BC Coroners Service Prescription Opiate-Related Overdose Deaths

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This report summarises prescription opiate-related overdose deaths reported to the BC Coroners Service between 2005 and 2010 with a classification of accidental, suicide, or undetermined. Cases were included if the investigating coroner determined that any of the following drug types were relevant to the death: codeine, fentanyl, hydrocodone, hydromorphone, meperidine, morphine, or oxycodone. The data includes cases where a single drug was used and cases where multiple drugs were taken in combination, but excludes cases involving the illicit use of prescription opiates. The BCCS operates in a live database environment. The data are considered preliminary until all investigations have been completed. Data are subject to change, and are not directly comparable to published counts from previous years. Summary 61% of deaths were accidental overdoses, and 33.6% were suicide deaths 51.1% of decedents were male, and 48.9% were female 58.4% of decedents were between 40 and 59 years of age The Interior region appears to have the highest rate of prescription opiate-related overdose deaths for, with 2.8 deaths per 100,000. The death rate was 1.9 for both the Island and Northern regions, and 1.3 for both the Fraser and Metro regions. The Coroners Service and Interior Health Authority are currently engaged in a further analysis of the Interior data. Page 1 of 6

Prescription Opiate-Related Deaths by Region Region 2005 2006 2007 2008 2009 2010 % Fraser 18 21 19 23 20 18 27.2 Interior 14 23 17 21 22 22 27.2 Island 9 12 19 21 10 14 19.4 Metro 19 11 11 8 18 15 18.7 Northern 7 8 5 6 4 3 7.5 Total 67 75 71 79 74 72 100 Deaths Rate per 100,000 Pop. 140 120 100 80 60 40 20 0 2.8 1.9 1.9 1.3 1.3 119 119 85 82 33 Fraser Interior Island Metro Northern 3.0 2.5 2.0 1.5 1.0 0.5 0.0 and Death Rate by Region, Page 2 of 6

Prescription Opiate-Related Deaths by Classification Classification 2005 2006 2007 2008 2009 2010 Accidental 32 44 45 51 50 45 Suicide 32 26 25 26 20 18 Undetermined 3 5 1 2 4 9 Total 67 75 71 79 74 72 61.0 33.6 5.5 Accidental Suicide Undetermined Percentage of Prescription Opiate-Related Deaths by Classification, Page 3 of 6

Prescription Opiate-Related Deaths by Gender Gender 2005 2006 2007 2008 2009 2010 Female 29 43 34 40 37 31 Male 38 32 37 39 37 41 Total 67 75 71 79 74 72 Female Male 51.1 48.9 Percentage of Prescription Opiate-Related Deaths by Gender, Page 4 of 6

Prescription Opiate-Related Deaths by Age Group Age Group 2005 2006 2007 2008 2009 2010 0-9 - 1 1 - - - 10-19 1 - - 1 - - 20-29 5 2 8 2 4 3 30-39 10 15 11 10 15 12 40-49 26 25 12 25 23 15 50-59 17 19 26 23 22 23 60-69 5 8 10 11 8 12 70-79 1 2 2 5-4 80+ 2 3 1 2 2 3 Total 67 75 71 79 74 72 28.8 29.7 16.7 12.3 0.5 0.5 5.5 3.2 3.0 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Percentage of Prescription Opiate-Related Deaths by Age Group, Page 5 of 6

Female Male 35 30 25 20 15 10 5 0 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Percentage of Prescription Opiate-Related Deaths by Gender and Age Group, Page 6 of 6