new hampshire drug monitoring initiativepurpose: the nh drug monitoring initiative (dmi) is a...

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Table of Contents: 2017 Overview—Drug Environment Report—UNCLASSIFIED Purpose: The NH Drug Monitoring Iniave (DMI) is a holisc strategy to provide awareness and combat drug distribuon and abuse. In line with this approach 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 stake- holders as well as situaonal awareness releases as needed. Secon Title Page # Overview Drug Overdose Deaths Source: NH Medical Examiner’s Office EMS Narcan Administraon Source: NH Bureau of Emergency Medical Services (EMS) Opioid Related Emergency Department Visits Source: NH Division of Public Health Services Treatment Admissions Source: NH Bureau of Drug & Alcohol Services 1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE UNCLASSIFIED New Hampshire Drug Monitoring Iniave New Hampshire Drug Monitoring Iniave New Hampshire Informaon & Analysis Center Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303 NHIAC Product #: 2018-3499 2017 Overview Report – FINAL 5 October 2018 Populaon data source: hp://www.nh.gov/oep/data-center/populaon-esmates.htm Year/month overview charts are based on annual esmates from the above website. County charts are based on a 2016 esmated populaon of each county. If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.

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Page 1: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Table of Contents:

2017 Overview—Drug Environment Report—UNCLASSIFIED

Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line with this approach

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 stake-

holders as well as situational awareness releases as needed.

Section Title Page #

Overview

Drug Overdose Deaths

Source: NH Medical Examiner’s Office

EMS Narcan Administration

Source: NH Bureau of Emergency Medical Services (EMS)

Opioid Related Emergency Department Visits

Source: NH Division of Public Health Services

Treatment Admissions

Source: NH Bureau of Drug & Alcohol Services

1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED

New Hampshire Drug Monitoring InitiativeNew Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303

NHIAC Product #: 2018-3499 2017 Overview Report – FINAL 5 October 2018

Population data source: http://www.nh.gov/oep/data-center/population-estimates.htm

Year/month overview charts are based on annual estimates from the above website.

County charts are based on a 2016 estimated population of each county.

If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.

Page 2: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Even

ts p

er 1

00,0

00 p

opul

atio

n

Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS

EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population

January 2017 - December 2017Opioid Related EDVisits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

13.4515.25

12.3414.51

25.03

33.0036.46 36.68

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2010 2011 2012 2013 2014 2015 2016 2017

# o

f D

rug

De

ath

s p

er

10

0,0

00

po

pu

lati

on

Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office

Page 3: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Drug Overdose Deaths: Data Source: NH Medical Examiner’s Office

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

3 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Drug overdose deaths increased only slightly from 2016 to

2017. In 2017, Hillsborough County had the highest suspected drug

use resulting in overdose deaths per capita at 4.82 deaths per 10,000 population.

Belknap County had the next highest suspected drug use resulting in overdose deaths per capita at 4.47 deaths per 10,000 population.

The age group with the largest number of drug overdose deaths was 30-39 which represented 26% of all overdose deaths for 2017.

As released by the Attorney General’s Office, there were 12 deaths related to the use of Carfentanil in 2017.

*** IMPORTANT DATA NOTES***

Analysis is based on county where the drug (s) is suspected to have been

used.

4.47

2.512.20

3.57

2.91

4.82

2.913.23

4.31

0.91

0.00

1.00

2.00

3.00

4.00

5.00

6.00#

of

de

ath

s p

er

10

,00

0 p

op

2017 Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office

13.4515.25

12.3414.51

25.03

33.0036.46

36.68

2.28 4.63 3.636.57

15.45

24.6526.83

32.55

1.90 1.97 1.44 2.27 2.71 3.68 4.74 3.76

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2010 2011 2012 2013 2014 2015 2016 2017

# o

f D

rug

De

ath

s p

er

10

0,0

00

po

p

Overdose Deaths by Year per 100,000 PopulationData Source: NH Medical Examiner's Office

All Drug Deaths

Fentanyl/Heroin RelatedDeaths +

CocaineRelatedDeaths+

+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

0.41%

24%

26%23%

20%

6%

Overdose Deaths by Age 2017Data Source: NH Medical Examiner's Office

0-19

20-29

30-39

40-49

50-59

60+

Page 4: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

4 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

2013 2014 2015 2016 January February March April May June July August September October November December 2017

