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Complete Indicator Report of Drug Overdose and Poisoning Incidents

Definition

The number of incidents (ED visits, hospitalizations, deaths) resulting from the ingestion of all poisons per 10,000 population (ED visits, hospitalizations) or per 100,000 (deaths). ICD-9 codes E850-869, E950-952, E962, E980-982, E972, E979 (.6-.7); ICD-10 codes X40-49, X60-69, X85-X90, Y10-Y19, Y35.2, *U01.6-*U01.7.

Numerator

The number of incidents (ED visits, hospitalizations, deaths) among Utah residents resulting from the ingestion of poison.

Denominator

Total number of persons in the population of Utah.

Data Interpretation Issues

Poisoning incidents are classified according to ICD codes. ICD stands for the International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death, injury, and disease. These codes are updated approximately every ten years to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death. The 9th revision (ICD-9) is used for hospital and emergency department (ED) visits. ED and hospitalization poisoning incidents include: accidental poisonings (E850-E869), suicide attempt (E950-E952), assault (E962), undetermined (E980-E982), legal intervention (E972), and terrorism (E979.6, E979.7). Poisoning deaths include: accidental drug deaths (X40-X44); accidental alcohol deaths (X45); accidental chemical, chemical vapor, and other substance deaths (X46, X48, X49); accidental deaths by gases (X47); undetermined drug deaths (Y10-Y14); undetermined alcohol deaths (Y15); undetermined chemical, chemical vapor, and other substance deaths (Y16, Y18, Y19); undetermined deaths by gases (Y17); suicide drug deaths (X60-X64); suicide alcohol deaths (X65); suicide chemical, chemical vapor, and other substance deaths (X66, X68, X69); suicide deaths by gases (X67); and homicide poisonings (X85-X90), legal intervention involving gas (Y35.2), and terrorism (*U01.6-*U01.7).

Why Is This Important?

In 2002 the age-adjusted rate of poisoning deaths (15.5 per 100,000 population) surpassed the rate of motor vehicle crash (MVC) deaths (13.5 per 100,000 population) in Utah. Until this time, motor vehicle crashes had been responsible for more lives lost than any other cause of injury. By 2012, the age-adjusted death rate from poisonings (25.5 per 100,000 population) was more than three times as high as it was from MVC deaths (7.7 per 100,000 population). Drugs, and in particular prescription pain medications, are responsible for many of the poisoning deaths in Utah.

In 2012, an average of 21 Utahns died as a result of prescription pain medications each month. Since 2002 prescription opioids have been responsible for more drug deaths in Utah than all other drug categories, such as benzodiazepines, over-the-counter medications, or illicit drugs. Oxycodone remain the most common prescription opioid involved in overdose deaths.

Healthy People Objective IVP-9.1:

Prevent an increase in the rate of poisoning deaths: All persons
U.S. Target: 13.1 deaths per 100,000 population
State Target: 12.9 per 100,000 population

Other Objectives

Healthy People 2020 Objective IVP-9.1:
Prevent an increase in the rate of poisoning deaths: All persons
-U.S. Target: 13.1 deaths per 100,000 population
-Utah Target: 12.9 deaths per 100,000 population

Healthy People 2020 Objective IVP-9.2:
Prevent an increase in the rate of poisoning deaths: Persons aged 35 to 54 years
-U.S. Target: 25.5 deaths per 100,000 population
-Utah Target: 23.2 deaths per 100,000 population

Healthy People 2020 Objective IVP-9.3:
Prevent an increase in the rate of poisoning deaths: Unintentional or undetermined intent among all persons
-U.S. Target: 11.1 deaths per 100,000 population
-Utah Target: 9.7 deaths per 100,000 population

Healthy People 2020 Objective IVP-9.4
Prevent an increase in the rate of poisoning deaths: Unintentional or undetermined intent among persons aged 35 to 54 years
-U.S. Target: 21.6 deaths per 100,000 population
-Utah Target: 34.9/100,000 population (prevent an increase in the 2010 crude rate)

Healthy People 2020 Objective IVP-10:
Prevent an increase in the rate of nonfatal poisonings
-U.S. Target: 304.4 nonfatal poisonings per 100,000 population
-Utah Target: 291.5 nonfatal poisonings per 100,000 population

How Are We Doing?

