Nhial Tutlam, PhD, MPH 2017 CSTE Annual Conference June 5, 2017

Slides:

Advertisements

Similar presentations

Unintentional Drug Poisoning Deaths, Michigan Residents, Su Min Oh, PhD Michigan Department of Community Health Bureau of Substance Abuse and.

Advertisements

OVERDOSE PREVENTION PROGRAM Shawn Woods Manager, CDC Department Representing: CDC Department CDIP Department.

U.S. Surveillance Update Anthony Fiore, MD, MPH CAPT, USPHS Influenza Division National Center for Immunizations and Respiratory Disease Centers for Disease.

TM Centers for Disease Control and Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention National Center.

1 Journal Club Alcohol, Other Drugs, and Health: Current Evidence July–August 2011.

Ratio of Age Adjusted Death Rates in the Highest Vs. Lowest Poverty Rate Zip Codes (NYC, 2013) Data from NYCDOHMH Vital Statistics Mailman School of Public.

Prescription Opioid Use and Opioid-Related Overdose Death — TN, 2009–2010 Jane A.G. Baumblatt, MD Centers for Disease Control and Prevention Epidemic Intelligence.

Health Departments and Healthcare-Associated Infection Prevention Research: A New Land of Opportunity? Matthew Wise, MPH, PhD Epidemiologist, Office of.

NAPHSIS Annual Meeting 2014Slide 1 NAPHSIS ANNUAL MEETING | Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Washington State’s approach to.

Working with injury data Margaret Warner, PhD Office of Analysis and Epidemiology National Conference on Health Statistics Washington, DC August 2010 U.S.

A Cluster of Hepatitis C among Rural, Young Adults – Illinois, 2012 Julia Howland, MPH CPH CDC/CSTE Applied Epidemiology Fellow Illinois Department of.

Accessing Aggregated Population Health Data from Select Tools of the NCHS A presentation at the Knowledge 4 Equity Conference James M. Craver November.

Saves Lives Oklahoma’s Plan to Reduce Prescription Drug Abuse and Prevent Overdose.

SS-32 To Be or Not To Be: The Dilemma of Suicide in America.

Enhancing injury mortality surveillance using National Vital Statistics System Margaret Warner, PhD Mortality Statistics Branch National Conference on.

Maryland’s “Good Samaritan” Law Annotated Code of Maryland, Criminal Procedure §1-210 Effective October 1, 2015 September

1 Epidemiology 10/20/10MDufilho. 2 Epidemiology The study of the frequency and distribution of disease and health-related factors in human populations.

State of the State in outcomes: Prescription drug overdoses Karin A. Mack, PhD Senior Behavioral Scientist Prescription Drug Overdose Team National Center.

Practical Tools for Poisoning Mortality CSTE pre-conf June 9, 2013.

SARAH M. BAGLEY, MD ASSISTANT PROFESSOR OF MEDICINE AND PEDIATRICS BOSTON UNIVERSITY SCHOOL OF MEDICINE AMERSA ANNUAL CONFERENCE NOVEMBER 5, 2015 Overdose.

The Impact on Caregivers of Young Adult Opioid Use Sarah Bagley MD Addiction Medicine Fellow Clinical Addiction Research and Education Unit Boston University.

GEOGRAPHIC DISTRIBUTION OF BREAST CANCER IN MISSOURI, Faustine Williams, MS., MPH, Stephen Jeanetta, Ph.D. Department of Rural Sociology, Division.

STRATEGIC INFORMATION FOR ACTION IN VIET NAM 6 th Viet Nam National Scientific Conference 24 November 2015 Ha Noi, Viet Nam Amitabh Bipin SUTHAR, PharmD,

MARYLAND LOCAL OVERDOSE FATALITY REVIEW TEAM PROGRAM CHRISTINE TRUONG MHS CANDIDATE, MENTAL HEALTH.

Bystander Naloxone Training Saves Lives. Death rates are spiraling out of control--for both prescription opioids and heroin! Graphic: Nytimes.com.

Pharmacist Role in Naloxone Prescribing

or you can use Text Voting by texting ”nmpha” to 22333

State Targeted Response to Opioid Crisis

Utilization of GIS to identify ‘hot spot’ zip codes for prescription fatal drug overdoses in Maricopa County By William McConahey.

Colorado’s Opioid Epidemic

Suicide among adolescents aged in the United States

Jessica E. Bates, Pharm.D. PGY-1 Pharmacy Resident

Opioid Prescribing CAPT Thomas Weiser, MD, MPH Medical Epidemiologist

Partnership with Providers: Addressing the Opioid Crisis

Nebraska Prescription Drug Overdose Prevention Program Efforts

Presented by: Rhonique Harris, MD, MHA

CSTE Applied Epidemiology Fellow

Enrique Ramirez1, Julie Morita1

Young People Newly Diagnosed with Hepatitis C in New York City

Understanding the Opioid Epidemic

Persistent Contribution of Substance Abuse to Excess Mortality Among Persons with AIDS in New York City, Pfeiffer MR, Hanna DB, Begier EM,

Statewide Epidemiological Outcomes Workgroup

Leah Hines, MPH, Michael Bauer, MS, and Kitty Gelberg, PhD, MPH

This product was funded under a cooperative agreement from the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance.

Opioid Overdose 2016 Statistics for Region 8 in 5 Slides

The Epidemiology of Injury and Science of Injury Prevention

Richard C. Dart, MD, PhD Executive Director, RADARS System

ROOM project Addressing the Opioid Epidemic in the U.P.

