Northern Arizona EMS Region Opioid and Narcan Distribution Report

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ARIZONA FIRST RESPONDERS INITIATIVE Funded by First Responders-Comprehensive Addiction and Recovery Act

ARIZONA EMS REGIONS

MOHAVE COCONINO

WESTERN NORTHERN REGION REGION NAVAJO Kingman Flagsta APACHE

YAVAPAI Holbrook

St. Johns Parker

GILA LA PAZ MARICOPA Phoenix Globe CENTRAL Clifton REGION GRAHAM GREENLEE Florence YUMA PINAL Sa ord Yuma

SOUTHEASTERN REGION Tucson COCHISE PIMA SANTA CRUZ Nogales Bisbee

October 2017 to May 2020 July 27, 2020

Suggested citation: Koch B, Tarango A, Hospodar J, Akmajian P, and Derksen, D. End the Epidemic, Arizona First Responders Initiative. Northern Arizona EMS Region Opioid and Narcan Distribution Report. 2020. Opioid Crisis in Northern Arizona

Under the First Responders-Comprehensive Addition and Recovery Act (FR-CARA) Cooperative Agreement, Arizona Center for Rural Health (AzCRH), ADHS, and Arizona Peace Officer Standards and Training Board (AZ-POST) partnered together to train first responders to identify and respond to an opioid overdose, as well as provide Narcan.. This report provides a brief summary of the current data on the opioid crisis in Arizona, Narcan distributed, and first responder agencies trained.

The Northern Arizona EMS region includes Apache, Coconino, Navajo, and Yavapai counties. Opioid/ opiates contributing to death are illustrated in Map 1, Chart 1 and Table 1, as reported by Arizona Department of Health Services (ADHS) in 2017.

Map 1. 2017 Opioid Related Deaths in Arizona Table 1. Opioid/Opiates Contributing to Death 2017

County Rate per 100,000 Apache 4 Coconino 6.4 Navajo 2.1 Yavapai 9 State 12.1 (Lowest 0.2; Highest 17.1) Source: https://azdhs.gov/gis/community-profiles- dashboard/index.php

Source map: https://azdhs.gov/gis/community-profiles-dashboard/index.php

Chart 1. Opioids/Opiates Contributing to Death in the Northern Arizona Region 2010 to 2017 First Responders Trained

Agencies that have been trained under FR-CARA are listed on Map 2 and in Table 2 below. Fiscal Year 1, 2017 to 2018 (FY1) and Fiscal Year 2, 2018 to 2019 (FY2) project data are combined as the majority of FY 1 was dedicated to program planning, hiring, and other start-up activities. FY 3 data covers activities from October 2019 to May 2020.

Map 2. Drug Poisoning Mortality Rates and First Responders Trained

Map 2 displays data gathered Table 2. Northern Arizona First Responders Trained from the Uniform Data FY1 and FY2 System, using data from the Apache County Coconino County Health Resources and Services None Flagstaff Ranch Fire District Administration. Navajo County Grand Canyon Airport Taylor-Snowflake CERT National Park Service – Lee’s Ferry Yavapai County had a drug Winslow Indian Health Services National Park Service – Glen Canyon poisoning mortality rate of Yavapai County National Park Service – Grand Canyon greater than 23 per 100,000 Embry-Riddle Aeronautical University NAU Police Department people in 2017 (23.2 per 100,000 Jerome Police Department Page Fire Department is the Arizona state drug induced Southern Yavapai Fire Department Ponderosa Fire District mortality rate). Substance Abuse Sedona Police Department and Mental Health Facilities, FY3 as well as Opioid Treatment Apache County Coconino County Programs (OTPs), are illustrated None None on the map. AzCRH provided Navajo County Yavapai County training in Coconino, Navajo, and Action Medical Services Winslow Arizona Rangers Yavapai counties. Narcan Distribution to First Responders

Agencies that received Narcan kits under FR-CARA are listed in Chart 2 and in Table 3 below. Chart 2. Narcan Kits Distributed Chart 2 displays total Narcan distributed statewide and Narcan kits distributed to the Northern Arizona EMS region. Between FY1 and FY3 (through May 2020), a total of 1,118 have been distributed to Northern Arizona first responders. This represents 21% of Narcan distributed statewide.

Table 3. Narcan Distribution to First Responders FY1 and FY2 Apache County Yavapai County St. Johns Police Department Camp Verde Marshal’s Office Coconino County Chino Valley Police Department Grand Canyon National Park Service Clarkdale Fire District Grand Canyon National Park Emergency Services Cliff Castle Casino Grand Canyon National Park Airport Cottonwood Fire & Medical Department High Country Arizona Rangers Jerome Police Department NAU Police Department Model Creek Elementary School Page Police Department Peeples Valley Fire District Navajo County Prescott Police Department Holbrook Police Department Southern Yavapai Fire Department Taylor-Snowflake Fire & Medical Department Verde Valley Fire District Yarnell Fire District Yavapai County Sheriff’s Office FY3 Apache County Yavapai County None Arizona Rangers, Prescott Valley Coconino County Arizona Rangers Coconino County Sheriff’s Office/Coconino Cliff Castle Casino Grand Canyon National Park, Emergency Services Cottonwood Fire and Medical Department Navajo County Peeples Valley Fire District Action Medical Service, Winslow Seligman Fire District Clay Springs -Pinedale Fire Department Yavapai County Sheriff Pinetop-Lakeside Police Department Winslow Police Department