Opioid Report Opioid Overdoses & Deaths

Naloxone

Neonatal Abstinence Syndrome

June 15 , 2017– June 28, 2018

Opioid data is preliminary and subject to change as cases are confirmed. This data does not include Part 2 programs prohibited from reported by 42 C.F.R.

The numbers provided are cumulative since June 15, 2017.

naloxone doses administered outside of the hospital by emergency medical services,

law enforcement, and others

naloxone kits distributed to the public by pharmacies

Arizona babies born with possible drug-related withdrawal symptoms

of the possible opioid overdoses were fatal

azhealth.gov/opioid

5,752 21,139

8,849 possible opioid overdoses reported

835

41%

59%

0

400

800

1200

1600

2000

2400

16%

Opioid Overdoses & Deaths

31% of individuals with a possible opioid overdose from June 15th to present were hospitalized in 2017 with an opioid-related cause.

31% of individuals with a possible opioid overdose from June 15th to present had an opioid prescription two months prior to their overdose.

& of those 14% of the overdoses were fatal,

700 900 1100 1300

5 days or less

6 days or more

& 57% had an Rx written for 6 or more days. & of those hospitalized with an opioid –related cause, 9% resulted in

a fatal overdose during the most recent overdose.

Opioid Overdoses & Deaths

56% of individuals with a possible opioid overdose used at least one prescription drug

34% of individuals with a possible opioid overdose only used prescription opiates

35% of fatal overdoses involved prescription opioids & no other drugs.

35% of individuals with a possible opioid overdose used more than one drug

0

200

400

600

800

1000

1200

1400

Opioid Overdoses & Deaths

103

164

181 196 204 189

222 213 220 219

207

270

233 233 247 247

162

234

148 132 145

130 105

121 118 117 143

126 152

134 148

134 156 154

138 144 132

168 168 165 134 149

155

139 127 151

127 139 131 138 118

164

112

0255075

100125150175200225250275300

6/22

6/29 7/

67/

137/

207/

27 8/3

8/10

8/17

8/24

8/31 9/

79/

149/

219/

2810

/510

/12

10/1

910

/26

11/2

11/9

11/1

611

/23

11/3

012

/712

/14

12/2

112

/28

1/5

1/11

1/18

1/25 2/

12/

82/

152/

22 3/1

3/8

3/15

3/22

3/29 4/

54/

124/

194/

26 5/3

5/10

5/17

5/24

5/31 6/

76/

146/

21

The number of possible opioid overdoses reported weekly* has ranged from 103 to 270.

0 500 1000 1500 2000 2500

Work

Substance Abuse Recovery

Hospice

Jail/Detention

Other

Health Care Facility

Business

Other Private Residence

Public Place

Personal Residence

A majority of the possible opioid overdoses occurred in a personal residence.

43% of individuals were referred to behavioral health after their possible opioid overdose.

* Reported through 6/21 due to 5 business day reporting lag

Neonatal Abstinence Syndrome

48% of mothers of NAS cases were being medically supervised while taking opioids while pregnant.

Naloxone Administered

0 500 1000 1500 2000 2500 3000 3500 4000

Emergency Medical Services

Law Enforcement

Other Health Care Professional

Bystander/Layperson

Naloxone was administered by a variety of different partners.

Excluding deaths, 86% of the possible opioid overdoses received naloxone pre-hospital.

Naloxone was reported to be administered in 14 of the 15 counties since June 15th.

Navajo Nation

Kingman Flagstaff

Page

Buckeye

Ajo

Quartzsite

Colorado City

EloyFortuna Foothills

Thatcher

Payson

Williamson

Morenci

Grand Canyon

Winslow

Hopi Tribe

Tohono O'odhamNation

Chino Valley

Rio Rico

Globe

Willcox & BowieBenson

Black Canyon City

San Carlos Apache Tribe

Bisbee

Snowflake/Heber Springerville/Eager

Douglas &Pirtleville

SaddlebrookeMarico

pa

Green Valley

Florence

White MountainApache Tribe

Sierra Vista

Safford

GoldenValley

Hualapai Tribe

Prescott Valley

Cottonwood\

Sedona

Surprise North &Wickenburg

Yuma

Show Low

Lake HavasuCity

BullheadCity

GoldCanyon

CasaGrande

San Luis

Colorado RiverIndian Tribe

Coolidge

Prescott

Hopi Tribe

Nogales

Parker

Somerton

Scottsdale North

Buckeye

Peoria North

Goodyear & Litchfield Park

Gila River Indian Community

Gold Canyon

San TanValley

Mesa North

Glendale West

Buckeye

Surprise North &Wickenburg

MesaGateway

New River/Cave Creek

Desert View

North Gateway/Rio Vista

Avonda

le

Fountain Hills/Rio Verde

Deer ValleySurprise

South

QueenCreek

GilbertSouth

MesaWestLaveen

Glenda

le North

ApacheJunctionTempe

North

Salt River Pima-MaricopaIndian Community

SunCity

GilbertCentral

ParadiseValley Village

MesaEast

Maryvale

Chandler Central

Scottsd

ale

Centr

al

Ahwatukee Foothills

Estrella

CamelbackEast

NorthMountain

PeoriaSouth

Gilbert North

Central City

ChandlerSouth

ChandlerNorth

Alhambra

TempeSouth

Mesa Central

Paradise Valley

Anthem

GlendaleCentral

Fort M

cDow

ellYav

apai N

ationSun CityWest

South Mountain

Encanto ScottsdaleSouth

El Mirag

e

SunLakes

Black Canyon City

Vail

Marana

Picture Rocks

Eloy

Tanque Verde

Green Valley

Tohono O'odham Nation

CatalinaFoothills

San Xavier

Tucson Estates Tucson South

Sahuarita

Tucson West

ValenciaWest

OroValley

TucsonSouth East

Tucson East

Casas Adobes

TucsonCentral Tucson Foothills

Drexel

Heigh

ts

FlowingWells

Pascua Yaqui

Number of Suspected Opioid Overdose RelatedNumber of Suspected Opioid Overdose RelatedEvents Without Fatality by Primary Care Area (PCA),Events Without Fatality by Primary Care Area (PCA),

June 15, 2017 - June 28, 2018*June 15, 2017 - June 28, 2018*Metro PhoenixMetro Phoenix

Metro TucsonMetro Tucson

± ±

±OverdosesWithout Fatality

> 6046 - 6031 - 4516 - 301 - 15No Non-FatalOverdoses *536 overdoses (7.2%)

were not assigned a PCAData Source: AZ-PIERSand MEDSIS