new hampshire drug monitoring initiative the nh drug monitoring initiative ... drug overdose deaths:...

Table of Contents:

Drug Environment ReportUNCLASSIFIED

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

Drug Overdose Deaths Map

EMS Narcan Administration

EMS Narcan Administration Map

Opioid Related Emergency Department Visits

Treatment Admissions

Situational Awareness

Substance Abuse Treatment/Recovery Directory

1 UNCLASSIFIEDAUTHORIZED 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 #: 2018-3265 January 2018 Report 1 March 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.

Tracked by NHIAC/HSEC SINs: 03,16 / 05,06

Previous versions of the Drug Environment Report can be found at: https://www.dhhs.nh.gov/dcbcs/bdas/data.htm

mailto:[email protected]://www.nh.gov/oep/data-center/population-estimates.htmhttps://www.dhhs.nh.gov/dcbcs/bdas/data.htm

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED

Overview: Trends for Narcan, ED Visits, Treatment Admissions, and Overdose Deaths:

UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE 2

13.4515.25

12.3414.51

25.03

33.00

36.46

31.04

35.78

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

Dea

ths

per

100

,000

po

pu

lati

on

* 2017 Numbers are based on analysis as of 13 February 2018 - 63 Cases Pending

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

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

February 2017 - January 2018Opioid Related EDVisits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

Drug Overdose Deaths: Data Source: NH Medical Examiners Office

UNCLASSIFIED



Right click on the paperclip and select Open File to view additional data.

*** IMPORTANT DATA NOTES***

2017 Total numbers are based on analysis as of 13 February, 2018.

Breakdowns are based on analysis as of 23 January, 2018.

There are currently 63 cases pending toxicology for 2017.

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

used.

0.51%

23%

27%22%

22%

6%

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

0-19

20-29

30-39

40-49

50-59

60+

*2017 Numbers are based on analysis as of 23 January, 2018

Trends: At this time, drug overdose deaths are projected to decrease by

2% from 2016 to 2017. In 2017 thus far, Hillsborough County has the highest suspected

drug use resulting in overdose deaths per capita at 3.91 deaths per 10,000 population.

Strafford County had the next highest suspected drug use resulting in overdose deaths per capita at 3.43 deaths per 10,000 population.

The age group with the largest number of drug overdose deaths is 30-39 which represents 27% of all overdose deaths for 2017.

As released by the Attorney Generals Office, there have been 12 deaths related to the use of carfentanil in 2017.

2.98

1.881.55

2.682.35

3.91

2.232.50

3.43

0.91

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50#

of

de

ath

s p

er

10

,00

0 p

op

* 2017 Numbers are based on analysis as of 23 January 2018 -90 cases still pending

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

13.4515.25

12.3414.51

24.57

33.00

36.46

31.04

2.28 4.63 3.63

6.57

15.45

24.6526.83

23.68

1.90 1.97 1.44 2.272.71 3.68

4.743.01

35.78

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 DrugDeaths

Fentanyl/Heroin RelatedDeaths +

CocaineRelatedDeaths+

* 2017 Projected numbers are based on analysis as of 13 February 2018 - 63 cases pending+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

