Heroin & Fentanyl Related Deaths in Cuyahoga County
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1 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 in Cuyahoga County MAY,
2 Heroin Risk Continuum Risk of Fatality Not using heroin Being in an Auto accident Previous legal prescription for opioids Using heroin Using IV heroin Using alone Mixing with alcohol or other drugs Using after period of abstinance (jail or treatment) Using without DAWN naloxone kit Using Heroin tainted with or replaced by fentanyl Persons in Cuyahoga County Annually Misusing or Abusing Persons in Cuyahoga County who Annually Switch to Heroin Opioid Prescriptions (Based on estimates from SAHMSA Drug Survey results and known local data)
3 Persons in Cuyahoga County Dying in From Heroin-related Overdoses Persons in Cuyahoga County Dying in From Fentanyl-related Overdoses Persons in Cuyahoga County Anticipated to Die in from Heroin Examiner s Office revised -- Persons in Cuyahoga County Anticipated to Die in from Fentanyl
4 CURRENT PUBLIC HEALTH CRISIS No. of Fatal Cases due to heroin/fentanyl in April - City of Cleveland Residents 8 - Suburban Residents- Berea (), Brook Park, Brooklyn, Euclid, Fairview Park, Garfield Hts. (), Lakewood (), Middleburgh Heights, Oakwood, Parma, Richmond Hts., Walton Hills, And () out of County residents Chester Twp., Lorain VICTIMS Victims ages range from Male victims; 9 Female victims African American victims; Hispanic victims; Caucasian victims EXPONENTIAL RATE OF INCREASE In, one person died every day in Cuyahoga County from a drug overdose. In, during January and February, one person died every day in Cuyahoga County from a heroin or fentanyl overdose. January was a record for fentanyl deaths, broken again in February. Starting March 9,, two people died every day in Cuyahoga County from a heroin or fentanyl overdose. April would have set a new record for fentanyl deaths if not for March. At least victims died already in.
5 . Cuyahoga County Cuyahoga Deaths County per Day Deaths due per to Heroin Day Heroin and Fentanyl and Fentanyl or in Combination Represents a projected 7 heroin/fentanyl deaths.7.. Represents a projected 8 heroin/fentanyl deaths Represents a projected heroin/fentanyl deaths.7 Represents 8 heroin/fentanyl deaths out of 7 total OD deaths Represents a projected heroin/fentanyl deaths Represents a projected heroin/fentanyl deaths.. Jan-Feb Jan-Feb / to /9/ / to / /9/ to // / to April // April
6 CCMEO Fentanyl & Heroin Related Deaths, by Month JAN FEB MAR APR Heroin Fentanyl Combined
7 Heroin and Fentanyl Deaths per, population for Cuyahoga County - st Tri. Est. st Q Heroin deaths Per pop 8. Heroin deaths Per pop.7 Heroin deaths per pop.87 Est. Fentanyl deaths st Q Per pop.7 Fentnayl deaths Per pop 7. Fentanyl deaths per pop
8 Heroin and Fentanyl related Overdose Deaths by Quarter, January - March Q Q Q Q Q Q Q Q Q Heroin only Fentanyl only Combined
9 Examiner s Office revised -8-
10 Examiner s Office revised -7- Cuyahoga County Heroin/Fentanyl Related Overdose Deaths and Naloxone Use, in / st Quarter, by Zip Code Deaths Deaths (Thru April 7)
11 Cuyahoga County Heroin Related Overdose Deaths 7-* Projected deaths with DAWN Saves and Fentanyl as overdose Deaths (* projected based on preliminary st trimester data) plus Fentanyl w/o DAWN plus fentanyl w/o DAWN proj w/fentanyl w/o DAWN proj proj w/fentanyl proj w/o DAWN
12 Fentanyl Deaths Oct to May 9, NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR
13 % 9%.7 Cuyahoga County Fentanyl Deaths - 8% 7% % % % % % % % Months Deaths -Sept. Oct. -Nov., Nov., - Apr. 7, Apr. 8 - May 9,
14 Comparing Overdose Deaths 7-; British Columbia and Cuyahoga County; By Total Deaths and per, population British Columbia declared a public health emergency April 7, due to rising fentanyl deaths. Cuyahoga County had more st quarter fentanyl related deaths than BC and deaths due to drug overdoses are at times the per capita rate of British Columbia but with only about one quarter of the population Cuyahoga County Total OD Deaths British Columbia Total OD Deaths Cuyahoga County Deaths per British Columbia Deaths per
Heroin & 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. 11001 Cedar Avenue, Cleveland, Ohio 44106 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin & Fentanyl Related
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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
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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
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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
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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
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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
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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
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