One in five overdose deaths had cannabis detected. That sentence is true, it is from the federal government, and it is about to be used to say something the report itself says is wrong. Nebraska is one of the states in the data, so I read the whole thing.
I went looking for anything new from the CDC on cannabis or hemp, because that is what doing homework looks like: you check the agencies whose numbers get quoted at you. There is something new, it is eight days old, and the number in it is going to travel.
"Notes from the Field: Cannabis Detection Among Overdose Deaths — United States, 2021–2025," in the CDC’s Morbidity and Mortality Weekly Report, volume 75, number 34, pages 539–541. Four authors from the CDC’s Division of Overdose Prevention.
It uses a system called SUDORS, which collects death certificates, medical examiner and coroner reports, and postmortem toxicology from 31 states and the District of Columbia. Nebraska is one of them.
Two more numbers appear in the same paragraph, and they are the ones that decide what the first number means:
| Measure | Share of all overdose deaths | Count |
|---|---|---|
| Cannabis detected in toxicology | 21.0% | 43,880 |
| Cannabis listed as causing the death | 0.8% | 1,687 |
| Cannabis the only drug involved | 0.004% | 9 |
Nine deaths, in four and a half years, across 32 jurisdictions. The CDC states the conclusion plainly, so I do not have to reach for it:
Among the deaths where cannabis was found, 73.5% also involved illegally manufactured fentanyls and 60.4% involved stimulants such as cocaine or methamphetamine.
So the honest sentence is long and the dishonest one is short. “Cannabis found in one in five overdose deaths” fits in a headline. “Cannabis is usually present alongside the fentanyl that did the killing” does not. Watch for the short one. It will be quoted at a hearing near you.
Among decedents aged 12–17, cannabis was detected in 42.7% of overdose deaths — 439 of 1,028. The trend inside that group moved: 49.2% in 2021, down to 35.9% in 2024, then back up to 44.6% in the first half of 2025.
The CDC notes this is the age group with the lowest self-reported cannabis use. And in that same group, 88.6% of the deaths where cannabis was detected also involved illegally manufactured fentanyls.
By contrast, adults 50 and over had the lowest detection rate, 16.7%, rising slightly from 14.8% to 18.1% over the period.
Hemp-derived delta-8 THC shows up in the footnotes, in two ways that matter to anyone arguing about hemp products:
That is a real limit, stated by the agency, on any claim about which product was involved. The CDC also says its own count is probably low: because cannabinoids rarely cause death, screening for them is not universal, so “the identification of cannabis use among overdose deaths is likely underestimated.”
I looked for this report where you would expect to find it: the CDC’s own page listing its cannabis MMWR articles.
| CDC page | Last updated | What that means |
|---|---|---|
| “MMWR Articles,” Cannabis and Public Health | February 15, 2024 | Its newest listed article is from July 2023. The September 2026 report is not on it. |
| “Cannabis Facts and Stats” | March 7, 2025 | Still cites 2021 use: 19%, or 52.5 million people. The new report cites a 2024 figure of 64.2 million. |
That is not a scandal, and I am not calling it one. Agencies are big and web pages age. But it is a lesson I keep relearning and will keep publishing: the summary page is not the source. If I had trusted the CDC’s own index, I would have concluded there was nothing new since 2023, and been wrong by three years.
Go to the dated report. Every number above comes from the PDF of the report itself, not from a page about the report.
Because the first number in that report is going to be repeated at a city council, a legislature, maybe a hearing room I am sitting in on Monday. When it is, I want to be the person who can say what page it is on, what the next two numbers were, and what the authors themselves concluded.
Would you believe me if I told you a true number can still leave you with a false impression? That is the whole reason to read the source. It costs an afternoon, and the CDC put it online for free.