Kansas Data-Driven Prevention Initiative Data Strategy and Activity

The Myths and Realities of the Opioid Epidemic AMERSA November 3, 2017

Department of Health and Mental Hygiene Bureau of Immunization

June 18th 2018 Using Data to Drive community-based approaches to the opioid crisis #OpioidsData Presentation Title (added from Insert tab, Header & Footer.

Jonathan Mermin, MD, MPH RADM, USPHS

- Death rates: US Mortality Volumes 1930 to 1959, US Mortality Data 1960 to 2015, National Center for Health Statistics, Centers for Disease Control and.

Death rates: US Mortality Volumes 1930 to 1959, US Mortality Data 1960 to 2014, National Center for Health Statistics, Centers for Disease Control and.

Statewide Epidemiological Outcomes Workgroup (SEOW) Prioritization of Priority Substances December, 2017.

Bronx Community Health Dashboard: Drug Abuse and Opioids Created: 5/18/2017 Last Updated: 10/23/2017 See last slide for more information.

Primary Prevention in the Time of the Opioid Epidemic

Opioid Surveillance Webinar Series

President Trump declared a public health emergency to deal with the opioid epidemic Thursday, freeing up some resources for treatment. More than 140 Americans.

Needs Assessment Slides for Module 4

buprenorphine-naloxone

Figure 1. National Drug Overdose Deaths Number Among All Ages, by Gender, Figure 1. National Drug Overdose Deaths—Number Among All Ages, by Gender,

The Grand Unifying Theory of Poisoning/Overdose Surveillance

Generalizability of Epidemiological Findings and Public Health Decisions: An Illustration From the Rochester Epidemiology Project Jennifer L. St. Sauver,

Place your title on this first slide and include any subtitle.

Data Sources ADH: Other AR Data: National: Vital Statistics PDMP

Enhanced Recovery Programs

One Care Data Presentation

National and State Data

Presentation transcript:

Nhial Tutlam, PhD, MPH 2017 CSTE Annual Conference June 5, 2017 Surveillance of Naloxone Use in Saint Louis County Based on Reports from Emergency Responders Nhial Tutlam, PhD, MPH 2017 CSTE Annual Conference June 5, 2017

Background The United States is currently experiencing an epic epidemic of overdose deaths involving opioids1 Opioid related deaths have increased by 200% between 2000 and 20142 Drug poisoning deaths just involving heroin have increased by 55% from the year 2000 to 20103 Magnitude of the problem is acute in some regions of the country

Background In particular, the Midwest region appears to be the epicenter of the epidemic 11 fold increase in age-adjusted drug-poisoning deaths involving heroin between 2000 and 20135 In St. Louis County, deaths involving heroin increased from 7.9 to 12.2 per 100,000 population in from 2010 to 20146 The heroin poisoning death rate in St. Louis County in 2014 was 3.6 times the national rate6

Figure 1. Age-adjusted rates for drug-poisoning deaths involving heroin: St. Louis County, Midwest, and United States, 2010-2014 DeClue R, Dalidowitz L. Drug-Poisoning Deaths Involving Heroin, St. Louis County Missouri. Chronic Disease Epidemiology (CDE) program profile, no 1. St. Louis County, MO: Department of Public Health. February 2016.

DeClue R, Dalidowitz L. Drug-Poisoning Deaths Involving Heroin, St DeClue R, Dalidowitz L. Drug-Poisoning Deaths Involving Heroin, St. Louis County Missouri. Chronic Disease Epidemiology (CDE) program profile, no 1. St. Louis County, MO: Department of Public Health. February 2016.

The Pilot Project Set up surveillance system employing first responders Form coalitions of first responders based on geographic regions Use standardized data collection form across the county Downloadable web link will be distributed to first responders to enter data on the scene Data stored and analyzed in a centralized REDCap database at DPH

Results So far Number of Doses Administered Number of Reversals Number Died Repeat Administration 61* 51 5 1 x 3 *One dose was administered in St. Louis City Zip code

Conclusions So far, the naloxone administration cluster in the same geographic areas where heroin-related death rates are high Interventions targeted at these areas can help reduce the growing problem of overdoses in our jurisdiction Formation of collisions of first responders will provide robust infrastructure to address this and future drug-related crises in our area

References Centers for Disease Control Prevention, CDC grand rounds: prescription drug overdoses-a US epidemic. MMWR. Morbidity and mortality weekly report, 2012. 61(1): p. 10. Jones, C.M., K.A. Mack, and L.J. Paulozzi, Pharmaceutical overdose deaths, united states, 2010. Jama, 2013. 309(7): p. 657-659. Rudd, R.A., et al., Increases in drug and opioid overdose deaths—United States, 2000– 2014. American Journal of Transplantation, 2016. 16(4): p. 1323-1327. National Center for Health Statistics. Heroin-related deaths in the US. 2014; Available from: http://nchstats.com/2014/02/05/heroin-related-deaths-in-the-us/. Hedegaard, H., L. Chen, and M. Warner, Drug-Poisoning Deaths Involving Heroin: United States, 2000–2013. NCHS Data Brief, no. 190. National Center for Health Statistics. March, 2015. DeClue R and L. Dalidowitz, Drug-Poisoning Deaths Involving Heroin, St. Louis County Missouri. St. Louis County, MO: Department of Public Health. February 2016.