New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED....

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Table of Contents: 2016 Overview—Drug Environment Report—UNCLASSIFIED Purpose: The NH Drug Monitoring Iniave (DMI) is a holisc strategy to provide awareness and combat drug distribuon and abuse. In line with this approach the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products for stake- holders as well as situaonal awareness releases as needed. Secon Title Page # Overview Drug Overdose Deaths Source: NH Medical Examiner’s Office EMS Narcan Administraon Source: NH Bureau of Emergency Medical Services (EMS) Opioid Related Emergency Department Visits Source: NH Division of Public Health Services Heroin and Rx Opiate Treatment Admissions Source: NH Bureau of Drug & Alcohol Services 1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE UNCLASSIFIED New Hampshire Drug Monitoring Iniave New Hampshire Drug Monitoring Iniave New Hampshire Informaon & Analysis Center Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303 NHIAC Product #: 2017-3120 2016 Overview Report—FINAL 26 October 2017 Populaon data source: hp://www.nh.gov/oep/data-center/populaon-esmates.htm Year/month overview charts are based on annual esmates from the above website. County charts are based on a 2015 esmated populaon of each county. If your agency is looking for further breakdowns than what is in this document please contact the NHIAC. 11

Transcript of New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED....

Page 1: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Table of Contents:

2016 Overview—Drug Environment Report—UNCLASSIFIED

Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line with this approach

the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products for stake-

holders as well as situational awareness releases as needed.

Section Title Page #

Overview

Drug Overdose Deaths

Source: NH Medical Examiner’s Office

EMS Narcan Administration

Source: NH Bureau of Emergency Medical Services (EMS)

Opioid Related Emergency Department Visits

Source: NH Division of Public Health Services

Heroin and Rx Opiate Treatment Admissions

Source: NH Bureau of Drug & Alcohol Services

1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED

New Hampshire Drug Monitoring InitiativeNew Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303

NHIAC Product #: 2017-3120 2016 Overview Report—FINAL 26 October 2017

Population data source: http://www.nh.gov/oep/data-center/population-estimates.htm

Year/month overview charts are based on annual estimates from the above website.

County charts are based on a 2015 estimated population of each county.

If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.

11

Page 2: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Heroin/ Rx Opioid Treatment Admissions, and Overdose Deaths:

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2

13.4515.25

12.3414.51

25.33

33.00

36.46

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2010 2011 2012 2013 2014 2015 2016

# o

f D

rug

Dea

ths

per

100

,000

po

pu

lati

on

Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Even

ts p

er 1

00,0

00 p

opul

atio

n

Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS

EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population

January 2016 - December 2016 Opioid Related EDVisits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

Drug Overdose Deaths

Page 3: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Drug Overdose Deaths: Data Source: NH Medical Examiner’s Office

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

3 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Drug overdose deaths increased by 10.5% from 2015 to

2016. In 2016 Hillsborough County had the highest suspected

location of drug use resulting in overdose deaths per capita at 4.92 deaths per 10,000 population.

Strafford County had the second highest suspected location of drug use resulting in overdose deaths per capita at 4.39 deaths per 10,000 population.

The age group with the largest number of drug overdose deaths is 30-39 which represents 30% of all overdose deaths for 2016.

*** IMPORTANT DATA NOTES***

Analysis is based on county where the drug (s) is suspected to have been

used.

13.4515.25

12.3414.51

24.57

33.00

36.46

2.28 4.63 3.63

6.57

15.45

24.6526.83

1.90 1.97 1.44 2.27 2.71 3.68 4.81

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2010 2011 2012 2013 2014 2015 2016

# o

f D

rug

De

ath

s p

er

10

0,0

00

po

p

Overdose Deaths by Year per 100,000 PopulationData Source: NH Medical Examiner's Office

All DrugDeaths

Fentanyl/Heroin RelatedDeaths +

CocaineRelatedDeaths+

+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

2.65

3.34

2.592.98

1.79

4.92

2.91 2.99

4.39

2.06

0.00

1.00

2.00

3.00

4.00

5.00

6.00#

of

de

ath

s p

er

10

,00

0 p

op

2016 Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office

2%

26%

30%

20%

18%

4%

Overdose Deaths by Age 2016Data Source: NH Medical Examiner's Office

0-19

20-29

30-39

40-49

50-59

60+

Page 4: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Drug Overdose Deaths: Data Source: NH Medical Examiner’s Office

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

4 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

2013 2014 2015 January February March April May June July August September October November December 2016

