new hampshire drug monitoring initiative · 2020. 12. 9. · table of ontents: drug environment...

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 misuse. In line with this ap-

proach 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 stakeholders 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 Use Disorder Treatment/Recovery Resource Link

1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED

New Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

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

NHIAC Product #: 2020-4476 October 2020 Report 24 November 2020

Population data source: http://www.nh.gov/osi/data-center/population-estimates.htm Year/month overview charts are based on annual estimates from the above website. County charts are based on a 2019 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

Previous versions of the Drug Environment Report can be found at: https://www.dhhs.nh.gov/dcbcs/bdas/data.htm

The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/

mailto:[email protected]://www.nh.gov/osi/data-center/population-estimates.htmhttps://www.dhhs.nh.gov/dcbcs/bdas/data.htm

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

Overview: Trends for Narcan, ED Visits, Treatment Admissions, and Overdose Deaths:

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2

13.45

15.2512.34

14.51

25.03

33.00

36.34 36.35 34.73

30.53

21.85

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 2017 2018 2019 2020*

# of

Dru

g D

eath

s pe

r 10

0,00

0 po

pula

tion

*2020 numbers are not finalized, and are based on analysis as of 16 November 2020

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

*

0.00

5.00

10.00

15.00

20.00

25.00

Even

ts p

er 1

00,0

00 p

op

ula

tion

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

November 2019 - October 2020Opioid Related EDVisits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

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

UNCLASSIFIED



Right click on the paperclip and select “Open File” to view additional data.

*** IMPORTANT DATA NOTES***

**Drug overdose deaths by county now accurately reflect incident county. The NHIAC continues to work with the OCME to correct any prior reports that reflect the location where the death occurred, not where the drug was suspected to have been used.**

Trends: As of 16 November there are 297 confirmed drug

overdose deaths and 54 cases pending toxicology for 2020.

As of November 16, the projected number of overdose deaths so far in 2020 is 351. This number is confirmed overdose deaths plus pending toxicology cases.

So far in 2020, Strafford and Hillsborough Counties have the highest suspected drug use resulting in overdose deaths per capita, at 2.64 and 2.49 deaths per 10,000 population respectively.

The age group with the largest number of drug overdose deaths is 30-39 years, which represents 33% of all overdose deaths for 2020.

12.3414.51

25.03

33.0036.34 36.35 34.73

30.53

3.63

6.57

15.45

24.6526.75

28.0830.97

27.36

1.442.27

2.71 3.684.72

3.724.72

5.81

21.85

18.68

3.46

17.65

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2012 2013 2014 2015 2016 2017 2018 2019 2020*

# o

f D

rug

Dea

ths

per

100

,000

po

p

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

All Drug Deaths Fentanyl/ Heroin Related Deaths + Cocaine Related Deaths+ 2019 Comparison

*2020 numbers are not finalized, and are based on analysis as of 16 November 2020+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

