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Complete Health Indicator Report of Drug Overdose and Poisoning Incidents

Definition

__Poisoning deaths:__ number of deaths among Utah residents resulting from poisoning (ICD-10 codes X40-X49, X60-X69, X85-X90, Y10-Y19, Y35.2, *U01 [.6-.7]) per 100,000 population. __Drug poisoning deaths:__ number of deaths among Utah residents resulting from drug poisoning (ICD-10 codes X40-X44, X60-X64, X85, Y10-Y14) per 100,000 population. __Drug poisoning ED visits/hospitalizations:__ number of incidents (ED visits or hospitalizations) among Utah residents resulting from drug poisoning (ICD-9 codes E850-E858, E950 [.0-.5], E962, E980 [.0-.5]) per 10,000 population. __Prescription opioid deaths:__ number of unintentional and undetermined intent deaths among residents and non-residents resulting from prescription opioids that occurred in Utah.

Numerator

__Poisoning deaths:__ number of deaths among Utah residents resulting from poisoning (ICD-10 codes X40-X49, X60-X69, X85-X90, Y10-Y19, Y35.2, *U01 [.6-.7]). __Drug poisoning deaths:__ number of deaths among Utah residents resulting from drug poisoning (ICD-10 codes X40-X44, X60-X64, X85, Y10-Y14). __Drug poisoning ED visits/hospitalizations:__ number of incidents (ED visits or hospitalizations) among Utah residents resulting from drug poisoning (ICD-9 codes E850-E858, E950 [.0-.5], E962, E980 [.0-.5]). __Prescription opioid deaths:__ number of resident and non-resident unintentional and undetermined prescription opioid deaths that occurred in Utah.

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. Poisoning deaths are defined by ICD-10 codes X40-X49 (unintentional); X60-X69 (suicide); X85-X90, *U01 (.6-.7) (homicide); Y10-Y19 (undetermined), and Y35.2 (other). Drug poisoning deaths are a subset of poisoning deaths and are defined by ICD-10 codes X40-X44 (unintentional), X60-X64 (suicide), X85 (homicide), and Y10-Y14 (undetermined). ED and hospitalization drug poisoning incidents are defined by ICD-9 codes E850-E858, E950 (.0-.5), E962, E980 (.0-.5). Prescription opioid deaths are identified using data from the Office of the Medical Examiner in the Utah Violent Death Reporting System.

Why Is This Important?

Drug poisoning deaths are a preventable public health problem; they are the leading cause of injury death in Utah, outpacing deaths due to firearms, falls, and motor vehicle crashes. Every month, 53 Utah adults die as a result of a drug poisoning, 84.3% of which are accidental or of undetermined intent, and of these, 75.6% involve opioids. Utah is particularly affected by prescription opioids, which are responsible for half of the accidental and undetermined drug poisoning deaths in the state.

Healthy People Objective IVP-9.1:

Prevent an increase in poisoning deaths among all persons
U.S. Target: 13.2 deaths per 100,000 population
State Target: 12.9 per 100,000 population

Other Objectives

{{style color:#003366 Healthy People 2020 Objective IVP-9.1:}} Prevent an increase in poisoning deaths among all persons *'''U.S. Target:''' 13.2 deaths per 100,000 population *'''Utah Target:''' 12.9 deaths per 100,000 population[[br]] [[br]] {{style color:#003366 Healthy People 2020 Objective IVP-9.2:}} Prevent an increase in poisoning deaths among persons aged 35 to 54 years *'''U.S. Target:''' 25.6 deaths per 100,000 population *'''Utah Target:''' 23.2 deaths per 100,000 population[[br]] [[br]] {{style color:#003366 Healthy People 2020 Objective IVP-9.3:}} Prevent an increase in poisoning deaths caused by 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[[br]] [[br]] {{style color:#003366 Healthy People 2020 Objective IVP-9.4:}} Prevent an increase in poisoning deaths caused by 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 deaths per 100,000 population (prevent an increase in the 2010 crude rate)[[br]] [[br]] {{style color:#003366 Healthy People 2020 Objective IVP-10:}} Prevent an increase in nonfatal poisonings *'''U.S. Target:''' 304.8 nonfatal poisonings per 100,000 population *'''Utah Target:''' 291.5 nonfatal poisonings per 100,000 population

How Are We Doing?