Projected

Drug Overdose Deaths: Data Source: NH Medical Examiners Office

UNCLASSIFIED


UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE

2017 Numbers are based on analysis as of 23 January 2018 90 cases still pending

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

Total 192 332 439 485 35 30 35 52 45 36 47 42 42 27 4 0 395

County

Belknap 8 17 17 16 1 1 3 3 0 0 4 2 2 2 0 0 18

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

Cheshire 14 17 11 20 2 0 2 1 0 0 0 2 2 3 0 0 12

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

Grafton 13 17 13 16 1 2 3 1 3 5 2 2 0 2 0 0 21

Hillsborough 68 106 178 199 10 10 12 22 22 17 22 14 17 11 1 0 158

Merrimack 17 40 39 43 6 2 1 4 4 2 6 4 3 1 0 0 33

Rockingham 34 64 89 90 8 6 12 9 8 4 8 8 10 1 1 0 75

Strafford 25 40 47 55 3 6 0 6 5 5 3 7 4 4 0 0 43

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

Out of State 0 3 0 2 0 1 0 0 0 0 0 0 0 0 0 0 1

Not Determined 0 0 0 9 1 0 0 2 2 0 1 0 2 3 1 0 12

Gender

Male 132 219 307 336 26 18 31 36 32 29 31 33 27 17 4 0 284

Female 61 107 131 149 9 12 4 16 13 7 16 9 15 10 0 0 111

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 9 6 10 11 12 8 6 2 0 90

30-39 32 80 116 147 6 10 9 15 11 10 13 10 17 6 0 0 107

40-49 52 67 99 98 9 12 6 14 12 6 12 2 9 5 0 0 87

50-59 51 78 91 89 6 1 10 11 10 9 7 13 8 8 2 0 85

60+ 15 19 14 21 2 1 2 3 6 1 3 4 0 2 0 0 24

NH IACFile AttachmentDrug Overdose Deaths.pdf

Drug Overdose Deaths (Continued): Data Source: NH Medical Examiners Office

UNCLASSIFIED



166

28

14 12 115 3 2 4 2

0

20

40

60

80

100

120

140

160

180

# o

f D

ea

ths

Fentanyl Combination Related Drug Deaths 2017*

*2017 Numbers are based on analysis as of 23 January, 2018Source: NH Medical Examiner's Office

12

7

2 2 2 2

1 1 1 1

0

2

4

6

8

10

12

14

# o

f D

ea

ths

Cocaine Combination Related Drug Deaths 2017*

*2017 Numbers are based on analysis as of 23 January, 2018Source: NH Medical Examiner's Office

Fentanyl Combinations (Top 10)

Fentanyl 166

Acetyl Fentanyl; Fentanyl 28

Ethanol; Fentanyl 14

Cocaine; Fentanyl 12

Fentanyl; Heroin 11

Carfentanil; Fentanyl 5

Fentanyl; Methamphetamine 4

Acetyl Fentanyl; Ethanol; Fentanyl 3

Acetyl Fentanyl 2

Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2

Cocaine Combinations (Top 10)

Cocaine; Fentanyl 12

Cocaine 7

Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2

Clonazepam; Cocaine; Fentanyl 2

Cocaine; Ethanol; Fentanyl 2

Cocaine; Fentanyl; Heroin 2

Acetyl Fentanyl; Cocaine; Fentanyl 1

Acetyl Fentanyl; Cocaine; Fentanyl; Morphine 1

Alprazolam; Cocaine; Ethanol 1

Buprenorphine; Cocaine; Fentanyl 1

Pittsburg

Lincoln

Alton

Errol

MilanStark

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

WolfeboroGrafton

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

AmherstWilton

Alexandria

Dorchester

NashuaSalem

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

Mason Pelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

NelsonChester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charles

town

Plymouth

Kilkenn

y

Temple

Northfield

Dunbarton

SurryManchester

Windham

Goshen Pittsfield

Peterborough

Grantham

Sunape

e

Northwood

New Ham

pton

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kingston

GilsumSullivan

Francestown

Ellsworth

Brookfield

Northu

mberla

ndPem

broke

Tilton

Sharon

BrooklineLyn

deborou

gh

FremontHarrisville

New London

Chiches

ter

Middleton

Allenstown

Second College GrantDixs Grant

Langdon

Bridgewate

r

Sugar Hill

Litchfield

Stratham

Marlborough

Brentwoo

d

24Sandown Danville

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

Greenville12

17

19

4

913

8

14

15

!

28

2

!10

Coos

GraftonCarroll

Merrimack

CheshireHillsborough

Sullivan

Rockingham

Belknap

Strafford

0 10 20 305MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

Overdose Deaths by Town* - 2017 +(Data Source: NH Medical Examiner's Office)*Location where the drug(s) is suspected to have been used.

+2017 data was reported on January 23, 2018There are many more deaths that are suspected to be drug related, but the official cause of death is pending until the toxicology results are received.90 cases pending

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

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 5

1 - 45 - 1011 - 2526 - 5051 - 100

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


UNCLASSIFIED


Trends: EMS Narcan administration incidents decreased by 1.6% from

December to January. In January Belknap County had the most EMS Narcan

administration incidents per capita with 2.47 incidents per 10,000 population.

Based on absolute numbers Hillsborough County had the most Narcan incidents with 69 incidents in January.

