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Table of Contents:
2020 Overview—Drug Environment Report—UNCLASSIFIED
Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. 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
Source: NH Medical Examiner’s Office
EMS Narcan Administration Incidents
Source: NH Bureau of Emergency Medical Services (EMS)
Opioid Related Emergency Department Visits
Source: NH Division of Public Health Services
Treatment Admissions
Source: NH Bureau of Drug & Alcohol Services
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 #: 2021-4618 2020 Overview Report 17 February 2021
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 2019 estimated population of each county.
If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.
*The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2
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
January 2020 - December 2020Opioid Related EDVisits
Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions
EMS NarcanAdministration
13.45
15.2512.34
14.51
25.03
33.00
36.34 36.35 34.73
30.5325.30
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 15 January 2021
Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
3 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: As of 15 January 2021, drug overdose deaths are projected to
decrease by 3.1% from 2019 to 2020. There are 58 deaths pending toxicology. The projected total is 402, down from 415 in 2019.
Thus far in 2020, Strafford County has the highest suspected drug use resulting in overdose deaths per capita at 3.10 deaths per 10,000 population, while Hillsborough County is second, with 2.90 deaths per 10,000 population.
Thus far, no county experienced an increase in their suspected drug overdose death rate per 10,000 population with Carroll, Coos, and Sullivan Counties remaining the same at 2.26, 1.80, and 1.59 overdose deaths per 10,000 population, respectively.
So far in 2020, the age group with the largest number of drug overdose deaths is 30-39 year olds, at 32%.
*** IMPORTANT DATA NOTES***
Drug overdose deaths for 2020 numbers are not finalized and are based on
analysis as of 15 January 2021.
Analysis is based on county where the drug(s) is suspected to have been used.
1.46%
17%
32%
23%
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 15 January 2021
2.59
2.26 2.
44
1.80
2.63
3.75
3.13
2.35
4.35
1.59
1.62
2.26
1.28
1.80
1.20
2.90
2.27
1.87
3.10
1.59
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
# o
f d
eath
s p
er 1
0,00
0 p
op
*2020 numbers are not finalized and are based on analysis as of 15 January 2021
2019 vs. 2020* Overdose Deaths by County per 10,000 Population
Data Source: NH Medical Examiner's Office
2019
2020
13.4515.25
12.3414.51
25.03
33.00
36.34 36.3534.73
30.53
25.30
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
2 0 1 0 2 0 1 1 2 0 1 2 2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 *
# O
F D
RU
G D
EATH
S P
ER 1
0,0
00
PO
P
2020 NUMBERS ARE NOT FINALIZED, AND ARE BASED ON ANALYSIS AS OF 15 JANUARY 2021+ COCAINE, METH, AND FENTANYL/HEROIN RELATED DEATHS ARE NOT EXCLUSIVE, SEVERAL DEATHS
INVOLVED MULTIPLE CATEGORIES
OVERDOSE DEATHS BY YEAR PER 10,000 POPULATION
All Drug Deaths Fentanyl/ Heroin Related Deaths Cocaine Related Deaths Meth Related Deaths
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
4 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
130
24 2315
9 9 5 4 4 30
20
40
60
80
100
120
140
# of
Dea
ths
Cocaine and/or Fentanyl Combination Related Drug Deaths 2020
*2020 numbers are not finalized, and are based on analysis as of 15 January 2021
Source: NH Medical Examiner's Office
Amphetamines, Cocaine,
FentanylEthanol, Fentanyl, Oxycodone
Acetyl Fentanyl, Fentanyl,
Fluoxetine, Tramadol
Alprazolam,
Amphetamines,
Cocaine, Fentanyl