Utah has seen a 34.6% increase in age-adjusted poisoning death rates from 2010 to 2012.

Prescription pain medications underlie many Utah poisoning deaths. In 2012, 24.4% of Utah poisoning deaths were of undetermined intent, 18.9% were suicides, and 56.7% were unintentional.

From 2008 to 2012, poisoning death rates in Utahns between 25-64 years of age were significantly higher than the state rate of 19.9 per 100,000 population. Males and females had the highest rates in the 45-54 year old age group. For ages 0-44, male poisoning death rates were significantly higher than female poisoning death rates. After age 44, females were just as likely to die from poisoning deaths as males.

Children infrequently require hospitalization for the ingestion of poison, but 1 to 4 year-olds had significantly higher poisoning emergency department (ED) visits rates (47.4 per 10,000 population), along with 15-24 year olds (30.7 per 10,000 population), and 25-34 year olds (23.0 per 10,000 population) compared to the state (20.1 per 10,000 population) in 2011.

Age-adjusted ED treat-and-release visit rates due to poisoning have significantly dropped from 2008 to 2011 (22.6 vs. 19.3 per 10,000 population).

Age-adjusted hospitalization rates due to poisoning have increased steadily over the past decade. In 2011 there were 9.3 admissions per 10,000 population, up significantly from 5.5 per 10,000 population in 2000.

How Do We Compare With U.S.?

From 2008 to 2010, the U.S. age-adjusted rate of poisoning deaths from all causes was 13.5 per 100,000 population. During this same time period, Utah's age-adjusted rate of poisoning deaths was significantly higher at 20.4 per 100,000 population.

Data Source: NCHS Vital Statistics System for numbers of death. Bureau of Census for population estimates.

What Is Being Done?

In July 2007, the Utah State Legislature passed House Bill 137 appropriating funding to the Utah Department of Health (UDOH) to establish a program to reduce deaths and other harm from prescription opiates. Since 2007, the Utah Department of Health launched a media campaign, Use Only As Directed, to educate the public about how to use prescription pain medication safely (visit useonlyasdirected.org for more information). UDOH also launched a statewide provider education intervention where physicians have the opportunity to receive CMEs for participation in small and large group presentations.

In 2009, the Utah Pharmaceutical Drug Crime Project was established to further efforts to reduce prescription drug overdose deaths. This project works with law enforcement and other organizations on initiatives such as the National Take Back Days, which collect thousands of pounds of unused medications, turned in by community members who have cleaned out their medicine cabinets. For information about where to dispose of unused prescriptions visit: http://www.medicationdisposal.utah.gov/cleanoutcabinet.htm.

In 2010, Utah State Legislature passed House Bill 28, requiring all prescribers of controlled substances to register to use the Utah Controlled Substance Database, take a tutorial, and pass a test on the use of the database and the prescribing guidelines of controlled substances when applying for or renewing their license.

In 2011, the Legislature passed Senate Bill 61, which requires prescribers renewing or applying for a controlled substance license to take four hours of controlled substance prescribing classes each licensing period. Information about this program can be found at: http://www.dopl.utah.gov/programs/csdb/index.html.

In 2013, the Utah State Legislature passed H.B. 214. This law requires certain controlled substance prescribers to complete at least four hours of continuing education as a requisite for license renewal and requires that at least 3.5 hours of the required continuing education hours be completed in controlled substance prescribing classes.

