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N.C. Overdose Data: Trends and Surveillance

N.C. Overdose Data: Trends and Surveillance. Division of Public Health Injury and Violence Prevention Branch. As of January 2019. Technical Notes.

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N.C. Overdose Data: Trends and Surveillance

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  1. N.C. Overdose Data: Trends and Surveillance Division of Public HealthInjury and Violence Prevention Branch As of January 2019

  2. Technical Notes • The fatal data provided here are part of the Vital Registry System of the State Center for Health Statistics (SCHS) and have been used to historically track and monitor the drug overdose burden in N.C. using ICD10 codes. The definitive data on deaths come from the N.C. Office of the Chief Medical Examiner (OCME). For the most recent data and data on specific drugs, please contact at OCME at http://www.ocme.dhhs.nc.gov/annreport/index.shtml. • 2017 NC SCHS data are final as of October 1, 2018. • There was a transition in Hospital and Emergency Department coding structure in October 2015. Due to the transition, there are different definitions for injury. Data after October 2015 are not comparable to data from before the transition. • Speaking and technical notes should be read prior to using. • To hear a recording of this presentation please visit: https://youtu.be/eE__HL3YL9Q

  3. Overview • Statewide Medication and Drug Overdoses • Statewide Opioid-related Overdoses • North Carolina’s Response Coordination County Level Overdose Data are available at https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/Poisoning.htm and https://injuryfreenc.shinyapps.io/OpioidActionPlan/

  4. Statewide Medication and Drug Overdoses

  5. Poisoning death rates are higher than traffic crash death rates in N.C.

  6. In 2017, 90% of all medication and drug overdoses were unintentional

  7. In 2017, over 6 North Carolinians died each day from unintentional medication or drug overdose.

  8. Unintentional overdose death rates highest among males, whites, and those 25-54 years old

  9. Statewide, the unintentional medication and drug overdosedeath rate is 15.9 per 100,000 residents from 2013-2017

  10. Unintentional overdose deaths involving illicit opioids* have drastically increased since 2013

  11. From 2016 to 2017, N.C. experienced a 29% increase in unintentional medication and drug overdose deaths

  12. ED visits for unintentional medication and drug overdose increased 16% from 2016-2017

  13. 15% of N.C. High School students report using prescription drugs recreationally in 2017

  14. Statewide Opioid-Related Overdoses

  15. Statewide, the unintentional opioid overdose death rateis 12.1 per 100,000 residents from 2013-2017

  16. Urban counties have seen largest increase in unintentional opioid overdose death rates

  17. Increasing percent of opioid overdose deaths positive for heroin, fentanyl, and/or fentanyl analogues*

  18. Illicit opioids* were involved in approximately 80% of unintentional opioid overdose deaths in 2017

  19. For every opioid overdose death, there were nearly2 hospitalizations and 4 ED visits due to opioid overdose

  20. EMS naloxone administrations and ED opioid overdose visits continue to increase

  21. Reported acute Hepatitis C cases* increased more than 360% over last 10 years

  22. Heart valve infections associated with injection drug use increased 985% over last 10 years

  23. Number of hospitalizations associated with drug withdrawal in newborns increased 380% over last 10 years

  24. North Carolina’s Response Coordination

  25. The N.C. Opioid Action Plan (N.C. OAP) has seven focus areas to reduce addiction and overdose death: • Create a coordinated infrastructure • Reduce oversupply of prescription opioids • Reduce diversion of prescription drugs and flow of illicit drugs • Increase community awareness and prevention • Make naloxone widely available and link overdose survivors to care • Expand treatment and recovery oriented systems of care • Measure our impact and revise strategies based on results https://www.ncdhhs.gov/about/department-initiatives/opioid-epidemic/north-carolinas-opioid-action-plan

  26. Create a coordinated infrastructure: Opioid and Prescription Drug Abuse Advisory Committee (OPDAAC) • Goal: Connection, Innovation, and Education • Legislatively mandated and convened by DHHS • Has met quarterly since March 2016 • Meets in March, June, September, and December each year • Over 600 diverse members https://www.ncdhhs.gov/opioids

  27. Reduce oversupply of prescription opioids: Statewide, 51 pills per resident dispensed in 2017

  28. Reduce diversion of prescriptions and flow of illicit drugs: Over $12.5 million in drugs seized by HIDTA in 2017

  29. Increase community prevention: Over 85% of retail pharmacies dispense Naloxone under Standing Order

  30. Make naloxone widely available: Over 101,000 naloxone kits distributed and over 14,000 reversals reported

  31. Expand treatment and recovery:After Year 2, 29 registered SEPs covering 34 counties

  32. Measure our impact: N.C.’s Opioid Action Plan Data Dashboardtracks quarterly N.C. Opioid Action Plan metrics Measure our impact: N.C.’s Opioid Action Plan Data Dashboardtracks quarterly N.C. Opioid Action Plan metrics

  33. Measure our impact: IVPB Poisoning Data Website provides monthly and annual data updates

  34. Questions? SubstanceUseData@dhhs.nc.gov Injury and Violence Prevention Branch NC Division of Public Health www.injuryfreenc.ncdhhs.gov

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