opioid-related deaths and mortality rates by county, wisconsin residents 2004-2012

Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents

2004-2012

Office of Health Informatics andAIDS/HIV and Hepatitis C Program

Bureau of Communicable Diseases and Emergency Preparedness,Division of Public Health

Wisconsin Department of Health ServicesJuly 2014

1P-00696 (07/14)

Methods

All opioid-related deaths:• Case finding using specifications from

MMWR, Vol. 62, No. 26, 7/5/2013• Any contributing cause of death T401-T404,

International Classification of Diseases, 10th edition

• Includes heroin, methadone and all other natural and synthetic opioids

Wisconsin resident death certificates and county population estimates, 2004-2012, from Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics

Levels of urbanization from 2006 National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme

2

Opioid-related deaths, by county, Wisconsin residents

2004

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

3

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2005

4

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2006

5

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2007

6

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2008

7

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2009

8

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2010

9

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2011

10

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2012

11

Counties with no opioid-related deaths, Wisconsin, 2004-2012

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

2004 2005 2006 2007 2008 2009 2010 2011 20120

5

10

15

20

25

30

35

40 36

28

22 22 24

17

24

26

17

Wis

cons

in C

ount

ies

with

No

Opi

oid

Dea

ths

12

Counties by level of urbanization, Wisconsin, 2010

Level of urbanizationMilwaukee County

Non-metropolitan counties

Non-metropolitan counties

Smaller metropolitan counties

Source: American Community Survey, 2010. 13

Opioid-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012

Mor

talit

y ra

te p

er 1

00,0

00 p

opul

atio

n

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

2004 2005 2006 2007 2008 2009 2010 2011 20120.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Milwaukee County

Statewide

Smaller metro

Non-metro

14

2004 2005 2006 2007 2008 2009 2010 2011 20120.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Heroin-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012

Mor

talit

y ra

te p

er 1

00,0

00 p

opul

atio

n

Milwaukee County

Statewide

Non-metro

Smaller metro

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. 15

Opioid-related mortality rates, by county, Wisconsin residents

2004-2006*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

16

Opioid-related mortality rates, by county, Wisconsin residents

2007-2009*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

17

Opioid-related mortality rates, by county, Wisconsin residents

2010-2012*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

18

Key Points

• Opioid-related deaths and mortality rates increased in Wisconsin between 2004 and 2012.

• The number of Wisconsin counties with no opioid-related deaths declined from 36 to 17 between 2004 and 2012.

• The rate of increase in opioid-related mortality rates during 2004-2012 was similar statewide, in Milwaukee County, and in smaller metropolitan and non-metro counties.

• Heroin-related deaths accounted for about one-third of all opioid-related deaths between 2004 and 2012.

19