The UDOH Violence and Injury Prevention Program (VIPP) is funded by the U.S. Centers for Disease Control and Prevention (CDC) to implement the Utah Violent Death Reporting System (UTVDRS). UTVDRS is a data collection and monitoring system that will help Utahns better understand the public health problem of violence by informing decision makers about the magnitude, trends, and characteristics of violent deaths such as poisoning deaths of undetermined intent, homicide poisoning deaths, and suicide poisoning deaths, and to evaluate and continue to improve state-based violence prevention policies and programs. In 2010 UTVDRS began collecting and incorporating data for accidental poisoning deaths into the database. Data are collected from the Office of the Medical Examiner, Vital Records, and law enforcement agencies and are linked together to help identify risk factors, understand circumstances, and better characterize perpetrators of violent deaths. UTVDRS is currently in its eighth year of data collection.

Evidence-based Practices

Here are some relevant programs using evidence-based practices.

Strengthening Families Program
Evidence-based family skills training program
http://strengtheningfamiliesprogram.org

HALO: Healthy Alternatives for Little Ones
Health education and prevention program for children aged 3-6 years
http://haloforkids.org/

Programs of Prevention, PRIME for Life
Alcohol and drug prevention program for all ages
http://www.primeforlife.org

Find other evidence-based programs online at nrepp.samhsa.gov.

Available Services

Use Only As Directed Media Campaign
www.useonlyasdirected.org

The University of Utah: Utah Poison Control Center
http://uuhsc.utah.edu/poison

National Institutes of Health: National Institute on Drug Abuse
http://drugabuse.gov

Utah Division of Substance Abuse and Mental Health (UDHS)
www.dsamh.utah.gov

Partnership for a Drug-Free America
www.drugfree.org

Office of National Drug Control Policy
http://www.whitehouse.gov/ondcp

Other Program Information

The Violence and Injury Prevention Program (VIPP) is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health. VIPP goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.



Related Indicators

Relevant Population Characteristics

Poisoning death rates in Utahns between 25-64 years of age were significantly higher than the state rate of 21.7 per 100,000 population. For ages 0-44, male poisoning death rates were significantly higher than female poisoning death rates. After age 44, females were just as likely to die from poisoning deaths as males. Compared to other age groups, very few children died from poisoning. (Data reported for years 2008-2012.)

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Risk Factors

In Utah, the top five circumstances observed in prescription opioid deaths were substance abuse problem, physical health problem, diagnosed mental illness, history of alcohol abuse, and intimate partner problem.

Source: Utah Department of Health Violence and Injury Prevention Program, Prescription Opioid Deaths in Utah, 2011 Fact Sheet http://www.health.utah.gov/vipp/pdf/FactSheets/RxOpioidDeaths.pdf (accessed 1/15/2013)

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Poisoning Deaths by Year, Utah and U.S., 1999-2012

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confidence limits

The vast majority of Utah poisoning deaths are due to drug/medication consumption. In 2010, Utah's poisoning death rate (18.9 per 100,000 population) was significantly higher than the U.S. poisoning death rate (13.7 per 100,000 population). Utah received state funding in 2007 to develop the Prescription Pain Medication Management and Education Program to reduce deaths and harm from prescription opioids. Funding was eliminated in 2010 which greatly affected prevention efforts around the state. The Utah rate significantly increased in 2011. 2011 and 2012 data for the U.S. are not available at this time.