The 2017 age-adjusted drug poisoning death rate was 22.3 per 100,000 population. During that year, 11.2% of Utah drug poisoning deaths were of undetermined intent, 16.9% were self-inflicted, and 71.8% were unintentional. From 2015 to 2017, males (25.4 per 100,000 population) had a significantly higher age-adjusted drug poisoning death rate compared to females (19.4 per 100,000 population). Males had the highest rates in the 25-34 year old age group, and rates among females were highest in the 45-54 year old age group. For ages 18-34, male drug poisoning death rates were significantly higher than female drug poisoning death rates. Children infrequently require hospitalization for the ingestion of poison, but 1 to 4 year-olds had significantly higher drug poisoning emergency department (ED) visits rates (35.1 per 10,000 population), along with 15-24 year olds (30.6 per 10,000 population), and 25-34 year olds (22.5 per 10,000 population) compared to the state (18.0 per 10,000 population) in 2012-2014.

How Do We Compare With the U.S.?

In 2016, the most recent year for which national-level data are available, the U.S. age-adjusted rate of drug poisoning deaths from all intents was 19.7 per 100,000 population. During this same year, Utah's age-adjusted rate of drug poisoning deaths was significantly higher at 22.3 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. In 2016, the Utah Department of Health launched a media campaign, Stop the Opidemic, to educate the public about how to use prescription pain medication safely (visit [http://opidemic.org opidemic.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 use the [https://uthealth.maps.arcgis.com/apps/Directions/index.html?appid=0a978de082af4dadb93710fa44259e00 drop-off locator]. 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 S.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. In 2014, the Utah State Legislature passed the Good Samaritan Law (H.B. 11) and the Naloxone Law (H.B. 119). The Good Samaritan Law enables bystanders to report an overdose without fear of criminal prosecution for illegal possession of a controlled substance or illicit drug. The Naloxone Law permits physicians to prescribe naloxone to third parties (someone who is usually a caregiver or a potential bystander to a person at risk for an overdose). It also permits individuals to administer naloxone without legal liability. In 2015 and 2016, the Utah Department of Health received one-time funding to address prescription drug abuse, misuse, and overdose deaths by continuing data collection efforts to help target interventions, develop provider materials, increase naloxone awareness, expand public awareness efforts, and develop provider tools and resources to address prescription drug abuse.

Evidence-based Practices

Here are some relevant programs using evidence-based practices. Strengthening Families Program[[br]] Evidence-based family skills training program[[br]] [http://strengtheningfamiliesprogram.org] HALO: Healthy Alternatives for Little Ones[[br]] Health education and prevention program for children aged 3-6 years[[br]] [http://haloforkids.org/] Programs of Prevention, PRIME for Life[[br]] Alcohol and drug prevention program for all ages[[br]] [http://www.primeforlife.org]

Available Services

Use Only As Directed Media Campaign[[br]] [http://www.useonlyasdirected.org] The University of Utah: Utah Poison Control Center[[br]] [http://poisoncontrol.utah.edu] National Institutes of Health: National Institute on Drug Abuse[[br]] [http://drugabuse.gov] Utah Division of Substance Abuse and Mental Health (UDHS)[[br]] [http://www.dsamh.utah.gov] Partnership for a Drug-Free America [http://www.drugfree.org] Office of National Drug Control Policy[[br]] [http://www.whitehouse.gov/ondcp] Utah Department of Health: Naloxone[[br]] [http://naloxone.utah.gov]

Health 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

From 2015 to 2017, males (25.4 per 100,000 population) had a significantly higher age-adjusted drug poisoning death rate compared to females (19.4 per 100,000 population). Males had the highest rates in the 25-34 year old age group, and rates among females were highest in the 45-54 year old age group. For ages 18-34, male drug poisoning death rates were significantly higher than female drug poisoning death rates. Children infrequently require hospitalization for the ingestion of poison, but 1 to 4 year-olds had significantly higher drug poisoning emergency department (ED) visits rates (35.1 per 10,000 population), along with 15-24 year olds (30.6 per 10,000 population), and 25-34 year olds (22.5 per 10,000 population) compared to the state (18.0 per 10,000 population) in 2012-2014.

