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Drug Poisoning Trends and Local Prevention Strategies

Drug Poisoning Trends and Local Prevention Strategies . Safe Communities Madison/Dane County (WI). Presentation to Safe Communities America Networking Session August 3 & 4 , 2011. Poisoning – Leading Cause of Injury Deaths Dane County, 2004-2008 [age-adjusted rates per 100,000].

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Drug Poisoning Trends and Local Prevention Strategies

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  1. Drug Poisoning Trends and Local Prevention Strategies Safe Communities Madison/Dane County (WI) Presentation to Safe Communities America Networking Session August 3 & 4, 2011

  2. Poisoning – Leading Cause of Injury Deaths Dane County, 2004-2008[age-adjusted rates per 100,000] • 268 poisoning deaths in Dane County • 69% unintentional (no harm intended) • 31% intentional (self harm)

  3. Large Numbers of People Go To Hospital Due to Poisoning in Dane County, 2005-2009 • 3159 hospitalizations (stay more than 24 hrs) • Second leading cause of injury hospitalization • 3040 emergency department visits Poisoning Deaths, Hospitalizations and ED Visits have increased over the past 10 years.

  4. Poisoning Age Group Differences • Poisoning deaths in Dane County (2004-2008) are highest in ages: 1.) 45-54 years; 2.) 35-44 years; 3.) 25-34 years • Poisoning hospitalizations in Dane County (2004-2008) are highest in ages: 1.) 15-19 years; 2.) 35-44 years; 3.) 45-54 years

  5. Poisoning Deaths By Age and Intent2004-2008, rates per 100,000

  6. Poisoning Deaths by IntentDane County, 2008

  7. Drugs (prescription, over-the-counter, illicit) Main Substances (82.2%) Implicated in Poisoning Deaths Dane County (2004-2008)

  8. Unintentional* Poisoning Hospitalizations: Over ¾ are Due to Drugs Dane County, 2004-2008 * Includes substance misuse & abuse

  9. Methadone 25(13%) Heroin 24(13%) Hallucinogens 4(2%) Other Opiates* 136 (72%) The Drugs of Biggest Concern forUnintentional Poisoning Hospitalizations are Opiates and HallucinogensDane County, 2004-2008 *Other opiates: includes codeine, morphine, oxycodone (Oxycotin), hydrocodone (Vicodin), Propoxyphene (Darvon), opium etc. Overprescribed, easily available, can result in dependence & abuse or lead to the use of other drugs

  10. Need for Multifaceted Strategies • Reduce access to drugs: • Prescription & over-the • -counter drugs • Illegal drugs (or illegal use of Rx drugs) • Reduce inappropriate prescription use • Inappropriate prescribing • Unintentional medication errors (misuse) Supply • 6. Substance abuse prevention • 7. Early Intervention, drug treatment & recovery Demand • Improve Poisoning Overdose • Intervention (reduce deaths) Other

  11. Need for Multidisciplinary Partner Collaboration • Injury Prevention Summit on Drug Poisoning (November 14, 2011; 12:00 – 5:00 pm) • Share info on current & potential programming • Develop cross-disciplinary local strategies

  12. Strategies we’ll propose at Injury Prevention Summit: Focus on Drug Poisoning • Increase targeted marketing to promote MedDrop pharmaceutical take back program to at-risk groups • Build collaboration among local health care systems to reduce community supply of opiates (eg. adopt prescribing guidelines; adjust insurance co-pay policies) • Formation of community-based drug-free coalitions

  13. Reduce Access – MedDrop Program • Drug take-back program in Dane County • Collection events (3 locations; 1/year) • Permanent Drop Boxes (10 locations/year-round) • As of 2011, coordinated by Safe Communities • Dane County Drop Box Pilots (11/10-present) • Madison Police East District – S. Thompson Dr. • 1,150 lbs - 48 buckets (as of 7/11) • Middleton Police – Donna Dr • 2,100 lbs - 107 buckets (as of 7/11)

  14. Black Earth Cambridge

  15. Resources CDC Public Health Grand Rounds “Prescription Drug Overdoses: An American Epidemic” at www.cdc.gov/about/grand-rounds Washington State Guidelines on Use of Opioids for Chronic Non-Cancer Pain Controlled Substances Workgroup Recommendations on Preventing Non-Medical Use of Prescription Drugs (WI) under SCAODA

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