Amy Insert Peeples, CIO Name MPA Here Deputy Director, National Center for Injury Prevention and Control NCSL Opioid Policy Fellows Kick Off CDC s Efforts to End the Opioid Epidemic The Epidemic in America 1
Deaths per 100,000 population 11 10 The Opioid Epidemic Any Opioid 9 8 7 6 5 4 3 2 Commonly Prescribed Opioids Heroin Other Synthetic Opioids 1 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 SOURCE: CDC/NCHS, National Vital Statistics System, Mortality. CDC WONDER, Atlanta, GA: US Department of Health and Human Services, CDC; 2016. https://wonder.cdc.gov/. Looking Behind Opioid Overdose Deaths In 2016, more than 42,000 Americans died from overdoses involving prescription or illicit opioids. For every ONE person who died there were 15 people reported having a substance use disorder involving heroin 41 people reported having a substance use disorder Involving prescription opioids 273 people reported misusing prescription opioids in the past year 2,174 people reported using prescription opioids in the past year 2
Overdose deaths rose in lockstep with opioid prescribing 3
2000 Rapid Increase in Drug Overdose Death Rates by County SOURCE: NCHS Data Visualization Gallery 2005 Rapid Increase in Drug Overdose Death Rates by County SOURCE: NCHS Data Visualization Gallery 4
2010 Rapid Increase in Drug Overdose Death Rates by County SOURCE: NCHS Data Visualization Gallery 2015 Rapid Increase in Drug Overdose Death Rates by County SOURCE: NCHS Data Visualization Gallery 5
Deaths per 100,000 population 5 4 Rise in opioid deaths: Overlapping, entangled, but distinct epidemics Three Waves 1. Natural and semi-synthetic opioids like oxycodone or hydrocodone 3 2 1. Methadone 2. Heroin 3. Synthetic opioids like fentanyl 1 0 2000 2002 2004 2006 2008 2010 2012 2014 2016 SOURCE: National Vital Statistics System Mortality File. Rise in Prescription Opioid Deaths in United States 1 st Wave Nearly 200,000 people died from prescription opioids in the last 17 years. Natural and semi-synthetic opioid death rate increased 5-fold from 2000 to 2011 Methadone death rate increased 4-fold from 2000 to 2007 6
Rise in Heroin Deaths in United States 2 nd Wave Over 60,000 people have died from heroin since 2010 Heroin death rate has increased over 5 fold since 2010 Rise in Synthetic Opioid Deaths in Illicit Fentanyl United States Likely 3 rd Wave Deaths from synthetic opioids excluding methadone increased from approximately 3,100 in 2013 to over 19,000 in 2016 Synthetic opioid death rate (excluding methadone) has increased 6-fold from 2013 to 2016 7
Who s at risk for overdose? Demographics Men 35-54 year olds Whites American Indians / Alaska Natives Socioeconomics & Geography Medicaid Rural Risk Factors Patients receiving opioids from multiple prescribers and/or pharmacies Patients taking high daily doses of opioids Depression, substance use disorder, and prior overdose The Epidemic Impacts Our Families Increase in overdose deaths Increase in individuals living with opioid use disorder Increase in babies exposed to opioids during pregnancy (born with neonatal abstinence syndrome) Increase in children entering foster care Greater risk for outbreaks of HIV and Hepatitis C among injection drug users 8
And Our Economy $78.5 billion Cost of prescription opioid dependence, abuse, and overdose in the United States in 2013 25% Percentage of worker s compensation prescription drug claims that were for opioids in 2011 HHS Opioid Strategy 9
HHS Opioid Strategy CDC s Framework for Prevention 10
Preventing Opioid Overdoses and Opioid-Related Harms Conduct surveillance and research Empower consumers to make safe choices Build state, local, and tribal capacity Support providers, health systems, and payers Partner with public safety Rx Awareness Campaign Clip 11
For more information, contact CDC 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 www.cdc.gov/injury The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. 12