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Opioid-Involved Deaths & Treatment Admissions

   Opioid-involved deaths based upon local death certificates using Council of State and Territorial Epidemiologists (CSTE) guidance

Local death certificates are provided to the Broome County Health Department by municipal clerk offices within Broome County.  Local death certificates contain free text information.  A death certificate containing a word found within the CSTE guidance document is counted as a potential opioid-involved death.  The 2016 numbers in this chart are reflective of all death certificates submitted by the municipal clerk offices as of the end of June 2016.  An individual who died before the end of June and who did not yet have their death certificate filed (due to factors such as a pending toxicology report) will not be included within this dataset.  A detailed explanation of the process used to create these numbers can be found hereThis data will be updated on a quarterly basis.

A previous version of the report dated 7/22/16 can be found here. 

A previous version of the report dated 3/11/16 can be found here.

A previous version of the report dated 1/07/16 can be found here.

A previous version of the report dated 9/08/15 can be found here.

A previous version of the report dated 8/27/15 can be found here.

Opioid-involved deaths based upon NYS DOH Vital Statistics data using Broome County Health Department definition

New York State Division of Vital Statistics produces final death certificates.  Final death certificates have a primary, secondary, and tertiary cause of death.  Causes of death are identified by ICD-10 codes.  Decedents are included within this count if the primary, or any contributing cause, is one of the following ICD-10 codes:

 

T40

Poisoning by narcotics and psychodysleptics [hallucinogens]

T400

Poisoning by narcotics and psychodysleptics [hallucinogens] , opium

T401

Poisoning by narcotics and psychodysleptics [hallucinogens] , heroin

T402

Poisoning by narcotics and psychodysleptics [hallucinogens] , other opioids

T403

Poisoning by narcotics and psychodysleptics [hallucinogens], methadone

T404

Poisoning by narcotics and psychodysleptics [hallucinogens] , other synthetic narcotics

T406

Poisoning by narcotics and psychodysleptics [hallucinogens] , other unspecified narcotics

X42

Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

F11

Mental and behavioural disorders due to use of opioids

F19

Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances

Y12

Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

X62

Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

A detailed explanation of how these numbers are calculated can be found here.

Opioid-related deaths calculated by NYS DOH Division of Vital Statistics

This number is calculated by the New York State Department of Health, Division of Vital Statistics.  This count includes decedents who have an underlying cause of one of the following ICD-10 codes:

 

X40

Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

X41

Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

X42

Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

X43

Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system

X44

Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

X60

Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

X61

Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

X62

Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

X63

Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system

X64

Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

X85

Assault by drugs, medicaments and biological substances

Y10

Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent

Y11

Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent

Y12

Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

Y13

Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent

Y14

Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent

And a contributing cause of one of the following ICD-10 codes:

T401

Poisoning by narcotics and psychodysleptics [hallucinogens] , heroin

T402

Poisoning by narcotics and psychodysleptics [hallucinogens] , other opioids

T403

Poisoning by narcotics and psychodysleptics [hallucinogens], methadone

T404

Poisoning by narcotics and psychodysleptics [hallucinogens] , other synthetic narcotics

T406

Poisoning by narcotics and psychodysleptics [hallucinogens] , other unspecified narcotics

For a more detailed explanation of how Broome County counts overdose deaths, please see this article by Dr. Christopher Ryan, published in the Press and Sun Bulletin on February 26, 2016.


Naloxone Administration Information

Law Enforcement

The following tables show administration of naloxone by law enforcement agencies (not inlcuding the New York State Police) within Broome County by month.  More recent months should not be considered as definitive, becasue data is still being received from each agency which participates.

Mar-14Apr-14May-14Jun-14Jul-14Aug-14Sep-16Oct-14Nov-14Dec-14
1231121305
Jan-15Feb-15Mar-15Apr-15May-15Jun-15Jul-15Aug-15Sep-15Oct-15Nov-15Dec-15
430261712232
Jan-16Feb-16Mar-16Apr-16May-16Jun-16Jul-16
2456986

Emergency Medical Services

Data regarding the use of naloxone by emergency medical services across the three county region of Broome, Tioga, and Chenango, can be found here.

Community Naloxone

The following are numbers showing naloxone kits replaced by the Southern Tier Aids Program (STAP) through their Harm Reduction Program (Updated 10/13/2016).

Aug-16Sep-16
3426

Admissions to Crisis, Inpatient, Outpatient, and Residential Treatment Facilities

January 2016

February 2016

March 2016

April 2016

May 2016

June 2016

July 2016

August 2016

September 2016

October 2016

November 2016

December 2016