Heroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
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1 Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County 218 JULY UPDATE August 9, 218
2 9 Cuyahoga County Overdose Deaths * Most Common Drugs (*projected based upon estimated as of August 1, 218) NOTE: Projections have been based on initial ELISA screens and not from ruled. This may cause statistical deviations in overprojecting some drugs (especially cocaine) that do not end up in the official cause of death and underprojecting fentanyls (especially analogs and carfentanil) because the confirmations require additional time. Due to heavy caseloads, this process is 6-75 days. CCMEO is providing this very preliminary data in the interest of public safety but final statistical results will not be fully accurate or available until at least the end of the following quarter of the date below *- 72 Heroin Cocaine Carfentanil Fentanyl All Opioids (not inc. Fentanyl after 213) TOTAL DRUG OD DEATHS Examiner s Office revised
3 CURRENT PUBLIC HEALTH EMERGENCY At least 23 fatalities since AUG. 1 Fatal Cases due to heroin/fentanyl/analogs in JULY at least 39 (12 pending additional testing) 16 - City of Cleveland Residents 15 - Suburban Residents- Bay, Broadview Hts., Brook Park, Garfield Hts., Lakewood, Mayfield, Middleburgh Hts., Parma (2), Parma Hts., South Euclid, Strongsville, Westlake (2). 4 - Out of County/State Elyria and Lorain (Lorain), Medina (Medina) and Athens, Greece 4- Unknown VICTIMS Victims ages range from Male victims; 9 Female victims 8 African American victims; 1 Native American victim; 3 Caucasian victims (2 hispanic victims) TRENDS At least 253 victims have died from heroin/fentanyl/analog or in combination through July in 218. This compares to 345 through July of 217 and 257 in total is at least 344 fatalities when including cocaine as well. Carfentanil: 56 FATAL CASES in 216; 191 in 217; 21 confirmed fatal in 218 as of 7/31/18 Rate of African American deaths involving fentanyl has dropped to 15.98% of all victims so far in 218, a rate slightly above 216 (.5%), and below the 2+% in 217. At least 29 cocaine related deaths occurred in July 218 (at least 196 for 218), with at least 16 being mixed with Fentanyl, Heroin or both (at least 17 for 218). Examiner s Office revised
4 218 CCMEO Overdose Deaths, Most Common Drugs Involved (Fentanyl analogues will be counted under Fentanyl Columns) JAN- 49 total FEB- 52 total MAR- 51 total APR- 37 total MAY- 43 total JUNE- 59 total JULY- 53 total Heroin Fentanyl Heroin/Fentanyl Combined Cocaine alone Cocaine/Fentanyl Combined Examiner s Office revised
5 13 Cuyahoga County Heroin/Fentanyl Related Overdose Deaths * 17 Projected deaths with Saves as overdose Deaths (* 218 based on preliminary data thru July 31) plus Fentanyl 213 w/o 2 2 plus fentanyl 2 w/o proj w/fentanyl w/o proj w/fentanyl w/o 217 proj 217 proj 217 proj w/fentanyl w/o 218 proj 218 proj w/fent 218 proj w/o Examiner s Office revised includes all documented naloxone saves through including police reversals. Does not include EMS administrations: (1,93 doses in 215, 5,156 in 216 and 7,745 dose administrations in 217).
6 % 9% 8% Cuyahoga County Fentanyl Deaths % 6% 5% 4% 3% Cuyahoga County has seen 1 more fentanyl related deaths in the past 32 months than the entire decade prior. 2% 1% % Months Deaths 26-Sept. 2 Oct. 2-Nov.21, 215 Nov. 21, Apr. 7, 216 Apr. 8 - July 2, 216 July 21 - Sept 3, 216 Oct. 1 - Dec 31, 216 Jan 1 - Feb 15, 217 Feb 16 - May 15, 217 May 15- June 3, 217 July 1 - Oct 15, 217 Oct. 16- Dec. 31, 217 Jan 1 - Apr 4, 218 Examiner s Office revised
7 12 CCMEO Fentanyl-related fatalities among African Americans 2-218* *(Red - Projected for remainder of year, as of July 31, 218) Fentanyl (YTD) Fentanyl (Projected) Examiner s Office revised
8 9 CCMEO Quarterly Heroin/Fentanyl/Combined Deaths 2-218* (*218 suspected as of ) Q1 2 Q2 2 Q3 2 Q4 2 Q1 215 Q2 215 Q3 215 Q4 215 Q1 216 Q2 216 Q3 216 Q4 216 Q1 217 Q2 217 Q3 217 Q4 217 Q1 218 Q2 218 Heroin only Fentanyl only Combined Examiner s Office revised
9 CCMEO, Proliferation of Fentanyl and Cocaine/Fentanyl mixtures in fatalities * (* thru July 31, 218) Cocaine + Fentanyl Heroin + Fentanyl Fentanyl Examiner s Office revised
10 * CCMEO/CCRFSL Drug Chemistry testing (* through June 3, 218) Items or powder with both cocaine and fentanyl Items or powder with both cocaine and heroin Items or powder with both heroin and fentanyl Items with cocaine and fentanyl analog/synth opioid Items or powder with heroin and fentanyl analog/synth opioid Examiner s Office revised
11 45 CCMEO/CCRFSL Drug Chemistry testing # Items or powder with both cocaine and fentanyl (*through June 3, 218) * Examiner s Office revised
Heroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
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Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 111 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin/Fentanyl/Cocaine Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. 11 Cedar Avenue, Cleveland, Ohio 4416 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin/Fentanyl/Cocaine
More informationHeroin & Fentanyl Related Deaths in Cuyahoga County
Thomas P. Gilson, M.D. Cedar Avenue, Cleveland, Ohio A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin & Fentanyl Related Deaths
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Thomas P. Gilson, M.D. Cedar Avenue, Cleveland, Ohio A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin & Fentanyl Related Deaths
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