OPIOIDS IN JACKSON COUNTY A PUBLIC HEALTH PERSPECTIVE OPIOID AWARENESS COUNTY LEADERSHIP FORUM SHELLEY CARRAWAY, HEALTH DIRECTOR DATE
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1 OPIOIDS IN JACKSON COUNTY A PUBLIC HEALTH PERSPECTIVE OPIOID AWARENESS COUNTY LEADERSHIP FORUM SHELLEY CARRAWAY, HEALTH DIRECTOR DATE
2 LOCAL HEALTH DIRECTOR REGIONS For counties with low counts, regional data is provided to allow more reliable analyses.
3 Statewide Medication & Drug Overdose Deaths by Intent North Carolina Residents, Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, Medication and drug overdose: X40-X44, X60-X64, Y10-Y14, X85. Analysis by Injury Epidemiology and Surveillance Unit
4 Number of deaths Regional Medication & Drug Overdose Deaths by Intent Local Health Director Region 1 Residents, All Intents Unintentional Self-Inflicted Undetermined Assault Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, Medication and drug overdose: X40-X44, X60-X64, Y10-Y14, X85. Analysis by Injury Epidemiology and Surveillance Unit
5 Number of deaths County Medication & Drug Overdose Deaths by Intent Jackson County Residents, All Intents Unintentional Self-Inflicted Undetermined Assault Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, Medication and drug overdose: X40-X44, X60-X64, Y10-Y14, X85. Analysis by Injury Epidemiology and Surveillance Unit
6 Rate of Unintentional Medication & Drug Deaths by County per 100,000 North Carolina Residents, Rate of Unintentional Overdose Deaths, Jackson County Residents, Rate of Unintentional Overdose Deaths, North Local Carolina Health Director Residents, Region Residents, Rate of Unintentional Overdose Deaths, North Carolina Residents, Source: Deaths-N.C. State Center for Health Statistics, Vital Statistics, , Unintentional medication and drug overdose: X40-X44/Population-National Center for Health Statistics, Analysis by Injury Epidemiology and Surveillance Unit
7 Substances* Contributing to Unintentional Medication and Drug Overdose Deaths, North Carolina Residents, *These counts are not mutually exclusive. If the death involved multiple drugs it can be counted on multiple lines. Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, , Unintentional medication and drug overdose: X40-X44 with any mention of specific T-codes by drug type. Analysis by Injury Epidemiology and Surveillance Unit
8 Number of deaths Substances* Contributing to Unintentional Medication and Drug Overdose Deaths, 50 Commonly Prescribed Opioid Medications 45 Other Synthetic Narcotics Heroin 40 Cocaine Local Health Director Region 1 Residents, *These counts are not mutually exclusive. If the death involved multiple drugs it can be counted on multiple lines. Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, , Unintentional medication and drug overdose: X40-X44 with any mention of specific T-codes by drug type. Analysis by Injury Epidemiology and Surveillance Unit
9 Number of deaths Substances* Contributing to Unintentional Medication and Drug Overdose Deaths, Jackson County Residents, Commonly Prescribed Opioid Medications Other Synthetic Narcotics Heroin Cocaine *These counts are not mutually exclusive. If the death involved multiple drugs it can be counted on multiple lines. Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, , Unintentional medication and drug overdose: X40-X44 with any mention of specific T-codes by drug type. Analysis by Injury Epidemiology and Surveillance Unit
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13 Acute HCV County Rates in North Carolina, 2016* *Case definition for acute HCV changed in Data Source: North Carolina Electronic Disease Surveillance System (NC EDSS) (data as of June 1, 2017).
14 Hospitalizations Associated with Drug Withdrawal Syndrome in Newborns per 1,000 Live Births, North Carolina Residents, Jackson County hospitalization rate, Statewide hospitalization Local Health Director rate, Region hospitalization rate, Statewide hospitalization rate, NOTE: 2014 data structure changed to include up to 95 diagnosis codes ICD 9 CM coding system transitioned to ICD10 CM. The impact of these changes on surveillance is unclear. Source: N.C. State Center for Health Statistics, Hospital Discharge Dataset, Analysis by Injury Epidemiology and Surveillance Unit
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17 STATE LEGISLATION 2013 Good Samaritan Law 2016 Statewide Standing Order for Naloxone 2016 Legalization for Syringe Exchange Programs (SEPs) 2017 Strengthen Opioid Misuse Prevention (STOP) Act
18 Counties currently served by Syringe Exchange Programs (SEPs) December 2017 (26 active* SEPs) SEP coverage in Jackson County, as of December 2017 No Counties served by by SEPs statewide, in Local as Health of December Director Region , as of 32 December Counties served by SEPs statewide, as of December *There may be SEPs operating that are not represented on this map; in order to be counted as an active SEP, paperwork must be submitted to the NC Division of Public Health. Source: North Carolina Division of Public Health, January 2018 Analysis: Injury Epidemiology and Surveillance Unit
19 NC OPIOID ACTION PLAN ( ) Living document developed through collaboration of multiple invested agencies Goal of reducing the number of expected opioid-related deaths by 20 percent by the year 2021 Strategies: Create a coordinated infrastructure Reduce the oversupply of prescription opioids Reduce diversion of prescription drugs and flow of illicit drugs Increase community awareness and prevention Make naloxone widely available and link overdose survivors to care Expand treatment and recovery oriented systems of care Measure our impact and revise strategies based on results
20 INJURY & SUBSTANCE ABUSE PREVENTION (ISAP) ACTION TEAM Community action team of the Healthy Carolinians of Jackson County Developed based on health priority selected during the 2015 Community Health Assessment
21 LOCK YOUR MEDS CAMPAIGN
22 TAKE BACK EVENTS
23 PRESCRIPTION DROP BOX
24 QUESTIONS? Contact: Shelley Carraway, Health Director Jackson County Department of Public Health
October 20, 2016 Scott K. Proescholdbell, MPH. Opioid Overdose and North Carolina s Public Health and Prevention Strategies
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