Total 192 332 439 37 46 44 45 47 34 43 36 45 38 31 39 485

County

Belknap 8 17 17 1 1 3 1 2 0 2 1 3 0 0 2 16

Carroll 4 9 22 2 3 2 1 0 1 2 1 3 0 0 1 16

Cheshire 14 17 11 2 2 2 3 2 2 1 0 2 1 1 2 20

Coos 6 9 14 1 3 1 0 0 0 2 0 2 0 1 0 10

Grafton 13 17 13 0 3 2 0 2 2 1 2 1 2 0 1 16

Hillsborough 68 106 178 15 16 15 21 22 12 17 14 19 14 17 17 199

Merrimack 17 40 39 3 6 2 5 3 3 7 4 5 3 0 2 43

Rockingham 34 64 89 5 7 8 6 8 7 8 7 6 9 11 8 90

Strafford 25 40 47 2 5 8 7 6 6 1 5 3 7 0 4 55

Sullivan 4 4 8 4 0 0 0 2 1 1 0 1 0 1 0 9

Out of State 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 2

Not Determined 0 0 0 0 0 1 1 0 0 1 2 0 2 0 2 9

Gender

Male 61 219 307 22 33 32 33 32 28 29 22 37 21 23 24 336

Female 132 107 131 15 13 12 12 15 6 14 14 8 17 8 15 149

Age

0-19 3 3 8 0 0 0 0 2 0 1 2 0 1 0 1 7

20-29 40 79 110 6 11 14 12 12 11 11 5 15 9 8 9 123

30-39 32 80 116 13 16 13 11 18 15 14 7 9 9 10 12 147

40-49 52 67 99 9 9 8 11 3 3 10 10 9 11 9 6 98

50-59 51 78 91 7 8 7 7 11 2 7 11 10 7 4 8 89

60+ 15 19 14 2 2 2 4 1 3 0 1 2 1 0 3 21

Page 5: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Pittsburg

Lincoln

Alton

Errol

Milan

Stark

Albany

Berlin

Bartlett

LymeSandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampto

n

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kingst

on

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

BrooklineLyn

debo

rough

Fremont

Harrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown

Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

!

28

2

!

10

Coos

Grafton

Carroll

Merrimack

CheshireHillsborough

Sullivan

Rockingham

Belknap

Strafford

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

Overdose Deaths by Town* - 2016(Data Source: NH Medical Examiner's Office)

*Location where the drug(s) is suspected to have been used.

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

Number of Overdose Deaths by Town*Location where the drug(s) is suspected

to have been used.

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 5

1 - 34 - 910 - 2324 - 5455 and greater

Page 6: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

EMS Narcan Administration: Data Source: NH Bureau of Emergency Medical Services (EMS)

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

UNCLASSIFIED

6 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: EMS Narcan administration increased by 8% from 2015 to

2016. In 2016 Strafford County had the most EMS Narcan

administration incidents per capita with 35.82 admissionsper 10,000 population.

The age group with the largest number of EMS Narcanadministration incidents is 20-29 which represents 34% ofall EMS Narcan administration incidents for 2016.

*** IMPORTANT DATA NOTES***

Narcan data in this report involves the number of incidents where Narcan was administered, NOT the number of doses of Narcan during a certain time period. Multiple doses may be administered during an incident.

Narcan is administered in cases of cardiac arrest when the cause of the arrestcannot be determined. It therefore cannot be concluded that all of the reported Narcan cases involved drugs.

19.20 19.01 18.62 19.36

7.38

29.90

15.76 16.24

35.82

7.78

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00#

of

Inci

den

ts In

volv

ing

Nar

can

per

10

,00

0 p

op

Source: NH Bureau of EMS

2016 EMS Narcan Administration by Countyper 10,000 Population

65.9278.10

142.21

201.22217.61

0.00

50.00

100.00

150.00

200.00

250.00

2012 2013 2014 2015 2016

# o

f In

cid

en

ts In

volv

ing

Nar

can

pe

r 1

00

,00

0 p

op

Source: NH Bureau of EMS

EMS Narcan Administration by Year per 100,000 Population

3%

34%

29%

13%

11%

9%

1%

2016 EMS Narcan Administration by Age Group

0-19

20-29

30-39

40-49

50-59

60+

Unknown

Source: NH Bureau of EMS

Page 7: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

EMS Narcan Administration: Data Source: NH Bureau of Emergency Medical Services (EMS)

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

UNCLASSIFIED

7 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

2012 2013 2014 2015 January February March April May June July August September October November December 2016

