chief medical examiner 11_ocme..."total deaths" denotes accidental overdoses where one or more drugs...

London N. Breed, Mayor

1 Newhall Street • San Francisco, CA 94124 • Phone (415) 641-3600

ACCREDITED BY THE AMERICAN BOARD OF FORENSIC TOXICOLOGY

OFFICE OF THE

CHIEF MEDICAL EXAMINER

November 20, 2020

Report on Accidental Overdose Deaths - January to October, 2020

The enclosed report provides preliminary data of accidental overdose deaths in San Francisco within the

first ten months of 2020. This report is available in the spirit of providing timely information for drug harm

strategies. These results are strictly preliminary as of testing to November 20, 2020, and are subject to

change as the OCME finalizes the manner and cause of each death.

Pertinent for accurate use of this report is to understand the source of the data and its subsequent process of

summarization. Decedent demographic and case information was obtained from the OCME case

management system. Additionally, specific details from investigator narratives, forensic toxicology results

and, where available, preliminary autopsy findings, were utilized. Collected demographic information

included race, gender, age, fixed address status, zip code of residence, and zip code of death location.

Due to their significance in accidental overdose deaths, the reported drugs of interest were specific to

fentanyl, heroin, medicinal opioids, methamphetamine and cocaine. Their detection in blood was captured

to best determine their relevance in each respective case. Medicinal opioid positive cases required the

presence of morphine, hydromorphone, oxymorphone, codeine, hydrocodone, oxycodone, buprenorphine,

tramadol, and/or methadone. Heroin determination was more closely evaluated, requiring the presence of

specific heroin markers in blood or urine, expected morphine to codeine ratios, and/or case details consistent

with heroin use.

Subject to the nature of the preliminary reporting described above, this report is not intended to replace

other death statistics within the City that consider finalized death certificates only.

Sincerely,

Luke N. Rodda, Ph.D.

Chief Forensic Toxicologist and Director, Forensic Laboratory Division

OFFICE OF THE CHIEF MEDICAL EXAMINER CITY AND COUNTY OF SAN FRANCISCO

Preliminary Accidental Drug Overdose Data Report as of November 20, 2020

JAN-OCT2020

Other CausesAcc. Overdoses OpenAcc. Overdoses Closed

Race

AsianBlackLatinxNative AmericanWhiteOther/Unknown

Residence

Tenderloin (94102)SOMA (94103)Nob Hill (94109)Inner Mission (94110)Others

Fixed Address

Yes (see residence)NoUnknown

0

100

200

300

400

500

600 Accidental Overdoses by Day of Death

Total Deaths Fentanyl Heroin Medicinal Opioids Methamphetamine Cocaine

1‐Jan 1‐Feb 1‐Mar 1‐Apr 1‐May 1‐Jun 1‐Jul 1‐Aug 1‐Sep 1‐Oct 1‐Nov

PLEASE NOTE THIS DATA IS PRELIMINARY INFORMATION AND SUSCEPTIBLE TO CHANGE

Age

=65Total Cases Received by OCME

(1340)Location of Death


"Acc. Overdoses Open" cases do not have a final cause and manner of death classification; "Acc. Overdoses Closed" cases have a final cause and manner of death classification."No fixed address" denotes community members who may be experiencing homelessness."Residence" denotes address where decedent lived; "Location of Death" denotes the location where death was declared. For "Residence" and "Location of Death", the 4 most affected neighborhoods are represented, the "Others" category refers to all other zip codes within the City and County of San Francisco and any of out county residences."Gender" refers to gender at time of death."Total Deaths" denotes Accidental Overdoses where one or more drugs contribute to the cause of death; however, every point for each drug series is inclusive, but not necessarily exclusive, of that drug. "Total deaths" represents all accidental overdoses including ones for drugs not specified above.

57.46%25.07%17.46%

71%

2%27%

19%81%

25%16%9%8%

42%

23%16%16%14%31%

4%25%17%0%

5%

0%16%22%10%

4%24%25%

Gender

FemaleMale

49%

Gender

FemaleMale



JANUARY2020


Race


Residence

Tenderloin (94102)SOMA (94103)Ingelside (94112)North Beach (94133)Others

Fixed Address


0

5

10

15

20

25

30

35

40

1‐Jan 31‐Jan

Accidental Overdoses by Day of Death



Age

=65Total Cases Received by OCME (126)

