PRESCRIPTION DRUG OVERDOSE IN OKLAHOMA Avy Redus, M.S. Oklahoma State Department of Health Injury Prevention Service

SCOPE OF THE PROBLEM

Age-adjusted Unintentional Poisoning Mortality Rates, Oklahoma and the United States, 1999-2016

0

5

10

15

20

25

1999 2001 2003 2005 2007 2009 2011 2013 2015

Rate

per

100,0

00 P

opul

atio

n

Oklahoma USSource: CDC WISQARS

Age-adjusted Unintentional Poisoning and Motor Vehicle Crash Mortality Rates, Oklahoma, 1999-2016

0

5

10

15

20

25

1999 2001 2003 2005 2007 2009 2011 2013 2015

Rate

per

100,0

00 P

opul

atio

n

Year of Death

Unintentional Poisoning MVCSource: CDC WISQARS

Deaths Involving Prescription Drugs, Illicit Drugs, or Alcohol by Year of Death, Unintentional Poisoning, Oklahoma, 2007-2016

0

100

200

300

400

500

600

700

800

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Num

ber o

f Dea

ths

Year of Death

All poisoningsPrescription drugsAlcoholMethamphetamineCocaine

Source: OSDH, Injury Prevention Service, Fatal Unintentional Poisoning Surveillance System (Abstracted from Medical Examiner reports)

Source: OSDH, Injury Prevention Service, Fatal Unintentional Poisoning Surveillance System (Abstracted from Medical Examiner reports)

Substances Involved in Unintentional Poisoning Deaths, Oklahoma, 2012-2016

Unintentional Prescription Opioid Overdose Death Rates by Age Group* and Gender, Oklahoma, 2012-2016

0

5

10

15

20

25

30

15-24 25-34 35-44 45-54 55-64 65-74

Rate

per

100,0

00 P

opul

atio

n

Age Group

MalesFemales

*Decedents under age 15 and over age 74 were excluded due to small number of cases (<1% of all UP deaths)

Source: OSDH, Injury Prevention Service, Unintentional Poisonings Database (Abstracted from Medical Examiner reports)

Unintentional Poisoning Death Rates Involving at Least One Prescription Opioid by County of Residence1, Oklahoma, 2012-2016

Cimarron Texas

Beaver Harper

Ellis

Beckham

Woodward

Woods Alfalfa

Major

Dewey

Custer

Washita

Kiowa

Blaine

Caddo

Grant

Garfield

Kingfisher

Kay

Noble

Logan

Canadian Oklahoma

Cleveland

Osage

McClain

Jackson

Tillman Cotton

Murray

Bryan Choctaw

Ottawa

Washington

Nowata

Craig

Harmon

Top 5 counties 14.0 – 27.8 10.8 – 13.9 9.1 – 10.7 4.8 – 9.0 <5 deaths

Roger Mills

Greer

Tulsa Creek

Okfuskee

Payne

Lincoln

Rogers

Pontotoc Garvin

Love Marshall

Pittsburg

Atoka

Hughes Latimer

Sequoyah

Seminole Potta- watomie

Rates per 100,000 population

State rate: 10.9

1County of residence was unknown for 11 decedents

Source: OSDH, Injury Prevention Service, Unintentional Poisonings Database (Abstracted from Medical Examiner reports)

Stephens

McCurtain

Mayes

Okmulgee

Wagoner Adair

Delaware

Le Flore

McIntosh

Haskell

Pawnee

Cherokee

Muskogee

Pushmataha

Carter

Coal

Jefferson

Johnston

Grady

Comanche

Unintentional Opioid-related Overdose Death Rates1 and Opioid Sales per Person2, Oklahoma, 2000-2016

0

200

400

600

800

1000

1200

1400

0

2

4

6

8

10

12

14

2000 2002 2004 2006 2008 2010 2012 2014 2016

Morp

hine

mg

equi

valen

ts/p

erso

n

Rate

per

100,0

00 p

opul

atio

n

Death rate Opioid sales

ADDRESSING THE PROBLEM

State Plan • Community/Public Education

• Provider/Prescriber Education

• Disposal/Storage for the Public

• Disposal/Storage for Providers

• Tracking and Monitoring • Regulatory/Enforcement • Treatment/Interventions

Disposal/Storage for Providers • State action item:

• Develop model policies and encourage adoption of those policies by nursing homes, hospice care agencies, and jails to appropriately dispose of medications by 2017. (Responsible: Oklahoma State Department of Health; Prescription Drug Planning Workgroup)

Oklahoma Opioid Prescribing Guidelines

What can IPS do for you?

Avy Redus, M.S. Oklahoma State Department of Health

Injury Prevention Service 405-271-3430

AvyD@health.ok.gov http://poison.health.ok.gov