Total 877 1039 1892 2677 227 246 241 220 233 273 298 229 270 237 210 211 2895

County

Belknap 50 39 59 113 7 5 6 12 13 6 19 8 7 8 11 14 116

Carroll 44 46 52 80 8 7 7 5 10 9 10 8 7 5 6 9 91

Cheshire 42 34 65 79 9 24 14 8 9 14 9 15 14 13 9 6 144

Coos 24 20 41 65 5 5 4 2 7 7 6 9 11 0 4 5 65

Grafton 32 47 56 57 4 8 3 7 9 5 5 4 4 6 4 7 66

Hillsborough 269 399 757 1139 107 96 102 95 88 106 135 78 101 128 83 90 1209

Merrimack 99 131 185 228 10 22 15 18 22 29 13 16 35 13 18 22 233

Rockingham 213 180 380 501 46 38 52 35 36 47 52 37 41 31 39 34 488

Strafford 86 131 286 380 29 39 36 37 37 43 47 51 42 33 33 22 449

Sullivan 18 12 11 35 2 2 2 1 2 7 2 3 8 0 3 2 34

Gender

Male 507 578 1185 1736 157 154 154 148 152 186 199 151 178 157 138 142 1916

Female 370 459 706 938 70 92 87 72 81 87 99 78 92 80 72 69 979

Age

0-19 43 41 83 94 7 4 7 8 7 2 6 7 11 12 11 5 87

20-19 186 239 588 954 77 91 88 65 58 115 112 68 90 79 62 68 973

30-39 153 177 428 684 74 58 76 71 71 74 93 58 81 63 75 59 853

40-49 141 192 304 364 29 44 35 30 34 23 34 35 34 38 18 31 385

50-59 147 185 233 314 18 30 21 28 39 21 29 37 34 25 18 27 327

60+ 204 202 246 256 19 17 13 17 23 37 24 22 18 16 26 21 253

Age/Gender

Not Given 3 3 10 11 3 2 1 1 1 1 0 2 2 4 0 0 17

Page 8: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Pittsburg

Lincoln

Alton

Errol

Milan

Stark

Albany

Berlin

Bartlett

Lyme

Sandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampto

n

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kingst

on

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

Brookline

Lynde

borou

gh

Fremont

Harrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown

Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

28

2

!

10

Coos

GraftonCarroll

Merrimack

CheshireHillsborough

Sullivan

Belknap

Strafford

Rockingham

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

EMS/Narcan Administration by Town1/1/2016 - 12/31/2016

Data Source: New Hampshire Bureau of EMS

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

*Incidents Where Narcan Was Administered*

01 - 1011 - 2526 - 5051 - 100101 - 200201 - 500501 - 750

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 8

Page 9: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

9 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Opioid related ED visits increased by 28% from January—

December 2016. In 2016 residents from Strafford County had the most

opioid related ED visits per capita with 76.67 visits per10,000 population.

Based on absolute numbers residents from HillsboroughCounty had the most opioid related ED visits with 2501 visits in 2016

The age group with the largest number of opioid relatedED visits is 20-29 which represents 37% of all opioidrelated ED visits for 2016.

*** IMPORTANT DATA NOTES***

County represents where the opioid use patient resides.

These data represent any encounter with the term “heroin, opioid, opiate, orfentanyl” listed as chief complaint text. These data also represent anyencounter with an ICD-10 code that was designated for heroin and opioids.

Currently all but two of the hospitals are sending ICD-10 data.

31.95

23.83

34.80

40.36

34.73

40.44

50.06

40.2144.20

34.20

41.64 40.89

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec# o

f E

D O

pio

id U

se

Vis

its p

er

10

0,0

00

po

p

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits per 100,000 Population January 2016 - December 2016

3%

37%

32%

14%

9%5%

2016 Emergency Department Opioid Use Visits by Age

0-19

20-29

30-39

40-49

50-59

60+

Source: NH Division of Public Health Services

15.56

36.56

17.45

42.59

22.93

61.86

37.82

24.49

76.67

18.52

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00#

of

ED O

pio

id U

se V

isit

s p

er 1

0,00

0 p

op

Source: NH Division of Public Health Services

2016 Emergency Department Opioid Use Visits by Countyper 10,000 Population

Page 10: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

10 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

January February March April May June July August September October November December 2016