Location of Death

Tenderloin (94102)North Beach (94133)Nob Hill (94109)Inner Mission (94110)Others


69.84%0.00%

30.16%

79%

0%21%

24%76%

27%13%7%7%

47%

26%8%8%16%42%

3%26%11%

50%11%

0%21%21%16%

0%18%24%

0%

Gender

FemaleMale



FEBRUARY2020


Race


Residence

Tenderloin (94102)SOMA (94103)Inner Mission (94110)Bayview (94124)Others

Fixed Address


0

5

10

15

20

25

30

35

40

45

50

1‐Feb 29‐Feb




Age


Location of Death



61.95%0.00%

38.05%

65%

0%35%

23%77%

32%14%11%11%32%

35%12%12%19%23%

5%28%7%

58%2%

0%16%21%9%

2%33%19%

0%

Gender

FemaleMale


Preliminary Accidental Drug Overdose Data Report as of November 20/, 2020

MARCH2020


Race


Residence

Tenderloin (94102)SOMA (94103)Inner Mission (94110)Twin Peaks (94131)Others

Fixed Address


0

10

20

30

40

50

60

1‐Mar 31‐Mar




Age


Location of Death



63.04%0.00%

36.96%

71%

2%27%

18%82%

17%28%8%8%

39%

25%24%12%10%

29%

2%25%18%

47%8%

0%31%16%8%

2%16%27%

0%

Gender

FemaleMale



APRIL2020


Race


Residence

Tenderloin (94102)Nob Hill (94109)Haight‐Ashbury (94117)Inner Mission (94110)Others

Fixed Address


0

10

20

30

40

50

60

1‐Apr 30‐Apr




Age


Location of Death



60.16%0.00%39.84%

55%

0%45%

18%82%

37%15%11%11%26%

31%14%24%14%16%

8%20%18%

53%0%

0%14%14%4%

8%31%29%

0%

Gender

FemaleMale



MAY2020


Race


Residence

Tenderloin (94102)SOMA (94103)Inner Mission (94110)Lake Merced (94132)Others

Fixed Address


0

10

20

30

40

50

60

70

80

1‐May 31‐May




Age


Location of Death



50.35%29.08%20.57%

60%

0%40%

11%89%

24%29%5%7%

36%

19%24%16%17%24%

4%26%17%

51%1%

0%14%27%7%

3%27%21%

0%

Gender

FemaleMale



JUNE2020


Race


Residence

Tenderloin (94102)SOMA (94103)Inner Mission (94110)Nob Hill (94109)Others

Fixed Address


0

10

20

30

40

50

60

70

80

1‐Jun 1‐Jul




Age


Location of Death



49.29%47.14%3.57%

75%

1%24%

7%93%

28%9%8%9%

45%

24%15%18%10%32%

4%20%25%

46%4%

0%9%26%11%

7%24%23%

0%

Gender

FemaleMale



JULY2020


Race


Residence


Fixed Address


0

10

20

30

40

50

60

70

80

1‐Jul 31‐Jul




Age


Location of Death



52.00%44.67%3.33%

78%

0%22%

22%78%

18%16%11%13%

43%

13%18%18%15%36%

1%32%14%

44%8%

0%4%25%18%

1%24%27%

0%

Gender

FemaleMale



AUGUST2020


Race


Residence


Fixed Address


0

10

20

30

40

50

60

70

1‐Aug 31‐Aug




Age


Location of Death



54.17%45.14%0.69%

76%

6%18%

30%70%

24%16%10%10%

40%

20%12%20%15%33%

5%29%20%

38%9%

0%23%26%8%

5%20%20%

0%

Gender

FemaleMale



SEPTEMBER2020


Race


Residence


Fixed Address


0

10

20

30

40

50

60

1‐Sep 1‐Oct




Age


Location of Death



60.31%38.93%0.76%

81%

2%17%

15%85%

23%8%6%12%

52%

23%15%19%6%37%

6%27%19%

42%6%

0%17%15%10%

2%31%25%

0%

Gender

FemaleMale



Race


Residence

Tenderloin (94102)SOMA (94103)Inner Mission (94110)Western Addition (94115)Others

Fixed Address


0

10

20

30

40

50

60

70

1‐Oct 31‐Oct




Age


Location of Death



56.06%43.94%0.00%

72%

9%19%

24%76%

24%19%7%7%

43%

24%19%10%16%31%

2%19%14%

60%5%

0%19%24%5%

5%14%33%

0%


OCTOBER2020

2020 10_OCME Overdose Report (stakeholders)January-October 2020 XLS Report Template

chief medical examiner 11_ocme..."total deaths" denotes accidental overdoses where one or more drugs...

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