2%

17%

33%21%

18%

9%

Overdose Deaths by Age 2020*Data Source: NH Medical Examiner's Office

0-19

20-29

30-39

40-49

50-59

60+

*2020 numbers are not finalized, and based on analysis as of 16 November 2020

1.46

2.06

1.28

1.80

1.31

2.49

1.60 1.61

2.64

1.36

0.00

0.50

1.00

1.50

2.00

2.50

3.00#

of

dea

ths

per

10,

000

po

p

2020 numbers are not finalized, and are based on analysis as of 16 November 2020

2020 Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office

UNCLASSIFIED

2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December YTD 2020

Total 332 439 485 488 471 415 34 35 38 42 44 26 43 21 14 297

County

Belknap 17 17 16 27 29 16 0 0 2 2 2 0 1 1 1 9

Carroll 9 22 16 12 13 11 2 1 0 3 2 0 1 1 0 10

Cheshire 17 11 20 17 32 19 1 1 1 2 0 1 1 1 2 10

Coos 9 14 10 12 5 6 1 0 0 1 2 2 0 0 0 6

Grafton 17 13 16 26 17 24 0 1 2 1 2 2 1 2 1 12

Hillsborough 106 178 199 195 171 155 17 13 11 8 18 10 14 8 4 103

Merrimack 40 39 43 43 51 47 4 4 3 4 2 1 5 1 0 24

Rockingham 64 89 90 97 89 73 3 6 7 8 6 4 12 1 3 50

Strafford 40 47 55 54 50 56 1 3 9 7 6 2 1 3 2 34

Sullivan 4 8 9 4 7 7 0 1 1 2 0 1 1 0 0 6

Out of State 3 0 2 0 6 1 0 0 0 0 0 0 0 0 0 0

Undetermined 0 0 9 1 1 0 5 5 2 4 4 3 6 3 1 33

Gender

Male 219 307 336 347 328 288 28 29 28 25 33 19 29 16 6 213

Female 107 131 149 141 143 125 6 6 10 17 11 7 14 5 8 84

Age

0-19 3 8 7 2 4 2 2 0 0 2 0 1 0 0 0 5

20-29 79 110 123 118 88 83 8 8 6 7 7 4 7 4 0 51

30-39 80 116 147 127 146 132 14 10 14 9 15 6 17 8 5 98

40-49 67 99 98 114 114 87 5 5 6 13 8 9 8 4 5 63

50-59 78 91 89 98 83 82 3 9 7 8 9 4 10 3 1 54

60+ 19 14 21 29 36 29 2 3 5 3 5 1 1 2 3 25

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


2020 numbers are not finalized, and are based on analysis as of 16 November 2020.

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

nh.iacFile AttachmentDrug Overdose Deaths.pdf

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

UNCLASSIFIED



108

21 21

108 7

0

20

40

60

80

100

120

# of

Dea

ths

Cocaine and/or Fentanyl Combination Related Drug Deaths 2020

*2020 numbers are not finalized, and are based on analysis as of 16 November 2020

Source: NH Medical Examiner's Office

Amphetamines, Cocaine,

Fentanyl

Ethanol, Fentanyl,

Oxycodone

Acetyl Fentanyl, Fentanyl,

Fluoxetine, Tramadol

Alprazolam, Amphetamines,

Citalopram/escitalopram,

Ethanol, Fentanyl, Trazodone

Amphetamines, Fentanyl Cocaine, Fentanyl, XylazineDiphenhydramine,

Fentanyl, Methadone

Ethanol, Fentanyl,

Quetiapine, Venlafaxine

Fentanyl, Heroin,

Methadone

Cocaine, Ethanol,

Fentanyl

1, 1-difluoroethane,

Etizolam, Fentanyl,

Pyrazolam


Methadone

Alprazolam, Amphetamines,

Cocaine, Fentanyl

Cocaine, Ethanol,

MethadoneCocaine, Methamphetamine Duloxetine, Fentanyl Eutylone, Fentanyl

Fentanyl, Heroin,

Methamphetamine

Cocaine, Fentanyl,

Mitragynine

Acetyl Fentanyl,

Buprenorphine, Fentanyl,

Methadone


Methadone, Morphine

Alprazolam, Ethanol,

Fentanyl

Cocaine, Fentanyl,

MethadoneCocaine, Oxycodone Ethanol, Cocaine Fentanyl, Alprazolam Fentanyl, Hydrocodone

Ethanol, Fentanyl,

Methamphetamine

Acetyl Fentanyl, Cocaine,

Fentanyl, MDMA,

Perphenazine, Risperidone

alpha PHP/alpha PiHP,

Cyclobenzaprine, FentanylAmitriptyline, Fentanyl

Cocaine, Fentanyl,

MorphineCocaine, Tramadol

Ethanol, Fentanyl,

Fluoxetine, OlanzapineFentanyl, Flualprazolam

Fentanyl, Methadone,

Morphine

Fentanyl, Methamphetamine,

Zolpidem

Fentanyl, Morphine,

OxycodoneFentanyl, Oxymorphone

Dextro/levomethorphan,

Fentanyl, Xylazine

Ethanol, Fentanyl,

Gabapentin, MorphineFentanyl, Heroin

Fentanyl,

Methamphetamine,

Tramadol

Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice*

*Cells filled with gray indicate combinations

noted twice

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

Middleto

n

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* - 2020 +(Data Source: NH Medical Examiner's Office)*Location where the drug(s) is suspected to have been used.