Amphetamines, Fentanyl Cocaine, Methamphetamine Duloxetine, FentanylFentanyl,
Flualprazolam
Fentanyl,
Hydrocodone
Cocaine, Ethanol, Fentanyl1, 1-difluoroethane, Etizolam,
Fentanyl, Pyrazolam
Acetyl Fentanyl, Fentanyl,
Methadone
Alprazolam, Ethanol,
FentanylCocaine, Ethanol Cocaine, Oxycodone
Ethanol, Fentanyl,
Fluoxetine,
Olanzapine
Fentanyl,
Gabapentin,
Hydroxyzine
Fentanyl, Methadone,
Morphine
Cocaine, Fentanyl,
Methadone
Acetyl Fentanyl,
Buprenorphine, Fentanyl,
Methadone
Acetyl Fentanyl, Fentanyl,
Methadone, MorphineAlprazolam, Fentanyl Cocaine, Ethanol, Methadone Cocaine, Tramadol
Ethanol, Fentanyl,
Gabapentin,
Morphine
Fentanyl, Heroin
Fentanyl,
Methamphetamine,
Tramadol
Ethanol, Fentanyl,
Methamphetamine
Acetyl Fentanyl, Cocaine,
Fentanyl, MDMA
alpha PHP/alpha PiHP,
Cyclobenzaprine, Fentanyl
Amitriptyline,
FentanylCocaine, Fentanyl, Morphine
Dextro/levomethorphan,
Fentanyl, Xylazine
Ethanol, Fentanyl,
Quetiapine,
Venlafaxine
Fentanyl, Heroin,
Methadone
Fentanyl,
Methamphetamine,
Zolpidem
*Cells filled with gray
indicate combinations
noted twice
Fentanyl, Oxymorphone
Alprazolam, Amphetamines,
Citalopram/escitalopram, Ethanol,
Fentanyl, Trazodone
Amphetamines,
Cocaine, Ethanol,
Fentanyl
Cocaine, Fentanyl, XylazineDiphenhydramine, Fentanyl,
MethadoneEutylone, Fentanyl
Fentanyl, Heroin,
Methamphetamine
Fentanyl, Morphine,
Oxycodone
Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice*
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
5 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
2020 numbers are not finalized, and are
based on analysis as of 15 January 2021.
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 42 45 26 43 24 31 14 10 2 344
County
Belknap 17 17 16 27 29 16 0 0 2 2 2 0 1 1 1 1 0 0 10
Carrol l 9 22 16 12 13 11 2 1 0 3 2 0 1 1 1 0 0 0 11
Cheshire 17 11 20 17 32 19 1 1 1 2 0 1 1 1 2 0 0 0 10
Coos 9 14 10 12 5 6 1 0 0 1 2 2 0 0 0 0 0 0 6
Grafton 17 13 16 26 17 24 0 1 2 1 2 2 1 1 1 0 0 0 11
Hi l l sborough 106 178 199 195 171 155 17 13 11 8 18 10 13 9 10 5 4 2 120
Merrimack 40 39 43 43 51 47 4 4 3 4 3 1 6 2 2 1 4 0 34
Rockingham 64 89 90 97 89 73 3 6 7 8 6 4 11 2 6 5 0 0 58
Strafford 40 47 55 54 50 56 1 3 9 7 6 2 1 4 3 2 2 0 40
Sul l ivan 4 8 9 4 7 7 0 1 1 2 0 1 1 0 1 0 0 0 7
Out of State 3 0 2 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Undetermined 0 0 9 1 1 0 5 5 2 4 4 3 7 3 4 0 0 0 37
Gender
Male 219 307 336 347 328 288 28 29 28 25 34 19 30 19 20 11 6 2 251
Female 107 131 149 141 143 125 6 6 10 17 11 7 13 5 11 3 4 0 93
Age
0-19 3 8 7 2 4 2 2 0 0 2 0 1 0 0 0 0 0 0 5
20-29 79 110 123 118 88 83 8 8 6 7 7 4 7 4 4 0 2 0 57
30-39 80 116 147 127 146 132 14 10 14 9 15 6 17 10 9 3 3 1 111
40-49 67 99 98 114 114 87 5 5 6 13 8 9 8 4 9 6 4 1 78
50-59 78 91 89 98 83 82 3 9 7 8 9 4 10 3 4 3 0 0 60
60+ 19 14 21 29 36 29 2 3 5 3 6 1 1 3 5 2 1 0 32
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
Wolfeboro
Grafton
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
Amherst
Wilton
Alexandria
Dorchester
Nashua
Salem
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
MasonPelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
Nelson
Chester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charl
estow
n
Plymouth
Kilke
nny
Temple
Northfield
Dunbarton
SurryManchester
Windham
GoshenPittsfield
Peterborough
Grantham
Suna
pee
Northwood
New Hampton
New Ipswich
Greenfield
Hinsdale
Hebron
Westmoreland
Boscawen
Kings
ton
Gilsum
SullivanFrancestown
Ellsworth
Brookfield
North
umbe
rland
Pembro
ke
Tilton
Sharon
BrooklineLyn
debo
rough
FremontHarrisville
New London
Chich
ester
Middleto
n
Allenstown
Second College
Grant
Dixs Grant
Langdo
n
Bridgewater
Sugar Hill
Litchfield
Strath
am
Marlborough
Brentwood
24
Sandown Danv
ille
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
9
138
14
15
!