Injury: UT Poisonings, UT Poisonings, US Drug Deaths, US Drug Deaths Year Deaths per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 40
UT Poison Deaths 1999 12.7 11.2 14.4 249 2,193,006
UT Poison Deaths 2000 11.7 10.2 13.3 238 2,244,502
UT Poison Deaths 2001 10.9 9.5 12.5 221 2,283,715
UT Poison Deaths 2002 15.5 13.8 17.4 318 2,324,815
UT Poison Deaths 2003 17.6 15.8 19.5 383 2,360,137
UT Poison Deaths 2004 18.4 16.6 20.4 404 2,401,580
UT Poison Deaths 2005 20.0 18.1 22.0 451 2,457,719
UT Poison Deaths 2006 20.4 18.6 22.4 473 2,525,507
UT Poison Deaths 2007 22.4 20.5 24.4 535 2,597,746
UT Poison Deaths 2008 20.4 18.6 22.3 500 2,663,029
UT Poison Deaths 2009 21.8 20.0 23.8 543 2,723,421
UT Poison Deaths 2010 18.9 17.2 20.7 484 2,775,479
UT Poison Deaths 2011 21.9 20.1 23.8 564 2,817,222
UT Poison Deaths 2012 25.5 23.5 27.5 661 2,855,430
U.S. Poison Deaths 1999 7.1 19,741 279,040,181
U.S. Poison Deaths 2000 7.2 20,230 281,421,906
U.S. Poison Deaths 2001 7.8 22,242 284,968,955
U.S. Poison Deaths 2002 9.2 26,435 287,625,193
U.S. Poison Deaths 2003 9.9 28,700 290,107,933
U.S. Poison Deaths 2004 10.3 30,308 292,805,298
U.S. Poison Deaths 2005 11.0 32,691 295,516,599
U.S. Poison Deaths 2006 12.4 37,286 298,379,912
U.S. Poison Deaths 2007 13.2 40,059 301,231,207
U.S. Poison Deaths 2008 13.4 41,080 304,093,966
U.S. Poison Deaths 2009 13.4 41,592 306,771,529
U.S. Poison Deaths 2010 13.7 42,917 308,745,538
Utah Drug Deaths 1999 10.4 9.0 11.9 202 2,193,006
Utah Drug Deaths 2000 10.4 9.0 11.9 211 2,244,502
Utah Drug Deaths 2001 9.3 8.0 10.8 187 2,283,715
Utah Drug Deaths 2002 14.0 12.4 15.7 287 2,324,815
Utah Drug Deaths 2003 15.8 14.2 17.6 347 2,360,137
Utah Drug Deaths 2004 16.9 15.2 18.8 373 2,401,580
Utah Drug Deaths 2005 18.8 17.1 20.8 427 2,457,719
Utah Drug Deaths 2006 19.0 17.2 20.9 441 2,525,507
Utah Drug Deaths 2007 20.9 19.1 22.9 502 2,597,746
Utah Drug Deaths 2008 18.0 16.4 19.8 445 2,663,029
Utah Drug Deaths 2009 19.0 17.3 20.8 475 2,723,421
Utah Drug Deaths 2010 16.6 15.1 18.3 429 2,775,479
Utah Drug Deaths 2011 19.3 17.6 21.1 499 2,817,222
Utah Drug Deaths 2012 22.7 20.9 24.6 589 2,855,430

Data Notes

Utah drug deaths are a subset of Utah poisoning deaths. Drug deaths are defined as ICD codes X40-X44, Y10-Y14, X60-X64, X85. Data are age-adjusted (2000 U.S. standard population).

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011. National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS).



Leading Causes of Injury Death by 3-Year Groups, Utah, 2000-2012

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Poisoning is the leading cause of injury death in Utah. In the year 2002, poisoning surpassed motor vehicle traffic death as the leading cause of injury death in Utah. From 2000-2002 to 2009-2011, there has been a statistically significant increase in poisoning deaths. From 2000-2002 to 2006-2008, motor vehicle traffic deaths have significantly decreased. From 2006-2008 to 2009-2011, there has been a significant decrease in firearm deaths and significant increase in fall deaths.

