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 APRIL 7,
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) Examiner s Office revised -7-
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
CURRENT PUBLIC HEALTH CRISIS No. of Fatal Cases due to heroin/fentanyl in March 9 - City of Cleveland Residents - Suburban Residents- Brecksville, Brook Park (), Chardon, Cleveland Heights (), Columbia Station (), Euclid (), Lakewood (), Middleburgh Heights, North Olmsted, North Royalton, Olmsted Township, Parma (), Parma Heights, Peninsula, South Euclid (), Strongsville, Westlake (), One out of State resident - PA VICTIMS Victims ages range from 9 Male victims; 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. Since March 9,, two people have died every day in Cuyahoga County from a heroin or fentanyl overdose. March set a new record for fentanyl deaths. At least victims died already in.
. Cuyahoga County Deaths per Day due to Heroin and Fentanyl Represents a projected 7 heroin/fentanyl deaths.7.. Represents a projected 8 heroin/fentanyl deaths.7.. 8 dead from heroin and fentanyl out of total drug Represents OD deaths 8 heroin/fentanyl deaths out of 7 total OD deaths Represents a projected heroin/fentanyl deaths Jan-Feb / to /9/ / to //
CCMEO Fentanyl & Heroin Related Deaths, by Month 8 8 7 7 8 8 JAN FEB MAR APR (thru April 7) Heroin Fentanyl Combined
7 7 7 8 9 7 8 9 7 8 9 7 8 9 7 9 Cuyahoga County Heroin/Fentanyl Related Overdose Deaths and Naloxone Use, in / st Quarter, by Zip Code Deaths Deaths (Thru April 7) 8 9 9 8 8 7 7
Cuyahoga County Heroin Related Overdose Deaths 7-* Projected deaths with DAWN Saves and Fentanyl as overdose Deaths (* projected based on preliminary st quarter data) 99 7 7 9 7 9 97 9 98 8 9 7 8 9 plus Fentanyl w/o DAWN plus fentanyl w/o DAWN proj proj proj w/fentanyl w/o DAWN proj proj w/fentanyl proj w/o DAWN
CCMEO Monthly Fentanyl Deaths October to March (January - March cases based upon preliminary toxicology) 9 9 9 7 NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR
% 9% 8%.7.7 Cuyahoga County Fentanyl Deaths - 9 7% % % % % % % % Months Deaths -Sept. Oct. -Nov., Nov., - Apr. 7,