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, current mental health problem, history of alcohol or substance abuse, and history of suicide attempts. Source: Utah Department of Health Violence and Injury Prevention Program, Prescription Opioid Deaths in Utah, 2015 Fact Sheet [http://health.utah.gov/vipp/pdf/RxDrugs/PDODeaths2015.pdf] (accessed 1/14/2017)

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Leading Causes of Injury Death by 3-Year Groups, Utah, 2000-2017

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confidence limits

In 2002, poisoning surpassed motor vehicle traffic death as the leading cause of injury death in Utah. Since, poisoning related deaths have increased significantly over the past 15 years. In 2015-2017, drug poisonings accounted for 90.4% of poisoning deaths. Motor vehicle crash related deaths have trended downwards over most of the same time period. Firearm, fall, and suffocation related deaths have trended upwards. Drowning related deaths have remained relatively the same.
3 Year Groups (ending 2014, 2017)Leading Causes of Injury DeathAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 36
2000 to 2002Poisoning12.711.813.77776,853,032
2000 to 2002Motor Vehicle, Traffic13.712.814.68966,853,032
2000 to 2002Firearm10.19.310.96246,853,032
2000 to 2002Fall6.05.46.82976,853,032
2000 to 2002Suffocation5.14.55.73176,853,032
2000 to 2002Drowning/Submersion1.20.91.5866,853,032
2003 to 2005Poisoning18.717.619.81,2387,219,436
2003 to 2005Motor Vehicle, Traffic12.711.813.68707,219,436
2003 to 2005Firearm10.29.411.06737,219,436
2003 to 2005Fall6.55.87.23397,219,436
2003 to 2005Suffocation5.75.16.33817,219,436
2003 to 2005Drowning/Submersion1.00.81.2757,219,436
2006 to 2008Poisoning21.020.022.21,5087,786,282
2006 to 2008Motor Vehicle, Traffic11.210.412.08337,786,282
2006 to 2008Firearm9.89.110.66987,786,282
2006 to 2008Fall6.65.97.33807,786,282
2006 to 2008Suffocation5.34.75.83857,786,282
2006 to 2008Drowning/Submersion0.80.71.1717,786,282
2009 to 2011Poisoning20.919.821.91,5918,314,111
2009 to 2011Motor Vehicle, Traffic9.08.39.77028,314,111
2009 to 2011Firearm11.510.712.38738,314,111
2009 to 2011Fall9.08.29.85588,314,111
2009 to 2011Suffocation6.25.66.84838,314,111
2009 to 2011Drowning/Submersion1.21.01.4988,314,111
2012 to 2014Poisoning24.323.225.51,9328,692,854
2012 to 2014Motor Vehicle, Traffic7.87.28.56318,692,854
2012 to 2014Firearm12.311.613.29878,692,854
2012 to 2014Fall10.09.210.86708,692,854
2012 to 2014Suffocation7.26.67.85778,692,854
2012 to 2014Drowning/Submersion1.10.91.4918,692,854
2015 to 2017Poisoning24.923.826.02,1149,131,071
2015 to 2017Motor Vehicle, Traffic9.08.49.77849,131,071
2015 to 2017Firearm13.112.313.91,1309,131,071
2015 to 2017Fall9.08.39.76559,131,071
2015 to 2017Suffocation7.57.08.26499,131,071
2015 to 2017Drowning/Submersion1.00.81.2929,131,071