Total 192 332 439 485 35 32 37 52 44 38 50 44 46 42 27 41 488

County

Belknap 8 17 17 16 1 1 3 3 0 0 6 2 2 3 2 4 27

Carroll 4 9 22 16 0 0 2 2 1 1 0 1 0 0 3 2 12

Cheshire 14 17 11 20 2 0 2 1 0 0 2 2 2 4 1 1 17

Coos 6 9 14 10 3 1 0 0 0 2 0 1 2 1 0 2 12

Grafton 13 17 13 16 1 2 1 1 3 5 2 2 2 4 2 1 26

Hillsborough 68 106 178 199 12 12 14 24 24 17 21 15 18 15 9 14 195

Merrimack 17 40 39 43 5 3 1 4 3 2 7 6 4 4 2 2 43

Rockingham 34 64 89 90 8 5 13 9 8 5 9 8 12 4 7 9 97

Strafford 25 40 47 55 3 6 1 6 5 6 3 7 4 6 1 6 54

Sullivan 4 4 8 9 0 1 0 2 0 0 0 0 0 1 0 0 4

Out of State 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0

Not Determined 0 0 0 9 0 1 0 0 0 0 0 0 0 0 0 0 1

Gender

Male 132 219 307 336 26 18 32 35 33 29 34 36 28 26 24 26 347

Female 61 107 131 149 9 14 5 17 11 9 16 8 18 16 3 15 141

Age

0-19 3 3 8 7 0 0 0 0 0 0 1 1 0 0 0 0 2

20-29 40 79 110 123 12 6 8 10 7 13 12 13 9 9 7 12 118

30-39 32 80 116 147 6 9 10 14 10 9 13 12 17 11 5 11 127

40-49 52 67 99 98 9 13 7 14 12 4 13 4 12 10 7 9 114

50-59 51 78 91 89 6 2 10 11 9 10 7 10 8 9 8 8 98

60+ 15 19 14 21 2 2 2 3 6 2 4 4 0 3 0 1 29

Page 5: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Pittsburg

Lincoln

Alton

Errol

Milan

Stark

Albany

Berlin

Bartlett

LymeSandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampto

n

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kingst

on

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

BrooklineLyn

debo

rough

Fremont

Harrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown

Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

!

28

2

!

10

Coos

Grafton

Carroll

Merrimack

CheshireHillsborough

Sullivan

Rockingham

Belknap

Strafford

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

Overdose Deaths by Town* - 2017(Data Source: NH Medical Examiner's Office)

*Location where the drug(s) is suspected to have been used.

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

Number of Overdose Deaths by Town*Location where the drug(s) is suspected

to have been used.

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 5

1 - 45 - 1011 - 2526 - 5051 - 100101 - 150

Page 6: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

EMS Narcan Administration: Data Source: NH Bureau of Emergency Medical Services (EMS)

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

UNCLASSIFIED

6 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: EMS Narcan administration incidents decreased by 4%

from 2016 to 2017. In 2017 Belknap County had the most EMS Narcan

administration incidents per capita with 35.38 incidents per 10,000 population.

The age group with the largest number of EMS Narcan administration incidents is 20-29 which represents 31% of all EMS Narcan administration incidents for 2017.

*** IMPORTANT DATA NOTES***

Narcan data in this report involves the number of incidents where Narcan was administered, NOT the number of doses of Narcan during a certain time period. Multiple doses may be administered during an incident.

Narcan is administered in cases of cardiac arrest when the cause of the arrest cannot be determined. It therefore cannot be concluded that all of the reported Narcan cases involved drugs.

66.3978.52

142.62

201.22216.92

207.85

0.00

50.00

100.00

150.00

200.00

250.00

2012 2013 2014 2015 2016 2017

# o

f In

cid

en

ts In

volv

ing

Nar

can

pe

r 1

00

,00

0 p

op

Source: NH Bureau of EMS

EMS Narcan Administration by Year per 100,000 Population

19.09 19.00 18.65 19.16

7.45

29.80

15.74 16.18

35.61

7.78

35.38

14.20 13.47

21.85

9.34

28.10

20.95

16.6419.24

8.01

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00#

of

Inci

de

nts

In

volv

ing

Na

rca

n p

er

10

,00

0 p

op

Source: NH Bureau of EMS

2016 vs 2017 EMS Narcan Administration by County per 10,000 Population

2016

2017

3%

31%

29%

16%

12%

9%

0.65%

2017 EMS Narcan Administrationby Age Group

0-19

20-29

30-39

40-49

50-59

60+

Unknown

Source: NH Bureau of EMS

Page 7: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

EMS Narcan Administration (Continued): Data Source: NH Bureau of Emergency Medical Services (EMS)

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

UNCLASSIFIED

7 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

2013 2014 2015 2016 January February March April May June July August September October November December 2017

