As highlighted by the latest edition of the European Drug Report Estonia is the country with the most drug-induced deaths per million population in Europe. At 130, 107 above the EU average, only Sweden comes remotely close with 92 deaths. At the other end of the scale, Portugal , where drugs were decriminalised back in 2001, had only 4 per million people. Looking outside of Europe, Estonia's problems are pulled into sharp relief by the rate in the United States . In 2016, there were a staggering 185 deaths per million.