Texas Overdose Data to Action

Anyone can make an anonymous drug poisoning report in Texas through the TxCOPE: Texans Connecting Overdose Prevention Efforts website or the TxCOPE app. 


OD2A Data to Action Framework: Reducing Overdoses and Health Disparities

Texas is experiencing a drug poisoning epidemic. The state’s drug poisoning deaths increased more than 75% in the past five years. In 2021, the drug poisoning death rate was 15.8 deaths per 100,000 residents. This is almost double the 2017 rate of 9.4 deaths per 100,000 residents. Males have drug poisoning death rates over twice as high as females. Non-Hispanic Whites and non-Hispanic Blacks have the highest rates of drug poisoning deaths among residents. Texas continues to see increases in stimulant use too. See Texas opioid-related emergency department data here.

In partnership with the Centers for Disease Control and Prevention (CDC), Texas Overdose Data to Action (TODA) focuses on the changing nature of the drug poisoning epidemic in Texas. TODA highlights the need for a comprehensive approach to the epidemic. We want to reduce drug poisoning, deaths, and related harms.


Where to Report an Overdose in Texas

The TODA Reporting Drug Poisoning Events in Texas informational document (PDF in English) identifies Texas drug poisoning reporting systems and how to report. Each listed system varies by reporter and can be used to report Texas drug poisoning data.


TODA Areas of Focus:

  • Surveillance: Enhance and expand nonfatal and fatal drug poisoning data and identify drug threats.
  • Evaluation: Identify what is effective and use data to improve prevention interventions.
  • Prevention: Use evidence-based interventions aligned with shifts in the epidemic. These shifts include changes in the illicit drug supply and a rise in stimulant and multiple substance use. 
  • Focus on Texans:
    • Most affected by drug poisoning;
    • Underserved by substance use disorder treatments and harm reduction services;
    • With lived experience;
    • Experiencing incarceration or recent release from incarceration; and
    • Experiencing homelessness.

The program emphasizes data and evidence‐based interventions to drive prevention. This should have an immediate impact on reducing fatal and nonfatal drug poisoning. Activities will focus on opioids, stimulants, and multiple substance use. 


TODA Supports:

  • Partnerships with public safety, emergency response, and harm reduction groups;
  • Practices that prioritize guidance by people with lived experience;
  • Fatal and non-fatal drug poisoning data collection;
  • Referral networks for community-based care and treatment for those most affected by the drug poisoning epidemic (partnership with HHSC);
  • Justice of the Peace (JP) and Medical Examiner (ME) reimbursement for toxicology testing; and
  • Clinician education and training on prescribing practices and pain management.

This federal/state partnership expands and strengthens overdose tracking and prevention efforts. It will reduce fatal and non-fatal drug poisoning involving opioids, stimulants, and multiple substance use.


The Texas Department of State Health Services provides external links to other sites for additional information but does not endorse external links. These external links may not be accessible to individuals with disabilities.