Total 1039 1892 2677 2895 202 206 196 232 213 281 276 226 293 250 212 189 2774

County

Belknap 39 59 113 116 8 12 13 13 14 27 34 32 17 14 19 12 215

Carroll 46 52 80 91 13 0 4 6 3 2 10 8 3 11 4 4 68

Cheshire 34 65 79 144 15 3 3 2 7 14 11 5 11 13 10 10 104

Coos 20 41 65 65 7 7 2 6 8 2 6 8 6 7 9 5 73

Grafton 47 56 57 66 3 4 8 7 8 18 5 4 8 8 5 6 84

Hillsborough 399 757 1139 1209 64 80 92 100 84 128 100 96 139 102 89 66 1140

Merrimack 131 185 228 233 22 21 27 34 22 29 34 18 26 27 25 25 310

Rockingham 180 380 501 488 36 41 31 35 45 49 41 33 52 51 43 46 503

Strafford 131 286 380 449 32 31 13 23 20 10 34 21 27 14 8 9 242

Sullivan 12 11 35 34 2 7 2 6 2 2 1 1 3 3 0 6 35

Gender

Male 578 1185 1736 1916 133 138 137 149 147 189 195 144 201 174 141 131 1879

Female 459 706 938 979 68 68 59 82 64 91 81 81 90 75 71 57 887

Age

0-19 41 83 94 87 4 6 5 5 4 14 8 6 4 6 7 6 75

20-29 239 588 954 973 68 61 63 64 61 74 93 71 105 67 73 63 863

30-39 177 428 684 853 30 61 49 71 53 100 82 68 93 80 66 55 808

40-49 192 304 364 385 37 33 29 45 35 50 50 35 33 38 25 29 439

50-59 185 233 314 327 33 17 23 30 40 25 24 24 37 32 17 24 326

60+ 202 246 256 253 29 26 26 17 19 16 18 23 20 17 24 11 246

Age or Gender

Not Given 2 10 11 17 1 2 1 0 2 2 1 0 0 10 0 1 20

Page 8: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Pittsburg

Lincoln

Alton

Errol

Milan

Stark

Albany

Berlin

Bartlett

Lyme

Sandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampto

n

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kingst

on

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

Brookline

Lynde

borou

gh

Fremont

Harrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown

Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

28

2

!

10

Coos

GraftonCarroll

Merrimack

CheshireHillsborough

Sullivan

Belknap

Strafford

Rockingham

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

EMS/Narcan Administration by T own1/1/2017 – 12/31/2017

Data Source: New Hampshire Bureau of EMS

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 8

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - T hompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

*Incidents Where Narcan Was Administered*

01 - 1011 - 2526 - 5051 - 100101 - 200201 - 500501 - 750

Page 9: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

9 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Opioid related ED visits increased by 9.8% from 2016—

2017. In 2017 residents from Strafford County had the most opi-

oid related ED visits per capita with 71.22 visits per 10,000 population.

Based on absolute numbers residents from Hillsborough County had the most opioid related ED visits with 2713 visits in 2017.

The age group with the largest number of opioid related ED visits is 20-29 which represents 37% of all opioid relat-ed ED visits for 2017.

*** IMPORTANT DATA NOTES***

County represents where the opioid use patient resides.

These data represent any encounter with the term “heroin, opioid, opiate, or fentanyl” listed as chief complaint text. These data also represent any encounter with an ICD-10 code that was designated for heroin and opioids.

Currently all but two of the hospitals are sending ICD-10 data.

These data include other opioid-related encounters such as poisonings, withdrawals, and detox.

455.87

500.83

430.00

440.00

450.00

460.00

470.00

480.00

490.00

500.00

510.00

2016 2017

# o

f E

D O

pio

id U

se V

isit

s p

er

10

0,0

00

po

p

Source: NH Division of Public Health Services

2016 - 2017 Emergency Department Opioid Use Visits by Month per 100,000 Population

15.47

36.54

17.48

42.81

22.81

61.64

37.7724.36

76.39

18.54

22.05 22.34 20.46

51.49

19.58

66.86 65.55

21.84

71.22

45.10

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00#

of

ED

Op

ioid

Use

Vis

its

pe

r 1

0,0

00

po

p

Source: NH Division of Public Health Services

2016 - 2017 Emergency Department Opioid Use Visits by Countyper 10,000 Population

2016

2017

0.16% 3%

37%

34%

13%

8%5%

2017 Emergency Department Opioid Use Visits by Age

0-9

10-19

20-29

30-39

40-49

50-59

60+

Source: NH Division of Public Health Services

Page 10: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Opioid Related Emergency Department Visits (Continued): Data Source: NH Division of Public Health Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

10 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

January February March April May June July August September October November December 2017 2016

