1. From Westmoreland County’s Perspective August 20, 2015

3. Spiraling out of control On pace for 120+ deaths in 2015! (2014: 87 deaths) 52 confirmed deaths so far in 2015 21 are due to heroin (40%) 28 overdoses are pending testing 80 deaths this year, counting suspected deaths

5. Westmoreland County Statistics

9. Westmoreland County Trends from 2011 thru 2014 Women’s deaths have increased from 19 to 43. More than doubled! Men’s deaths have gone down by 1, from 45 to 44 Heroin has increased, causing only 14% of deaths in 2011; in 2014 it was 41% Most people who have died are over the age of 41. 53% last year.

10. 22 deaths(2002) to 87 deaths(2014) 295% increase of deaths in 12 years 64% of deaths in 2013 were over the age of 41. 52% in 2014. 25% were 21-30 years of age. Most deaths are from prescription drugs (59% in 2014) but heroin on increase (9 in 2011 to 36 in 2014

11. Root Cause Analysis 71% of deaths occurred at victim’s residence 9 families reported previous overdoses 68% male, 32% female 97% white, 2% Black 65% had legal charges; 58% were incarcerated at County prison; 21% incarcerated 4X or more

12. Eight working committees 1.Education/Outreach 2. Healthcare 3. Legislative Advocacy 4. Treatment 5.Criminal justice 6.Root Cause Analysis 7.Business (newly forming) 8.Fundraising

13. THANK YOU! Westmoreland County Human Service Website: http://www.co.westmoreland.pa.us/hs Copy of PowerPoint is on our website under Drug Overdose Task Force

14. 2015 80/800

16. Stamp Bags DIFFERENCE?

17. OxiClean Stamp Bags – Toxicology

18. UPS Stamp Bags – Toxicology

19. Fentanyl and/or Acetyl Fentanyl Related Deaths Prescribed for chronic pain and terminal patients. 2014 – 4 Total Fentanyl related deaths. 2015 – 12 Total Fentanyl related deaths as of August 12. 2015 has seen an influx of stamp bags with combinations of heroin and fentanyl and/or acetyl fentanyl. Fentanyl is approximately 80 times more potent than heroin and morphine. Acetyl Fentanyl is approximately 60 times more potent than heroin and morphine.

20. Resources Email: kbacha@co.westmoreland.pa.uskbacha@co.westmoreland.pa.us Westmoreland County Coroner’s Office Homepage www.co.westmoreland.pa.us/coroner Current Updated Statistics Comprehensive Annual Reports Press Release/Public Information Reports General Duties of the Office Facebook www.facebook.com/westmdcoroner Twitter @WestmdCoCoroner University of Pittsburgh’s School of Pharmacy Program Evaluation and Research Unit (PERU) http://www.overdosefreepa.pitt.edu/