28
2
!
10
Coos
Grafton
Carroll
Merrimack
CheshireHillsborough
Sullivan
Rockingham
Belknap
Strafford
0 10 20 305
MilesScale: 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 January 15, 2021
There are more deaths that are suspected to be drug related, but the official cause of death is pending
until the toxicology results are received.58 CASES PENDING
35 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 6
1 - 5 (75 towns)
6 - 10 (6 towns)
11 - 25 (4 towns)
51 - 100 (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 Incidents: Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
7 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: EMS Narcan administration incidents decreased by 30.1%
from 2019 to 2020. For the second year in a row, EMS Narcan administration
was under 2,000 incidents. In 2020, Strafford County had the most EMS Narcan
administration incidents per capita with 15.44 incidents per 10,000 population and Hillsborough County had the greatest decrease in incidents from 2019 to 2020, with a 41.5% reduction.
Coos County was the only county thus far to see an increase in EMS Narcan administration from 2019 to 2020 with a 11% increase from 10.78 to 11.98 incidents per 10,000 population.
The age group with the largest number of EMS Narcan administration incidents was 30-39, which represented 31.2% of all incidents for 2020.
*** IMPORTANT DATA NOTES***
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.
66.2878.52
142.62
201.22
216.92206.61
173.79
144.96
0.00
50.00
100.00
150.00
200.00
250.00
2 0 1 2 2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9# O
F I
NC
IDE
NT
S I
NV
OLV
ING
NA
RC
AN
PE
R 1
00
,00
0 P
OP
SOURCE: NH BUREAU OF EMS
EMS NARCAN ADMINIST RATION BY YEAR PER 100,000 POPULAT ION
17
.01
13
.98
13
.99
10
.78
7.4
4
18
.82
15
.07
10
.31
17
.85
5.9
1
15
.07
7.6
0 11
.17
11
.98
7.0
0
11
.01
10
.74
6.9
0
15
.44
5.6
8
0.002.004.006.008.00
10.0012.0014.0016.0018.0020.00
# O
F I
NC
IDE
NT
S IN
VO
LV
ING
NA
RC
AN
PE
R 1
0,0
00
PO
P
SOURCE: NH BUREAU OF EMS
2019 vs. 2020EMS Narcan Administration By County per 10,000 Population
2019
2020
2.4%
20.5%
31.2%18.9%
12.9%
13.8%
0.3%
2020 EMS Narcan Administrationby Age Group
0-19
20-29
30-39
40-49
50-59
60+
Unknown
EMS Narcan Administration Incidents (Continued): Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
8 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
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 95 125 113 129 118 146 118 115 96 90 99 1,375
County
Belknap 59 113 116 215 127 105 5 6 9 10 9 6 11 11 4 13 5 4 93
Carrol l 52 80 91 68 62 68 5 2 0 1 4 2 7 4 6 2 2 2 37
Cheshire 65 79 144 104 112 109 5 8 7 8 12 9 4 5 6 2 7 14 87
Coos 41 65 65 73 38 36 2 5 5 2 5 3 8 1 1 2 4 2 40
Grafton 56 57 66 84 78 68 5 4 5 5 5 10 5 6 7 4 3 5 64
Hi l l sborough 757 1,139 1,209 1,140 1,044 778 54 18 41 32 46 36 54 41 38 33 26 36 455
Merrimack 185 228 233 310 247 226 17 14 17 11 15 17 15 14 12 9 11 9 161
Rockingham 380 501 488 503 375 320 22 14 25 20 17 14 19 17 25 18 14 9 214
Strafford 286 380 449 242 255 230 15 22 14 24 15 19 20 17 12 11 14 16 199
Sul l ivan 11 35 34 35 19 26 1 2 2 0 1 2 3 2 4 2 4 2 25
Gender
Male 1,185 1,736 1,916 1,879 1,503 1,342 85 66 89 79 100 84 102 78 75 67 64 65 954
Female 706 938 979 887 730 617 46 29 36 34 33 33 44 39 40 29 26 34 423
Other 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1
Age
0-19 83 94 87 75 40 48 2 6 3 2 5 1 2 6 1 2 1 2 33
20-29 588 954 973 863 590 487 34 16 31 22 28 30 28 18 17 15 21 22 282
30-39 428 684 853 808 709 605 45 27 31 32 43 38 42 42 46 31 29 23 429
40-49 304 364 385 439 342 290 23 15 28 21 24 21 34 24 20 12 14 24 260
50-59 233 314 327 326 306 285 13 15 22 20 17 8 16 15 9 16 12 14 177
60+ 246 256 253 246 237 242 14 16 10 16 11 20 24 12 21 20 12 14 190
Age or Gender
Not Given10 11 17 20 10 14 0 0 0 0 1 0 0 1 1 0 1 0 4
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
Wolfeboro
Grafton
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
Amherst
Wilton
Alexandria
Dorchester
Nashua
Salem
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
MasonPelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
Nelson
Chester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charl
estow
n
Plymouth
Kilke
nny
Temple
Northfield
Dunbarton
SurryManchester
Windham
GoshenPittsfield
Peterborough
Grantham
Suna
pee
Northwood
New Hampton
New Ipswich
Greenfield
Hinsdale
Hebron
Westmoreland
Boscawen
Kings
ton
Gilsum
SullivanFrancestown
Ellsworth
Brookfield
North
umbe
rland
Pembro
ke
Tilton
Sharon
Brookline
Lynde
borou
gh
FremontHarrisville
New London
Chich
ester
Middleto
n
Allenstown
Second College
Grant
Dixs Grant
Langdo
n
Bridgewater
Sugar Hill
Litchfield
Strath
am
Marlborough
Brentwood
24
Sandown Danv
ille
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
9
138
14
15
28
2
!