3 Year Groups (ending 2006, 2009) Leading Causes of Injury Death Deaths per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 24
01-03 Motor Vehicle, Traffic 12.9 12.0 13.8 860 6,968,667
01-03 Poisoning 14.7 13.7 15.7 922 6,968,667
01-03 Firearm 10.3 9.5 11.2 661 6,968,667
01-03 Suffocation 5.6 5.0 6.2 345 6,968,667
01-03 Fall 6.5 5.8 7.2 321 6,968,667
01-03 Drowning/Submersion 1.0 0.8 1.2 72 6,968,667
04-06 Motor Vehicle, Traffic 12.7 11.8 13.6 886 7,384,806
04-06 Poisoning 19.6 18.6 20.7 1,328 7,384,806
04-06 Firearm 9.8 9.0 10.6 328 7,384,806
04-06 Suffocation 5.4 4.9 6.0 379 7,384,806
04-06 Fall 6.0 5.4 6.7 328 7,384,806
04-06 Drowning/Submersion 1.1 0.9 1.4 87 7,384,806
07-09 Motor Vehicle, Traffic 10.1 9.4 10.9 764 7,984,196
07-09 Poisoning 21.5 20.4 22.6 1,578 7,984,196
07-09 Firearm 10.1 9.4 10.9 740 7,984,196
07-09 Suffocation 5.5 5.0 6.1 418 7,984,196
07-09 Fall 7.7 7.0 8.5 457 7,984,196
07-09 Drowning/Submersion 0.8 0.6 1.1 69 7,984,196
10-12 Motor Vehicle, Traffic 8.5 7.9 9.2 680 8,448,131
10-12 Poisoning 22.1 21.1 23.2 1,709 8,448,131
10-12 Firearm 12.1 11.3 12.9 932 8,448,131
10-12 Suffocation 6.3 5.7 6.9 495 8,448,131
10-12 Fall 9.4 8.7 10.2 598 8,448,131
10-12 Drowning/Submersion 1.2 1.0 1.5 96 8,448,131

Data Notes

Data are age-adjusted (2000 U.S. standard population).

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011.



Poisoning Deaths by Intent and Type, Utah, 2008-2012

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88.6% of all Utah poisoning deaths are the result of drug ingestion. For 30.9% of all poisoning deaths, it could not be determined whether the decedent had intended suicide or if he or she had an unintentional overdose. Less than two percent of all undetermined poisonings involved non-drug poisons. 52.0% of poisoning deaths were unintentional poisonings and the overwhelming majority of these deaths were due to drug ingestion. 17.1% of poisoning deaths were suicides. Most of these were due to drug ingestion. Alcohol deaths are also included on this graph in the non-drug category.

Injury: Drug vs. Non-drug Intent of Injury Deaths per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 6
Drug Unintentional 9.7 9.1 10.2 1,235 13,834,581
Drug Suicide 2.9 2.6 3.3 368 13,834,581
Drug Intent Unknown 6.6 6.1 7.0 834 13,834,581
Other Unintentional 1.6 1.4 1.8 196 13,834,581
Other Suicide 0.8 0.7 1.0 102 13,834,581
Other Intent Unknown 0.1 0.1 0.2 17 13,834,581

Data Notes

Data are age-adjusted (2000 U.S. standard population).
Drug deaths are defined as ICD codes X40-X44, Y10-Y14, X60-X64, X85.

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011.



Poisoning Deaths by Age and Sex, Utah, 2008-2012

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confidence limits

Poisoning death rates in Utahns between 25-64 years of age were significantly higher than the state rate of 19.9 per 100,000 population. For ages 0-44, male poisoning death rates were significantly higher than female poisoning death rates. After age 44, females were just as likely to die from poisoning deaths as males. Compared to other age groups, very few children died from poisoning.

Males vs. Females Age Group Deaths per 100,000 Population Lower Limit Upper Limit Note Numer- ator Denom- inator
Record Count: 14
Male 17 or Under 0.8 0.5 1.3 18 2,228,186
Male 18-24 26.4 23.0 30.1 214 811,667
Male 25-34 39.9 36.3 43.7 453 1,135,515
Male 35-44 42.7 38.4 47.4 363 849,357
Male 45-54 48.3 43.5 53.5 369 764,390
Male 55-64 30.5 26.2 35.3 181 593,335
Male 65+ 8.5 6.2 11.2 48 567,632
Female 17 or Under 0.3 0.1 0.7 * 7 2,111,015
Female 18-24 10.1 8.1 12.6 82 808,470
Female 25-34 19.8 17.2 22.6 214 1,082,339
Female 35-44 30.0 26.4 34.0 245 817,107
Female 45-54 45.8 41.1 50.8 352 768,567
Female 55-64 24.5 20.7 28.7 150 612,859
Female 65+ 8.0 6.1 10.5 55 684,142

Data Notes

*For females 17 or under, there are insufficient number of cases to meet the UDOH standard for data reliability, interpret with caution.

