Turning the Tide on the Opioid Epidemic

Presenters

Susan Robinson, Vaccine-Preventable Disease Epidemiologist, Arizona Department of Health Services

Erica Weis, Injury Prevention Epidemiologist, Arizona Department of Health Services

Background

March 27, 2019

Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview

These slides were presented at the Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview Partner meeting, led by CDC and organized by ASTHO in March of 2019. 

Presenters

Puja Seth, PhD – Lead, Epidemiology and Surveillance

Alana Vivolo-Kantor, PhD – Morbidity Lead

Christine L. Mattson, PhD – Mortality Lead

Objectives

March 27, 2019

Recommendations for Surveillance of EMS Data for Opioid Overdoses

Presented March 21, 2019.

FirstWatch Recommendations for Surveillance of EMS Data for Opioid Overdoses: https://www.firstwatch.net/finding-opioid-data/

March 29, 2019

Developing Phenotypes from Electronic Health Records for Chronic Disease Surveillance

Chronic diseases, including hypertension, type 2 diabetes mellitus (diabetes), obesity, and hyperlipidemia, are some of the leading causes of morbidity and mortality in the United States. Monitoring disease prevalence guides public health programs and policies that help prevent this burden. EHRs can supplement traditional sources of chronic disease surveillance, such as health surveys and administrative claims datasets, by offering near real-time data, large sample sizes, and a rich source of clinical data.

June 18, 2019

Improved Identification and Assessment of Heat-Related Illnesses in Pinal County, AZ

Extreme heat and related illnesses are a critical concern in Arizona from May to September each year. From 2008 to 2016, Arizona medical facilities had an average of 1,790 emergency visits and 442 hospital admissions for heat-related illnesses (HRI) during the summer months. In 2016 alone, Arizona Emergency Departments (EDs) received a total of 2,484 visits for HRI and 527 of these cases were admitted as inpatients1. Pinal County, which has an estimated population of 430,237 individuals, contributes to the number of HRI visits to Arizona Emergency Departments that occur each year.

June 18, 2019

Trends in Injection Opioid Use and Bloodborne Pathogen Related Diseases in New Jersey

When the opioid epidemic began in the early 1990s, pills such as oxycodone were the primary means of abuse.

June 18, 2019

Drug Overdose Trends among Black Indiana Residents: 2013-2017

Black Hoosiers, the largest minority population in Indiana, make up almost 10% of the state's population, and accounted for 8% of the total resident drug overdose deaths from 2013-2017 compared to whites at 91%. However, a closer look at race-specific mortality rates might reveal racial inequalities. Therefore, the purpose of this project was to analyze drug overdose morality rates among white and black Hoosiers to discover possible racial inequalities and to discover trends in drug involvement in overdose deaths among blacks.

June 18, 2019

Improving risk factor identification for opioid overdose deaths in Tennessee

Using death certificates alone to identify contributing substances in drug overdose deaths may result in misclassification and underestimation of the burden of illicit and prescription opioids and other drugs in drug-related deaths. To enable timely and targeted prevention in Tennessee (TN), the identification and monitoring of new drugs and trends in use should utilize toxicology and medicolegal death investigation data directly, as recommended by others 1-3. These data can inform mortality outcome definitions for improved surveillance and risk factor identification 4-7.

June 18, 2019

Trends in Suspected Opioid Overdoses from Emergency Departments in 11 States and DC

Recent reporting using data from CDC's National Syndromic Surveillance Program indicates that rates of emergency department (ED) visits involving suspected opioid overdoses increased by 70% in the Midwest from the third quarter (Q3) 2016 (July-September) to the Q3 2017. Large increases in the use and distribution of illicitly-manufactured fentanyl (IMF) and fentanyl analogs, are a key factor driving increased opioid overdose rates in the Midwest and east of the Mississippi River. Fentanyl is a synthetic opioid 50-“100 times more potent than morphine.

June 18, 2019

EMS Heroin Overdoses with Refusal to Transport & Impacts on ED Overdose Surveillance

As a Centers for Disease Control and Prevention Enhanced State Opioid Overdose Surveillance (ESOOS) funded state, Kentucky started utilizing Emergency Medical Services (EMS) data to increase timeliness of state data on drug overdose events in late 2016. Using developed definitions of heroin overdose for EMS emergency runs, Kentucky analyzed the patterns of refused/transported EMS runs for both statewide and local jurisdictions.

June 18, 2019

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National Syndromic
Surveillance Program

Email:nssp@cdc.gov

The National Syndromic Surveillance Program (NSSP) is a collaboration among states and public health jurisdictions that contribute data to the BioSense Platform, public health practitioners who use local syndromic surveillance systems, Center for Disease Control and Prevention programs, other federal agencies, partner organizations, hospitals, healthcare professionals, and academic institutions.

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