The age group with the largest number of EMS Narcan administration incidents was 30-39 which represents 35% of all EMS Narcan administration incidents for January.

NH Bureau of EMS Percentage of lives saved increased by 1% from December to January.


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.


0.00

5.00

10.00

15.00

20.00

25.00

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

# o

f In

cid

ents

Invo

lvin

g N

arca

n p

er 1

00,0

00 p

op

Source: NH Bureau of EMS

EMS Narcan Administration by Month per 100,000 PopulationJanuary 2015 - January 2018

2015

2016

2017

2018

2.47

0.84 0.78

0.30

1.00

1.701.55 1.62

0.72

0.23

0.00

0.50

1.00

1.50

2.00

2.50

3.00#

of

Inci

de

nts

In

vo

lvin

g N

arc

an

pe

r 1

0,0

00

po

p


January EMS Narcan Administration by County per 10,000 Population

2%

29%

35%

14%

8%

12%

January EMS Narcan Administrationby Age Group

0-19

20-29

30-39

40-49

50-59

60+


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


UNCLASSIFIED


2014 2015 2016 2017 January February March April May June July August September October November December 2018

Total 1892 2677 2895 2774 186 186

County

Belknap 59 113 116 215 15 15

Carroll 52 80 91 68 4 4

Cheshire 65 79 144 104 6 6

Coos 41 65 65 73 1 1

Grafton 56 57 66 84 9 9

Hillsborough 757 1139 1209 1140 69 69

Merrimack 185 228 233 310 23 23

Rockingham 380 501 488 503 49 49

Strafford 286 380 449 242 9 9

Sullivan 11 35 34 35 1 1

Gender

Male 1185 1736 1916 1879 56 56

Female 706 938 979 887 130 130

Age

0-19 83 94 87 75 3 3

20-29 588 954 973 863 54 54

30-39 428 684 853 808 65 65

40-49 304 364 385 439 27 27

50-59 233 314 327 326 15 15

60+ 246 256 253 246 22 22

Age or Gender

Not Given 10 11 17 20 0 0

NH IACFile AttachmentEMS Narcan Administration.pdf

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


UNCLASSIFIED


EMS Narcan AdministrationLives Saved

Source: NH Bureau of EMS 2018 2017

RODS Outcome Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan

No Improvement RODS Score of 0

76 74 71 84 91 76 71 108 83 71 58 46

Some Improvement RODS Score 1-7

20 23 23 26 33 22 28 26 21 17 17 24

Negative Improvement Negative RODS Score

17 11 11 17 23 20 18 18 18 11 12 14

Lives Saved RODS Score of 8+

93 88 127 86 134 158 109 140 127 113 102 102

Total 206 196 232 213 281 276 226 292 249 212 189 186

RODS, or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR) and Glasgow Coma Score (GCS - measure of alertness) before and after Narcan administration. For example, RR improved from 6/min

to 12/min (delta of 6) and GCS improved from 10 to 13 (delta of 3), the RODS score would be 9. The delta of the vital signs is calculated per incident, so the patient may have received more than one dose of Narcan to achieve the effect in

the RODS.

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan


EMS Narcan Administration - Lives Saved %February 2017- January 2018 Lives Saved

No Improvement

Some Improvement

Negative Improvement

RODS, or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR) and Glasgow Coma Score (GCS -measure of alertness) before and after Narcan administration. For example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10 to 13 (delta of 3), the RODS score would be 9. The delta of the vital signs is calculated per incident, so the patient may have received more than one dose of Narcan to achieve the effect in the RODS.