+2020 data was reported on November 16, 2020There are more deaths that are suspected to be drug related, but the official cause of death is pending until the toxicology results are received.54 CASES PENDING32 Cases have an unknown location

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 - 4 (73 towns)5 - 10 (7 towns)11 - 25 (3 towns)Over 50 (1 towns)

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

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


UNCLASSIFIED


Trends: EMS Narcan administration incidents decreased by 17%

from September to October. In October, Belknap County had the most EMS Narcan

administration incidents per capita with 2.11 incidents per 10,000 population. Strafford and Hillsborough Counties were close to second highest with 0.85 and 0.80 incidents per 10,000 population respectively.

The age group with the largest number of EMS Narcan administration incidents was 30-39, representing 32% of all EMS Narcan administrations in October.


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 may be given for a decrease in alertness or respirations due to an overdose or unknown cause. Therefore, it cannot be concluded that all reported Narcan incidents actually involved drugs.


0.00

5.00

10.00

15.00

20.00

25.00

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

# of

Inci

dent

s In

volv

ing

Nar

can

per

100,

000

pop

Source: NH Bureau of EMS

EMS Narcan Administration by Month per 100,000 PopulationJanuary 2016 - October 2020

2016

2017

2018

2019

2020

2.11

0.410.26

0.600.44

0.800.60 0.58

0.85

0.45

0.00

0.50

1.00

1.50

2.00

2.50#

of

Inci

de

nts

In

vo

lvin

g N

arc

an

pe

r 1

0,0

00

po

p


October EMS Narcan Administration by County per 10,000 Population

2%

16%

32%

12%

17%

21%

October EMS Narcan Administrationby Age Group

0-19

20-29

30-39

40-49

50-59

60+

Unknown


UNCLASSIFIED

2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December 2020

Total 1,892 2,677 2,895 2,774 2,357 1,966 131 95 125 113 129 118 146 118 115 96 1,186

County

Belknap 59 113 116 215 127 105 5 6 9 10 9 6 11 11 4 13 84

Carroll 52 80 91 68 62 68 5 2 0 1 4 2 7 4 6 2 33

Cheshire 65 79 144 104 112 109 5 8 7 8 12 9 4 5 6 2 66

Coos 41 65 65 73 38 36 2 5 5 2 5 3 8 1 1 2 34

Grafton 56 57 66 84 78 68 5 4 5 5 5 10 5 6 7 4 56

Hillsborough 757 1,139 1,209 1,140 1,044 778 54 18 41 32 46 36 54 41 38 33 393

Merrimack 185 228 233 310 247 226 17 14 17 11 15 17 15 14 12 9 141

Rockingham 380 501 488 503 375 320 22 14 25 20 17 14 19 17 25 18 191

Strafford 286 380 449 242 255 230 15 22 14 24 15 19 20 17 12 11 169

Sullivan 11 35 34 35 19 26 1 2 2 0 1 2 3 2 4 2 19

Gender

Male 1,185 1,736 1,916 1,879 1,503 1,342 85 66 89 79 100 84 102 78 75 67 825

Female 706 938 979 887 730 617 46 29 36 34 33 33 44 39 40 29 363

Other 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1

Age

0-19 83 94 87 75 40 48 2 6 3 2 5 1 2 6 1 2 30

20-29 588 954 973 863 590 487 34 16 31 24 30 30 28 18 17 15 243

30-39 428 684 853 808 709 605 45 27 31 32 43 38 42 42 46 31 377

40-49 304 364 385 439 342 290 23 15 28 21 24 21 34 24 20 12 222

50-59 233 314 327 326 306 285 13 15 22 20 18 8 16 15 9 16 152

60+ 246 256 253 246 237 242 14 16 10 16 12 20 24 12 21 20 165

Age or Gender Not

Given10 11 17 20 10 14 0 0 0 0 1 0 0 1 1 0 3

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



NH.IACFile AttachmentEMS Narcan Administration.pdf

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


UNCLASSIFIED


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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


EMS Narcan Administration - Lives Saved %November 2019 - October 2020 Negative Improvement

Some Improvement

No 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.