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 2017


Poisoning Deaths by Year, Utah and U.S., 1999-2017

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confidence limits

UT Poisonings, US Poisonings, UT Drug Deaths, US Drug DeathsYearAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 74
UT Poison Deaths199912.711.214.42492,193,006
UT Poison Deaths200011.710.213.32382,244,502
UT Poison Deaths200110.99.512.52212,283,715
UT Poison Deaths200215.513.817.43182,324,815
UT Poison Deaths200317.615.819.53832,360,137
UT Poison Deaths200418.416.620.44042,401,580
UT Poison Deaths200520.018.122.04512,457,719
UT Poison Deaths200620.418.622.44732,525,507
UT Poison Deaths200722.420.524.45352,597,746
UT Poison Deaths200820.418.622.35002,663,029
UT Poison Deaths200921.820.023.85432,723,421
UT Poison Deaths201018.917.220.74842,775,260
UT Poison Deaths201121.920.123.85642,815,430
UT Poison Deaths201225.423.527.56612,854,222
UT Poison Deaths201323.621.725.56302,899,961
UT Poison Deaths201424.022.226.06412,938,671
UT Poison Deaths201525.423.627.46972,984,917
UT Poison Deaths201624.822.926.77033,044,321
UT Poison Deaths201724.522.726.47143,101,833
U.S. Poison Deaths19997.119,741279,040,238
U.S. Poison Deaths20007.220,230282,171,936
U.S. Poison Deaths20017.822,242284,968,955
U.S. Poison Deaths20029.226,435287,625,193
U.S. Poison Deaths20039.928,700290,107,933
U.S. Poison Deaths200410.330,308292,805,298
U.S. Poison Deaths200511.032,691295,516,599
U.S. Poison Deaths200612.437,286298,379,912
U.S. Poison Deaths200713.240,059301,231,207
U.S. Poison Deaths200813.441,080304,093,966
U.S. Poison Deaths200913.441,592306,771,529
U.S. Poison Deaths201013.742,917308,747,508
U.S. Poison Deaths201114.646,047311,663,358
U.S. Poison Deaths201214.546,150313,998,379
U.S. Poison Deaths201315.248,545316,204,908
U.S. Poison Deaths201416.251,966318,563,456
U.S. Poison Deaths201517.957,567320,896,618
U.S. Poison Deaths201621.368,995323,127,513
Utah Drug Deaths199910.49.011.92022,193,006
Utah Drug Deaths200010.49.011.92112,244,502
Utah Drug Deaths20019.38.010.81872,283,715
Utah Drug Deaths200214.012.415.72872,324,815
Utah Drug Deaths200315.814.217.63472,360,137
Utah Drug Deaths200416.915.218.83732,401,580
Utah Drug Deaths200518.817.120.84272,457,719
Utah Drug Deaths200619.017.220.94412,525,507
Utah Drug Deaths200720.919.122.95022,597,746
Utah Drug Deaths200818.016.419.84452,663,029
Utah Drug Deaths200919.017.320.84752,723,421
Utah Drug Deaths201016.615.118.34292,775,260
Utah Drug Deaths201119.317.621.14992,815,430
Utah Drug Deaths201222.720.824.65892,854,222
Utah Drug Deaths201321.720.023.65842,899,961
Utah Drug Deaths201421.820.023.75832,938,671
Utah Drug Deaths201522.921.124.86302,984,917
Utah Drug Deaths201622.220.424.06303,044,321
Utah Drug Deaths201722.320.624.16503,101,833
U.S. Drug Deaths19996.016,849279,040,238
U.S. Drug Deaths20006.217,415282,171,936
U.S. Drug Deaths20016.819,394284,968,955
U.S. Drug Deaths20028.223,518287,625,193
U.S. Drug Deaths20038.925,785290,107,933
U.S. Drug Deaths20049.327,424292,805,298
U.S. Drug Deaths200510.029,813295,516,599
U.S. Drug Deaths200611.434,425298,379,912
U.S. Drug Deaths200711.936,010301,231,207
U.S. Drug Deaths200811.936,450304,093,966
U.S. Drug Deaths200912.037,004306,771,529
U.S. Drug Deaths201012.338,329308,747,508
U.S. Drug Deaths201113.241,340311,663,358
U.S. Drug Deaths201213.141,502313,998,379
U.S. Drug Deaths201313.843,982316,204,908
U.S. Drug Deaths201414.747,055318,563,456
U.S. Drug Deaths201516.352,404320,896,618
U.S. Drug Deaths201619.763,632323,127,513

Data Notes

Data are age-adjusted (2000 U.S. standard population). Poisoning deaths are defined as ICD-10 codes X40-X49, Y10-Y19, X60-X69, X85-X90, Y35.2, *U01.6-U01.7. Drug poisoning deaths are a subset of poisoning deaths and are defined as ICD-10 codes X40-44, X60-X64, X85, Y10-Y14. The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes.

