug‑Related Deaths in New Orleans

 

Total accidental drug‑related deaths in 2025: 282, compared to 293 in 2024.

2025 Demographics

Sex
Male: 197 (69.9%)
Female: 83 (29.4%)
Unknown/Unsure: 2 (0.7%)

Race & Ethnicity
White: 107 (37.9%)
Black / African American: 165 (58.5%)
Asian: 1 (0.4%)
Race Not Recorded: 7 (2.5%)
Hispanic (Ethnicity): 2 (0.7%)

2025 Toxicology Summary

Of the 248 cases with toxicology results available:

172 (69.3%) tested positive for Fentanyl (including metabolites/analogs).
2024 comparison: 71%.
162 (65.3%) tested positive for Cocaine (including metabolite markers).
2024 comparison: 65%.
104 (41.9%) tested positive for both Fentanyl (incl. 4‑ANPP/analogs) and Cocaine (incl. metabolite markers). 2024 comparison: 48%.
71 (28.6%) tested positive for Amphetamine / Methamphetamine (including grouped “Amphetamines”). 2024 comparison: 28%.

“While the total number of accidental drug deaths in 2025 declined slightly compared to 2024, the toxicology patterns make one fact unmistakable: fentanyl and cocaine continue to drive the majority of preventable fatalities in our city. Every one of these deaths represents a life cut short and a family left grieving. We remain committed to transparent reporting, public education, and working alongside our community partners to save lives.”