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How the Opioid Crisis Is Affecting Every City in Hampton Roads

Written by: Kaitlin McCaffery-Leyden |

Reviewed by: Conor Yeomans |

Published:Aug 28. 2026

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Virginia’s opioid crisis cost the state about $5.2 billion in 2023. The Hampton Roads overdose statistics also show a major local burden. Norfolk faced about $275 million in opioid-related costs, while Virginia Beach reached about $280 million. Portsmouth had one of Virginia’s highest per-person costs at $1,754 per resident.

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Virginia’s opioid death toll has dropped. However, the crisis has not disappeared from Hampton Roads. The opioid crisis Hampton Roads communities face still affects families, emergency services, hospitals, and local economies. Cities across the region continue to carry some of Virginia’s highest opioid-related costs, even as overdose deaths decline statewide. If you or someone you love is struggling with opioid use, help is available. At Faith Recovery, we provide professional addiction care with compassionate Christian support across Hampton Roads today.

Opioid Crisis Snapshot by Hampton Roads City

CityKey StatisticSource & Year
NorfolkAbout $275 million in opioid-related costsVCU/VDH, 2023
Virginia BeachAbout $280 million in opioid-related costsVCU/VDH, 2023
ChesapeakeAbout $158 million in opioid-related costsVCU/VDH, 2023
PortsmouthAbout $170 million, or $1,754 per residentVCU/VDH, 2023
Newport NewsAbout $146 million in opioid-related costsVCU/VDH, 2023
HamptonAbout $119 million in opioid-related costsVCU/VDH, 2023

Opioid Crisis Hampton Roads: Norfolk by the Numbers

Norfolk faced about $275 million in opioid-related costs in 2023. These costs reflect more than emergency medical care. They also include lost income, criminal justice expenses, and services for children and families. Norfolk has also identified overdose deaths as a major public health concern, with a 2023 rate of 42.4 drug overdose deaths per 100,000 residents.

The fentanyl crisis Hampton Roads communities face has made opioid use especially dangerous. Illicit fentanyl can appear in drugs without a person knowing it, which increases the risk of a fatal overdose. Someone may also take a substance that is much stronger than expected. If opioid use is affecting your health or daily life, addiction treatment in Norfolk can help you find structured support and professional care.

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The opioid crisis Hampton Roads communities face can affect health, relationships, and daily life.

Virginia Beach’s Opioid Crisis by the Numbers

Virginia Beach faced about $280 million in opioid-related costs in 2023, the highest total among the six Hampton Roads cities covered here. A larger population helps explain part of that total, but the figure still shows how deeply opioid use can affect a community. These costs include medical care, lost income, criminal justice expenses, and services for children and families.

Some people may face repeated overdoses, while others may struggle quietly with dependence. For many people, treatment also needs to address mental health, family stress, and the practical problems that can make recovery harder. Early support can reduce the chance that opioid use reaches another emergency. Even when overdose deaths decline, people still need access to treatment before another emergency happens. If you are struggling with opioid use, addiction treatment in Virginia Beach can provide structured care, counseling, and support based on your needs.

Chesapeake’s Opioid Crisis by the Numbers

Chesapeake faced about $158 million in opioid-related costs in 2023. While this total is lower than Norfolk or Virginia Beach, it still reflects a serious local impact. Opioid use can affect families, workplaces, hospitals, and public services throughout the city.

Chesapeake has also used opioid settlement funds to support treatment and recovery services. These efforts matter because the drug epidemic Hampton Roads Virginia communities face requires more than emergency overdose care. People also need ongoing support that helps them manage addiction and related mental health needs. If you need help, addiction treatment in Chesapeake can connect you with structured care and support.

Portsmouth’s Opioid Crisis by the Numbers

Portsmouth faced about $170 million in opioid-related costs in 2023. Its per-person burden was especially high at about $1,754 per resident, placing the city among the highest in Virginia. This shows how heavily the opioid crisis Hampton Roads communities face can affect a smaller city. Per-person costs show the scale of the problem relative to the local population.

The fentanyl crisis Hampton Roads residents continue to face also increases overdose risk. Illicit fentanyl can be much stronger than expected and may appear in other drugs without warning. That makes every use more unpredictable. Even as statewide deaths decline, Portsmouth still needs prevention, treatment, and long-term recovery support. Faster access to care can help prevent another medical crisis.