1.78

0.82

0.64 0.66

0.990.93

0.55

1.32

0.45

0.65

1.23

0.77

0.30

0.77

0.920.80 0.81

0.930.91

2.11

0.41

0.26

0.600.44

0.80

0.60 0.58

0.85

0.45

0.00

0.50

1.00

1.50

2.00

2.50

Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan

# o

f In

cid

ents

Invo

lvin

g N

arca

n p

er 1

0,0

00

po

p


EMS Narcan Administration by County per 10,000 Population

August

September

October

Source: NH Bureau of EMS Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct

RODS Outcome

Total 139 164 131 95 125 113 129 118 146 118 115 96

17 191481413

44

9

30

13

72 66 52

17

EMS Narcan Administration - Lives Saved

Some Improvement RODS Score of 1-7

RODS , or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR)

and Glasgow Coma Score (GCS - measure of a lertness) before and after Narcan adminis tration. For

example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10-13 (delta of 3), the

RODS score would be 9. The delta of the vi ta l s igns i s ca lculated per incident, so the patient may have

received more than one dose of Narcan to achieve the effect in the RODS.

Negative Improvement Negative RODS Score

Lives Saved RODS Score of 8+

No Improvement RODS Score of 0

67 73 68 54 62 60

17 15

70 49

2013

43

16 19

3552

11

20

8

2019 2020

28

22

39 25 35

18 12 11

38

11

40

5

32

13

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

EnfieldMeredith

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

HinsdaleHebron

Westmoreland

Boscawen

Kingston

GilsumSullivan

Francestown

Ellsworth

Brookfield

Northu

mberla

ndPem

broke

Tilton

Sharon

Brookline

Lyndeb

orough

FremontHarrisville

New London

Chiches

ter

Middleto

n

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 own11/1/2019 – 10/31/2020Data Source: New Hampshire Bureau of EMS

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 8

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*1 - 1011 - 2526 - 5051 - 100101 - 200201 - 500

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

UNCLASSIFIED




County represents where the opioid use patient resides.

These data include data on suspected overdoses categorized as “all drug,” “all opioid,” “heroin,” and “all stimulant.” This report uses key words and ICD-10 associated overdose codes that CDC has defined as tailored to nonfatal opioid overdoses.

These data are now collected using criteria the CDC established for their Overdose Data to Action (OD2A) grant “making this report more transparent.”


*Important Note* the data being reported for 2020 has different collection criteria than previous months. Due to the new collection criteria,

new data is no longer comparable to previous data. Trends: Opioid related ED visits decreased by 13% from

September to October. In October, residents from Belknap County had the most

opioid related ED visits per capita with 2.92 visits per 10,000 population. Strafford County residents had the second highest number of opioid related ED visits per capita with 2.25 visits per 10,000 population.

In October, the age group with the largest number of opioid related ED visits was 20-29 year olds, with 24%.

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 ED

Op

ioid

Use

Vis

its

per

100

,000

po

p

Source: NH Division of Public Health Services

Emergency Department Opioid Use Visits by Month per 100,000 PopulationJanuary 2020 - October 2020

2020

2.92

1.030.77

1.50

0.99

2.08

0.93

1.32

2.25

0.68

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

# of

ED

Opi

oid

Use

Vis

its

per

10,0

00 p

op


Emergency Department Opioid Use Visits by Countyper 10,000 Population

October

4%

14%

24%

23%

13%

10%

12%

October Emergency Department Opioid Use Visits by Age

0-9

10-19

20-29

30-39

40-49

50-59

60+


UNCLASSIFIED

2017 2018 2019 January February March April May June July August September October November December Total