Total 549 452 579 549 511 576 588 614 589 658 550 469 6684 6084

County

Belknap 12 10 8 10 8 10 15 15 8 16 6 16 134 94

Carroll 12 3 5 8 10 7 14 12 12 13 7 4 107 175

Cheshire 17 14 13 17 13 12 10 8 17 12 14 11 158 135

Coos 22 22 8 13 12 16 14 18 10 15 14 8 172 143

Grafton 17 13 26 18 9 14 14 7 12 24 11 11 176 205

Hillsborough 183 203 273 238 197 227 203 262 273 254 218 182 2713 2501

Merrimack 57 58 93 81 76 96 103 103 80 87 82 54 970 559

Rockingham 81 37 47 53 50 53 64 48 52 70 64 41 660 736

Strafford 89 50 51 63 75 82 92 71 66 100 82 75 896 961

Sullivan 15 12 18 15 18 15 22 18 15 22 11 16 197 81

Out of State 44 30 37 33 43 44 37 52 44 45 41 51 501 494

Gender

Male 339 264 325 315 291 309 322 357 360 369 294 253 3798 3452

Female 210 188 254 234 220 267 266 257 229 289 256 216 2886 2632

Age

0-9 0 1 0 0 1 1 3 1 1 0 2 1 11 5

10-19 9 14 9 28 19 12 17 13 14 11 12 12 170 176

20-29 214 182 220 183 203 215 217 227 211 217 213 175 2477 2443

30-39 163 145 160 189 158 196 198 212 212 251 180 171 2235 1889

40-49 91 53 96 73 59 77 83 73 72 92 60 50 879 774

50-59 44 34 57 52 46 55 48 44 47 51 51 33 562 500

60+ 28 23 37 24 25 20 22 44 32 36 32 27 350 297

Page 11: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

11 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Trends: Opioid/opiate, methamphetamine, & cocaine/crack

treatment admissions increased by 28% from 2016 to 2017.

In 2017 residents from Strafford County were admitted most often for opioid/opiate, methamphetamine, & cocaine/crack treatment per capita with 25.91 admissions per 10,000 population.

Based on absolute numbers Hillsborough County had the most opioid/opiate, methamphetamine, & cocaine/crack admissions with 1023 admissions in 2017.

In 2017 82% of treatment admissions involved opioid/opiates.

*** IMPORTANT DATA NOTES***

County represents where the patient resides.

These data represent treatment admissions to state funded facilities.

235.65

301.52

0.00

50.00

100.00

150.00

200.00

250.00

300.00

350.00

2016 2017

# o

f T

rea

tme

nt

Ad

mis

sio

ns

pe

r 1

00

,00

0 p

op

Source: NH Bureau of Drug & Alcohol Services

Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Year per 100,000 Population

8%

10%65%

17%

82%

2017 Percentage of Opioid/Opiate (Rx Opiate, Heroin/Fentanyl), Methamphetamine, &

Cocaine/Crack Treatment Admissions

Methamphetamine Cocaine/Crack

Heroin/Fentanyl Rx Opiates

Source: NH Bureau of Drug & Alcohol Services

25.67

8.987.77

13.47 13.57

25.73

23.11

10.56

26.71

5.72

0.00

5.00

10.00

15.00

20.00

25.00

30.00#

of

Tre

atm

en

t A

dm

issi

on

s p

er

10

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op

Source: NH Bureau of Drug & Alcohol Services

2017 Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population

Page 12: New Hampshire Drug Monitoring InitiativePurpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line

Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

12 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

Opioid/Opiate

Treatment 2015 January February March April May June July August September October November December 2017 2016

Total 2183 296 280 280 346 259 314 311 261 252 267 252 170 3288 2793

County

Belknap 92 9 10 10 8 11 6 10 17 11 12 7 13 124 147

Carroll 17 2 6 4 5 3 4 3 4 1 1 5 1 39 31

Cheshire 41 8 8 2 5 4 5 6 4 3 5 1 4 52 45

Coos 41 1 2 3 3 3 4 3 6 2 1 3 1 32 47

Grafton 196 10 10 10 14 4 10 12 3 8 4 6 2 93 129

Hillsborough 725 67 62 79 100 68 78 91 63 66 81 66 43 864 869

Merrimack 120 19 33 19 23 21 23 22 23 31 20 20 16 270 178

Rockingham 186 22 18 23 37 21 27 33 17 9 24 23 19 273 231

Strafford 237 33 31 21 25 25 19 17 21 34 20 20 13 279 256

Sullivan 18 3 0 0 1 3 3 1 0 0 2 1 0 14 22

Out of State 19 0 1 0 1 0 3 2 2 2 1 2 1 111 22

Not Provided 491 122 102 109 124 96 132 111 101 85 96 98 57 1137 816

Gender

Male 1174 185 173 168 206 148 187 187 156 140 1712 156 110 1978 1536

Female 1009 111 107 112 140 111 127 124 105 112 1154 95 60 1309 1257

Transgender 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1

Age

< 18 14 2 0 1 0 1 0 2 0 0 0 0 0 6 7

18—25 699 68 59 68 71 55 65 65 45 53 51 54 51 704 742

> 26 1470 226 221 211 275 203 249 244 216 19 216 198 120 2578 2044