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 2017
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Poisoning Deaths by Intent and Type (drug vs. other), Utah, 2015-2017

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Drug vs. Non-drugIntent of InjuryAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 6
DrugUnintentional15.514.716.41,3339,131,071
DrugSuicide3.63.24.12999,131,071
DrugIntent Unknown3.32.93.72789,131,071
OtherUnintentional1.41.21.71199,131,071
OtherSuicide0.90.71.1789,131,071
OtherIntent Unknown0.10.00.2*79,131,071

Data Notes

*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. Data are age-adjusted (2000 U.S. standard population). Drug deaths are defined as ICD-10 codes X40-X44, X60-X64, X85, Y10-Y14. Non-drug deaths are defined as ICD-10 codes X45-X49, X65-X69, X86-X90, Y15-Y19, Y35.2, *U01.6-U01.7. The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes.

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 2017


Poisoning: Drug Deaths by Age and Sex, Utah, 2015-2017

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confidence limits

Males vs. FemalesAge GroupRate per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 21
Male17 or Under0.40.20.9*61,416,443
Male18-2423.219.327.8121520,345
Male25-3443.738.949.0300685,859
Male35-4442.637.748.1267626,060
Male45-5441.836.248.1198473,361
Male55-6439.834.046.3170427,018
Male65+9.26.612.541446,520
Female17 or Under0.50.21.1*71,339,890
Female18-247.85.510.639502,850
Female25-3421.818.425.7145663,999
Female35-4434.830.339.8210603,286
Female45-5441.035.447.2191465,924
Female55-6438.432.844.6170442,985
Female65+8.76.411.745516,531
Total17 or Under0.50.20.8132,756,333
Total18-2415.613.318.31601,023,195
Total25-3433.030.036.24451,349,858
Total35-4438.835.442.44771,229,346
Total45-5441.437.445.7389939,285
Total55-6439.135.043.5340870,003
Total65+8.97.111.086963,051

Data Notes

*For males and females ages 17 or under, there are insufficient number of cases to meet the UDOH standard for data reliability, interpret with caution. The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes.

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 2017


Poisoning: Drug Deaths by Local Health District, Utah, 2015-2017

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confidence limits

Local Health DistrictAge-adjusted Drug Deaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 15
Bear River17.613.822.277532,397
Central19.614.026.742234,778
Davis County18.115.521.11761,023,800
Salt Lake County24.222.626.08053,361,400
San Juan16.25.935.3*645,923
Southeast37.526.851.043120,564
Southwest23.419.627.8139684,745
Summit16.810.326.021121,095
Tooele21.014.928.739194,696
TriCounty22.115.330.935173,443
Utah County20.618.223.13091,769,938
Wasatch16.79.327.71591,950
Weber-Morgan27.223.531.2201776,342
State of Utah22.421.423.51,9109,131,071
U.S.16.9163,091962,587,587

Data Notes

Data are age-adjusted (2000 U.S. standard population). *Use caution in interpreting, the estimate has a coefficient of variation >30%. The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes.

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 2017
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Poisoning: Drug Deaths by Utah Small Area, 2015-2017