Total 6,684 5,539 5,562 261 195 267 154 246 228 308 278 268 234 2,439

County

Belknap 134 281 247 5 4 12 4 8 8 12 9 12 18 92

Carroll 107 110 118 5 3 4 4 4 6 13 9 9 5 62

Cheshire 158 157 99 11 8 12 7 14 19 9 16 14 6 116

Coos 172 92 110 5 5 12 2 6 8 12 9 6 5 70

Grafton 176 151 126 5 0 3 4 6 8 10 8 14 9 67

Hillsborough 2,713 2,154 1,884 96 71 89 52 98 65 107 88 91 86 843

Merrimack 970 630 548 24 15 26 10 20 18 20 21 17 14 185

Rockingham 660 539 724 49 30 23 21 33 27 44 40 37 41 345

Strafford 896 856 955 30 32 46 18 25 33 47 39 31 29 330

Sullivan 197 111 210 6 3 7 6 7 3 7 7 6 3 55

Out of State 501 458 541 25 24 33 26 25 33 27 32 31 18 274

Gender

Male 3,798 3,183 3,126 147 108 159 88 132 125 178 149 153 123 1,362

Female 2,886 2,356 2,436 114 87 108 66 114 103 130 129 115 111 1,077

Age

0-9 11 10 8 13 5 14 13 20 16 13 15 17 8 134

10-19 170 104 74 30 25 29 14 25 17 28 31 32 32 263

20-29 2,477 1,881 1,722 72 48 58 43 54 60 73 55 55 57 575

30-39 2,235 1,929 2,031 60 55 55 30 59 56 62 67 63 54 561

40-49 879 756 781 34 23 41 24 32 26 36 55 39 31 341

50-59 562 509 590 23 22 36 18 28 24 35 28 28 24 266

60+ 350 350 356 29 17 34 12 28 29 61 27 34 28 299

*Note: The data reported in 2020 has different collection criteria than previous years and is no longer comparable to previous data.

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



NH.IACFile AttachmentOpioid Related ED Visits.pdf

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

UNCLASSIFIED



19.20

14.34

19.64

11.33

18.09 16.77

22.6620.45

19.71

17.21

0.00

5.00

10.00

15.00

20.00

25.00

January February March April May June July August September October# o

f ED

Op

ioid

Use

Vis

its

per

100

,000

po

p

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits per 100,000 Population January 2020 - October 2020

1.46

1.852.05

2.70

0.88

2.13

1.401.29

3.03

1.59

1.941.80 1.80

1.53

2.20

1.13 1.19

2.41

1.36

2.92

1.03

0.77

1.50

0.99

2.08

0.93

1.32

2.25

0.68

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50


# o

f ED

Op

ioid

Use

Vis

its

pe

r 1

0,0

00

po

p

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits by County per 10,000 Population

August

September

October

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

UNCLASSIFIED



Trends: Opioid/opiate, Methamphetamine, & Cocaine/Crack

treatment admissions decreased 18% from September to October.

In October, residents from Coos County were admitted at the highest per capita rate for opioid/opiate treatment, with 1.50 admissions per 10,000 population.

More males than females were admitted to treatment programs in October for Opioid/Opiate, Methamphetamine, & Cocaine/Crack use.

Methamphetamine treatment admissions decreased 39% from September to October.

Cocaine/Crack treatment admissions decreased 39% from September to October.

Heroin/Fentanyl treatment admissions decreased by 13% from September to October.



County represents where the patient resides.

These data represent treatment admissions to state funded facilities.

These data have decreased due to numerous factors. The Affordable Care Act has been fully implemented, resulting in increased access to affordable health insurance and coverage for substance use disorder treatment in NH. New Hampshire expanded its Medicaid program, which also provided increased opportunities for substance use disorder treatment in the state. Substance use disorder treatment in the state has increased sharply in response to these policies which has shifted clients served by State of New Hampshire contracted treatment providers to other payment models and facilities.

19.64 20.0121.18

17.43

14.78 14.4212.95

16.18 16.62 15.5916.55

13.46

0.00

5.00

10.00

15.00

20.00

25.00

Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct

# 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

November 2019 - October 2020

0.490.41

0.51

1.50

0.66

0.99

0.67

0.35

1.40

1.14

0.210.30 0.33

0.07 0.07 0.03

0.160.13 0.10 0.06

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60


# o

f T

re

atm

en

t A

dm

issio

ns p

er 1

0,0

00

po

p


October Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population

Opioid/Opiate

Methamphetamine

Cocaine/Crack

56.8%

42.6%

0.6%

October Treatment Admissions by Gender

Male

Female

Transgender

Source: NH Bureau of Drug & Alcohol

UNCLASSIFIED

2017 2018 2019 January February March April May June July August September October November December YTD 2020

