Tracking overdose deaths in Jackson County

7/28/2019 Tracking overdose deaths in Jackson County

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Jackson County Medical

Examiner data 2004 to 2011

Andrea Krause DVMJim shames MD

Tim Pike

Wendy Moore

Kiley Shannon


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0

5

10

15

20

25

30

35

40

45

50

2004 2005 2006 2007 2008 2009 2010 2011

#Deaths

Overdose Deaths 2004-2011 Jackson County Oregon

Undetermined

Suicide

Accidental


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Accidental Overdose Deaths: Overdose

Drug

0

10

20

30

40

50

60

70

80

90

Prescription

Opiate(s)

Rx Opiate +

Alcohol

Rx Opiate +

Other Rxdrug

Rx Opiate +

illicit drug

Illicit drug Non-opiate

Rx drug

Other

#Deaths

Accidental Overdose Deaths 2004 - 2011: Overdose Drug by General

Category


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Who is dying of opioid overdoses?

Middle aged

White male

Unmarried

Limited education

Substance abuse history

Mental health history

Taking methadone

Also taking benzos

Possibly a vet


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0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

0.5

< 18 18-24 25-34 35-44 45-54 55-64 65-74 75

Proportion

ofDeaths

Age Category

Age Distribution of Accidental Overdose Deaths: Methadone vs. Other Rx

Opiates

Methadone

Other RX Opiates

Accidental Prescription Opiate Overdose Deaths

36.2 % of all

overdoses were in

45-54 age group


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Illicit Drug Overdose Deaths: Jackson County Oregon

2004-2011

0

2

4

6

8

10

12

14

16

18

20

Heroin Methamphetamine Cocaine

#Deaths

Illicit Drug Overdoses: Specific Drugs

Part of Multiple Substance

Overdose

Alone

Heroin may be under-

represented due to 7

morphine overdose deaths

that may in fact have been

heroin overdoses


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0

10

20

30

40

50

60

70

80

90

100

#Deaths

Specific Opioid Involvement in All Overdose Deaths

Suicide

Undetermined

Accidental

Methadone =

39% of all OD

Oxy=14%

Morphine=17%

Hydrocod=8.5%


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22

3

0

5

10

15

20

25

Private Prescriber Methadone Clinic

#ofDescedents

Prescription Methadone Source

Methadone Overdose Deaths in which the

source of Methadone was the decedents own

prescription


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Analysis of Methadone data

988 individuals received almost 7 thousandprescriptions or 1.2 million doses of methadone overthe 8 month study period. That averages 1,231 pillsper person, or 207 pills per month. If you are 45 to 54years old that average is 1,401 pills per person or 231

pills per month (more than 70mg/day)

Comparison with Allied (methadone clinic)

data: 515 clients currently enrolled

Average dose 105 mg (liquid only)

3, possibly 4, documented overdose deaths

during the 2004-2011 study period 010

20

30

40

50

60

70

80

90

100

#Deaths


10/21


60%

31%

15%

0%

44%

58%

67%

46%

21%

8%

49%

69%

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

Chronic pain Cardiovascular

disease

Respiratory

disease

Liver disease Other concurrent

condition

Mental illness

FrequencyofOccurrenc

e

Medical History in Accidental Opiate Overdose Deaths in Jackson County OR

Methadone

Other Rx

Opiates


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Accidental Prescription Opiate Overdose

Deaths

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

History of

Any

SubstanceAbuse

Alcohol

abuse

Illicit drug

abuse

Prescription

abuse

Multiple

substances

History of

Previous

Overdose

History of

Addiction

Treatment

FrequencyofOccu

rrence

Substance Abuse History in Accidental Opiate Overdose Deaths

Methadone

Other Rx Opiates


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0

0.1

0.2

0.3

0.4

0.5

0.6

Frequenc

y

Accidental Opiate Overdoses: Toxicological Presence of Other Substances

Methadone

Other Opiates


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Jackson County Overdose Deaths

in 2012

Data Analysis


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Overdose Trends in Jackson County


15/21

Findings


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Morphine

Found in toxicology reports of 38% of all

overdose deaths

Medical Examiner ruled Morphine as cause of

death in 20% of all overdose deaths

Of the 38%:

47% had opioid prescriptions

18% were for Morphine

29% were other prescription opioids


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Heroin

Morphine was found in toxicology reports of

38% of all overdose deaths:

Medical Examiner ruled Heroin as cause of death

in 16% of all overdose deaths

Of the 16%

14% had known Methadone prescriptions

14% had other opioid prescriptions


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69% of all Overdose Deaths Involved

Prescription Opiates

Benzodiazepines were found in 71%

Anticonvulsants were found in 39%

Antidepressants were found in 32% Cannabinoids were found in 29%

Ethanol was found in 29%

The average number of contributory drugsfound in toxicology was 5


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Medical History

Chronic pain was found in 68%

Mental illness was found in 61%

Cardiovascular disease was found in 52% Pulmonary disease was found in 19%

Other medical conditions was found in 55%


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Substance Abuse History

Substance abuse was found in 52%

History of overdose was found in 16%

Alcohol use/abuse was found in 39% Smoking history was found in 45%

History of addiction treatment 0%

Tracking overdose deaths in Jackson County

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