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

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

Exploring Drug Overdose Mortality Data in Harris County, Texas

Drug overdose mortality is a growing problem in the United States. In 2017 alone over 72,000 deaths were attributed to drug overdose, most of which were caused by fentanyl and fentanyl analogs (synthetic opioids). While nearly every community has seen an increase in drug overdose, there is considerable variation in the degree of increase in specific communities. The Harris County community, which includes the City of Houston, has not seen the massive spikes observed in some communities, such as West Virginia, Kentucky, and Ohio.

June 18, 2019

Finding Chances to Intervene Before the Fatal Overdose: Linking ED and Mortality Data

In 2017, 951 Missouri residents died from an opioid overdose, a record number for the state.1 This continues the trend from 2016, which saw an increase of over 30% in opioid overdose deaths compared to 2015. The Missouri Department of Health and Senior Services (MDHSS) manages several public health surveillance data sources that can be used to inform about the opioid epidemic. Opioid overdose deaths are identified through death certificates which are collected through the vital records system.

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

Identification of Clinical Indicators of Opioid Overdose using innovative EMS software analytics.

In North America we experience the highest rate of drug related mortality in the world. In the US, overdose is now the leading cause of death among adults under 50. Each day more than 115 people in the United States die due to an opioid overdose. The opioid overdose national crisis is rapidly evolving due to changes in drug availability and the presence of adulterated fentanyl in some areas leading to a critical need for innovative methods to identify opioid overdoses for both surveillance and intervention purposes.

June 18, 2019

Opioid Overdose Surveillance and Classification with R

Presented November 16, 2018.

November 30, 2018

Fact Sheet: Naloxone Access and Overdose Good Samaritan Law in Ohio

This fact sheet, developed by the Network for Public Health Law and published August 29, 2018, summarizes Ohio's laws to combat the opioid overdose crisis.

Read more about this resource at https://www.networkforphl.org/resources_collection/2018/08/29/1027/naloxone_access_and_overdose_good_samaritan_law_in_ohio?blm_aid=193546.

August 31, 2018

State Opioid Overdose Surveillance Dashboards

Below are the publicly available opioid overdose surveillance dashboards by U.S. state or territory. This list is updated as of March 7, 2019.

June 22, 2018

Using Syndromic Data for Opioid Overdose Surveillance in Utah

The current surveillance system for opioid-related overdoses at UDOH has been limited to mortality data provided by the Office of the Medical Examiner (OME). Timeliness is a major concern with OME data due to the considerable lag in its availability, often up to six months or more. To enhance opioid overdose surveillance, UDOH has implemented additional surveillance using timely syndromic data to monitor fatal and nonfatal opioid-related overdoses in Utah.

Objective:

January 21, 2018

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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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