MINUTE RECORD MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) OFFICE OF RECOVERY ORIENTED SYSTEMS OF CARE (OROSC) State Epidemiological Outcomes Workgroup (SEOW) WORKGROUP NAME State Epidemiological Outcomes Workgroup (SEOW) Core Team DATE Wednesday, October 21, 2020 TIME 1:00 p.m. – 2:00 p.m. LOCATION Virtual Meeting CHAIRPERSON Joel Hoepfner RECORDER BlueJeans System ATTENDEES PHONE: Prashanti Boinapally, Lisa Coleman, Jane Goerge, Choua Gonzalez- Medina, Alicia Goodman, David Havens, Joel Hoepfner, Brandon Hool, Rich Isaacson, Rita Seith, Thomas Largo, Stephanie Larocco, Patricia McKane, Mary Miller, Janelle Murray, Hannah Napolillo, Su Min Oh, Dawn Radzioch, Brooke Rodriguez, Samantha Jones, Christy Sanborn, Larry Scott, Gabrielle Stroh-Steiner ABSENT: Liz Agius, Bret Bielawski, Sandra Bullard, Joe Coyle, Seth Eckle, Kimberly Fox, Brian Hartl, Denise Herbert, Patrick Hindman, Rachel Jantz, Jeanne Kapenga, Haley Kehus, Scott Josephs, Alia Lucas, Mary Ludtke, Jamie Meister, Logan O’Neill, Annette Perrino, Eva Petoskey, Sarah Rockhill, Kelsey Schell, Angie Smith-Butterwick, Ricki Torsch, Stephanie VanDerKooi, Danielle Walsh SUMMARY OF KEY POINTS Introductions, Welcome, and Approval of Agenda/Minutes – Su Min Oh Agenda reviewed and added heroin emerging issues and trends is now approved. If anyone has any items for future agendas, please contact Larry Scott ([email protected]), Angie Smith-Butterwick ([email protected]), Su Min Oh ([email protected]), Lisa Coleman ([email protected], or Joel Hoepfner at [email protected]. Minutes of September 17, 2020 were reviewed and anyone having edits should contact Su Min Oh. The minutes are available on the OROSC website at www.michigan.gov/bhrecovery, Prevention, SEOW. Update on Next Steps/Action Items from Previous Meeting – Su Min Oh New Staff Bureau of epidemiologist (EPI) welcome – New alcohol EPI staff starts Monday, October 26, 2020 State Opioid Response (SOR) 2020; No Cost Extensions – See OROSC Updates OROSC Updates – Su Min Oh for Larry Scott Covid-19 - Telecommuting will continue to the end of December. No in-person meeting until March. SOR 2020 - Tabled No Cost Extensions – No changes since last meeting. Emerging Issues and Trends Opioids & Prescription Drugs, Alcohol, Heroin, Marijuana, E-Cigarettes - Su Min Oh/Patrick Hindman/Alia Lucas/Group Prescription Drugs – Tabled Heroin – Su Min Oh Isotonitazene: A bulletin regarding Isotonitazene was sent to all group members and one slide regarding the latest development; please share. Isotonitazene is a synthetic opioid. Designer Drugs - Spoke with Matthew Nice with the International Narcotics Control Board, managing the opioids project. This is the monitoring body of the United Nations (UN) international drug control convention working with over 100 countries. Su Min went on to explain the purpose of this organization, as well as the various issues they are working on regarding Isotonitazene. A PowerPoint was shared with the group that displayed graphs and statistics regarding Isotonitazene and other drugs (e.g., Brorphine, Tramadol) on watch. Questions were asked and answers were given. Marijuana Use – Lisa Coleman The Department of Communications has approved the Marijuana Strategic Plan 2020-2023 and it is now posted on the OROSC website at www.michigan.gov/bhrecovery under Announcement Spotlight. More information was given regarding the focus of the plan. Feel free to share comments with Lisa. An action plan is also in the making. Comments were shared. E-Cigarettes – Su Min Oh and Lisa Coleman Synar - Synar inspections are complete and the retailer violation preliminary results range from seven (7) to 25 percent; one region had no violations. Lisa went on to say that this is the first year the Synar Policy included e-cigarettes and explained the process regarding this. Tobacco 21 - Also explained was Tobacco 21 and its effect on the Synar policy. In this regard there will be a three-year transition period to federal level for Tobacco 21. The state is still 18 years of age. MDHHS had a public hearing on administrative rules on 10/20/20 and explained the details of this hearing. Public comments are being accepted until October 23, 2020. The official results of the Synar Inspections will be revealed soon. Alcohol – Joel Hopfner Extend to 4:00 am alcohol sales and the Liquor Control Commission have shown an interest. Gambling Disorder – Alia Lucas – Tabled Partner Updates – All Office of Highway Safety Planning (OHSP) – Christy Sanborn Toe-Tags