New Hampshire Drug Monitoring Initiative · 2020. 12. 9. · 19 - South Hampton 20 - Seabrook 21 - East Kingston 22 - Kensington 23 - Hampton Falls 24 - Hampton 25 - North Hampton

Table of Contents:

Drug Environment Report—UNCLASSIFIED

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

proach 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 stakeholders 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 Use Disorder Treatment/Recovery Directory

1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED

New Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

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

NHIAC Product #: 2020-4407 August 2020 Report 7 October 2020

Population data source: http://www.nh.gov/osi/data-center/population-estimates.htm Year/month overview charts are based on annual estimates from the above website. County charts are based on a 2019 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

The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/

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

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

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

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2

13.45

15.25

12.34

14.51

25.03

33.00

36.34 36.35 34.73

30.53

17.36

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 2018 2019 2020*

# of

Dru

g D

eath

s pe

r 10

0,00

0 po

pula

tion

*2020 numbers are not finalized, and are based on analysis as of 18 September 2020

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

*

0.00

5.00

10.00

15.00

20.00

25.00

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

September 2019 - August 2020Opioid Related ED Visits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

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

UNCLASSIFIED



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

Trends: As of 18 September there are 236 confirmed drug

overdose deaths and 55 cases pending toxicology for 2020.

Drug overdose deaths decreased from 471 to 415 from 2018-2019. This represents a 12% decrease.

So far in 2020, Strafford and Coos Counties have the highest suspected drug use resulting in overdose deaths per capita, at 2.41 and 1.80 deaths per 10,000 population respectively.

The age group with the largest number of drug overdose deaths is 30-39 years, which represents 33% of all overdose deaths for 2020.

*** IMPORTANT DATA NOTES***

***The NHIAC recently became aware that some drug overdose death data included in prior reports reflects the location where the death occurred, not where the drug is suspected to have been used. The location data is intended to reflect the location of suspected use, as death location has the potential to change town and county level information. The NHIAC and OCME are working together to correct the issue.***

1.131.23

0.90

1.80 1.751.60

1.47

1.16

2.41

0.68

0.00

0.50

1.00

1.50

2.00

2.50

3.00#

of

dea

ths

per

10,

000

po

p

2020 numbers are not finalized, and are based on analysis as of 18 August 2020

2020 Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office

2%

19%

33%19%

18%

9%

Overdose Deaths by Age 2020*Data Source: NH Medical Examiner's Office

0-19

20-29

30-39

40-49

50-59

60+

*2020 numbers are not finalized, and based on analysis as of 18 August 2020

12.3414.51

25.03

33.00

36.34 36.3534.73

30.53

3.636.57

15.45

24.6526.75

28.08

30.97

27.36

1.442.27 2.71

3.68 4.72 3.724.72

5.81

17.36

14.86

2.72

15.59

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2012 2013 2014 2015 2016 2017 2018 2019 2020*

# o

f D

rug

Dea

ths

per

100

,000

po

p

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

All Drug Deaths Fentanyl/ Heroin Related Deaths + Cocaine Related Deaths+ 2019 Comparison

*2020 numbers are not finalized, and are based on analysis as of 18 September 2020+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

UNCLASSIFIED

2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December YTD 2020

Total 332 439 485 488 471 415 34 35 38 37 38 14 4 200

County

Belknap 17 17 16 27 29 16 2 0 1 2 2 0 0 7

Carroll 9 22 16 12 13 11 2 1 0 2 1 0 0 6

Cheshire 17 11 20 17 32 19 1 1 1 3 0 1 0 7

Coos 9 14 10 12 5 6 1 0 0 1 2 2 0 6

Grafton 17 13 16 26 17 24 2 2 3 1 5 2 1 16

Hillsborough 106 178 199 195 171 155 17 13 11 6 15 4 0 66

Merrimack 40 39 43 43 51 47 5 4 5 5 2 0 1 22

Rockingham 64 89 90 97 89 73 3 9 7 8 4 3 2 36

Strafford 40 47 55 54 50 56 1 4 9 8 7 2 0 31

Sullivan 4 8 9 4 7 7 0 1 1 1 0 0 0 3

Out of State 3 0 2 0 6 1 0 0 0 0 0 0 0 0

Undetermined 0 0 9 1 1 0 0 0 0 0 0 0 0 0

Gender

Male 219 307 336 347 328 288 6 29 28 21 27 10 2 123

Female 107 131 149 141 143 125 28 6 10 16 11 4 2 77

Age

0-19 3 8 7 2 4 2 2 0 0 1 0 1 0 4

20-29 79 110 123 118 88 83 8 8 6 7 7 2 0 38

30-39 80 116 147 127 146 132 14 10 14 9 14 3 2 66

40-49 67 99 98 114 114 87 5 5 6 10 7 3 1 37

50-59 78 91 89 98 83 82 3 9 6 7 7 3 1 36

60+ 19 14 21 29 36 29 2 3 6 3 3 1 0 18

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


2020 numbers are not finalized, and are based on analysis as of 18 August 2020.

