Prescription Drug Abuse - Cara Christ
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Transcript of Prescription Drug Abuse - Cara Christ
Prescription Drugs in ArizonaOctober 28, 2016
Cara Christ, MD, MSDirector/State Health Official
National Issue• Estimated 2 million people in the US have a prescription
opioid use disorder– 2014: More than 14,000 people died from Rx opioid overdose
• 300% increase in opioid prescription sales since 1999– Without overall change in reported pain
• 249,000,000 prescriptions for opioids were written (2013)– Enough for every adult in America to have a bottle of pills
• America accounts for ~5% of the world’s population– Consume 80% of the global opioid supply
Drug and Alcohol Data Review
25th 50th 1st
41st: Drug DeathsAZ: 18.1 (rate)US: 13.5
Drug Deaths
17th : Excessive drinkingAZ: 16.6% US: 17.6%
15th : Binge DrinkingAZ: 14.9%US: 18.0%
41st (2010)
38th (2012)
35th (2015)
Number of Injury Deaths by CauseArizona, 2010-2015
Cause of Death2010 2011 2012 2013 2014 2015**
Poisoning1,176 1,143 1,097 1,240 1,260 1,335
Acute Drug Overdose1,052 1,020 968 1,099 1,132 1,199
Motor Vehicle Crashes672 724 705 720 651 779
Falls775 784 787 880 890 1,021
Firearms910 954 919 931 852 930
Suffocation364 351 341 381 410 403
Total Injury Deaths4,499 4,627 4,496 4,836 4,600 5,081
Number of Drug Overdose Deaths Involving Selected Drugs, Arizona 2005-2015
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150
50
100
150
200
250
300
350
400
450
500
Opioid pain relievers* (T40.2-T40.4)
Cocaine (T40.5)
Heroin (T40.1)
Benzodiazepines (T42.4)
Other and unspecified narcotics (T40.6)
Psychostimulants with abuse potential** (T43.6)
Other and unspecified drugs (T50.9)
Year
Num
ber o
f dru
g po
isoni
ng d
eath
s
401Deaths due to Rx Opioid
Overdose (2015)
Arizona Specific Statistics
>1Death Per Day due to Rx
Opioid Overdose(2015)
2 weeks Rx pain relievers dispensed to medicate every AZ adult
around the clock (2013)
237Deaths due to Heroin
Overdose(2015)
438Babies Born with Neonatal
Abstinence Syndrome (2014)
235%Increase in Babies Born
with Neonatal Abstinence Syndrome since 2008
Source: ADHS Vital Records, Birth and Death Certificate Data. http://http://www.americashealthrankings.org/measures/Measure/AZ/Drugdeaths
Number of AZ Newborns with Drug Exposure, 2008-2013
2008 2009 2010 2011 2012 20130
100
200
300
400
500
600
700
247
413 417 431
549
645
160
10078 67 62 53
22 24 15 31 2721
Narcotics
Cocaine
Fetal Alcohol Syndrome (FAS)
Problem Statement
The misuse and abuse of opioids within Arizona leads to a higher rate of addiction, overdose, neonatal abstinence syndrome, DUI-Ds and ultimately a significant increase in deaths. • This is disproportionately represented within
Arizona’s highly vulnerable population, often those receiving services from Medicaid.
3 Major Ways to Combat the Problem
• Prevent prescription opioid drug abuse– Appropriate prescribing practices
• Access to treatment– Especially Medication Assisted Treatment (MAT)
• Reverse overdoses with Naloxone
What else does public health do?• Surveillance
– Death certificates, HDD, child fatality and maternal morbidity reviews, EMS/trauma data, board of pharmacy data
– Provide data/presentations• Education
– Promote & implement prescribing guidelines– Develop & implement educational campaigns
• Work with federal and local public health partners– Recently hosted the Surgeon General, June 2016– Applied for supplemental to CDC grant to expand to additional counties– Evaluate and promote federal resources
• Home Visiting Programs for at risk families• Injury Prevention• State Health Improvement Plan: Injury Prevention & Substance Abuse
Questions?Cara Christ, MD, MS | Director
[email protected] | 602-542-1025
@drcarachrist
facebook.com/azdhs @azdhswebsite: azhealth.gov