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011.



Poison Ingestion ED Visits and Hospitalizations by Age Group, Utah, 2007-2011

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confidence limits

ED visit rates for poison ingestion were significantly higher than the state rate of 22.1 per 10,000 population for persons 1 to 4 years of age and 15 to 34 years of age. Persons who were 5 to 14 years of age and 45+ had significantly lower rates than the state rate.

Hospitalization rates for poison ingestion were significantly higher than the state rate of 8.6 per 10,000 population for persons 15 to 64 years of age. Persons who were 0 to 14 years of age had significantly lower rates than the state rate.

ED Visits vs. Hospitalizations Age Group Rates per 10,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 24
ED Visits Less Than 1 20.9 19.2 22.8 547 261,424
ED Visits 1-4 Yrs 53.5 52.1 55.0 5,536 1,034,219
ED Visits 5-9 Yrs 4.4 4.1 4.8 537 1,214,109
ED Visits 10-14 Yrs 9.8 9.2 10.4 1,083 1,109,758
ED Visits 15-17 Yrs 38.6 37.0 40.1 2,478 642,880
ED Visits 18-19 Yrs 36.4 34.7 38.2 1,652 453,630
ED Visits 20-24 Yrs 30.8 29.8 31.9 3,561 1,154,817
ED Visits 25-34 Yrs 26.3 25.6 27.0 5,728 2,179,393
ED Visits 35-44 Yrs 22.4 21.6 23.1 3,647 1,630,494
ED Visits 45-54 Yrs 18.7 18.0 19.4 2,837 1,520,114
ED Visits 55-64 Yrs 10.7 10.2 11.4 1,246 1,160,055
ED Visits 65+ Yrs 9.9 9.4 10.5 1,208 1,216,004
Hospitalizations Less Than 1 1.5 1.1 2.1 40 261,424
Hospitalizations 1-4 Yrs 1.7 1.5 2.0 178 1,034,219
Hospitalizations 5-9 Yrs 0.2 0.2 0.3 27 1,214,109
Hospitalizations 10-14 Yrs 1.7 1.4 1.9 185 1,109,758
Hospitalizations 15-17 Yrs 8.7 8.0 9.4 558 642,880
Hospitalizations 18-19 Yrs 11.0 10.0 12.0 498 453,630
Hospitalizations 20-24 Yrs 11.0 10.4 11.6 1,266 1,154,817
Hospitalizations 25-34 Yrs 11.9 11.5 12.4 2,600 2,179,393
Hospitalizations 35-44 Yrs 13.0 12.4 13.5 2,116 1,630,494
Hospitalizations 45-54 Yrs 13.3 12.7 13.9 2,020 1,520,114
Hospitalizations 55-64 Yrs 9.7 9.1 10.3 1,123 1,160,055
Hospitalizations 65+ Yrs 8.3 7.8 8.8 1,010 1,216,004

Data Sources

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health. Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011.



Poisoning: Prescription Opioid Deaths by Year, Utah, 2000-2012

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Prescription opioids are narcotic painkillers, including oxycodone, hydrocodone, fentanyl, and methadone. Methadone is also used for addiction therapy. Deaths due primarily to the ingestion of prescription opioids have increased since 1999. Counts represented in this figure include resident and non-resident unintentional and undetermined prescription opioid deaths that occurred in Utah.

Year Number
Record Count: 13
2000 60
2001 94
2002 138
2003 199
2004 217
2005 268
2006 280
2007 326
2008 288
2009 272
2010 236
2011 243
2012 261

Data Sources

Utah Department of Health, Office of the Medical Examiner.



