Medication and Drug Overdoses in North Carolina: Data Update Death - PowerPoint PPT Presentation

September 30, 2016 Medication and Drug Overdoses in North Carolina: Data Update

Death Rates* for Three Selected Causes of Injury North Carolina, 1968-2014 40.0 Motor Vehicle Traffic (Unintentional) 35.0 Drug Poisoning (All Intents) Firearm (All Intents) Deaths per 100,000 population 30.0 25.0 20.0 15.0 10.0 5.0 α 0.0 α - Transition from ICD-8 to ICD-9 Year β – Transition from ICD-9 to ICD-10 *Per 100,00, age-adjusted to the 2000 U.S. Standard Population National Vital Statistics System, http://wonder.cdc.gov, multiple cause dataset Source: Death files, 1968-2014, CDC WONDER Analysis by Injury Epidemiology and Surveillance Unit 2

Medication or Drug Overdose Deaths by Intent North Carolina Residents, 1999-2015 1,600 1498 All intents Unintentional 1,400 1268 Self-inflicted 1,200 Undetermined Number of deaths Assault 1,000 800 600 400 190 200 40 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 1999-2015 Analysis by Injury Epidemiology and Surveillance Unit Medication or drug overdose: X40-X44, X60-X64, Y10-Y14, X85 3

Substances Contributing to Medication or Drug Overdose Deaths 900 North Carolina Residents, 1999-2015 800 738 Prescription Opioid 700 Cocaine Number of deaths Heroin 600 500 400 364 300 293 200 100 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 1999-2015 Analysis by Injury Epidemiology and Surveillance Unit 4

The Good 5

NC’s Statewide Standing Order for Naloxone •June 20, 2016, Gov. McCrory signed legislation authorizing state health director to issue statewide standing order for naloxone. •Dr. Randall Williams signed a statewide standing order for: – Persons who are at risk – Family member or friend of a person at risk – Persons who are in the position to assist 6

NaloxoneSaves.Org: Home Page 7

Number of Pharmacies under Standing Order by County Sept 2016 (N=1,327) Source: North Carolina Injury and Violence Prevention Branch UNC Injury Prevention and Research Center (IPRC), September 2016 Analysis: Injury Epidemiology and Surveillance Unit 8

Number of Opioid Overdose Reversals with Naloxone Reported by the North Carolina Harm Reduction Coalition by County 8/1/2013 - 8/31/2016 (4,384 total reversals reported) 16 reversals in an unknown location in North Carolina and 60 reversals using NCHRC kits in other states reported to NCHRC. Source: North Carolina Harm Reduction Coalition, September 2016 Analysis: Injury Epidemiology and Surveillance Unit 9

Law Enforcement Carrying Naloxone by County As of August 31, 2016 (53 Counties, 122 Agencies) Source: North Carolina Harm Reduction Coalition, September 2016 Analysis: Injury Epidemiology and Surveillance Unit 10

Number of Opioid Overdose Reversals with Naloxone Reported by NC Law Enforcement 1/1/2015 - 8/31/2016 (186 total reversals reported) Source: North Carolina Harm Reduction Coalition, September 2016 Analysis: Injury Epidemiology and Surveillance Unit 11

CDC Prevention for States (PfS) 12

The Bad 13

Heroin Deaths North Carolina Residents, 2008-2015 400 364 884% increase 350 from 2010 to 2015 300 246 Number of deaths 565% increase 250 from 2010 to 2014 200 179 147 150 100 76 72 61 50 37 0 2008 2009 2010 2011 2012 2013 2014 2015 Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 2008- 2015 Analysis by Injury Epidemiology and Surveillance Unit 14

Rate of Unintentional/Undetermined Prescription Opioid Overdose Deaths and Rate of Outpatient Prescriptions Dispensed for Opioids North Carolina Residents, 2011-2015 15

The Ugly 16

Rate of Hospitalizations Associated with Drug Withdrawal in Newborns North Carolina Residents, 2004-2013 604% increase from 2004 to 2013 Source: N.C. State Center for Health Statistics, 2004-2013 Analysis: Injury Epidemiology and Surveillance Unit 17

Percent Non Medical Use of Pain Relievers During Past Year among Adolescents and Young Adults North Carolina, 2004-2014 Age 12-17 Age 18-25 14 12 10 Percent 8 6 4 2 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Source: National Survey on Drug Use and Health (NSDUH), SAMHSA Analysis: Injury Epidemiology and Surveillance Unit 18

Self-reported Lifetime Use of Drugs among High School Students North Carolina HS Students, 2013 & 2015 20 Series1 2013 Series2 2015 17.9 17.2 18 16 Percent of Students 14 12 10 8.3 8.1 8 6 4.9 3.5 3.5 4 2.1 2 0 Prescription drugs Steroids Sniff glue Cocaine/Crack Source: NC Youth Risk Behavioral Survey (YRBS), 2013-2015 Analysis: Injury Epidemiology and Surveillance Unit 19

¿Preguntas? Scott Proescholdbell, MPH Injury and Violence Prevention Branch NC Division of Public Health Scott.proescholdbell@dhhs.nc.gov www.injuryfreenc.ncdhhs.gov 20