in 2013… 10,049 total deaths reported to the ocme 5,808 cases were accepted (posts and views) 912...
TRANSCRIPT
Fatal Prescription Drug Overdoses
in Virginia, 2007-2013
Virginia Department of Health Office of the Chief Medical Examiner
Rosie Hobron, MPH
In 2013…
10,049Total deaths reported to the OCME
5,808Cases were accepted (posts and views)
912Ruled as drug/poison deaths
15.7% of all OCME deaths were due to drug/poisons
In 2013, there were 912 fatal drug/poison
overdoses in Virginia…that’s
2.5 deaths per day!
IN 2013, THE NUMBER OF
DRUG/POISON DEATHS (N=912) SURPASSED THAT
OF MOTOR VEHICLE
FATALITIES (N=831)
IN 2013, DRUG/POISON
DEATHS (N=912)
SURPASSED THAT OF FIREARM RELATED DEATHS (N=848)
What is considered a drug/poison death?
Any death in which one or more chemical substances caused death› Alcohol› Prescription drugs› Illegal drugs› OTC › Ethylene glycol› Inhalants› Other (heavy metals, etc)› Not otherwise specified
Alpra
zola
m
Bupre
norp
hine
Citalo
pram
Cocai
ne
Cyclo
benz
aprin
e
Diphe
nhyd
ram
ine
Gabap
entin
Hydro
codo
ne
Lora
zepa
m
Met
ham
phet
amin
e
Mor
phin
e
Nortri
ptylin
e
Oxym
orph
one
Tape
ntad
ol0
50
100
150
200
250
158
181
17
3724
13 11
36
68
47
102
16
213
69
40
151
10
104
85
57
36
180
52
22
2
31
Number of Drug/Poisons Causing or Contributing to Death in Fatal Drug Overdoses, 2013
Name of Drug/Poison
Nu
mb
er
De
tecte
d
1 The numbers represented in this graph are tallied by the number of drugs/poisons that caused or contributed to death and will therefore far exceed the actual number of deaths2 Drugs/poisons in the graph are the most common drugs causing or contributing to death and do not account for all drugs tested for in toxicology
2007 2008 2009 2010 2011 2012 20130
100
200
300
400
500
600
700
800
900
1000
721 735713
690
819 800
912
495
562510
561
636
572
634
Number of Fatal Prescription Drug Overdose Com-pared to All Drug/Poison Deaths by Year, 2007-2013
All Drug/Poison DeathsPrescription Drug Deaths
Year
Nu
mb
er
of
De
ath
s
1 One or more drugs/poisons from different drug categories may have caused or contributed to death
Female44.2%
Male55.8%
Percentage of Prescription Drug Deaths by Gender (n=634), 2013
<1 1-4 5-9 10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+0
20
40
60
80
100
120
0
5
10
15
20
Number and Rate of Fatal Prescription Drug Overdoses by Gender and Age Group (n=634),
2013
FemaleMaleFemale RateMale Rate
Age Group (years)
Nu
mb
er
of
De
ath
s
Ra
te p
er
10
0,0
00
ASIAN BLACK HISPANIC WHITE OTHER0
50
100
150
200
250
300
350
0
2
4
6
8
10
12
14
1
27
7
243
21
27
3
321
2
Number and Rate of Fatal Prescription Drug Over-doses by Race/Ethnicity and Gender (n=634), 2013
FemaleMale Female Rate
Race/Ethnicity
Nu
mb
er
of
Death
s
Rate
per
10
0,0
00
What’s the most common group of prescription drugs
causing death?
OPIOIDS
Over 75% of all prescription drug deaths are
attributed to prescription opioids
Codei
ne
Fent
anyl
Heroi
n
Hydro
codo
ne
Hydro
mor
phon
e
Met
hado
ne
Mor
phin
e
Oxyco
done
Oxym
orph
one
0
20
40
60
80
100
120
140
160
180
200
11
102
36
69
40
104
85
180
52
Number if Opioid Drugs Causing or Contributing to Death in Fatal Prescription Opioid Overdoses
(n=468), 2013
Drug
Nu
mb
er
of
Dru
gs
1 Prescription opioid deaths may have more than 1 opioid causing or contributing to death2 Morphine is not reported for heroin deaths due to it being a metabolite of heroin
2007 2008 2009 2010 2011 2012 20130
100
200
300
400
500
600
700
800
900
1000
721 735713
690
819 800
912
495
562
510
561
636
572
634
389422
398 415
487
414
468
100 89 107
48
100135
213
Number of Fatal Prescription Drug, Prescription Opioid, and Heroin Overdoses Compared to All
Drug/Poison Deaths by Year, 2007-2013All Drug/Poison DeathsPrescription Drug DeathsPrescription OpioidsHeroin
Year
Nu
mb
er
of
De
ath
s
1 One or more drugs/poisons from different drug categories may have caused or contributed to death
Female44.4%
Male55.6%
Percentage of Prescription Opioid Deaths by Gender (n=468), 2013
<1 1-4 5-9 10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+0
10
20
30
40
50
60
70
80
90
100
0
5
10
15
20
Number and Rate of Fatal Prescription Opioid Overdoses by Gender and Age Group (n=468),
2013
FemaleMaleFemale RateMale Rate
Age Group (years)
Nu
mb
er
of
De
ath
s
Ra
te p
er
10
0,0
00
ASIAN BLACK HISPANIC WHITE OTHER0
50
100
150
200
250
0
2
4
6
8
10
12
14
1
21
4
180
21
19
2
236
2
Number and Rate of Fatal Prescription Opioid Overdoses by Race/Ethnicity and Gender (n=468),
2013FemaleMale Female Rate
Race/Ethnicity
Nu
mb
er
of
Death
s
Rate
per
10
0,0
00