Person talking with a therapist about their recovery amid the opioid crisis Hampton Roads communities face
Therapy can help you address addiction, mental health concerns, and the challenges that come with recovery.

Newport News’s Opioid Crisis by the Numbers

Newport News faced about $146 million in opioid-related costs in 2023. The city also recorded 624 opioid-related EMS incidents that year. These calls show how often first responders must step in when opioid use leads to a medical emergency. They do not represent overdose deaths, but they still reveal a serious local need.

The Hampton Roads overdose statistics show that the effects of opioid use reach far beyond hospitals. Families, emergency crews, and community services all feel the strain. An emergency response can save a life, but it does not treat the addiction that may have caused the overdose. Strong local treatment and prevention efforts can help reduce that burden and give more people access to care before a crisis occurs.

How Is the Peninsula Health District Responding?

Newport News and Hampton recorded a combined 1,037 opioid-related EMS incidents in 2023. Newport News accounted for 624 of those calls, while Hampton recorded 413. These figures represent EMS responses, not overdose deaths. They still help show how often opioid-related emergencies require immediate local resources.

The Peninsula Health District uses harm reduction and community support programs to reach people at different stages of need. Its response includes:

  • Drug-checking resources that can help people learn more about substances they may encounter.
  • Overdose prevention services that focus on reducing the risk of fatal emergencies.
  • Connections to food, housing, and employment support when basic needs make recovery harder to maintain.
  • Community outreach through programs such as Project LEAD to reach people who may not seek help through traditional health care settings.

These services cannot replace addiction treatment. However, they can reduce immediate harm and help connect more people with care.

Hampton’s Opioid Crisis by the Numbers

Hampton faced about $119 million in opioid-related costs in 2023. The city also recorded 413 opioid-related EMS incidents that year. These figures show that opioid use continues to place pressure on families, emergency services, and local health resources.

Addressing the drug epidemic Hampton Roads Virginia communities continue to face means making treatment easier to reach before another emergency occurs. Opioid addiction can affect your health, work, relationships, and mental well-being. Treatment can help you address more than substance use alone. If you need support, addiction treatment in Hampton can help you access structured care close to home.

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Recovery can help you build a healthier and more stable life.

Getting Help Anywhere in Hampton Roads

The numbers are improving, but the opioid crisis Hampton Roads communities face still affects people across the region. If opioid use is affecting your health, relationships, or daily life, do not wait for an emergency to seek care. At Faith Recovery, we help you explore drug addiction treatment options that match your needs. Our care combines professional treatment, recovery support, and Christian guidance in a respectful way. Reach out today to learn how we can help you.

Frequently Asked Questions about Opioid Crisis in Hampton Roads

What Is Causing the Opioid Crisis in Hampton Roads?

Illicit fentanyl remains one of the biggest causes of fatal opioid overdoses. It is extremely potent and can appear in other drugs without a person knowing it. Opioid use disorder, mixing substances, and an unpredictable illegal drug supply can further increase the risk of overdose.

How Many People Die From Opioid Overdoses in Hampton Roads Each Year?

The number changes each year and varies by city. Virginia tracks overdose deaths by individual locality rather than reporting one fixed total for all of Hampton Roads. Recent data show that opioid-related deaths have fallen statewide, but cities across the region still report serious overdose-related harm.

Which Hampton Roads City Has the Highest Opioid-Related Cost or Death Rate?

Among the six cities covered here, Virginia Beach had the highest total opioid-related economic cost in 2023 at about $280 million. Portsmouth had the highest per-person burden at about $1,754 per resident. These cost figures should not be treated as rankings of overdose death rates.

Is the Opioid Crisis Getting Better or Worse in Virginia?

Virginia has seen significant recent improvement. Opioid-related deaths fell by nearly 48% between 2023 and 2024. However, one year of lower deaths does not mean the problem has ended. Local communities still face overdoses, addiction, emergency calls, and a continued need for accessible treatment.

Where Can I Get Help for Opioid Addiction in Hampton Roads?

You can seek professional addiction care before opioid use leads to another emergency. Treatment may include counseling, structured programs, support for co-occurring mental health concerns, and recovery planning. Faith Recovery serves people throughout Hampton Roads and offers clinical care alongside Christian support for those who want it.

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