3.13

0.84

1.29

2.69

0.56

2.19

1.69

1.42

0.64

0.00

1.97

0.84

1.29

1.50

0.67

1.63 1.691.52

0.72

1.37

2.47

0.84 0.78

0.30

1.00

1.701.55 1.62

0.72

0.23

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan

# of

Inci

den

ts In

volv

ing

Nar

can

per

10,

000

pop


EMS Narcan Administration by County per 10,000 Population

Nov

Dec

Jan

Pittsburg

Lincoln

Alton

Errol

MilanStark

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

WolfeboroGrafton

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

AmherstWilton

Alexandria

Dorchester

NashuaSalem

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

Mason Pelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

NelsonChester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charles

town

Plymouth

Kilkenn

y

Temple

Northfield

Dunbarton

SurryManchester

Windham

Goshen Pittsfield

Peterborough

Grantham

Sunape

e

Northwood

New Ham

pton

New Ipswich

Greenfield

HinsdaleHebron

Westmoreland

Boscawen

Kingston

GilsumSullivan

Francestown

Ellsworth

Brookfield

Northu

mberla

ndPem

broke

Tilton

Sharon

Brookline

Lyndeb

orough

FremontHarrisville

New London

Chiches

ter

Middleto

n

Allenstown

Second College GrantDixs Grant

Langdon

Bridgewate

r

Sugar Hill

Litchfield

Stratham

Marlborough

Brentwoo

d

24Sandown Danville

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

913

8

14

15

28

2

!

10

Coos

Grafton Carroll

Merrimack

Cheshire Hillsborough

Sullivan

Belknap

Strafford

Rockingham

0 10 20 305MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

EMS/Narcan Administration by T own2/1/2017 1/31/2018Data 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

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

UNCLASSIFIED



Trends: Opioid related ED visits increased by 18.5% from

December to January 2018. In January residents from Strafford County had the most

opioid related ED visits per capita with 6.68 visits per 10,000 population.

Hillsborough County residents had the second highest number of opioid related ED visits per capita with 5.89 visits per 10,000 population.

The age group with the largest number of opioid related ED visits was 20-29 with 39% of all opioid related ED visits for January.


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 three of the hospitals are sending ICD-10 data.

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


26.08 26.98 24.73

31.95

23.83

34.80

40.36

34.73

40.44

50.06

40.21

44.20

34.20

41.64 40.89

41.14

33.87

43.3841.14

38.29

43.16

44.06

46.01 44.13

49.30

41.21

35.1441.66

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

# 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

Emergency Department Opioid Use Visits by Month per 100,000 PopulationOctober 2015 - January 2018

2015

2016

2017

2018

2.30 2.51

1.42

3.59

1.00

5.89

4.53

1.79

6.68

3.21

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00#

of

ED

Op

ioid

Use

Vis

its

pe

r 1

0,0

00

po

p


January Emergency Department Opioid Use Visits by Countyper 10,000 Population

0% 3%

39%

33%

13%

7%5%

January Emergency Department Opioid Use Visits by Age

0-9

10-19

20-29

30-39

40-49

50-59

60+


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

UNCLASSIFIED



January February March April May June July August September October November December 2018 2016 2017

Total 556 556 6084 6684

County

Belknap 14 14 94 134

Carroll 12 12 175 107

Cheshire 11 11 135 158

Coos 12 12 143 172

Grafton 9 9 205 176

Hillsborough 239 239 2501 2713

Merrimack 67 67 559 970

Rockingham 54 54 736 660

Strafford 84 84 961 896

Sullivan 14 14 81 197

Out of State 40 40 494 501

Gender

Male 326 326 3452 3798

Female 230 230 2632 2886

Age

0-9 2 2 5 11

10-19 14 14 176 170

20-29 214 214 2443 2477

30-39 183 183 1889 2235

40-49 75 75 774 879

50-59 40 40 500 562

60+ 28 28 297 350

NH IACFile AttachmentOpioid Related ED Visits.pdf

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

UNCLASSIFIED



0.991.46

1.81

4.19

1.22

5.37 5.54

2.12

6.52

2.52

2.63

0.84 1.42

2.39

1.22

4.49

3.65

1.36

5.96

3.662.30

2.51

1.42

3.59

1.00

5.89

4.53

1.79

6.68

3.21

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00


# o

f E

D O

pio

id U

se V

isit

s p

er

10

,00

0 p

op

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits by County per 10,000 Population

Nov

Dec

Jan

33.98

43.5241.27

38.41

43.30 44.20 46.15 44.27

49.46

41.34

35.25

41.79

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan

# o

f ED

Op

ioid

Use

Vis

its

per

10

0,0

00

po

p

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits per 100,000 Population February 2017 - January 2018

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

UNCLASSIFIED



Trends: Opioid/opiate, Methamphetamine, & Cocaine/Crack

treatment admissions increased by 28.5% from December to January.