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

nh.iacFile AttachmentDrug Overdose Deaths.pdf

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

UNCLASSIFIED



Amphetamines, Cocaine,

Fentanyl

Acetyl Fentanyl, Fentanyl,

Fluoxetine, Tramadol

Alprazolam, Amphetamines,

Cocaine, FentanylCocaine, Ethanol, Fentanyl

Dextro/levomethorphan,

Fentanyl, Xylazine

ETOH, Fentanyl, Fluoxetine,

OlanzapineFentanyl, Hydrocodone

ETOH, Fentanyl,

Methamphetamine


MethadoneAlprazolam, Ethanol, Fentanyl Cocaine, ETOH, Fentanyl

Diphenhydramine, Fentanyl,

MethadoneFentanyl, Flualprazolam

Fentanyl, Methamphetamine,

Tramadol

1, 1-difluoroethane, Etizolam,

Fentanyl, Pyrazolam


Methadone, MorphineAmitriptyline, Fentanyl Cocaine, Oxycodone Duloxetine, Fentanyl Fentanyl, Heroin

Fentanyl, Morphine,

Oxycodone

Acetyl Fentanyl,

Buprenorphine, Fentanyl,

Methadone

Alprazolam, Amphetamines,

Citalopram/escitalopram,

ETOH, Fentanyl, Trazodone

Amphetamines, Fentanyl Cocaine, TramadolEthanol, Fentanyl, Gabapentin,

MorphineFentanyl, Heroin, Methadone Fentanyl, Oxymorphone

Ethanol, Fentanyl, OxycodoneFentanyl, Heroin,

Methamphetamine

Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice*

*Cells filled with gray indicate combinations noted twice

72

14 14

6 6 6

0

10

20

30

40

50

60

70

80

# of

Dea

ths

Cocaine and/or Fentanyl Combination Related Drug Deaths 2020

*2020 numbers are not finalized, and are based on analysis as of 18 August 2020

Source: NH Medical Examiner's Office

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

µ

Overdose Deaths by Town* - 2020 +(Data Source: NH Medical Examiner's Office)*Location where the drug(s) is suspected to have been used.

+2020 data was reported on August 18, 2020There are more deaths that are suspected to be drug related, but the official cause of death is pending until the toxicology results are received.57 CASES PENDING19 Cases have an unknown location

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 - 4 (66 towns)5 - 10 (4 towns)11 - 25 (2 towns)26 - 50 (1 towns)

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

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


UNCLASSIFIED


Trends: EMS Narcan administration incidents decreased by 19%

from July to August. In August, Belknap County had the most EMS Narcan

administration incidents per capita with 1.78 incidents per 10,000 population. Strafford County had the second highest with 1.32 incidents per 10,000 population.

The age group with the largest number of EMS Narcan administration incidents was 30-39, representing 36% of all EMS Narcan administrations in August.


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 may be given for a decrease in alertness or respirations due to an overdose or unknown cause. Therefore, it cannot be concluded that all reported Narcan incidents actually 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

# of

Inci

dent

s In

volv

ing

Nar

can

per 1

00,0

00 p

op

Source: NH Bureau of EMS

EMS Narcan Administration by Month per 100,000 PopulationJanuary 2016 - August 2020

