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June 2019 Report 8 August 2019 Purpose: the NH Drug Monitoring Initiative (DMI) Is a Holistic Strategy to Provide Awareness and Combat Drug Distribution and Misuse

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June 2019 Report 8 August 2019 Purpose: the NH Drug Monitoring Initiative (DMI) Is a Holistic Strategy to Provide Awareness and Combat Drug Distribution and Misuse UNCLASSIFIED NewNew HampshireHampshire DrugDrug MonitoringMonitoring InitiativeInitiative New Hampshire Information & Analysis Center Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303 NHIAC Product #: 2019-3814 June 2019 Report 8 August 2019 Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and misuse. In line with this ap- proach 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 stakeholders as well as situational awareness releases as needed. Drug Environment Report—UNCLASSIFIED Table of Contents: 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 Use Disorder Treatment/Recovery Directory Previous versions of the Drug Environment Report can be found at: https://www.dhhs.nh.gov/dcbcs/bdas/data.htm The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/ Population data source: http://www.nh.gov/osi/data-center/population-estimates.htm Year/month overview charts are based on annual estimates from the above website. County charts are based on a 2017 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 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 1 UNCLASSIFIED NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED Overview: Trends for Narcan, ED Visits, Treatment Admissions, and Overdose Deaths: EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population July 2018 - June 2019 45.00 Opioid Related ED 40.00 Visits 35.00 30.00 25.00 20.00 Opioid/Opiate, 15.00 Methamphetamine, & 10.00 Cocaine/Crack 5.00 Treatment Admissions Events per 100,000 Events 100,000 perpopulation 0.00 EMS Narcan Administration Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS Drug Overdose Deaths By Year Data Source: NH Medical Examiner's Office 40.00 36.34 36.35 35.08 35.00 30.00 33.00 25.03 25.00 20.00 15.25 15.00 12.34 14.51 10.00 13.45 5.00 0.00 # of Drug per of population Deaths # 100,000 2010 2011 2012 2013 2014 2015 2016 2017 2018 2018 numbers are finalized, and based on analysis as of 16 July 2019 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2 UNCLASSIFIED NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED Right click on the paperclip and Drug Overdose Deaths: select “Open File” to Data Source: NH Medical Examiner’s Office view additional data. Trends: Overdose Deaths by Year per 100,000 Population As of 16 July 2019, the number of confirmed drug Data Source: NH Medical Examiner's Office overdose deaths for 2018 have been finalized. 471 40.00 36.34 36.35 confirmed drug overdose deaths occurred in 2018. 35.00 33.00 35.08 All Drug In 2018, Belknap County had the highest suspected drug 30.00 31.28 Deaths 28.08 use resulting in overdose deaths per capita, at 4.75 deaths 26.75 25.00 25.03 per 10,000 population, while Hillsborough and Cheshire 24.65 20.00 Fentanyl/ were nearly tied for second, with 4.19 and 4.14 deaths Heroin Related per 10,000 population, respectively. 15.00 15.25 15.45 Deaths + 13.45 14.51 12.34 The age group with the largest number of drug overdose 10.00 Cocaine deaths is 30-39 years, which represents 31% of all 6.57 4.77 # of Drug per pop Deaths # 100,000 5.00 2.28 4.63 3.63 4.72 Related overdose deaths for 2018. 2.71 3.68 3.72 1.90 1.97 1.44 2.27 Deaths+ 0.00 *** IMPORTANT DATA NOTES*** 2010 2011 2012 2013 2014 2015 2016 2017 2018 For 2019, as of 16 July there were 156 total, confirmed drug *2018 numbers are finalized, and based on analysis as of 16 July 2019 overdose deaths, and there are 52 cases pending toxicology. + Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories Analysis is based on county where the drug (s) is suspected to have been used. 2018 Overdose Deaths by County per 10,000 Population Data Source: NH Medical Examiner's Office 5.00 Overdose Deaths by Age 2018* 4.75 Data Source: NH Medical Examiner's Office 4.50 4.14 4.19 0.85% 4.00 3.94 3.43 8% 3.50 3.00 2.92 19% 2.70 2.50 17% 0-19 2.00 1.89 20-29 1.50 1.60 1.50 30-39 1.00 40-49 of# deaths per10,000 pop 0.50 50-59 60+ 0.00 31% 24% 2018 numbers are finalized, and based on analysis as of 16 July 2019 2018 Numbers are finalized, and based on analysis as of 16 July 2019 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 3 UNCLASSIFIED NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office Cocaine and/or Fentanyl Combination Related Drug Deaths 