Framing the Opioid Epidemic. Kevin Contino Fort Drum Regional Health Planning Organization

Transcription

1 Framing the Opioid Epidemic Kevin Contino Fort Drum Regional Health Planning Organization

2 Nationally, drug overdoses are a growing cause of death, now outpacing motor vehicle accidents and gunrelated deaths. In 2015, drug overdoses accounted for 12% of deaths to people under 55 up from less than 5% in the late 90s. Drug overdoses have been the leading external cause of death since overtaking motor vehicle accidents in Source: NYT, April

3 Source: CDC WONDER Mortality Database 3

4 Source: CDC WONDER Mortality Database 4

5 Share of deaths, age 15 to 44 (2015): Jefferson: 15% Lewis: 15% St. Lawrence: 20% Worst areas of country: 30%-50% Source: NYT, April

6 Source: CDC WONDER Mortality Database 6

7 NYT: Drug Deaths in America Are Rising Faster Than Ever By JOSH KATZ JUNE 5, The Times estimates ~62.5k American drug overdose deaths in = Double the number of annual traffic deaths = Double the number of annual firearms deaths = 50% higher compared to the AIDS epidemic at its mid-nineties peak = The leading cause of death for Americans under 50 Estimated increase of one-fifth If maintained, # of overdose deaths would double every four years 7

8 Regional Data

9 3.1% of respondents said that someone within their household has been personally affected by opiate abuse or addiction within the past year This equates to ~3000 affected households in the tri-county region. Source: Tug Hill Seaway Community Health Assessment Survey,

10 New York State Quarterly Opioid Reports Available at Opioid Overdoses and Addiction in the Tug Hill Seaway Region Source: New York State Quarterly Opioid Reports Change Deaths % Heroin related % Emergency department visits** ~35% Heroin related ~35% Hospitalizations** % Heroin related % Naloxone administration reports % Admissions to OASES programs 1,253 1,301 4% Heroin related % *Estimate based on nine months of available data **Includes only primary diagnosis '+' indicates additional instances that occurred in a county in which the number was too small to report Opioid deaths in the tri-county region increase by six from 2015 to 2016, from 27 to 33 Emergency department visits for opioid overdoses are increasing, including those involving heroin Naloxone administrations increased by more than 50% in 2016 Law enforcement are responsible for substantial share beginning in Heroin is involved in a higher proportion of opioid-related emergency department visits in Jefferson and Lewis Counties (70%) compared to St. Lawrence (57%) 10

11 Visits (#) Rate (Visits per 100k pop.) Emergency Department Visits With an Opioid Diagnosis, , by Age & Gender Lines indicate rates (scaled to right axis) Bars indicate counts (scaled to left axis) Count - Men Count - Women Rate - Men Rate - Women to to to to to to to to to Age Group Source: SPARCS Outpatient FIle 11

12 In the region, emergency department visits with a diagnosis of opiate poisoning more than doubled between 2010 and 2014, from 197 to 518. Source: SPARCS Outpatient Files,

13 In the region, heroin poisoning diagnoses in the ED nearly tripled from 55 to 142 Source: SPARCS Outpatient Files,

14 Highest count by zip code: Watertown: 1,032 Massena: 814 Ogdensburg: 796 Potsdam: 288 Canton: 281 Gouverneur: 249 Norfolk: 155 Carthage: 138 Norwood: 117 Highest rate by zip code: Massena Norfolk Ogdensburg Star Lake, Fine, & Oswegatchie 14 Source: SPARCS Outpatient Files,

15 Source: CDC Underlying Cause of Death Data via WONDER 15

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