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Table of Contents:
Drug Environment ReportUNCLASSIFIED
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 UNCLASSIFIEDAUTHORIZED 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 #: 2017-2962 April 2017 Report 22 May 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 ReportUNCLASSIFIED
Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:
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13.4515.25
12.3414.51
24.57
33.00
35.7836.00
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 5 May 2017- 3 Cases still pending
Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office
Projected
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 PopulationMay 2016 - April 2017
EMS NarcanAdministration
Opioid Related ED Visits
Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions
Drug Overdose Deaths: Data Source: NH Medical Examiners Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED
3 UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE
Trends: Drug overdose deaths are projected to increase by 9% from
2015 to 2016. In 2016 Hillsborough County had the highest suspected drug
use resulting in overdose deaths per capita at 4.82 deaths per 10,000 population.
Strafford County had the second highest suspected drug use resulting in overdose deaths per capita at 4.39 deaths per 10,000 population.
The age group with the largest number of drug overdose deaths is 30-39 which represents 30% of all overdose deaths for 2016.
Fentanyl only deaths accounted for 198 deaths. Cocaine and Fentanyl only deaths accounted for 25 deaths in 2016.
*** IMPORTANT DATA NOTES***
2016 Numbers are based on analysis as of 5 May 2017. There are 3 cases
from 2016 that are pending toxicology. It can take 2-3 months to receive
toxicology results and determine the cause of death.
There are 73 confirmed drug deaths for 2017 with 86 cases pending
toxicology.
Analysis is based on county where the drug (s) is suspected to have been
used.
Right click on the paperclip and select Open File to view additional data.
2%
25%
30%
21%
18%
4%
Overdose Deaths by Age 2016*
0-19
20-29
30-39
40-49
50-59
60+
*2016 Numbers are based on analysis as of 5 May, 2017Source: NH Medical Examiner's Office
13.4515.25
12.3414.51
24.57
33.0035.78
2.28 4.63 3.63
6.57
15.45
24.6526.61
1.90 1.97 1.44 2.272.71 3.68
4.74
36.00
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
p
Overdose Deaths by Year per 100,000 PopulationData Source: NH Medical Examiner's Office
All DrugDeaths
Fentanyl/HeroinRelatedDeaths +
CocaineRelatedDeaths+
Projected
* 2016 Numbers are based on analysis as of 5 May 2017 - 3 Cases still pending+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both
categories
2.48
3.13
2.46
2.98
1.79
4.82
2.91 2.99
4.39
2.06
0.00
1.00
2.00
3.00
4.00
5.00
6.00#
of
de
ath
s p
er
10
,00
0 p
op
* 2016 Numbers are based on analysis as of 5 May 2017 - 3 cases still pendingData Source: NH Medical Examiner's Office
2016* Overdose Deaths by County per 10,000 Population
Drug Overdose Deaths: Data Source: NH Medical Examiners Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED
UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE
2016 Numbers are based on analysis as of 5 May 2017 3 cases still pending
2012 2013 2014 2015 January February March April May June July August September October November December YTD 2016
Total 163 193 326 438 37 46 44 44 47 34 44 36 45 37 29 33 476
County
Belknap 7 8 17 17 1 1 3 1 2 0 2 1 3 0 0 1 15
Carroll 6 4 9 22 2 3 2 1 0 1 2 1 3 0 0 0 15
Cheshire 13 14 17 11 2 2 2 3 2 2 1 0 2 1 1 1 19
Coos 3 6 9 14 1 3 1 0 0 0 2 0 2 0 1 0 10
Grafton 9 13 17 13 0 3 2 0 2 2 1 2 1 2 0 1 16
Hillsborough 54 68 106 178 15 16 15 20 22 12 18 14 19 14 15 15 195
Merrimack 17 17 40 39 3 6 2 5 3 3 7 4 5 3 0 2 43
Rockingham 31 34 64 89 5 7 8 6 8 7 8 7 6 9 11 8 90
Strafford 15 25 40 47 2 5 8 7 6 6 1 5 3 7 1 4 55
Sullivan 7 4 4 8 4 0 0 0 2 1 1 0 1 0 0 0 9
Out of State 1 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 2
Not Determined 0 0 0 0 0 0 1 1 0 0 1 2 0 1 0 1 7
Gender
Male 95 132 219 307 22 33 32 32 32 28 30 22 37 21 21 20 330
Female 68 61 107 131 15 13 12 12 15 6 14 14 8 16 8 13 146
Age
0-19 2 3 3 8 0 0 0 0 2 0 1 2 0 1 0 1 7
20-29 29 40 79 110 6 11 14 11 12 11 12 5 15 9 7 6 119
30-39 40 32 80 116 13 16 13 11 18 15 14 7 9 9 10 10 145
40-49 47 52 67 99 9 9 8 11 3 3 10 10 9 11 9 6 98
50-59 32 51 78 91 7 8 7 7 11 2 7 11 10 6 3 7 86
60+ 13 15 19 14 2 2 2 4 1 3 0 1 2 1 0 3 21
NH IACFile AttachmentDrug Overdose Deaths.pdf
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiners Office
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NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED
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Cocaine Combinations
Cocaine; Fentanyl 25
Cocaine 13
Acetyl Fentanyl; Cocaine; Fentanyl 3
Cocaine; Ethanol; Fentanyl 3
Cocaine; Fentanyl; Heroin 3
Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2
Cocaine; Fentanyl; Methamphetamine 2
Cocaine; Fentanyl; Methadone 1
Cocaine; Fentanyl; Oxycodone 1
Cocaine; Heroin 1
Fentanyl Combinations
Fentanyl 198
Acetyl Fentanyl; Fentanyl 32
Cocaine; Fentanyl 25
Ethanol; Fentanyl 16
Fentanyl; Heroin 10
Fentanyl; Oxycodone 8
Fentanyl; Methamphetamine 5
Fentanyl; Morphine 4
Acetyl Fentanyl; Cocaine; Fentanyl 3
Cocaine; Ethanol; Fentanyl 3
Cocaine; Fentanyl; Heroin 3
Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2
25
13
3 3 32 2
1 1 1
0
5
10
15
20
25
30
# of
Dea
ths
Cocaine Combination Related Drug Deaths 2016*
*2016 Numbers are based on analysis as of 5 May, 2017Source: NH Medical Examiner's Office
198
3225
16 10 8 5 4 3 3 3 20
50
100
150
200
250
# of
Dea
ths
Fentanyl Combination Related Drug Deaths 2016*
*2016 Numbers are based on analysis as of 5 May, 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
Fran