2016

2017

2018

2019

2020

1.78

0.82

0.64

0.30

0.66

0.99 0.93

0.55

1.32

0.45

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

2.00#

of

Inci

de

nts

In

vo

lvin

g N

arc

an

pe

r 1

0,0

00

po

p


August EMS Narcan Administration by County per 10,000 Population

5%

15%

36%

20%

13%

10%

1%

August EMS Narcan Administrationby Age Group

0-19

20-29

30-39

40-49

50-59

60+

Unknown


UNCLASSIFIED

2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December 2020

Total 1,892 2,677 2,895 2,774 2,357 1,966 131 95 125 113 129 118 146 118 975

County

Belknap 59 113 116 215 127 105 5 6 9 10 9 6 11 11 67

Carroll 52 80 91 68 62 68 5 2 0 1 4 2 7 4 25

Cheshire 65 79 144 104 112 109 5 8 7 8 12 9 4 5 58

Coos 41 65 65 73 38 36 2 5 5 2 5 3 8 1 31

Grafton 56 57 66 84 78 68 5 4 5 5 5 10 5 6 45

Hillsborough 757 1,139 1,209 1,140 1,044 778 54 18 41 32 46 36 54 41 322

Merrimack 185 228 233 310 247 226 17 14 17 11 15 17 15 14 120

Rockingham 380 501 488 503 375 320 22 14 25 20 17 14 19 17 148

Strafford 286 380 449 242 255 230 15 22 14 24 15 19 20 17 146

Sullivan 11 35 34 35 19 26 1 2 2 0 1 2 3 2 13

Gender

Male 1,185 1,736 1,916 1,879 1,503 1,342 85 66 89 79 100 84 102 78 683

Female 706 938 979 887 730 617 46 29 36 34 33 33 44 39 294

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

Age

0-19 83 94 87 75 40 48 2 6 3 2 5 1 2 6 27

20-29 588 954 973 863 590 487 34 16 31 24 30 30 28 18 211

30-39 428 684 853 808 709 605 45 27 31 32 43 38 42 42 300

40-49 304 364 385 439 342 290 23 15 28 21 24 21 34 24 190

50-59 233 314 327 326 306 285 13 15 22 20 18 8 16 15 127

60+ 246 256 253 246 237 242 14 16 10 16 12 20 24 12 124

Age or Gender Not

Given10 11 17 20 10 14 0 0 0 0 1 0 0 1 2

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



nh.iacFile AttachmentEMS Narcan Administration.pdf

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


UNCLASSIFIED


0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

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


EMS Narcan Administration - Lives Saved %September 2019 - August 2020 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.

Source: NH Bureau of EMS Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

RODS Outcome

Total 132 153 139 164 131 95 125 113 129 118 146 118

28 39 25

13 22 18 12

38

11

40

5

3252

19

35

11

20

8

13914

46

18 15

4348

16

814131720

66

15171914

62 60 70 49 72

EMS Narcan Administration - Lives Saved

Some Improvement RODS Score of 1-7

RODS , or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR)

and Glasgow Coma Score (GCS - measure of a lertness) before and after Narcan adminis tration. For

example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10-13 (delta of 3), the

RODS score would be 9. The delta of the vi ta l s igns i s ca lculated per incident, so the patient may have

received more than one dose of Narcan to achieve the effect in the RODS.

Negative Improvement Negative RODS Score

Lives Saved RODS Score of 8+

No Improvement RODS Score of 0

2019 2020

54 81 67 73 68 54

0.97

0.41

1.16

0.90

1.09

0.87

1.13

0.45

1.47

0.45

1.44

0.51

2.40

0.55

1.31

1.00

0.61

1.55

0.68

1.78

0.82

0.64

0.30

0.66

0.99 0.93

0.55

1.32

0.45

0.00

0.50

1.00

1.50

2.00

2.50

3.00

Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan

# o

f In

cid

ents

Invo

lvin

g N

arca

n p

er 1

0,00

0 p

op


EMS Narcan Administration by County per 10,000 Population

June

July

August

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

EnfieldMeredith

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

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

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

µ

EMS/Narcan Administration by T own9/1/2019 – 8/31/2020Data 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*1 - 1011 - 2526 - 5051 - 100101 - 200201 - 500

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

UNCLASSIFIED




County represents where the opioid use patient resides.

These data include data on suspected overdoses categorized as “all drug,” “all opioid,” “heroin,” and “all stimulant.” This report uses key words and ICD-10 associated overdose codes that CDC has defined as tailored to nonfatal opioid overdoses.

These data are now collected using criteria the CDC established for their Overdose Data to Action (OD2A) grant “making this report more transparent.”


*Important Note* the data being reported for 2020 has different collection criteria than previous months. Due to the new collection criteria,

new data is no longer comparable to previous data. Trends: Opioid related ED visits decreased by 10% from July to

August. In August, residents from Strafford County had the most

opioid related ED visits per capita with 3.03 visits per 10,000 population. Coos County residents had the second highest number of opioid related ED visits per capita with 2.70 visits per 10,000 population.

