Oahu’s overdose crisis worsens as meth and fentanyl deaths surge in 2025
A total of 248 people died from accidental drug overdoses on Oahu in fiscal year 2025. This marks a steady rise from previous years, with methamphetamine remaining the leading cause. Officials have noted a sharp increase in fentanyl-related deaths as well.
Methamphetamine played a role in 186 of the 248 fatal overdoses recorded in FY 2025. The figure has climbed from 221 deaths the year before and 203 in the prior year. Despite its prevalence, Narcan—a drug used to reverse opioid overdoses—has no effect on methamphetamine overdoses.
Fentanyl was detected in 91 of the deaths, showing a nearly 60% increase over three years. However, only 11 of these cases involved fentanyl alone, suggesting it was often mixed with other substances. Cocaine contributed to 33 of the fatal overdoses.
Meanwhile, unrelated to the overdose data, the National Weather Service radar on Molokai resumed operation on Thursday, January 23. The following day, the state Department of Taxation released the 2025 Hawaii tax Form N-11 as a fillable PDF.
The latest figures confirm methamphetamine as the primary driver of fatal overdoses on Oahu. Fentanyl’s growing presence in overdose cases adds to the concern. No official explanation has been provided for the rising death toll linked to these drugs.
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