Video - Video has been released and gives a glimpse of repercussions of impaired driving crashes. Will use for FY 2021. Working on a marijuana and driving campaign and the post-production video was shot in September and radio ad was complete with a December release for National Driving Month. Impaired Driving Action Team - She is the Impaired Driving Action Team co-chair. If you are interested in being a part of this hub team, please e-mail Christy at [email protected] and an invite will be sent to each of you. Minutes and agendas will also be stored, as well as conferences, free. 2021 Conference Planning – This conference will be virtual. Method to be determined. Bureau of Epidemiology and Population Health/Division of Communicable Disease/HAI, Infectious Diseases Update – Joe Coyle/Seth Eckel /Brandon Hool Harm Reduction Expansion - Brandon spoke on the progress of expanding harm reduction with high-risk areas with outbreaks on overdoses and infectious disease, including HIV/Hepatitis (HEP) C. Mostly in the upper lower and upper peninsula. Offered contracts to three organizations to offer services to Lincoln Park and Taylor, as well as Inkster and Romulus in Wayne County, and the Lansing Area, a second harm reduction program in Ingham county. Still working with the Prepaid Inpatient Health Plan (PIHP) local health departments in Oakland and Monroe counties. New Staff - Mary Miller has been named our second harm reduction analyst for increased capacity. Minutes - State Epidemiological Outcomes Workgroup (SEOW) 3 Core Team – October 21, 2020 Combined Effort - Bureau of Epidemiology and Population Health/Division of Environmental Health/Environmental Surveillance Section and Bureau of Health and Wellness/Division of Chronic Disease and Injury Control/Injury and Violence Prevention Section – Group, Rita Seith, Tom Largo, Stephanie Larocco, and Gabrielle Stroh-Steiner, Nina Bowser, Jan Fields Michigan Overdose: Data to Action (MODA) – Alicia Goodman, Tom Largo and Gabrielle Stroh-Steiner Tom Largo Drug Overdose - Tom went on to explain there is a huge lag in preliminary mortality data. The team is trying to offer more useful information for 2020 data. Have been in contact with Su Min Oh and Glenn Radford of vital records to assure we are all in sync. Rita Seith Power BI Dashboard - Working on Power Bi dashboard. Have selected a list of preliminary indicators for the first rap of the dashboard. Jan and Rita are working on a year one evaluation report for the MODA grant which will be completed in the next two weeks and will share with this group before the next meeting. Michigan (MI) Celerity - Information about the MI Celerity Rapid Overdose System status was explained to everyone. Also starting a Celerity user group; first meeting will take place in November with all users who will share from different local health departments, meeting to share various resources, and a group discussion. Not all health departments are on board; at present there are 18 out of 45. Gabrielle Stroh-Steiner Overdose Data – Explained the data related to overdoses. Data has been analyzed through August. Emergency department (ED) visits for overdose have increased while overall visit remained lower compared to last year; overdoses are 20 percent higher as compared to last year during the pandemic. Syndromic Surveillance - Continuing to analyze syndromic data sources. Will be reviewing data for September. Methamphetamine related emergency medical service (EMS) calls are accelerated during the pandemic. Su Min went on to explain that these statistics such as increased refusal to transport to ED are also national. MDHHS has approved that the PIHPs receive this information, which will be shared with them. Questions were asked and answers were shared. Michigan Substance Use Disorder Data Repository (SUDDR) Website Updates - Brooke Rodriguez Explained changes of those working with Brooke and introduced the new person named Ellen who is the new web designer. Brooke shared and explained her PowerPoint on the screen regarding all the SUDDR website updates. They are working on making the site more user-friendly. Future updates are forthcoming. Update on Next Steps/Action Items – Joel Hoepfner Joining us is new EPI Staff Share Official Synar Results Feedback on SUDDR Other N/A Adjourned – 1:59 pm NEXT MEETING Date: Wednesday, November 18, 2020 Time: 1:00 PM to 2:00 PM Location: Virtual Meeting Minutes - State Epidemiological Outcomes Workgroup (SEOW) 3 Core Team – October 21, 2020 .