In August, the age group with the largest number of opioid related ED visits was 30-39 year olds, with 24%.

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 ED

Op

ioid

Use

Vis

its

per

100

,000

po

p

Source: NH Division of Public Health Services

Emergency Department Opioid Use Visits by Month per 100,000 PopulationJanuary 2020 - August 2020

2020

1.46

1.85

2.05

2.70

0.88

2.13

1.401.29

3.03

1.59

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

# of

ED

Opi

oid

Use

Vis

its

per

10,0

00 p

op


Emergency Department Opioid Use Visits by Countyper 10,000 Population

August

5%

11%

20%

24%

20%

10%

10%

August Emergency Department Opioid Use Visits by Age

0-9

10-19

20-29

30-39

40-49

50-59

60+


UNCLASSIFIED

2017 2018 2019 January February March April May June July August September October November December Total

Total 6,684 5,539 5,562 261 195 267 154 246 228 308 278 1,937

County

Belknap 134 281 247 5 4 12 4 8 8 12 9 62

Carroll 107 110 118 5 3 4 4 4 6 13 9 48

Cheshire 158 157 99 11 8 12 7 14 19 9 16 96

Coos 172 92 110 5 5 12 2 6 8 12 9 59

Grafton 176 151 126 5 0 3 4 6 8 10 8 44

Hillsborough 2,713 2,154 1,884 96 71 89 52 98 65 107 88 666

Merrimack 970 630 548 24 15 26 10 20 18 20 21 154

Rockingham 660 539 724 49 30 23 21 33 27 44 40 267

Strafford 896 856 955 30 32 46 18 25 33 47 39 270

Sullivan 197 111 210 6 3 7 6 7 3 7 7 46

Out of State 501 458 541 25 24 33 26 25 33 27 32 225

Gender

Male 3,798 3,183 3,126 147 108 159 88 132 125 178 149 1,086

Female 2,886 2,356 2,436 114 87 108 66 114 103 130 129 851

Age

0-9 11 10 8 13 5 14 13 20 16 13 15 109

10-19 170 104 74 30 25 29 14 25 17 28 31 199

20-29 2,477 1,881 1,722 72 48 58 43 54 60 73 55 463

30-39 2,235 1,929 2,031 60 55 55 30 59 56 62 67 444

40-49 879 756 781 34 23 41 24 32 26 36 55 271

50-59 562 509 590 23 22 36 18 28 24 35 28 214

60+ 350 350 356 29 17 34 12 28 29 61 27 237

*Note: The data reported in 2020 has different collection criteria than previous years and is no longer comparable to previous data.

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



nh.iacFile AttachmentOpioid Related ED Visits.pdf

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

UNCLASSIFIED



19.20

14.34

19.64

11.33

18.09 16.77

22.6620.45

0.00

5.00

10.00

15.00

20.00

25.00

January February March April May June July August# o

f ED

Op

ioid

Use

Vis

its

per

100

,000

po

p

Source: NH Div. of Public Health Services

Emergency Department Opioid Use Visits per 100,000 Population January 2020 - August 2020

1.30 1.23

2.44 2.40

0.88

1.57

1.20

0.87

2.56

0.68

1.94

2.67

1.16

3.59

1.09

2.59

1.331.42

3.65

1.46

1.85 2.05

2.70

0.88

2.13

1.401.29

3.03

1.59

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00


# 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

June

July

August

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

UNCLASSIFIED



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

treatment admissions decreased 6% from July to August. In August, residents from Strafford County were

admitted at the highest per capita rate for opioid/opiate treatment, with 1.71 admissions per 10,000 population.

More males than females were admitted to treatment programs in August for Opioid/Opiate, Methamphetamine, & Cocaine/Crack use.

Methamphetamine treatment admissions decreased 23% from July to August.

Cocaine/Crack treatment admissions increased 71% from July to August.

Heroin/Fentanyl treatment admissions decreased by 11% from July to August.



County represents where the patient resides.

These data represent treatment admissions to state funded facilities.

These data have decreased due to numerous factors. The Affordable Care Act has been fully implemented, resulting in increased access to affordable health insurance and coverage for substance use disorder treatment in NH. New Hampshire expanded its Medicaid program, which also provided increased opportunities for substance use disorder treatment in the state. Substance use disorder treatment in the state has increased sharply in response to these policies which has shifted clients served by State of New Hampshire contracted treatment providers to other payment models and facilities.