Total 4,024 3,319 3,609 288 237 201 196 176 220 226 212 225 183 2,164

County

Belknap 156 114 152 6 6 5 5 3 6 11 8 8 3 61

Carroll 43 38 36 1 6 1 3 2 6 1 0 1 3 24

Cheshire 60 32 42 3 3 1 3 3 1 3 0 3 5 25

Coos 45 42 66 4 6 2 2 1 5 5 1 3 6 35

Grafton 122 129 140 12 15 5 8 7 11 12 14 12 9 105

Hillsborough 1,044 797 1,052 91 75 77 72 59 66 76 57 58 48 679

Merrimack 342 214 306 25 9 13 10 13 16 15 16 11 11 139

Rockingham 319 233 216 13 17 16 22 9 8 11 8 9 14 127

Strafford 336 322 325 21 17 17 17 12 21 22 23 25 20 195

Sullivan 25 14 29 8 2 2 6 3 1 4 3 6 5 40

Out of State 129 16 65 7 3 3 0 1 2 5 5 10 10 46

Not Provided 1,403 1,368 1,180 97 78 59 48 63 77 61 77 79 49 688

Gender

Male 2,419 1,891 1,964 174 134 103 108 100 138 131 126 134 104 1,252

Female 1,602 1,425 1,641 114 103 96 88 76 80 95 85 91 78 906

Transgender 2 3 4 0 0 2 0 0 2 0 1 0 1 6

Age

< 18 7 2 8 0 0 0 0 0 0 0 0 0 0 0

18-25 821 581 537 31 35 26 21 25 37 26 28 28 15 272

> 26 3,196 2,736 3,064 257 202 175 175 151 183 200 184 197 168 1,892

Treatment data includes

opioid/opiate, methamphetamine, &

cocaine/crack admissions.

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



NH.IACFile AttachmentTreatment Admissions.pdf

Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED



0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct

# 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 November 2019-October 2020

Heroin/Fentanyl

Rx Opiates

Methamphetamine

Cocaine/Crack

0.971.09

1.040.93

0.23

1.71

0.68

1.30

0.21

0.39

0.90

1.311.40

0.73

0.29

1.94

1.36

0.490.41

0.51

1.50

0.66

0.99

0.67

0.35

1.40

1.14

0.00

0.50

1.00

1.50

2.00

2.50


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

August

September

October


UNCLASSIFIED


Situational Awareness:

New Hampshire Gets Grant to

Help Prevent Youth Drug Use

CONCORD, N.H. (AP) — The state’s Democratic congressional delegation announced that New Hampshire has received a grant to help two coalitions prevent youth substance abuse. Sens. Jeanne Shaheen and Maggie Hassan and Reps. Chris Pappas and Annie Kuster said the State received a $250,000 in Drug Free Communities grants from the Office of National Drug Control Policy. The grants will go to the Keene YMCA Community Coalition on Youth Substance Use and All Together in the Upper Valley region. The grant will aim to prevent substance misuse, including prescription drugs and opioids. “These federal grants to youth drug prevention coalitions in New Hampshire will help in our efforts to stem the tide of substance misuse among our young people,” Hassan said in a statement. “These federal dollars are particularly important as the COVID-19 pandemic has strained resources for prevention and recovery organizations across our state."

Source: www.usnews.com 11/14/2020

New Hampshire Safe Stations

A full list of Substance Use Disorder Treatment Facilities and Recovery Support Services

can be found here or by calling 211.

Manchester Safe Station Began 5/4/2016

Manchester

As of 11/03/2020

Q4 2020 Total

Number of requests at MFD for Safe Station: 58 7,405

Number of participants transported to hospitals: 8 1,614

Number of participants taken to Substance Misuse Treatment Facilities: 29 5,674

Average length of time company “Not Available”: 11.0 Min 13.7 Min

Number of UNIQUE participants: 52 4,075

Number of REPEAT participants: 38 2,867

Number of unique participants seen in both City’s Safe Station Program 566

https://www.usnews.com/news/best-states/new-hampshire/articles/2020-11-14/new-hampshire-gets-grant-to-help-prevent-youth-drug-usehttps://remote.nehidta.org/go/https:/office1.nehidta.local/owa/?ae=Item&a=New&t=IPM.Note&cc=MTQuMy40ODcuMCxlbi1VUyw0LEhUTUwsMSww&pspid=_1603378214897_339082714

new hampshire drug monitoring initiative · 2020. 12. 9. · table of ontents: drug environment...

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