Poisoning Deaths by Local Health District, Utah, 2008-2012 and U.S. 2006-2010

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confidence limits

Local Health District Age-adjusted Death Rate per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 14
Bear River 16.6 13.7 20.0 116 820,448
Central 24.1 19.0 30.2 79 376,943
Davis County 18.0 15.9 20.5 253 1,533,189
Salt Lake County 23.5 22.1 24.9 1,169 5,162,400
Southeastern 35.0 28.0 43.2 91 279,810
Southwest 21.4 18.4 24.8 192 1,021,423
Summit 15.2 10.1 22.0 29 183,197
Tooele 20.1 15.0 26.2 54 290,830
TriCounty 17.4 12.3 23.9 40 262,134
Utah County 18.9 17.0 20.9 410 2,583,255
Wasatch 12.9 7.0 21.9 14 118,402
Weber-Morgan 27.2 24.2 30.5 305 1,202,550
State 21.7 20.9 22.6 2,752 13,834,581
U.S. 13.2 202,934 1,519,222,152

Data Notes

Data are age-adjusted (2000 U.S. standard population).

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2011. National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS).



Poisoning Deaths by Utah Small Area, 2008-2012

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confidence limits

Death rates from poisoning vary considerably across the Utah Small Areas. Downtown Ogden, Glendale, Downtown Salt Lake, South Salt Lake, Murray, Midvale, and Carbon/Emery Counties had significantly higher rates than the state rate of 21.7 per 100,000 population. Logan, Other Cache/Rich County, Morgan/East Weber Counties, Syracuse/Kaysville, Farmington/Centerville, Foothill/U of U, South Jordan, Riverdale, and Lehi/Cedar Valley had significantly lower rates than the state rate of 21.7 per 100,000 population.