10
Coos
GraftonCarroll
Merrimack
CheshireHillsborough
Sullivan
Belknap
Strafford
Rockingham
0 10 20 305
MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
EMS/Narcan Administration by T own1/1/2020 – 12/31/2020
Data Source: New Hampshire Bureau of EMS
UNCLASSIFIED
UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 9
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 - 10
11 - 25
26 - 50
51 - 100
101 - 200
201 - 500
Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
10 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: In 2020, July had the most opioid related ED visits with
22.66 visits per 100,000 population and April had the few-est opioid related ED visits with 11.33 visits per 100,000 population.
Residents from Strafford County had the most opioid re-lated ED visits per capita with 30.26 visits per 10,000 pop-ulation in 2020.
Based on absolute numbers, residents from Hillsborough County had the most opioid related ED visits with 993 vis-its in 2020.
In 2020, the age group with the largest number of opioid related ED visits was 20-29 which represented 24% of all opioid related ED visits, followed by 30-39 with 22%.
*** IMPORTANT DATA NOTES***
*Important Note*: The data being reported for 2020 has different collection criteria than previous months/years. Due to the new collection criteria, the data is no longer comparable to previous data.
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.”
6%
11%
24%
22%
13%
11%
13%
2020 Emergency Department Opioid Use Visits by Age
0-9
10-19
20-29
30-39
40-49
50-59
60+
17.9915.83
17.46
22.16
9.63
24.02
14.54 13.70
30.26
14.78
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# O
F O
PIO
ID U
SE
VIS
ITS
PE
R 1
0,0
00
PO
P
SOURCE: NH DIVISION OF PUBLIC HEALTH SERVICES
2020 Emergency Department Opioid Use Visit by County per 10,000 Population
19.20
14.34
19.64
11.33
18.09
16.77
22.6620.45
19.71
17.2118.98
16.04
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
Source: NH Division of Public Health Services
2020 Emergency Department Opioid Use Visits by Month Per 100,000 Population
Opioid Related Emergency Department Visits (Continued): Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
11 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
*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.
January February March April May June July August September October November December 2020 Total
Total 261 195 267 154 246 228 308 278 268 234 258 218 2,915
County
Belknap 5 4 12 4 8 8 12 9 12 18 12 7 111
Carrol l 5 3 4 4 4 6 13 9 9 5 9 6 77
Cheshire 11 8 12 7 14 19 9 16 14 6 13 7 136
Coos 5 5 12 2 6 8 12 9 6 5 3 1 74
Grafton 5 0 3 4 6 8 10 8 14 9 11 10 88
Hi l l sborough 96 71 89 52 98 65 107 88 91 86 74 76 993
Merrimack 24 15 26 10 20 18 20 21 17 14 21 12 218
Rockingham 49 30 23 21 33 27 44 40 37 41 41 39 425
Strafford 30 32 46 18 25 33 47 39 31 29 31 29 390
Sul l ivan 6 3 7 6 7 3 7 7 6 3 6 4 65
Out of State 25 24 33 26 25 33 27 32 31 18 37 27 338
Gender
Male 147 108 159 88 132 125 178 149 153 123 150 113 1,625
Female 114 87 108 66 114 103 130 129 115 111 108 105 1,290
Age
0-9 13 5 14 13 20 16 13 15 17 8 15 14 163
10-19 30 25 29 14 25 17 28 31 32 32 47 25 335
20-29 72 48 58 43 54 60 73 55 55 57 67 48 690
30-39 60 55 55 30 59 56 62 67 63 54 49 47 657
40-49 34 23 41 24 32 26 36 55 39 31 27 23 391
50-59 23 22 36 18 28 24 35 28 28 24 22 25 313
60+ 29 17 34 12 28 29 61 27 34 28 31 36 366
Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
12 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: Opioid/opiate, methamphetamine, & cocaine/crack
treatment admissions increased by 32% from 2019-2020. In 2020, residents from Hillsborough & Strafford County
were admitted most often for opioid/opiate, methamphetamine, & cocaine/crack treatment per capita with 18.48, & 17.61 admissions per 10,000 population respectively.
