Louisiana Opioid Deaths Fall 59% as Misuse Ranks Last — Metric Hygiene Check

September 7, 2026 (story date: Center Square / Just the News Sep 6, 2026; WBRZ Sep 2, 2026)

(1) Mortality/ED/Rx claims (LDH 2022–2025, preliminary 2025) are a different object from (2) NSDUH prevalence/ranking claims (2023–2024 survey). (3) “Misuse ranks last” holds as 51st of 51 on that survey measure but is not the same metric as deaths falling — both can be true. (4) Illegally made fentanyl is excluded from the federal misuse/OUD survey definitions — a material caveat. (5) 2025 mortality figures are preliminary and can revise. (6) The national 46.2% comparison is LDH-cited, not independently recomputed here. (7) Mental Health America rankings use an earlier data vintage than some LDH opioid trend windows. Attribute the 59%/52%/10% strings as LDH-as-reported (standalone LDH HTML PR not located this pass).

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