20.96

22.51

19.64 20.0121.18

17.43

14.78 14.4212.95

16.18 16.6215.59

0.00

5.00

10.00

15.00

20.00

25.00

Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug

# 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

September 2019 - August 2020

0.97

1.091.04

0.93

0.23

1.71

0.68

0.32 0.300.22

0.07 0.07 0.08

0.27

0.030.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80


# o

f T

re

atm

en

t A

dm

issio

ns p

er 1

0,0

00

po

p


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

Opioid/Opiate

Methamphetamine

Cocaine/Crack

59%

40%

1%

August Treatment Admissions by Gender

Male

Female

Transgender

Source: NH Bureau of Drug & Alcohol

UNCLASSIFIED

2017 2018 2019 January February March April May June July August September October November December YTD 2020

Total 4,024 3,319 3,609 288 237 201 196 176 220 226 212 1,756

County

Belknap 156 114 152 6 6 5 5 3 6 11 8 50

Carroll 43 38 36 1 6 1 3 2 6 1 0 20

Cheshire 60 32 42 3 3 1 3 3 1 3 0 17

Coos 45 42 66 4 6 2 2 1 5 5 1 26

Grafton 122 129 140 12 15 5 8 7 11 12 14 84

Hillsborough 1,044 797 1,052 91 75 77 72 59 66 76 57 573

Merrimack 342 214 306 25 9 13 10 13 16 15 16 117

Rockingham 319 233 216 13 17 16 22 9 8 11 8 104

Strafford 336 322 325 21 17 17 17 12 21 22 23 150

Sullivan 25 14 29 8 2 2 6 3 1 4 3 29

Out of State 129 16 65 7 3 3 0 1 2 5 5 26

Not Provided 1,403 1,368 1,180 97 78 59 48 63 77 61 77 560

Gender

Male 2,419 1,891 1,964 174 134 103 108 100 138 131 126 1,014

Female 1,602 1,425 1,641 114 103 96 88 76 80 95 85 737

Transgender 2 3 4 0 0 2 0 0 2 0 1 5

Age

< 18 7 2 8 0 0 0 0 0 0 0 0 0

18-25 821 581 537 31 35 26 21 25 37 26 28 229

> 26 3,196 2,736 3,064 257 202 175 175 151 183 200 184 1,527

Treatment data includes

opioid/opiate, methamphetamine, &

cocaine/crack admissions.

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



nh.iacFile AttachmentTreatment Admissions.pdf

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

UNCLASSIFIED



0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug

# 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 September 2019-August 2020

Heroin/Fentanyl

Rx Opiates

Methamphetamine

Cocaine/Crack

0.81

1.23

0.13

1.20

1.09

1.40

0.87

0.19

1.40

0.23

1.62

0.21

0.39

0.88

1.57

0.73

0.32

1.55

0.97

1.091.04

0.93

0.23

1.71

0.68

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80


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

June

July

August


UNCLASSIFIED


Situational Awareness:

New Law Requires Opioid Treatment in

County Jails

Gov. Chris Sununu signed a bill last week that will require county correctional facilities to provide Medication-Assisted Treatment for opioid addiction in 2021.

Although data is not readily available for county correctional facilities, it is estimated that more than 50% of individuals currently incarcerated in New Hampshire state prisons have opioid use disorder, according to the Governor’s Commission on Alcohol and Other Drugs.

The most effective treatment for opioid addiction involves medications like methadone, buprenorphine and naltrexone, according to the American Society of Addiction Medicine. Yet, until last week, New Hampshire County jails were not required to offer this treatment.

Based on a 2019 report from the Commission on Alcohol and Other Drugs, county jails in New Hampshire varied in what medication-assisted treatment they offered.

While Merrimack and Keene offered a variety of programs for inmates who had been prescribed MAT before incarceration, other counties either offered these medications only to pregnant inmates or did not offer the medications at all.

There were a variety of logistical problems that made some facilities hesitant to adopt MAT. For example, any given doctor cannot administer methadone. They need to go through additional licensing through the state and federal governments.

Furthermore, some commissioners and superintendents had philosophical qualms with the treatment.

