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Reporting to WHO. Death certificate National statistics WHO International Classification of Disease (ICD) All poisonings Drug poisonings Drug abuse/dependence Each country identifies deaths differently Just because a drug is present in a death, doesn’t mean it caused the death.
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Reporting to WHO • Death certificate National statistics WHO • International Classification of Disease (ICD) • All poisonings • Drug poisonings • Drug abuse/dependence • Each country identifies deaths differently • Just because a drug is present in a death, doesn’t mean it caused the death
drug user surveys ambulance hospital data
Project Lazarus Wilkes County, North Carolina, USA source + more info at projectlazarus.org
Why Data Matters • Collecting information on overdoses and overdose reversals can help your clients, your program and your country’s health policy. • Applications of data: • Client feedback & starting dialogue • Program planning • Grant writing • Policy/advocacy • Program evaluation
What Data Tell Us • What’s the problem? • Is it different now than it was in the past? • Is it different for different people? • Is it different from my place to your place? • What can we do now to intervene? • Did we fix it?
Translating Street to Science • Clients interviewed by outreach workers • [every day] 2. Paper forms collected and data entered in computer [once or twice per month] 3. Data are analyzed and reports written [twice per year] 4. Information is provided to politicians, medical providers, law enforcement, funders [once per year]
Putting Numbers into Words - 1 • Alliance (Ukraine) Baseline Questionnaire • Can be used to describe the problem • “Our clients have experienced ____ [Q10a] overdoses in the past 6 months, and witnessed ____ [Q13a] overdoses. Overdose is a significant problem in our community.”
Putting Numbers into Words - 2 • Alliance (Ukraine) Naloxone Refill Questionnaire • Can be used to promote/evaluate the program • “Our clients witnessed or gave naloxone ____ [Q12] times since [date]. In ____% [Q16] of the cases, the person lived. Our clients can effectively use naloxone to prevent overdose deaths.”