new hampshire drug monitoring initiative · 2017. 8. 4. · drug overdose deaths: right click on...

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



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


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



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*


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*


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)


UNCLASSIFIED


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.


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.


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


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


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)


UNCLASSIFIED


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)


UNCLASSIFIED


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


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


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



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.


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.


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+


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


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



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



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


# 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



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.


County represents where the patient resides.

These data represent treatment admissions to state funded facilities.


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


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



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



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


# o

f Tr

eatm

ent

Ad

mis

sio

ns

per

10,

000

po

p


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


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


UNCLASSIFIED


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


UNCLASSIFIED


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.


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


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

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