The landscape of accidental deaths and drug use in El Paso County is evolving, according to the annual report from the Office of the Medical Examiner. The report, which investigates homicides, suicides, accidents, and sudden natural deaths, provides crucial insights into public health trends and at-risk groups.
Last year, El Paso County recorded 7,200 deaths, with 1,145 cases accepted by the medical examiner for examination or inquest. The report highlights a 32% drop in accidental deaths from 2026 to 2026, driven by declines in drug overdoses and motor vehicle accidents. Dr. Mario Rascon, the chief medical examiner appointed in 2014, oversees the office’s work, which is intended to guide public health decisions and raise awareness about emerging trends.
Declining Accidental Deaths and Changing Drug Trends
The report reveals that drug toxicity accounted for about half of all accidental deaths last year, with blunt force trauma being the second highest cause. Notably, cocaine surpassed fentanyl in deaths for the first time since 2019, with 60 cocaine-involved deaths—the highest in the last decade. This shift indicates changing patterns in drug use within the county.
The rise in cocaine-related deaths coincides with a decrease in fentanyl and methamphetamine overdoses. Experts attribute this trend to increased access to naloxone, disruptions in the fentanyl supply, and lower opioid initiation rates among Gen Z. Additionally, the cultivation of coca plants has surged in recent years, making cocaine more affordable and accessible.
Single-Drug and Multi-Drug Overdoses
Both single-drug users and those combining stimulants with opioids contribute to the number of overdoses involving stimulants. Cocaine and methamphetamine accounted for 53 single-drug deaths, while opioids, including fentanyl, made up eight single-drug deaths. This data underscores the complex nature of drug use and the need for targeted interventions.
Cardiovascular Disease: The Leading Cause of Sudden Natural Deaths
Cardiovascular disease was the leading diagnosis of sudden or unexpected natural deaths, with 185 cases ruled by the medical examiner. The majority of these cases involved hypertension and atherosclerotic cardiovascular disease. High rates of diabetes in El Paso County, which exceeds the national average, contribute to the prevalence of heart disease. Genetic predisposition, socioeconomic factors, and lifestyle choices are all drivers of these health issues.
Suicide Trends Among Youth and Adults
The number of suicide deaths has remained relatively stable over the past five years, with 94 suicides recorded last year. Seven of these deaths occurred in individuals aged 11 to 18, all of whom were boys. Males made up the majority of all suicides recorded in El Paso, reflecting national trends. A 2026 study by the National Institutes of Health found that rates of preteen suicide have been increasing by approximately 8% annually since 2008, with a pronounced increase among Hispanic preteens.
Barriers to mental health care, feelings of isolation, excessive screen time, and social media pressure, including cyberbullying, have all been linked to the increase in risk for self-harm in young people. Addressing these factors is crucial for preventing suicide and promoting mental well-being.
Resources for Mental Health and Substance Abuse
For those seeking help with mental health and substance abuse, several resources are available in El Paso County. Emergence Health Network offers trauma-informed care for children and adults with mental health, substance use, and developmental disability needs. Project Vida provides behavioral health care, including on-campus therapy at public schools. The Recovery Alliance supports people in recovery from alcohol and drug addiction, offering a drop-in center and other resources. NAMI provides peer-led support groups for individuals with mental health conditions and their families. The Borderland Rainbow Center offers resources and therapy for LGBTQ youth and their caregivers.