Utah Small Areas Deaths per 100,000 Population Lower Limit Upper Limit Note Numer- ator Denom- inator
Record Count: 69
Brigham City 25.2 16.3 37.1 26 117,894
Box Elder Co (Other) 16.8 10.2 26.2 20 130,554
Logan 14.4 10.1 19.8 43 362,990
Cache Co (Oth)/Rich Co (All) 13.6 8.8 20.2 25 209,004
Ben Lomond 27.0 21.0 34.2 71 278,768
Morgan Co (All)/Weber Co (E) 13.7 9.1 19.9 28 212,618
Ogden (Downtown) 44.9 35.1 56.5 74 180,992
South Ogden 27.2 19.6 36.7 44 184,539
Roy/Hooper 22.6 16.5 30.2 46 218,290
Riverdale 30.2 21.0 42.1 36 127,265
Clearfield/Hill AFB 20.7 15.6 27.0 62 336,545
Layton 18.0 13.8 23.2 62 372,373
Syracuse/Kaysville 14.6 10.3 20.2 37 278,905
Farmington/Centerville 14.2 9.0 21.4 23 169,753
Woods Cross/North Salt Lake 17.7 11.3 26.3 25 144,191
Bountiful 21.3 15.4 28.8 44 231,435
SLC (Rose Park) 27.7 19.7 37.9 40 170,564
SLC (Avenues) 25.3 16.2 37.7 25 110,181
SLC (Foothill/U of U) 12.0 6.3 20.9 13 115,387
Magna 17.4 10.7 26.8 21 131,576
SLC (Glendale) 38.6 28.6 51.0 52 149,321
West Valley (West) 21.1 16.5 26.5 76 382,516
West Valley (East) 21.3 15.2 29.0 ^^ 42 211,506
West Valley (East) V2 37.2 21.4 60.0 # 17 52,167
SLC (Downtown) 40.3 32.7 49.2 105 252,197
South Salt Lake 56.7 43.6 72.4 66 127,629
Millcreek 20.5 15.5 26.7 57 283,789
Holladay 23.1 17.1 30.6 51 229,863
Cottonwood 21.4 15.6 28.6 47 218,860
Kearns 18.6 13.5 25.1 ^^ 47 269,441
Kearns V2 23.2 9.9 46.0 # 8* 39620*
Taylorsville (E)/Murray (W) 24.5 17.6 33.1 44 185,122
Taylorsville (West) 28.6 14.0 52.0 # 11* 38776*
Murray 33.2 24.4 44.1 50 158,819
Midvale 34.5 25.2 46.1 48 146,547
West Jordan (North) 26.9 13.0 49.1 ^ 13 52,867
West Jordan (NE) 31.0 21.2 43.6 ^^^ 34 111,394
West Jordan (NE) V2 26.2 11.2 52.1 # 8* 31001*
West Jordan/Copperton 22.7 10.7 42.4 ^ 10* 47349*
West Jordan (SE) 22.5 15.2 32.0 ## 32 144,441
West Jordan (W)/Copperton 14.6 9.0 22.4 ## 22 166,744
South Jordan 14.9 10.1 21.1 33 250,018
Sandy (Center) 24.2 18.5 31.0 62 267,013
Sandy (NE) 19.5 11.8 30.3 21 116,998
Sandy (SE) 19.8 12.8 29.1 27 152,557
Riverton/Draper 13.2 10.0 17.0 66 546,898
Tooele Co 20.0 15.0 26.2 54 290,832
Lehi/Cedar Valley 12.9 9.1 17.7 43 419,291
American Fork/Alpine 20.3 14.9 27.1 47 263,009
Pleasant Grove/Lindon 22.0 16.2 29.2 49 265,721
Orem (North) 17.0 11.0 25.1 28 188,020
Orem (West) 19.8 12.6 29.8 27 158,151
Orem (East) 12.8 6.4 22.7 12 109,621
Provo (North)/BYU 18.4 11.3 28.1 27 266,040
Provo (South) 24.2 17.4 32.9 53 329,493
Springville/Spanish Fork 22.4 17.8 27.8 86 415,086
Utah Co (South) 24.6 17.1 34.3 36 168,851
Summit Co 15.6 10.5 22.4 30 183,189
Wasatch Co 14.4 8.2 23.7 16 118,404
TriCounty LHD 17.6 12.5 24.0 41 262,143
Juab/Millard/Sanpete Co 23.5 17.3 31.1 50 251,698
Sevier/Piute/Wayne Co 25.1 16.5 36.5 28 125,682
Carbon/Emery Co 41.1 31.0 53.5 59 160,287
Grand/San Juan Co 27.8 18.9 39.5 32 119,517
St George 18.7 14.4 23.8 68 383,994
Washington Co (Other) 21.3 16.0 27.7 57 313,621
Cedar City 27.1 19.5 36.8 46 202,017
Southwest LHD (Other) 16.9 10.2 26.4 21 121,760
State 21.7 20.8 22.5 2,752 13,834,364

Data Notes

Data are age-adjusted to the U.S. 2000 standard population.

*Kearns V2, Taylorsville (West), West Jordan (NE) V2, and West Jordan/Copperton had an insufficient number of cases to meet the UDOH standard for data reliability, interpret with caution.

^Due to Utah Small Area reclassification, numbers for 'West Jordan (North)' and 'West Jordan/Copperton' only include data for 2008.
^^Due to Utah Small Area reclassification, numbers for 'West Valley (East)' and 'Kearns' only include data for 2008-2011.
^^^Due to Utah Small Area reclassification, numbers for 'West Jordan (NE)' only include data for 2009-2011.
##Due to Utah Small Area reclassification, numbers for 'West Jordan (SE)' and 'West Jordan (West)/Copperton' only include data for 2009-2012.
#Due to Utah Small Area reclassification, numbers for 'West Valley (East) V2', 'Kearns V2', 'Taylorsville (West)', and 'West Jordan (NE) V2' only include data for 2012.

A description of the Utah Small Areas may be found on IBIS at the following URL: http://ibis.health.utah.gov/query/Help.html.

Data Sources

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population estimates produced by staff in the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2011.


References and Community Resources

Violence and Injury Prevention Program
http://www.health.utah.gov/vipp/RxDrugs/overview.html

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 01/15/2014, Published on 01/16/2014
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 24 April 2014 14:50:11 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.utah.gov".

Content updated: Thu, 16 Jan 2014 11:05:41 MST