In January residents from Belknap County were admitted most often for opioid/opiate treatment per capita with 1.97 admissions per 10,000 population.

More males than females were admitted to treatment programs in January for opioid/opiate, Methamphetamine, & Cocaine/Crack use.

Methamphetamine treatment admissions decreased by 42% from December to January.

Cocaine/Crack treatment admissions decreased by 3% from December to January.

Heroin/Fentanyl treatment admissions increased by 54% from December to January.


County represents where the patient resides.

These data represent treatment admissions to state funded facilities.


59%

41%

January Treatment Admissions by Gender

Male

Female

Source: NH Bureau of Drug & Alcohol

24.80 24.95

29.97

23.53

28.32 27.80

24.2023.00

26.3824.80

17.61

22.63

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00


# 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 Month per 100,000 Population

February 2017- January 2018

1.97

0.63

0.13

0.600.44

1.50 1.55

0.79

1.83

0.160.05 0.14 0.03

0.24

0.00

0.320.20 0.07 0.24

0.00

0.50

1.00

1.50

2.00

2.50

# o

f T

re

atm

en

t A

dm

issio

ns p

er 1

0,0

00

po

p


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

Opioid/Opiate

Methamphetamine

Cocaine/Crack

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

UNCLASSIFIED



Treatment data includes opioid/

opiate, methamphetamine, &

cocaine/crack admissions.

2017 January February March April May June July August September October November December 2018

Total 4024 302 302

County

Belknap 156 13 13

Carroll 43 4 4

Cheshire 60 1 1

Coos 45 2 2

Grafton 122 4 4

Hillsborough 1044 76 76

Merrimack 342 28 28

Rockingham 319 27 27

Strafford 336 29 29

Sullivan 25 1 1

Out of State 129 0 0

Not Provided 1403 117 117

Gender

Male 2419 179 179

Female 1602 123 123

Transgender 2 0 0

Age

< 18 7 0 0

1825 821 44 44

> 26 3196 258 258

NH IACFile AttachmentTreatment Admissions.pdf

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

UNCLASSIFIED



0.00

5.00

10.00

15.00

20.00

25.00


# o

f T

reat

me

nt

Ad

mis

sio

ns

pe

r 1

00

,00

0 p

op


Heroin/Fentanyl , Rx Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Month per 100,000 Population February 2017 - January 2018

Heroin/Fentanyl

Rx Opiates

Methamphetamine

Cocaine/Crack

1.151.04

0.13

0.90

0.67

1.63

1.35

0.76

1.59

0.23

2.14

0.21

0.52

0.300.22

1.06 1.08

0.63

1.03

0.00

1.97

0.63

0.13

0.60

0.44

1.501.55

0.79

1.83

0.23

0.00

0.50

1.00

1.50

2.00

2.50


# o

f Tr

eatm

ent

Ad

mis

sio

ns

per

10,

000

po

p


Opioid/Opiate Treatment Admissions by County per 10,000 Population

Nov

Dec

Jan


UNCLASSIFIED


Situational Awareness:

NH Senate Rejects Tapping Rainy Day

Fund for Drug Crisis

New Hampshire wont be

tapping into its Rainy Day Fund to fight

the opioid crisis.

The state Senate on Thursday

voted down legislation that would have

allowed the governor or Legislature to

declare a public health emergency and tap into 10 percent of the

states Rainy Day Fund.

The fund currently stands at $100 million.

Democrats argued that the bill made sense given the scope of

the problemthe state ranks third in overdose deaths. Republicans

said the fund must be protected and that Democrats had failed to spell

out a cautious plan for tapping into it.

Source: www.nhpr.org 2/18/2018

New Hampshire Safe Stations

HOPE for New Hampshire Recovery Closed in 4 NH Cities

One of the states biggest nonprofits dedicated to helping

people live sober unexpectedly announced it was closing four of its five

support and recovery resource centers in the state, including ones in

Franklin, Berlin, Claremont and Concord, due to a lack of funding. Hope

for NH Recovery officials said the nonprofit has been without state aid

since the start of this fiscal year in July.

When we were initially asked to open centers in these

communities we intended for them to be sustained via a blend funding

stream. This stream was to consist of support from local businesses,

organizations, and individuals as well as some state funding, Scott

Bickford, HOPEs board chairman, wrote in the release.

