1. Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau of Communicable Diseases and Emergency Preparedness, Division of Public Health Wisconsin Department of Health Services July 2014 1 P-00696 (07/14)

2. Methods All opioid-related deaths: Case finding using specifications from MMWR, Vol. 62, No. 26, 7/5/2013 Any contributing cause of death T401-T404, International Classification of Diseases, 10 th edition Includes heroin, methadone and all other natural and synthetic opioids Wisconsin resident death certificates and county population estimates, 2004-2012, from Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics Levels of urbanization from 2006 National Center for Health Statistics (NCHS) Urban- Rural Classification Scheme 2

3. Opioid-related deaths, by county, Wisconsin residents 2004 Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. 3

4. Opioid-related deaths, by county, Wisconsin residents 2005 4

5. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2006 5

6. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2007 6

7. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2008 7

8. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2009 8

9. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2010 9

10. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2011 10

11. Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Opioid-related deaths, by county, Wisconsin residents 2012 11

12. Counties with no opioid-related deaths, Wisconsin, 2004-2012 Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Wisconsin Counties with No Opioid Deaths 12

13. Counties by level of urbanization, Wisconsin, 2010 Source: American Community Survey, 2010. 13

14. Opioid-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012 Mortality rate per 100,000 population Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. Milwaukee County Statewide Smaller metro Non-metro 14

15. Heroin-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012 Mortality rate per 100,000 population Milwaukee County Statewide Non-metro Smaller metro Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. 15

16. Opioid-related mortality rates, by county, Wisconsin residents 2004-2006* Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. * Annual average rate per 100,000 population ** Rates not shown if 1-4 deaths over the three-year period 16

17. Opioid-related mortality rates, by county, Wisconsin residents 2007-2009* Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. * Annual average rate per 100,000 population ** Rates not shown if 1-4 deaths over the three-year period 17

18. Opioid-related mortality rates, by county, Wisconsin residents 2010-2012* Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. * Annual average rate per 100,000 population ** Rates not shown if 1-4 deaths over the three-year period 18

19. Key Points Opioid-related deaths and mortality rates increased in Wisconsin between 2004 and 2012. The number of Wisconsin counties with no opioid-related deaths declined from 36 to 17 between 2004 and 2012. The rate of increase in opioid-related mortality rates during 2004-2012 was similar statewide, in Milwaukee County, and in smaller metropolitan and non- metro counties. Heroin-related deaths accounted for about one-third of all opioid-related deaths between 2004 and 2012. 19