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confidence limits

Utah Small AreasAge-adjusted Drug Deaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 131
Brigham City34.221.551.62374,022
Box Elder Co (Other) V218.96.841.5*635,674
Tremonton17.36.936.1*749,151
Logan V213.47.522.216167,813
North Logan8.82.521.8*569,355
Cache (Other)/Rich (All) V215.47.328.6*1071,370
Hyrum22.77.253.6*526,485
Smithfield12.93.533.2*438,690
Ben Lomond25.418.334.343183,385
Weber County (East)26.617.139.525105,782
Morgan County****
Ogden (Downtown)44.232.758.550115,170
South Ogden19.011.629.421113,035
Roy/Hooper25.917.836.334141,733
Riverdale28.517.543.92182,945
Clearfield Area/Hooper23.517.131.646214,018
Layton/South Weber20.214.827.047245,484
Kaysville/Fruit Heights18.010.628.618114,710
Syracuse9.43.719.5*784,300
Centerville23.111.042.6*1050,713
Farmington9.73.820.1*766,259
North Salt Lake14.46.627.6*959,203
Woods Cross/West Bountiful14.25.231.2*645,934
Bountiful19.012.128.624143,351
SLC (Rose Park)36.725.351.635108,089
SLC (Avenues)23.813.638.61869,965
SLC (Foothill/East Bench)16.38.328.91266,103
Magna32.520.948.32584,030
SLC (Glendale) V231.419.548.02276,960
West Valley (Center)16.210.224.423157,774
West Valley (West) V229.919.643.82793,266
West Valley (East) V232.323.743.048158,721
SLC (Downtown) V268.052.786.475114,082
SLC (Southeast Liberty)15.47.927.31270,030
South Salt Lake33.322.048.52881,537
SLC (Sugar House)28.518.741.528101,622
Millcreek (South)24.013.639.41667,857
Millcreek (East)20.711.235.01474,352
Holladay V231.619.548.52275,986
Cottonwood19.912.829.626127,560
Kearns V228.319.240.232123,402
Taylorsville (E)/Murray (W)26.817.838.929113,758
Taylorsville (West)12.56.920.915120,542
Murray34.223.847.737104,215
Midvale38.326.453.83591,825
West Jordan (Northeast) V231.621.045.72994,026
West Jordan (Southeast)15.79.224.918115,231
West Jordan (W)/Copperton15.59.623.822142,389
South Jordan V216.410.225.022144,759
Daybreak18.98.835.5*1052,414
Sandy (West)27.917.142.92182,743
Sandy (Center) V222.913.935.62088,593
Sandy (Northeast)18.29.531.61374,316
Sandy (Southeast)19.010.431.71591,170
Draper16.19.924.721134,629
Riverton/Bluffdale11.66.319.514125,326
Herriman12.34.028.4*10134,004
Tooele County (Other)16.26.533.6*746,001
Tooele Valley23.616.133.432148,754
Eagle Mountain/Cedar Valley8.73.418.1*791,722
Lehi16.210.024.726195,544
Saratoga Springs4.81.312.5*474,840
American Fork23.415.833.530143,227
Alpine17.75.442.8*532,580
Pleasant Grove/Lindon19.412.828.129175,965
Orem (North)31.621.644.635115,871
Orem (West)25.815.041.319104,083
Orem (East)17.78.333.0*1069,113
Provo/BYU16.08.028.614158,665
Provo (West City Center)19.211.230.820101,108
Provo (East City Center)35.919.959.822103,954
Salem City16.44.442.3*428,260
Spanish Fork27.518.040.327126,835
Springville29.118.344.02399,588
Mapleton****
Utah County (South) V229.113.854.0*1039,969
Payson24.714.040.31679,446
Park City14.87.725.61387,544
Summit County (East)20.28.042.2*733,567
Wasatch County16.89.427.81591,955
Daggett and Uintah County20.912.832.221112,312
Duchesne County25.714.242.81561,115
Nephi/Mona26.910.755.8*728,129
Delta/Fillmore19.06.742.2*629,758
Sanpete Valley19.19.035.7*1064,202
Central (Other)14.16.028.0*868,170
Richfield/Monroe/Salina24.411.545.4*1044,562
Carbon County55.036.879.03161,029
Emery County35.016.365.8*1030,648
Grand County****
Blanding/Monticello20.55.453.0*423,817
San Juan County (Other)****
St. George24.918.532.754258,765
Washington Co (Other) V2****
Washington City28.215.846.61671,034
Hurricane/La Verkin13.96.226.9*975,931
Ivins/Santa Clara20.68.641.4*844,579
Cedar City28.018.540.630132,143
Southwest LHD (Other)21.612.035.71772,878
State of Utah22.421.423.51,9109,131,071
U.S.16.9163,091962,587,587

Data Notes

Data are age-adjusted (2000 U.S. standard population). *Use caution in interpreting, the estimate has a coefficient of variation >30%. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html]. The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population estimates produced by 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 2017
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Poisoning: Drug ED Visits and Hospitalizations by Age Group, Utah, 2012-2014