Total 425 317 463 537 462 538 666 535 588 455 554 544 6084

County

Belknap 10 6 7 6 6 8 5 9 10 5 8 14 94

Carroll 16 13 15 18 14 15 14 10 24 16 14 6 175

Cheshire 1 7 10 7 6 8 16 17 23 6 14 20 135

Coos 7 11 16 9 20 4 12 21 6 9 13 15 143

Grafton 21 16 11 10 22 26 24 15 14 18 17 11 205

Hillsborough 177 125 207 225 182 231 287 214 241 467 221 224 2501

Merrimack 50 36 50 44 45 50 55 45 53 40 47 44 559

Rockingham 38 28 56 87 52 69 99 64 68 51 69 55 736

Strafford 59 53 51 77 74 79 93 85 90 105 99 96 961

Sullivan 6 2 9 7 6 9 5 8 9 4 6 10 81

Out of State 40 20 31 47 35 39 56 47 50 34 46 49 494

Gender

Male 251 159 255 304 241 313 401 309 323 265 300 331 3452

Female 174 158 208 233 221 225 265 226 265 190 254 213 2632

Age

0-19 16 12 12 23 10 11 19 21 20 13 13 11 181

20-29 173 136 188 215 176 238 279 226 236 150 228 198 2443

30-39 136 86 143 183 147 155 226 146 171 159 162 175 1889

40-49 55 34 60 60 66 69 66 73 84 71 67 69 774

50-59 28 29 38 38 44 43 51 45 51 38 45 50 500

60+ 17 20 22 18 19 22 25 24 26 24 39 41 297

Page 11: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Heroin & Rx Opiate Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

11 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Heroin & Rx opioid treatment admissions increased by

28% from 2015 to 2016. In 2016 residents from Belknap County were admitted

most often for heroin & Rx opioid treatment per capitawith 24.33 admissions per 10,000 population.

Based on absolute numbers Hillsborough County had themost heroin & Rx treatment admissions with 869admissions in 2016.

More males than females were admitted to treatmentprograms during 2016.

55%

45%

2016 Heroin & Rx Treatment Admissions by Gender

Male

Female

Source: NH Bureau of Drug & Alcohol Services

*** IMPORTANT DATA NOTES***

County represents where the patient resides.

These data represent treatment admissions to state funded facilities.

164.09

209.94

0.00

50.00

100.00

150.00

200.00

250.00

2015 2016# o

f T

rea

tme

nt

Ad

mis

sio

ns

pe

r 1

00

,00

0 p

op

Source: NH Bureau of Drug & Alcohol Services

Heroin & Rx Opiate Treatment Admissions by Year per 100,000 Population

24.33

6.48 5.82

14.00 14.43

21.49

12.04

7.69

20.42

5.03

0.00

5.00

10.00

15.00

20.00

25.00

30.00#

of

Tre

atm

en

t A

dm

issi

on

s p

er

10

,00

0 p

op

Source: NH Bureau of Drug & Alcohol Services

2016 Opioid/Opiate Treatment Admissions by County per 10,000 Population

Page 12: New Hampshire Drug Monitoring Initiative2016 Overview—Drug Environment Report—UNLASSIFIED. Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness

Heroin & Rx Opiate Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

12 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

2015 January February March April May June July August September October November December 2016

Total 2183 196 174 185 207 236 303 210 241 233 305 202 301 2793

County

Belknap 92 13 12 16 12 16 20 14 12 5 12 6 9 147

Carroll 17 3 4 3 1 6 4 0 2 3 1 0 4 31

Cheshire 41 2 3 2 4 1 5 1 5 5 2 3 12 45

Coos 41 3 6 7 5 3 4 1 4 5 4 3 2 47

Grafton 196 22 10 19 8 15 14 6 5 7 6 6 11 129

Hillsborough 725 74 55 44 81 93 76 69 78 69 82 66 82 869

Merrimack 120 5 7 12 14 24 29 15 12 9 16 12 23 178

Rockingham 186 13 15 19 20 18 21 20 21 20 19 28 17 231

Strafford 237 25 22 22 22 19 22 11 24 18 32 10 29 256

Sullivan 18 1 6 2 0 2 2 1 2 0 1 3 2 22

Out of State 19 1 2 2 0 0 1 3 5 0 1 3 4 22

Not Provided 491 34 32 37 40 39 105 69 71 92 129 62 106 816

Gender

Male 1174 114 82 94 96 127 154 115 133 128 189 120 184 1536

Female 1009 82 92 91 111 109 149 95 108 105 116 82 117 1257

Age

< 18 14 0 0 4 1 1 0 0 1 0 0 0 0 7

18—25 699 61 43 55 52 72 99 51 56 64 78 43 68 742

> 26 1470 135 131 126 154 163 204 159 184 169 227 159 233 2044