The Opioid Crisis: Lack of Data among Nashville Area Tribal Nations

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Presentation transcript:

The Opioid Crisis: Lack of Data among Nashville Area Tribal Nations Christy Duke, Senior Epidemiologist

What we know: Deaths Population Crude Rate Per 100,000 Age Adjusted Rate Per 100,000 American Indian or Alaska Native 2015 511 1,072,200 47.7 58.9 2016 565 1,084,017 52.1 61.5 2017 592 1,100,069 53.8 62.2 Total 1,668 3,256,286 51.2 60.9 Asian or Pacific Islander 1,082 5,819,903 18.6 22.8 1,176 5,944,057 19.8 23.6 1,218 6,182,931 19.7 22.9 3,476 17,946,891 19.4 23.1 Black or African American 16,349 21,365,279 76.5 83.5 18,125 21,604,442 83.9 89.0 19,110 21,896,080 87.3 91.5 53,584 64,865,801 82.6 88.1 White 117,167 87,893,706 133.3 108.5 124,807 88,417,351 141.2 114.5 129,069 89,113,852 144.8 116.3 371,043 265,424,909 139.8 113.1 429,771 351,493,887 122.3 105.2 Taken from CDC Wonder query. All 13 USET states

What we don’t know: Deaths Population Crude Rate Per 100,000 Age Adjusted Rate Per 100,000 AI/AN Alabama (01) 12 37,424 Unreliable Florida (12) 70 116,826 59.9 60.0 Louisiana (22) 26 40,081 64.9 65.6 Maine (23) 22 11,343 194.0 207.8 Massachusetts (25) 24 39,944 60.1 77.0 Mississippi (28) 10 19,128 New York (36) 83 227,929 36.4 40.5 North Carolina (37) 222 172,072 129.0 153.9 Rhode Island (44) 12,358 South Carolina (45) 16 29,992 Texas (48) 74 318,447 23.2 30.0 Virginia (51) 14 51,489 CDC Wonder query. All 13 USET states. CT not listed. Probably no data yet for 2017

Why we don’t know: Purchased and Referred Care (PRC) Private insurance No federally recognized population in state data sets Racial misclassification Coordination between departments Technological challenges Reluctance to answer CDC Wonder query. All 13 USET states. CT not listed. Probably no data yet for 2017

Improving the data: Data sovereignty An epidemiology center operated by a grantee pursuant to a grant awarded under subsection (d) shall be treated as a public health authority…for purposes of the Health Insurance Portability and Accountability Act The Secretary shall grant to each epidemiology center…access to use of the data, data sets, monitoring systems, delivery systems, and other protected health information in the possession of the Secretary.