::chart - missing::
confidence limits

ED Visits vs. HospitalizationsAge GroupDrug Poisoning Rate per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 22
ED Visits<112.811.014.7195152,670
ED Visits1-435.033.636.62,158615,678
ED Visits5-146.56.17.09871,511,621
ED Visits15-2430.629.731.64,3021,403,973
ED Visits25-3422.421.623.22,9701,324,079
ED Visits35-4417.516.718.31,9531,116,140
ED Visits45-5416.115.317.01,478915,898
ED Visits55-649.99.210.6794805,520
ED Visits65-748.98.19.8436489,003
ED Visits75-8410.69.411.9272257,050
ED Visits85+9.67.811.797101,222
Hospitalizations<11.61.02.324152,670
Hospitalizations1-41.91.52.2115615,678
Hospitalizations5-141.31.21.52021,511,621
Hospitalizations15-249.28.89.81,2991,403,973
Hospitalizations25-3411.110.511.71,4691,324,079
Hospitalizations35-4410.810.211.41,2011,116,140
Hospitalizations45-5413.312.614.11,220915,898
Hospitalizations55-6410.810.111.5868805,520
Hospitalizations65-749.89.010.7480489,003
Hospitalizations75-848.07.09.2206257,050
Hospitalizations85+7.86.29.779101,222

Data Notes

The Consensus Recommendations for National and State Poisoning Surveillance definition of a drug is as follows: A drug is any chemical compound that is chiefly used by or administered to humans or animals as an aid in the diagnosis, treatment, or prevention of disease or injury, for the relief of pain or suffering, to control or improve any physiologic or pathologic condition, or for the feeling it causes. The definition specifically includes: *Street drugs such as heroin, cocaine, and hallucinogens; *Prescription drugs; *Over-the-counter drugs; *Biological substances such as vaccinations; *Veterinary drugs; *Dietary supplements; and *Non-medicinal substances used primarily for the feeling they cause. [[br]] The definition specifically excludes: *Alcohol; *Tobacco; and *Chemicals that are deliberately inhaled for the feeling they cause but are chiefly used for other purposes (i.e. organic solvents and halogen derivatives of aliphatic and aromatic hydrocarbons).

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 2017


Poisoning: Prescription Opioid Deaths by Year, Utah, 2000-2017

::chart - missing::

Prescription drugs include pain medications, also known as opioids, such as oxycodone, hydrocodone, fentanyl, and methadone. Deaths as a result of prescription pain medications have increased since 1999. Counts represented in this figure include resident and non-resident unintentional and undetermined prescription pain medication deaths that occurred in Utah.
YearNumber of Deaths Occurring in Utah
Record Count: 18
200060
200194
2002138
2003198
2004217
2005268
2006280
2007326
2008289
2009272
2010236
2011247
2012269
2013274
2014302
2015285
2016282
2017249

Data Notes

Prescription drug data is identified through the Office of the Medical Examiner using cause of death text fields to identify if the individual died as a result of a prescription drug overdose. Data is entered in 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 drug overdose deaths by informing decision makers about the magnitude, trends, and characteristics of drug overdose deaths and to evaluate and continue to improve state-based prevention policies and programs. 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 deaths. UTVDRS is currently in its tenth year of data collection. Data from 2017 are preliminary and subject to change as additional cases are finalized.

Data Source

Utah Department of Health, Office of the Medical Examiner

References and Community Resources

Utah Coalition on Opioid Overdose Prevention (UCO-OP)[[br]] [https://ucoop.utah.gov/] Information on how to use and where to find naloxone, which is used to reverse opioid overdoses [[br]] [https://naloxone.utah.gov/] Violence and Injury Prevention Program[[br]] [http://www.health.utah.gov/vipp/topics/prescription-drug-overdoses/] Information on addiction resources and tools[[br]] [https://www.drugrehab.com/addiction/prescriptions/]

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 11/20/2018, Published on 11/29/2018
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 17 December 2018 7:25:33 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 29 Nov 2018 14:06:19 MST