The organizations main facility in Manchester has received the

most funding through donors and will still continue to provide services,

officials said.

Source: www.Valleynews.com 2/21/2018

Manchester Safe Station Began 5/4/2016

Nashua Gateway to Recovery Began 11/17/2016

Manchester

As of 2/8/2018

Nashua

As of 2/23/2018

Q1 2018 Total Q1 2018 Total

Number of requests at MFD/NFR for Safe Station: 182 3103 174 1493

Number of participants transported to hospitals: 80 704 7 138

Number of participants taken to Substance Misuse Treatment Facilities: 101 2386 166 1331

Average length of time company Not Available: 14.9 Min 16.5 Min 9.6 Min 11 Min

Number of UNIQUE participants: 66 1677 58 719

Number of REPEAT participants: 93 1215 90 768

Number of unique participants seen in both Citys SafeStation Program 273

http://nhpr.org/post/nh-senate-rejects-tapping-rainy-day-fund-drug-crisishttp://www.vnews.com/Hope-for-NH-Recovery-center-closing-4-of-5-locations-including-in-Claremont-NH-15714146


UNCLASSIFIED


Substance Abuse Treatment/Recovery Directory: State funded treatment facilities in NH (NOT a complete list) - Data Source: NH Department of Health and Human Services

BERLIN

Tri-County Community Action Pro-

grams Inc.

30 Exchange Street

Berlin, NH 03570

CANAAN

HALO Educational Systems

44 Roberts Road

Canaan, NH 03741

CONCORD

Concord Hospital

The Fresh Start Program

(Intensive Outpatient 18 years and

older and Outpatient Services.)

250 Pleasant Street, Suite 5400

Concord, NH 03301

Phone: 603-225-2711 ext. 2521

DOVER

Southeastern NH Alcohol and Drug

Abuse Services

(Outpatient and Intensive Outpatient

Services.)

272 County Farm Road

Dover, NH 03820

Crisis Center: 603-516-8181

Main: 603-516-8160

Manchester Alcoholism and Rehabil-

itation Center

(Intensive Outpatient 18 years and

older and Outpatient Services.)

555 Auburn Street

Manchester, NH 03101

Phone: 603-263-6287

National Council on Alcoholism and

Drug DependenceGreater Man-

chester

101 Manchester St.


NASHUA

Greater Nashua Council on Alcohol-

ism

Keystone Hall

(Outpatient and Intensive Outpatient

Services for Adults, Adolescents and

Their Families.)

615 Amherst Street

Nashua, NH 03063

Phone: 603-943-7971 Ext. 3

The Youth Council

(Outpatient for Adolescents and Fam-

ilies.)

112 W. Pearl Street

Nashua, NH 03060

Phone: 603-889-1090

PORTSMOUTH

Families First of the Greater Seacoast

(Pregnant and Parenting Women,

Primary Care Setting, Outpatient.)

100 Campus Drive, Suite 12

Portsmouth, NH 03801

Phone: 603-422-8208 Ext. 150

SOMERSWORTH

Goodwin Community Health Center

311 NH-108

Somersworth, NH 03878

Phoenix Houses of New England

Locations in: Dublin, Keene, North-

field

GILFORD

Horizons Counseling Center

(Intensive Outpatient 18 years and old-

er and Outpatient Services.)

25 Country Club Road Suite #705

Gilford, NH 03249

Phone: 603-524-8005

HAVERHILL

Grafton County House of Corrections

Dartmouth College Road

Haverhill, NH 03765

LEBANON

Headrest

12 Church Street

PO Box 247

Lebanon, NH 03766

Hotline: 603-448-4400 or 800-639-6095

Phone: 603-448-4872

MANCHESTER

Families in Transition

(Provides services for parenting women

including pregnant women, intensive

outpatient services; housing and com-

prehensive social services.)

122 Market Street


Phone: 603-641-9441

A full list of Substance Abuse and Treat-

ment Facilities can be found here.

A treatment locator can be found here.

http://www.dhhs.nh.gov/dcbcs/bdas/guide.htmhttp://nhtreatment.org/

new hampshire drug monitoring initiative the nh drug monitoring initiative ... drug overdose deaths:...

Documents