2018 250 *2018 numbers are finalized, and based on analysis as of 16 July 203 2019 200 Source: NH Medical Examiner's Office 150 # of Deaths 100 52 50 25 13 10 7 6 5 4 3 0 Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice* Amphetamines, Buprenorphine, Fentanyl, Acetyl Fentanyl, Diazepam, 4-ANPP, Fentanyl, Valeryl Alcohol, Fentanyl, Heroin, Duloxetine, Fentanyl, Valeryl Amitriptyline, Cocaine, Hydroxyzine, Clonazepam, Fentanyl Ethanol, Fentanyl Fentanyl Oxycodone, Sertraline Fentanyl Diphenhydramine Methamphetamine, Trazodone Acetyl Fentanyl, Clonazepam, Fentanyl, Acetyl Fentanyl, Ethanol, Alcohol, Fentanyl, Quetiapine, Amphetamines, Clonazepam, Amphetamines, Fentanyl Lamotrigine, Loperamide, Ethanol, Fentanyl, Morphine Buprenorphine, Cocaine Fentanyl Sertraline Fentanyl Meprobamate Acetyl Fentanyl, Alprazolam, Amphetamines, Acetyl Fentanyl, Ethanol, Amphetamines, Fentanyl, Cocaine, Cyclobenzaprine, Amphetamines, Fentanyl, Clonazepam, Cocaine, Ethanol, Ethanol, Fentanyl, Oxycodone Cocaine, Diazepam, Oxazepam Fentanyl, Oxycodone Hydromorphone Fentanyl Methadone Fentanyl Acetyl Fentanyl, Fentanyl, Acetyl Fentanyl, Ethanol, Alprazolam, Amphetamines, Aripirazole, Fentanyl, Cocaine, Diphenhydramine, Cocaine, Diazepam, Fentanyl Fentanyl, Ketamine Mitragynine Fentanyl, Ketamine, MDMA Cocaine, Fentanyl, Morphine Quetiapine Ethanol Alprazolam, Buprenorphine, Acetyl Fentanyl, Fentanyl, Buprenorphine, Fentanyl, MDMA, Cocaine, Ethanol, Morphine, Alprazolam, Fentanyl Fentanyl, Lorazapam, Cocaine, Duloxetine, Fentanyl Heroin Diphenhydramine, Fentanyl Methamphetamine Oxycodone Oxycodone Fentanyl, Methamphetamine, Clonazepam, Cocaine, Acetyl Fentanyl, Fentanyl, Bupropion, Diazepam, Cocaine, Fentanyl, Alprazolam, Cocaine, Fentanyl Methylenedioxymethampheta Cocaine, Morphine Fentanyl Methadone Ethanol, Fentanyl Methamphetamine mine Cocaine, Fentanyl, Acetyl Fentanyl, Fentanyl, Bupropion, Fentanyl, Methamphetamine, Cocaine, Alprazolam, Fentanyl, Heroin Diazepam, Ethanol, Fentanyl Fentanyl, Mitragynine Hydroxyzine Methamphetamine Olanzapine Fentanyl, Alprazolam Alcohol, Amphetamines, Alprazolam, Fentanyl, Clonazepam, Cocaine, Diazepam, Fentanyl, Fentanyl, Methadone Fentanyl, Morphine Fentanyl Hydrocodone Fentanyl, Morphine Methamphetamine 4-ANPP, Acetyl Fentanyl, Alcohol, Chlorpheniramine, Amitriptyline, Clonazepam, Clonazepam, Cocaine, Duloxetine, Ethanol, Fentanyl, Fentanyl, Fentanyl, Oxycodone Fentanyl Diazepam, Fentanyl Fentanyl, Phenobarbital Hydromorphone Parafluoroisobutyrylfentanyl *Cells filled with gray indicate combinations noted twice UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 4 UNCLASSIFIED Overdose Deaths by Town* - 2018 + (Data Source: NH Medical Examiner's Office) *Location where the drug(s) is suspected to have been used. Pittsburg +2018 data was reported on July 16, 2019 Clarksville 17 Stewartstown Dixs Second Prepared by: Grant College Colebrook Grant Dixville NH Information & Analysis Center 16 Columbia 15 Millsfield Errol Odell Stratford Coos Dummer Cambridge INDEX Stark Belknap Hillsborough Milan 1 - Center Harbor 18 - Bennington Northumberland Carroll Rockingham Success Berlin 2 - Hales Location 19 - South Hampton Kilkenny Lancaster 3 - Harts Location 20 - Seabrook Coos 21 - East Kingston 4 - Hadleys Purchase 22 - Kensington 23 - Hampton Falls Jefferson Randolph Gorham 5 - Beans Grant Dalton Shelburne 6 - Cutts Grant 24 - Hampton 25 - North Hampton 7 - Sargents Purchase Whitefield 26 - Rye 8 - Pinkhams Grant Littleton 11 14 9 - Crawfords Purchase 27 - Portsmouth 12 Carroll 10 13 10 - Chandlers Purchase 28 - New Castle Beans Purchase Monroe 11 - Low & Burbanks Grant 29 - Newington Bethlehem Lyman 9 8 12 - Thompson & Meserves Purchase Strafford Lisbon Sugar 13 - Greens Grant 30 - Rollinsford 5 Hill 7 14 - Martins Location 31 - Somersworth 6 15 - Ervings Grant Bath Franconia Jackson 16 - Wentworth Location Chatham Landaff 17 - Atkinson & Gilmanton Academy Grant 3 Easton 4 Bartlett Haverhill Lincoln Benton Livermore 2 Conway Number of Overdose Deaths by Town Woodstock *Location where the drug(s) is suspected Piermont Albany to have been used. Grafton Waterville Valley Warren Thornton Madison Eaton Orford Ellsworth Wentworth Carroll 1 - 4 (78 towns) Sandwich Rumney Campton Tamworth Freedom Lyme Dorchester 5 - 10 (14 towns) Holderness Effingham Groton Plymouth Ashland Ossipee Moultonborough Hanover 1 11 - 25 (8 towns) Hebron Canaan Tuftonboro Bridgewater Meredith Lebanon Orange Alexandria Wakefield 26 - 50 (1 town) Bristol Wolfeboro Enfield Brookfield New Hampton Laconia Grafton Plainfield Gilford 51 - 100 (1 town) Danbury Hill
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