Opioid Misuse in Missouri: Analyzing Emergency Department Use in Urban/Rural Areas

Like many other states in the U.S., Missouri has experienced large increases in opioid abuse resulting in hundreds dying each year and thousands of ED visits due to overdose. Missouri has two major urban areas, St. Louis and Kansas City and a few smaller cities, while the remainder of the state is more rural in nature. The opioid epidemic has impacted all areas in the state but the magnitude of that impact varies as well as the type of opioid used.

January 21, 2018

Leveraging City Data to Understand the Opioid Epidemic in Philadelphia

Philadelphia is in the midst of a drug epidemic that killed 702 Philadelphians in 2015, 907 in 2016, and is on trajectory to kill 1,200 in 2017. Opioids are involved in the majority of fatal overdoses, contributing to 80% of overdose deaths in 2016. In 2016, the age-adjusted death rate for opioid-involved overdoses was 40.4 deaths per 100,000 residents, up from 17.9 deaths per 100,000 residents in 2010.

January 25, 2018

Developing a Prototype Opioid Surveillance System at a 2-Day Virginia Hackathon

At the Governor’s Opioid Addiction Crisis Datathon in September 2017, a team of Booz Allen data scientists participated in a two-day hackathon to develop a prototype surveillance system for business users to locate areas of high risk across multiple indicators in the State of Virginia. We addressed 1) how different geographic regions experience the opioid overdose epidemic differently by clustering similar counties by socieconomic indicators, and 2) facilitating better data sharing between health care providers and law enforcement.

January 25, 2018

A proposed SyS Case Definition for Opioid Overdose Related ED visits- an evaluation in three regions

Opioid ODs have been rising globally and nationally. The death rate from ODs in the United States has increased 137% since 2000, including a 200% increase of OD deaths involving opioids1. The pilot project, a collaboration across 3 states, allowed information sharing with Syndromic surveillance (SyS) partners across jurisdictions, such as sharing a standard SyS case definition and verifying its applicability in each jurisdiction. This is a continuation of the work from an initial pilot project presented during the ISDS Opioid OD Webinar series.

Objective:

January 25, 2018

Opioid Overdose Ambulance Runs: How Wisconsin Uses Free Text Data

In 2016, twelve states received Center for Disease Control and Prevention (CDC) Enhanced State Opioid Overdose Surveillance grants. The purpose of the grant is to explore enhanced data sources to track nonfatal opioid overdoses. One data source is ambulance runs. Wisconsin collects ambulance run information within the Wisconsin Ambulance Runs Data System (WARDS). Around 84% of all Wisconsin administrative services report into this electronic system.

January 25, 2018

Enhanced surveillance to monitor response to a provincial overdose emergency, Canada

On April 14, 2016, British Columbia (BC)’s Provincial Health Officer declared a public health emergency due to a significant increase in drug-related overdoses and deaths in the Province. Despite the declaration, 161 suspected drug overdose deaths were reported across the Province in December 2016, a 137% increase over the number of deaths occurring in the same month of 2015. In response to the surge overdoses, Vancouver Coastal Health Authority (VCH), one of 5 health regions within BC, rapidly implemented a number of novel harm reduction initiatives.

January 25, 2018

Assessing Prior Pain Visits and Medical History Risk Factors for Opioid Overdose

Opioid overdoses are a growing cause of mortality in the United States. Medical prescriptions for opioids are a risk factor for overdose. This observation raises concerns that patients may seek multiple opioid prescriptions, possibly increasing their overdose risk. One route for obtaining those prescriptions is visiting the emergency department (ED) for pain-related complaints. Here, two hypotheses related to prescription seeking and overdoses are tested. (1) Overdose patients have a larger number of prior ED visits than matched controls.

January 21, 2018

Heroin Overdose Hospitalization Risk due to Prescription Opioids using PDMP in WI.

Nationally and in Wisconsin, heroin is the leading cause of opioid related death and hospitalization. Opioids are commonly prescribed for pain. Every day, over 1,000 people are treated in emergency departments for misusing prescription opioids. In 2015, more than 15,000 people died from overdoses involving prescription opioids. Approximately, three out of four heroin users report having abused prescription opioids prior to using heroin. In Wisconsin from 2010 to 2014 the number of deaths involving any opioid increased by 51% and for heroin increased by 192%.

January 21, 2018

Opioid Surveillance using Social Media: How URLs are shared among Reddit members

Nearly 100 people per day die from opioid overdose in the United States. Further, prescription opioid abuse is assumed to be responsible for a 15-year increase in opioid overdose deaths. However, with increasing use of social media comes increasing opportunity to seek and share information. For instance, 80% of Internet users obtain health information online, including popular social interaction sites like Reddit (http://www.reddit.com), which had more than 82.5 billion page views in 20153.

January 21, 2018

Using Drug Overdose Syndromic Surveillance Data to Impact Local Public Health Action

Since 2008, drug overdose deaths exceeded the number of motor vehicle traffic-related deaths in Indiana and the gap continues to widen1. As the opioid crisis rages on in the United States the federal government is providing funding opportunities to states, but it often takes years for best practices to be developed, shared, and published. Indiana State Department of Health (ISDH) has developed a standard process for monitoring and alerting local health partners of increases in drug overdoses captured in Indiana’s syndromic surveillance system (ESSENCE).

January 21, 2018

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