Rhetorical Framing and Needle Exchange in Rural Indiana: Shifting Perspectives and Policy

Political discourse surrounding matters of public health is exigent because human life is at stake—this is unquestionably the case with respect to widespread opioid addiction. While intravenous drug use itself is described as a health concern, the spread of diseases such as hepatitis C and HIV through the sharing of needles is a disease surveillance emergency. This research centers on municipal-level decision making in the community of greater Lafayette, Indiana.

June 18, 2019

Using probabilistic matching to improve opioid drug overdose surveillance, New Jersey

The opioid drug overdose crisis presents serious challenges to state-based public health surveillance programs, not the least of which is uncertainty in the detection of cases in existing data systems. New Jersey historically had slightly higher unintentional drug overdose death rates than the national average, but by 2001 dramatic increases in drug overdose deaths in states like West Virginia began to drive up the national rate (Figure 1).

June 18, 2019

Validating Syndromic Data for Opioid Overdose Surveillance in Florida

In 2017, FL Department of Health (DOH) became one of thirty-two states plus Washington, D.C funded by the Center for Disease Control and Prevention (CDC) under the ESOOS program. One of the objectives of this funding was to increase the timeliness of reporting on non-fatal opioid overdoses through syndromic surveillance utilizing either the emergency department (ED) or Emergency Medical Services (EMS) data systems. Syndromic case validation is an essential requirement under ESOOS for non-fatal opioid-involved overdose (OIOD).

June 18, 2019

Evaluation of Syndromic Surveillance for Opioid Overdose Reporting in Illinois

Accuracy in identifying drug-related emergency department admissions is critical to understanding local burden of disease and assessing effectiveness of drug abuse prevention and overdose-reduction initiatives. In 2018 the Illinois Department of Public Health (IDPH) began implementation of a mandatory opioid overdose reporting law, applicable to all hospital emergency departments (ED). The mandate requires reporting of patient demographics, causal substance and antagonist ED administration within 48 hours of presentation. This reporting is not name-based.

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

Development of Text-Based Algorithm for Opioid Overdose Identification in EMS Data

Opioid overdoses have emerged within the last five to ten years to be a major public health concern. The high potential for fatal events, disease transmission, and addiction all contribute to negative outcomes. However, what is currently known about opioid use and overdose is generally gathered from emergency room data, public surveys, and mortality data. In addition, opioid overdoses are a non-reportable condition.

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

Comparing Syndromic Data to Discharge Data to Measure Opioid Overdose Emergency Department Visits

Timely and accurate measurement of overdose morbidity using emergency department (ED) data is necessary to inform an effective public health response given the dynamic nature of opioid overdose epidemic in the United States. However, from jurisdiction to jurisdiction, differing sources and types of ED data vary in their quality and comprehensiveness. Many jurisdictions collect timely emergency department data through syndromic surveillance (SyS) systems, while others may have access to more complete, but slower emergency department discharge datasets.

June 18, 2019

Analytic Fusion for Essential Indicators of the Opioid Epidemic

Unlike other health threats of recent concern for which widespread mortality was hypothetical, the high fatality burden of opioid overdose crisis is present, steadily growing, and affecting young and old, rural and urban, military and civilian subpopulations. While the background of many public health monitors is mainly infectious disease surveillance, these epidemiologists seek to collaborate with behavioral health and injury prevention programs and with law enforcement and emergency medical services to combat the opioid crisis.

June 18, 2019

Fatal Overdose Surveillance in the Commonwealth of Pennsylvania

The severity of the nationwide opioid epidemic necessitates a fully-informed and evidenced-based response on the part of public health organizations. To support that aim, Pennsylvania applied for and received the Center for Disease Control and Prevention's Enhanced State Opioid Overdose Surveillance (ESOOS) grant.

June 18, 2019

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