Based on absolute numbers, Hillsborough County had the most residents admitted for opioid/opiate, methamphetamine, & cocaine/crack treatment with 764 admissions in 2020, a 27% decrease from 2019, where Hillsborough County also had the most residents admitted.
In 2020, 81% of treatment admissions for the referenced substances involved opioid/opiates.
*** IMPORTANT DATA NOTES***
County represents where the patient resides.
These data represent treatment admissions to state funded facilities.
235.65
299.71
244.72265.46
181.68
0
50
100
150
200
250
300
350
2016 2017 2018 2019 2020
# o
f T
re
atm
en
t A
dm
issio
ns p
er
10
0,0
00
po
p
Source: NH Bureau of Drug & Alcohol Services
Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Year per 100,000 Population
24
.63
7.4
0
5.3
9
19
.77
15
.32
25
.45
20
.40
6.9
6
25
.22
6.5
9
17
.39
11
.34
5.5
5
3.8
5
12
.28
12
.26
18
.48
10
.27
4.8
7
17
.61
11
.37
11
.96
0
5
10
15
20
25
30#
of
Tre
atm
en
t A
dm
issi
on
s p
er
10
,00
0 p
op
Source: NH Bureau of Drug & Alcohol Services
2019 - 2020 Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population
2019
2020
12%
7%69%
12%
81%
2020 Percentage of Opioid/Opiate (Rx Opiate, Heroin/Fentanyl), Methamphetamine, &
Cocaine/Crack Treatment Admissions
Methamphetamine Cocaine/Crack
Heroin/Fentanyl Rx Opiates
Source: NH Bureau of Drug & Alcohol Services
Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
13 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Treatment data includes opioid/opiate, methamphetamine,
& cocaine/crack admissions
2017 2018 2019 January February March April May June July August September October November December Total 2020
Total 4,024 3,319 3,609 288 237 201 196 176 220 226 212 225 183 142 164 2,470
County
Belknap 156 114 152 6 6 5 5 3 6 11 8 8 3 5 4 70
Carrol l 43 38 36 1 6 1 3 2 6 1 0 1 3 0 3 27
Cheshire 60 32 42 3 3 1 3 3 1 3 0 3 5 1 4 30
Coos 45 42 66 4 6 2 2 1 5 5 1 3 6 4 2 41
Grafton 122 129 140 12 15 5 8 7 11 12 14 12 9 2 5 112
Hi l l sborough 1,044 797 1,052 91 75 77 72 59 66 76 57 58 48 39 46 764
Merrimack 342 214 306 25 9 13 10 13 16 15 16 11 11 7 8 154
Rockingham 319 233 216 13 17 16 22 9 8 11 8 9 14 12 12 151
Strafford 336 322 325 21 17 17 17 12 21 22 23 25 20 10 22 227
Sul l ivan 25 14 29 8 2 2 6 3 1 4 3 6 5 7 3 50
Out of State 129 16 65 7 3 3 0 1 2 5 5 10 10 6 11 63
Not Provided 1,403 1,368 1,180 97 78 59 48 63 77 61 77 79 49 49 44 781
Gender
Male 2,419 1,891 1,964 174 134 103 108 100 138 131 126 134 104 84 106 1,442
Female 1,602 1,425 1,641 114 103 96 88 76 80 95 85 91 78 58 58 1,022
Transgender 2 3 4 0 0 2 0 0 2 0 1 0 1 0 0 6
Age
< 18 7 2 8 0 0 0 0 0 0 0 0 0 0 1 0 1
18-25 821 581 537 31 35 26 21 25 37 26 28 28 15 21 16 309
> 26 3,196 2,736 3,064 257 202 175 175 151 183 200 184 197 168 120 148 2,160