Source: www.concordmonitor.com 08/06/2020

New Hampshire Safe Stations

Senators Ask For Drug-Trafficking Information On Dark Web CONCORD, N.H. (AP) — U.S. Sen. Maggie Hassan of New Hampshire is asking the U.S. attorney general’s office and the FBI for a progress report on illegal drug trafficking, particularly of fentanyl and other opioids, on a hidden part of the internet known as the dark web. Hassan was joined by fellow Democrat U.S. Sen. Dianne Feinstein, of California, and Republican U.S. Sen. John Cornyn, of Texas, in a letter Tuesday asking for information regarding the work of the Joint Criminal Opioid Darknet Enforcement, known as J-CODE. That was created by former U.S. Attorney General Jeff Sessions in 2018 to develop a strategic plan to disrupt and dismantle dark web marketplaces that facilitate the distribution of opioids. The senators wrote that the dark web can provide anonymity to those who use it, hiding identities and locations. The senators asked whether the Justice Department has a system that tracks indictments and investigations related to crimes involving the dark web and opioids; if authorities have been able to determine which countries opioids are coming from on the dark web; and whether there are technology companies that provide secure or encrypted communications that don’t cooperate with law enforcement with respect to drug trafficking. Source: www.apnews.com 09/15/2020

Manchester Safe Station Began 5/4/2016

Manchester

As of 09/11/2020

Q3 2020 Total

Number of requests at MFD for Safe Station: 172 7,312

Number of participants transported to hospitals: 32 1,599

Number of participants taken to Substance Misuse Treatment Facilities: 112 5,645

Average length of time company “Not Available”: 11.0 Min 13.7 Min

Number of UNIQUE participants: 149 4,034

Number of REPEAT participants: 109 2,810

Number of unique participants seen in both City’s Safe Station Program 564

https://www.concordmonitor.com/Opioid-Treatment-New-Hampshire-Prisons-35593754https://remote.nehidta.org/go/https:/office1.nehidta.local/owa/?ae=Item&a=Open&t=IPM.Note&id=RgAAAABKQvKIWhZxTYphS0lS0mgqBwAqZmwtjWf8QKr552kGIYZCAAAAAEBvAAAqZmwtjWf8QKr552kGIYZCAAAADePRAAAJ&pspid=_1601388929366_588938531


UNCLASSIFIED


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

BETHLEHAM

North Country Health Consortium

(NCHC)/ Friendship House

262 Cottage Street. Suite 230

Bethlehem, NH

Phone: 603-259-3700

DOVER

Southeastern NH Alcohol and

Drug Abuse Services

272 County Farm Road

Dover, NH

Crisis Center: 603-516-8181

Main: 603-516-8160

DUBLIN

Phoenix House Comprehensive

Addiction Treatment Services

3 Pierce Rd. Dublin, NH

Phone: 603-563-8501, Option 1

FRANKLIN

Farnum Center North

Ray House (Women)

14 Holy Cross Road. Franklin, NH

Phone: 603-263-6287

Families in Transition - New

Horizons

293 Wilson Street

Manchester, NH

Phone: 603-641-9441 ext. 401

Farnum Center

140 Queen City Avenue

Manchester, NH

Phone: 603-622-3020

NASHUA

Greater Nashua Council on

Alcoholism

12 & 1/2 Amherst Street

Nashua, NH

Phone: 603-943-7971 Ext. 3

Greater Nashua Council on

Alcoholism: Keystone Hall

615 Amherst Street

Nashua, NH

Phone: 603-881-4848

Greater Nashua Mental Health

Center

110 West Pearl Street

Nashua, NH

Phone: 603-889-6147

ROCHESTER

Hope on Haven Hill

PO Box 1271

Rochester, NH 03867

Phone: 603-247-2043

KEENE

Phoenix House Comprehensive

Addiction Treatment Services

106 Roxbury Street. Keene, NH

Phone: 603-358-4041, Option 1

LEBANON

Headrest

14 Church Street

Lebanon, NH

Phone: 603-448-4400

Alice Peck Day Hospital

10 Alice Peck Day Drive

Lebanon, NH

Phone: 603-448-4400

West Central Services, Inc.

9 Hanover Street, Suite 2

Lebanon, NH

Phone: 603-448-0126

MANCHESTER

Dismas Home of NH, Inc. (Women)

102 Fourth Street

Manchester, NH

Phone: 603-782-3004

A full list of Substance Use Disorder

Treatment Facilities can be found

here.

A treatment locator can be found

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

Documents

New Hampshire Drug Monitoring Initiative · 2020. 12. 9. · 19 - South Hampton 20 - Seabrook 21 - East Kingston 22 - Kensington 23 - Hampton Falls 24 - Hampton 25 - North Hampton