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G3O5. Decrease those struggling with substance abuse

Number of deaths related to “any” opioid overdose per annum

1,9952021

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Story Behind the Curve

Drug overdoses are the leading cause of injury deaths in the United States. More than six out of 10 drug deaths involve an opioid, primarily prescription pain relievers (morphine, oxycodone, hydrocodone) or heroin (1).

The data above represenets deaths attributed to any opioid in the state of Indiana. Death certificate data are used to track underlying and contributing cause of death, in order to understand the burden of drug overdose deaths for prevention. The underlying cause of death is the disease or injury that initiated the events leading to death while the contributing causes of death are diseases or injuries that contributed to the fatal outcome. Data are collected by the IDOH Division of Vital Records. A final dataset is provided by the IDOH, Office of Data and Analytics, Data Analysis Team and analyzed by the Division of Trauma and Injury Prevention to identify overdose deaths among Indiana residents. Deaths are reported back to the county of residence of the Indiana decedent (2).

Drug overdose death counts involving any opioid include (displayed above) the following codes:

Underlying Cause of Death Codes: 

  • X40 to X44 - Accidental poisoning by drugs
  • X60 to X64 - Intentional self-poisoning by drugs
  • X85 -  Assault by drug poisoning
  • Y10 to Y14 - Drug poisoning of undetermined intent

Contributing Cause of Death Codes (for Any Opioid): 

  • T40.0 -  Opium
  • T40.1 - Heroin
  • T40.2 - Natural and semisynthetic opioids
  • T40.3 - Methadone
  • T40.4  - Synthetic opioids
  • T40.6 - Other unspecific narcotic

 

Sources

  1. American Health Rankings (AHR) - https://www.americashealthrankings.org/learn/case-studies/breaking-the-trend-partnership-to-address-opioid-abuse-in-america?utm_source=drugdeaths&utm_medium=website&utm_campaign=drugdeaths
  2. Health: Overdose Prevention: (in.gov)    
What Works

 

Drug overdose deaths can be prevented. See how CDC is working to prevent overdoses and substance use-related harms with guideling principles and strategic priorities.

Ten Evidence-Based Strategies for Preventing Opioid Overdose

  1. Targeted Naloxone Distribution  
  2. Medication-Assisted Treatment (MAT)  
  3. Academic Detailing  
  4. Eliminating Prior-Authorization Requirements for Medications for Opioid Use Disorder  
  5. Screening for Fentanyl in Routine Clinical Toxicology Testing  
  6. 911 Good Samaritan Laws  
  7. Naloxone Distribution in Treatment Centers and Criminal Justice Settings  
  8. MAT1 in Criminal Justice Settings and Upon Release  
  9. Initiating Buprenorphine-based MAT in Emergency Departments  
  10. Syringe Services Programs 

 

See more additional Evidence-Based Strategies for Preventing Opioid Overdose here

Challenges

Illicitly manufactured fentanyl, heroin, cocaine, or methamphetamine (alone or in combination) were involved in nearly 85% of drug overdose deaths in 24 states and the District of Columbia during January–June 2019. More than 3 out of 5 overdose deaths had at least one potential opportunity to link people to care before the fatal overdose or to implement life-saving actions when the fatal overdose occurred. Read more in CDC’s VitalSigns feature.

 

https://www.cdc.gov/drugoverdose/prevention/index.html

Corrective Action
PoE

IDOH Overdose Prevention Records

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy