-
Table of Contents:
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
Drug Overdose Deaths Map
EMS Narcan Administration
EMS Narcan Administration Map
Opioid Related Emergency Department Visits
Treatment Admissions
Situational Awareness
Substance Abuse Treatment/Recovery Directory
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 #: 2017-3050 June 2017 Report 3 August 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.
Tracked by NHIAC/HSEC SINs: 03,16 / 05,06
mailto:[email protected]://www.nh.gov/oep/data-center/population-estimates.htm
-
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2
13.4515.25
12.3414.51
24.57
33.00
36.53
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
* 2016 Numbers are based on analysis as of 29 June2017
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
July 2016 - June 2017
EMS NarcanAdministration
Opioid Related ED Visits
Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions
-
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 are projected to increase by 10.7% from
2015 to 2016. In 2017 Hillsborough County had the highest suspected drug
use resulting in overdose deaths per capita at 1.66 deaths per 10,000 population.
Rockingham and Strafford County had the second highest suspected drug use resulting in overdose deaths per capita at 1.36 deaths per 10,000 population.
The age group with the largest number of drug overdose deaths is 30-39 which represents 27% of all overdose deaths for 2017.
As released by the Attorney General’s Office on 12 July, 2017 there have been 10 deaths related to the use of carfentanil in 2017.
Right click on the paperclip and select “Open File” to view additional data.
13.4515.25
12.3414.51
24.57
33.00
36.53
2.28 4.63 3.63
6.57
15.45
24.6527.06
1.90 1.97 1.44 2.272.71 3.68
4.74
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+
* 2016 Numbers are based on analysis as of 29 June 2017 + Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories
0.99
0.63 0.65
0.891.01
1.66
0.88
1.36 1.36
0.23
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80#
of
de
ath
s p
er
10
,00
0 p
op
* 2017 Numbers are based on analysis as of 31 July 2017 - 71 cases still pendingData Source: NH Medical Examiner's Office
2017* Overdose Deaths by County per 10,000 Population
0%
21%
27%
26%
21%
5%
Overdose Deaths by Age 2017*
0-19
20-29
30-39
40-49
50-59
60+
*2017 Numbers are based on analysis as of 31 July, 2017Source: NH Medical Examiner's Office
*** IMPORTANT DATA NOTES***
2016 Numbers are based on analysis as of 29 June 2017. There are cases
from 2016 that are “pending”. It can take 2-3 months to receive toxicology
results and determine the cause of death.
Analysis is based on county where the drug (s) is suspected to have been
used.
-
Drug Overdose Deaths: Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
2017 Numbers are based on analysis as of 31 July 2017 71 cases still pending
2013 2014 2015 2016 January February March April May June July August September October November December YTD 2017
Total 193 326 438 484 31 26 30 41 32 10 170
County
Belknap 8 17 17 16 1 1 2 2 0 0 6
Carroll 4 9 22 16 0 0 1 1 1 0 3
Cheshire 14 17 11 20 2 0 2 1 0 0 5
Coos 6 9 14 10 1 1 0 0 0 1 3
Grafton 13 17 13 16 0 1 3 1 2 2 9
Hillsborough 68 106 178 199 10 9 12 18 15 3 67
Merrimack 17 40 39 43 5 2 0 4 2 0 13
Rockingham 34 64 89 90 8 6 10 8 7 2 41
Strafford 25 40 47 55 3 4 0 4 4 2 17
Sullivan 4 4 8 9 0 1 0 0 0 0 1
Out of State 0 3 0 2 0 1 0 0 0 0 1
Not Determined 0 0 0 8 1 0 0 2 1 0 4
Gender
Male 132 219 307 336 22 15 27 27 23 10 124
Female 61 107 131 148 9 11 3 14 8 0 45
Age
0-19 3 3 8 7 0 0 0 0 0 0 0
20-29 40 79 110 123 10 5 7 6 5 2 35
30-39 32 80 116 147 6 9 8 12 6 5 46
40-49 52 67 99 98 8 9 6 12 8 2 45
50-59 51 78 91 88 5 2 8 9 10 1 35
60+ 15 19 14 21 2 1 1 2 3 0 9
NHIACFile AttachmentDrug Overdose Deaths.pdf
-
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
4 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Cocaine Combinations
Cocaine; Fentanyl 8
Acetyl Fentanyl; Cocaine, Fentanyl, Heroin 2
Cocaine 2
Cocaine; Fentanyl; Heroin 2
Buprenorphine; Cocaine ; Fentanyl 1
Clonazepam; Cocaine; Fentanyl 1
Cocaine; Ethanol; Fentanyl 1
Cocaine; Fentanyl; Methamphetamine 1
Cocaine; Heroin 1
Fentanyl Combinations
Fentanyl 63
Ethanol; Fentanyl 9
Cocaine; Fentanyl 8
Acetyl Fentanyl; Fentanyl 6
Carfentanil; Fentanyl 5
Fentanyl; Heroin 3
Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2
Amitriptyline; Fentanyl 2
Carfentanil; Ethanol; Fentanyl 2
Cocaine; Fentanyl; Heroin 2
Acetyl Fentanyl; Ethanol; Fentanyl 1
Alprazolam; Ethanol; Fentanyl 1
8
2 2 2
1 1 1 1 1
0
1
2
3
4
5
6
7
8
9
# of
Dea
ths
Cocaine Combination Related Drug Deaths 2017*
*2017 Numbers are based on analysis as of 31 July, 2017Source: NH Medical Examiner's Office
63
9 86 5
3 2 2 2 2 1 1
0
10
20
30
40
50
60
70
# o
f D
ea
ths
Fentanyl Combination Related Drug Deaths 2017*
*2017 Numbers are based on analysis as of 31 July, 2017Source: NH Medical Examiner's Office
-
Pittsburg
Lincoln
Alton
Errol
MilanStark
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
WolfeboroGrafton
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
AmherstWilton
Alexandria
Dorchester
NashuaSalem
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
Mason Pelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
NelsonChester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charles
town
Plymouth
Kilkenn
y
Temple
Northfield
Dunbarton
SurryManchester
Windham
Goshen Pittsfield
Peterborough
Grantham
Sunape
e
Northwood
New Ham
pton
New Ipswich
Greenfield
Hinsdale
Hebron
Westmoreland
Boscawen
Kingston
GilsumSullivan
Francestown
Ellsworth
Brookfield
Northu
mberla
ndPem
broke
Tilton
Sharon
BrooklineLyn
deborou
gh
FremontHarrisville
New London
Chiches
ter
Middleton
Allenstown
Second College GrantDixs Grant
Langdon
Bridgewate
r
Sugar Hill
Litchfield
Stratham
Marlborough
Brentwoo
d
24Sandown Danville
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
Greenville12
17
19
4
913
8
14
15
!
28
2
!10
Coos
GraftonCarroll
Merrimack
CheshireHillsborough
Sullivan
Rockingham
Belknap
Strafford
0 10 20 305MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
Overdose Deaths by Town* - 2017 ++(Data Source: NH Medical Examiner's Office)*Location where the drug(s) is suspected to have been used.
+2017 data was reported on July 31, 2017There are many more deaths that are suspected to be drug related, but the official cause of death is pending until the toxicology results are received.
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.
5 - 101 - 4
11 - 2526 - 50
UNCLASSIFIED
UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 5
-
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 32% from May to
June. In June Belknap County had the most EMS Narcan
administration incidents per capita with 4.47 incidents per 10,000 population.
Based on absolute numbers Hillsborough County had the most Narcan incidents with 128 incidents in June.
The age group with the largest number of EMS Narcan administration incidents is 30-39 which represents 35% of all EMS Narcan administration incidents for June.
NH Bureau of EMS “lives saved” has increased by 56% from May to June.
*** 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 arrest cannot be determined. It therefore cannot be concluded that all of the reported Narcan cases involved drugs.
Right click on the paperclip and select “Open File” to view additional data.
5%
26%
35%
18%
9%
6%
1%
June EMS Narcan Administration by Age Group
1-19
20-29
30-39
40-49
50-59
60+
Unknown
Source: NH Bureau of EMS
4.47
0.42
1.81
0.60
2.01
3.17
1.961.63
0.800.46
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00#
of
Inci
den
ts In
volv
ing
Nar
can
per
10
,00
0 p
op
Source: NH Bureau of EMS
June EMS Narcan Administration by Countyper 10,000 Population
0.00
5.00
10.00
15.00
20.00
25.00
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# o
f In
cid
ents
Invo
lvin
g N
arca
n p
er 1
00,0
00 p
op
Source: NH Bureau of EMS
EMS Narcan Administration by Month per 100,000 PopulationJanuary 2014 - June 2017
2014
2015
2016
2017
-
EMS Narcan Administration: Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
2013 2014 2015 2016 January February March April May June July August September October November December YTD
2017
Total 1039 1892 2677 2895 202 206 196 232 213 281 1330
County
Belknap 39 59 113 116 8 12 13 13 14 27 87
Carroll 46 52 80 91 13 0 4 6 3 2 28
Cheshire 34 65 79 144 15 3 3 2 7 14 44
Coos 20 41 65 64 7 7 2 6 8 2 32
Grafton 47 56 57 67 3 4 8 7 8 18 48
Hillsborough 399 757 1139 1209 64 80 92 100 84 128 548
Merrimack 131 185 228 233 22 21 27 34 22 29 155
Rockingham 180 380 501 489 36 41 31 35 45 49 237
Strafford 131 286 380 448 32 31 13 23 20 10 129
Sullivan 12 11 35 34 2 7 2 6 2 2 21
Gender
Male 578 1185 1736 1916 133 138 137 149 147 189 893
Female 459 706 938 979 68 68 59 82 64 91 432
Age
0-19 41 83 94 87 4 6 5 5 4 14 38
20-29 239 588 954 973 68 61 63 64 61 74 391
30-39 177 428 684 853 30 61 49 71 53 100 364
40-49 192 304 364 385 37 33 29 45 35 50 229
50-59 185 233 314 327 33 17 23 30 40 25 168
60+ 202 246 256 253 29 26 26 17 19 16 133
Age/Gender
Not Given 2 10 11 17 1 2 1 0 2 2 8
NHIACFile AttachmentEMS Narcan Administration.pdf
-
EMS Narcan Administration (Continued): Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
7 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
EMS Narcan Administration—Lives Saved
Source: NH Bureau of EMS 2016 2017
RODS Outcome Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
No Improvement Negative RODS Score
143 89 118 112 93 81 61 76 74 71 84 91
Some Improvement RODS Score 1-7
28 26 20 20 17 24 30 20 23 23 26 33
Negative Improvement RODS Score of 0
10 19 10 10 12 12 11 17 11 11 17 23
Lives Saved RODS Score of 8+
117 95 121 95 88 94 100 93 88 127 86 134
Total 298 229 270 237 210 211 202 206 196 232 213 281
RODS, or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR) and Glasgow Coma Score (GCS - measure of alertness) before and after Narcan administration. For example, RR improved from 6/min
to 12/min (delta of 6) and GCS improved from 10 to 13 (delta of 3), the RODS score would be 9. The delta of the vital signs is calculated per incident, so the patient may have received more than one dose of Narcan to achieve the effect in
the RODS.
2.15
1.25
0.26
1.79
0.78
2.502.30
1.16
1.83
1.37
2.32
0.63
0.91
2.38
0.89
2.08
1.49 1.501.60
0.46
4.47
0.42
1.81
0.60
2.01
3.17
1.96
1.63
0.80
0.46
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# of
Inci
dent
s In
volv
ing
Nar
can
per
10,0
00 p
op
Source: NH Bureau of EMS
EMS Narcan Administration by County per 10,000 Population
Apr
May
June
0
20
40
60
80
100
120
140
160
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June
Source: NH Bureau of EMS
EMS Narcan Administration - Lives SavedJuly 2016 - June 2017 No Improvement
Some Improvement
Negative Improvement
Lives Saved
RODS, or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR) and Glasgow Coma Score (GCS -measure of alertness) before and after Narcan administration. For example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10 to 13 (delta of 3), the RODS score would be 9. The delta of the vital signs is calculated per incident, so the patient may have received more than one dose of Narcan to achieve the effect in the RODS.
-
Pittsburg
Lincoln
Alton
Errol
MilanStark
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
WolfeboroGrafton
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
AmherstWilton
Alexandria
Dorchester
NashuaSalem
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
Mason Pelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
NelsonChester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charles
town
Plymouth
Kilkenn
y
Temple
Northfield
Dunbarton
SurryManchester
Windham
Goshen Pittsfield
Peterborough
Grantham
Sunape
e
Northwood
New Ham
pton
New Ipswich
Greenfield
Hinsdale
Hebron
Westmoreland
Boscawen
Kingston
GilsumSullivan
Francestown
Ellsworth
Brookfield
Northu
mberla
ndPem
broke
Tilton
Sharon
Brookline
Lyndeb
orough
FremontHarrisville
New London
Chiches
ter
Middleton
Allenstown
Second College GrantDixs Grant
Langdon
Bridgewate
r
Sugar Hill
Litchfield
Stratham
Marlborough
Brentwoo
d
24Sandown Danville
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
913
8
14
15
28
2
!
10
Coos
Grafton Carroll
Merrimack
Cheshire Hillsborough
Sullivan
Belknap
Strafford
Rockingham
0 10 20 305MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
EMS/Narcan Administration by T own7/1/2016 – 6/30/2017Data 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 - T hompson & 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
-
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 12% from May —
June 2017. In June residents from Strafford County had the most opi-
oid related ED visits per capita with 6.54 visits per 10,000 population.
Merrimack County had the second highest number of opi-oid related ED visits per capita with 6.49 visits per 10,000 population.
The age group with the largest number of opioid related ED visits is 20-29 which represents 37% of all opioid relat-ed ED visits for June.
*** IMPORTANT DATA NOTES***
County represents where the opioid use patient resides.
These data represent any encounter with the term “heroin, opioid, opiate, or fentanyl” listed as chief complaint text. These data also represent any encounter with an ICD-10 code that was designated for heroin and opioids.
Currently all but two of the hospitals are sending ICD-10 data.
Right click on the paperclip and select “Open File” to view additional data.
1.66 1.46 1.55
4.77
1.57
5.61
6.49
1.76
6.54
3.43
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00#
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
June Emergency Department Opioid Use Visits by Countyper 10,000 Population
0% 2%
37%
34%
13%
10%4%
June Emergency Department Opioid Use Visits by Age
0-9
10-19
20-29
30-39
40-49
50-59
60+
Source: NH Division of Public Health Services
26.08 26.98 24.73
31.95
23.83
34.80
40.36
34.73
40.44
50.06
40.21
44.20
34.20
41.64 40.89
41.27
33.98
43.5241.27
38.41
43.30
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 V
isit
s p
er
10
0,0
00
po
p
Source: NH Division of Public Health Services
Emergency Department Opioid Use Visits by Month per 100,000 PopulationOctober 2015 - June 2017
2015
2016
2017
-
Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
January February March April May June July August September October November December YTD 2017
2016
Total 549 452 579 549 511 576 3216 6084
County
Belknap 12 10 8 10 8 10 58 94
Carroll 12 3 5 8 10 7 45 175
Cheshire 17 14 13 17 13 12 86 135
Coos 22 22 8 13 12 16 93 143
Grafton 17 13 26 18 9 14 97 205
Hillsborough 183 203 273 238 197 227 1321 2501
Merrimack 57 58 93 81 76 96 461 559
Rockingham 81 37 47 53 50 53 321 736
Strafford 89 50 51 63 75 82 416 961
Sullivan 15 12 18 15 18 15 93 81
Out of State 44 30 37 33 43 44 231 494
Gender
Male 339 264 325 315 291 309 1843 3452
Female 210 188 254 234 220 267 1373 2632
Age
0-9 0 1 0 0 1 1 3 5
10-19 9 14 9 28 19 12 91 176
20-29 214 182 220 183 203 215 1217 2443
30-39 163 145 160 189 158 196 1011 1889
40-49 91 53 96 73 59 77 449 774
50-59 44 34 57 52 46 55 288 500
60+ 28 23 37 24 25 20 157 297
NHIACFile AttachmentOpioid Related ED Visits.pdf
-
Opioid Related Emergency Department Visits (Continued): Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
10 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
50.06
40.2144.20
34.20
41.64 40.89 41.27
33.98
43.5241.27
38.41
43.30
0.00
10.00
20.00
30.00
40.00
50.00
60.00
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun# o
f ED
Op
ioid
Use
Vis
its
per
10
0,0
00
po
p
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits per 100,000 Population July 2016 - June 2017
1.66 1.67
2.20
3.87
2.01
5.895.48
1.76
5.03
3.43
1.32
2.09
1.68
3.57
1.01
4.87
5.14
1.66
5.98
4.12
1.661.46 1.55
4.77
1.57
5.61
6.49
1.76
6.54
3.43
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# o
f ED
Op
ioid
Use
Vis
its
per
10,
000
po
p
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits by County per 10,000 Population
Apr
May
Jun
-
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: Opioid/opiate, Methamphetamine, & Cocaine/Crack
treatment admissions increased by 20% from May to June.
In June residents from Hillsborough County were admitted most often for opioid/opiate treatment per capita with 1.93 admissions per 10,000 population.
More males than females were admitted to treatment programs in June for opioid/opiate, Methamphetamine, & Cocaine/Crack use.
Methamphetamine treatment admissions increased by 68% from May to June.
Cocaine/Crack treatment admissions decreased by 11% from May to June.
*** IMPORTANT DATA NOTES***
County represents where the patient resides.
These data represent treatment admissions to state funded facilities.
Right click on the paperclip and select “Open File” to view additional data.
0.990.84
0.65
1.19 1.12
1.93
1.56
0.90
1.52
0.69
0.660.34 0.07
0.200.07 0.08
0.35
0.070.03 0.08
0.23
0.00
0.50
1.00
1.50
2.00
2.50
# o
f T
rea
tme
nt
Ad
mis
sio
ns p
er
10
,00
0 p
op
Source: NH Bureau of Drug & Alcohol Services
June Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population
Opioid/Opiate
Methamphetamine
Cocaine/Crack
17.29
21.2720.14
25.33
18.64
26.83 26.2324.88 25.03
30.07
23.60
28.41
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
# 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
Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Month per 100,000 Population
July 2016 - June 2017
60%
40%
June Treatment Admissions by Gender
Male
Female
Source: NH Bureau of Drug & Alcohol
-
Opioid/Opiate Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
2015 January February March April May June July August September October November December YTD 2016
Total 2183 296 280 280 346 259 314 1775 2793
County
Belknap 92 9 10 10 8 11 6 54 147
Carroll 17 2 6 4 5 3 4 24 31
Cheshire 41 8 8 2 5 4 5 29 45
Coos 41 1 2 3 3 3 4 16 47
Grafton 196 10 10 10 14 4 10 58 129
Hillsborough 725 67 62 79 100 68 78 454 869
Merrimack 120 19 33 19 23 21 23 138 178
Rockingham 186 22 18 23 37 21 27 148 231
Strafford 237 33 31 21 25 25 19 154 256
Sullivan 18 3 0 0 1 3 3 10 22
Out of State 19 0 1 0 1 0 3 101 22
Not Provided 491 122 102 109 124 96 132 589 816
Gender
Male 1174 185 173 168 206 148 187 1067 1536
Female 1009 111 107 112 140 111 127 708 1257
Age
< 18 14 2 0 1 0 1 0 4 7
18—25 699 68 59 68 71 55 65 386 742
> 26 1470 226 221 211 275 203 249 1385 2044
NHIACFile AttachmentOpioid_Opiate Treatment Admissions.pdf
-
Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
12 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
1.32
1.04
0.65
0.89
1.57
2.47
1.56
1.23
1.99
1.82
0.630.52
0.89
0.45
1.68
1.42
0.70
1.99
0.69
0.99
0.84
0.65
1.191.12
1.93
1.56
0.90
1.52
0.69
0.00
0.50
1.00
1.50
2.00
2.50
3.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# o
f Tr
eatm
ent
Ad
mis
sio
ns
per
10,
000
po
p
Source: NH Bureau of Drug & Alcohol Services
Opioid/Opiate Treatment Admissions by County per 10,000 Population
Apr
May
June
0.00
5.00
10.00
15.00
20.00
25.00
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
# 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/Fentanyl , Rx Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Month per 100,000 Population July 2016 - June 2017
Heroin/Fentanyl
Rx Opiates
Methamphetamine
Cocaine/Crack
-
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
13 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Situational Awareness:
The BDAS Brief is a monthly eNewsletter designed to publicize the great work being done throughout New Hampshire on behalf of substance misuse prevention, intervention, treatment and recovery. This eNewsletter contains information of statewide significance for those of us interested in substance misuse, including:
links to downloadable products you can use in your work and community;
news about exciting new initiatives;
information on funding opportunities; and
call-outs for awareness and educational events
If you would like to receive the eNewsletter directly please subscribe HERE (only your e-mail and zip code are required.) If you have any questions about the eNewsletter, contact BDAS Health Promotion Advisor Randy Moser at [email protected].
New Hampshire Safe Stations Manchester Safe Station Began 5/4/2016—Nashua Safe Station Began 11/17/2016
Manchester Nashua
As of: 7/30/2017 7/7/2017
Number of requests at MFD/NFR for Safe Station: 2038 584
Number of participants transported to Hospitals: 340 72
Number of participants taken to HOPE in NH: 347 N/A
Number of participants taken to Serenity Place: 1350 N/A
Number of participants taken to PSL facilities: N/A 502
Number of participants seen for ODs prior to seeking SS Help: —— 106
Average Length of Time MFD/NRF Company “Not Available”: 14 min 11:39 min
Number of UNIQUE participants: 1423 408
Number of REPEAT participants: 327 155
Age Range of Participants: 18-70 18-73
Laconia Sees 905% Increase in Doses of Narcan Used in Opioid
Overdoses:
According to WMUR, at one point Laconia was seeing a decrease in
overdoses. The past 68 days have proven that the opioid crisis remains a big
issue in the Lakes Region. Laconia firefighters said they have used over 900
percent more Narcan in the last 5 weeks than in the same period last year.
In the last 68 days Laconia firefighters responded to an average of 30
overdoses. “(There was) an incident the other day where we had six separate
overdoses within a 12-hour period,” Assistant Fire Chief Kirk Beattie said.
Laconia fire personnel administered 116 doses of Narcan in 68 days.
Source: www.wmur.com Updated: July 8, 2017
http://dhhs.us14.list-manage2.com/subscribe?u=4288ed7e1b9bf5f6beb98cb6b&id=f492c19ad3mailto:[email protected]://www.washingtonpost.com/news/to-your-health/wp/2017/06/20/in-just-one-year-nearly-1-3-million-americans-needed-hospital-care-for-opioid-related-issues/?utm_term=.16e804452e83
-
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
14 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Substance Abuse Treatment/Recovery Directory: State funded treatment facilities in NH (NOT a complete list) - Data Source: NH Department of Health and Human Services
BERLIN
Tri-County Community Action Pro-
grams Inc.
30 Exchange Street
Berlin, NH 03570
CANAAN
HALO Educational Systems
44 Roberts Road
Canaan, NH 03741
CONCORD
Concord Hospital
The Fresh Start Program
(Intensive Outpatient 18 years and
older and Outpatient Services.)
250 Pleasant Street, Suite 5400
Concord, NH 03301
Phone: 603-225-2711 ext. 2521
DOVER
Southeastern NH Alcohol and Drug
Abuse Services
(Outpatient and Intensive Outpatient
Services.)
272 County Farm Road
Dover, NH 03820
Crisis Center: 603-516-8181
Main: 603-516-8160
Manchester Alcoholism and Rehabil-
itation Center
(Intensive Outpatient 18 years and
older and Outpatient Services.)
555 Auburn Street
Manchester, NH 03101
Phone: 603-263-6287
National Council on Alcoholism and
Drug Dependence—Greater Man-
chester
101 Manchester St.
Manchester, NH 03101
NASHUA
Greater Nashua Council on Alcohol-
ism
Keystone Hall
(Outpatient and Intensive Outpatient
Services for Adults, Adolescents and
Their Families.)
615 Amherst Street
Nashua, NH 03063
Phone: 603-943-7971 Ext. 3
The Youth Council
(Outpatient for Adolescents and Fam-
ilies.)
112 W. Pearl Street
Nashua, NH 03060
Phone: 603-889-1090
PORTSMOUTH
Families First of the Greater Seacoast
(Pregnant and Parenting Women,
Primary Care Setting, Outpatient.)
100 Campus Drive, Suite 12
Portsmouth, NH 03801
Phone: 603-422-8208 Ext. 150
SOMERSWORTH
Goodwin Community Health Center
311 NH-108
Somersworth, NH 03878
Phoenix Houses of New England
Locations in: Dublin, Keene, North-
field
GILFORD
Horizons Counseling Center
(Intensive Outpatient 18 years and old-
er and Outpatient Services.)
25 Country Club Road Suite #705
Gilford, NH 03249
Phone: 603-524-8005
HAVERHILL
Grafton County House of Corrections
Dartmouth College Road
Haverhill, NH 03765
LEBANON
Headrest
12 Church Street
PO Box 247
Lebanon, NH 03766
Hotline: 603-448-4400 or 800-639-6095
Phone: 603-448-4872
MANCHESTER
Families in Transition
(Provides services for parenting women
including pregnant women, intensive
outpatient services; housing and com-
prehensive social services.)
122 Market Street
Manchester, NH 03104
Phone: 603-641-9441
A full list of Substance Abuse and Treat-
ment Facilities can be found here.
A treatment locator can be found here.
http://www.dhhs.nh.gov/dcbcs/bdas/guide.htmhttp://nhtreatment.org/
EMS_NARCAN_JUL2016_JUN2017_ANSI_A.pdfNH DMI Drug Environment Report - June 2017- UNCLASSIFIED (2017-3050).pdfDRUG_DEATHS_2017_UPDATED_JUNE_2017_DATA.pdfEMS_NARCAN_JUN2016_MAY2017_ANSI_A.pdfNH DMI Drug Environment Report - June 2017- UNCLASSIFIED (2017-3050).pdf