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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 and have outpaced deaths due to firearms, falls, and motor vehicle crashes in Utah. In 2015, Utah ranked 9th in the U.S. for drug poisoning deaths with a rate of 23.4 per 100,000 population. Every month, 52 Utah adults die as a result of a drug poisoning, 83.8% of which are accidental or of undetermined intent, and of these, 77.6% involve opioids. Utah is particularly affected by prescription opioids, which are responsible for many of the drug poisoning deaths in Utah.

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 2015 age-adjusted drug poisoning death rate was 22.8 per 100,000 population. Prescription pain medications underlie many Utah poisoning deaths. In 2015, 17.9% of Utah drug poisoning deaths were of undetermined intent, 16.1% were self-inflicted, and 66.0% were unintentional. From 2013 to 2015, males (24.5 per 100,000 population) had a significantly higher age-adjusted drug poisoning death rate compared to females (19.7 per 100,000 population). Males had the highest rates in the 25-34 year old age group, and females had the highest rates 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 (34.0 per 10,000 population), along with 15-24 year olds (29.3 per 10,000 population), and 25-34 year olds (21.9 per 10,000 population) compared to the state (17.4 per 10,000 population) in 2012-2014.

How Do We Compare With the U.S.?

In 2015, the U.S. age-adjusted rate of drug poisoning deaths from all intents was 16.3 per 100,000 population. During this same year, Utah's age-adjusted rate of drug poisoning deaths was significantly higher at 23.4 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 [http://useonlyasdirected.org 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.useonlyasdirected.org/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] Find other evidence-based programs online at [http://nrepp.samhsa.gov].

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 2013 to 2015, males (24.5 per 100,000 population) had a significantly higher age-adjusted drug poisoning death rate compared to females (19.7 per 100,000 population). Males had the highest rates in the 25-34 year old age group, and females had the highest rates 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 (34.0 per 10,000 population), along with 15-24 year olds (29.3 per 10,000 population), and 25-34 year olds (21.9 per 10,000 population) compared to the state (17.4 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, 2001-2015

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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. Motor vehicle crash related deaths have trended downwards over 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 2012, 2015)Leading Causes of Injury DeathAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 30
01-03Poisoning14.713.715.79226,968,667
01-03Motor Vehicle, Traffic12.912.013.88606,968,667
01-03Firearm10.39.511.26616,968,667
01-03Fall6.55.87.23216,968,667
01-03Suffocation5.65.06.23456,968,667
01-03Drowning/Submersion1.00.81.2726,968,667
04-06Poisoning19.618.620.71,3287,384,806
04-06Motor Vehicle, Traffic12.711.813.68867,384,806
04-06Firearm9.89.010.66597,384,806
04-06Fall6.05.46.73287,384,806
04-06Suffocation5.44.96.03797,384,806
04-06Drowning/Submersion1.10.91.4877,384,806
07-09Poisoning21.520.422.61,5787,984,196
07-09Motor Vehicle, Traffic10.19.410.97647,984,196
07-09Firearm10.19.410.97407,984,196
07-09Fall7.77.08.54577,984,196
07-09Suffocation5.55.06.14187,984,196
07-09Drowning/Submersion0.80.61.1697,984,196
10-12Poisoning22.121.023.21,7098,448,209
10-12Motor Vehicle, Traffic8.57.99.26808,448,209
10-12Firearm12.111.312.99328,448,209
10-12Fall9.48.710.25988,448,209
10-12Suffocation6.35.76.94958,448,209
10-12Drowning/Submersion1.21.01.5968,448,209
13-15Poisoning24.323.225.41,9688,844,102
13-15Motor Vehicle, Traffic8.27.68.86738,844,102
13-15Firearm12.411.613.21,0268,844,102
13-15Fall9.58.810.26558,844,102
13-15Suffocation7.57.08.26248,844,102
13-15Drowning/Submersion1.10.91.3908,844,102

Data Notes

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

Data Sources

  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Poisoning Deaths by Year, Utah and U.S., 1999-2015

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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: 68
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 Deaths201018.917.220.74842,775,426
UT Poison Deaths201121.920.123.85642,816,440
UT Poison Deaths201225.423.527.46612,856,343
UT Poison Deaths201323.521.725.46302,903,685
UT Poison Deaths201424.022.125.96412,944,498
UT Poison Deaths201525.423.527.36972,995,919
U.S. Poison Deaths19997.119,741279,040,181
U.S. Poison Deaths20007.220,230281,421,906
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 Deaths201013.742,917308,745,538
U.S. Poison Deaths201114.646,047311,718,857
U.S. Poison Deaths201214.546,150314,102,623
U.S. Poison Deaths201315.148,545316,427,395
U.S. Poison Deaths201416.151,966318,907,401
U.S. Poison Deaths201517.857,567321,418,820
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 Deaths201016.615.118.34292,775,426
Utah Drug Deaths201119.317.621.14992,816,440
Utah Drug Deaths201222.620.824.65892,856,343
Utah Drug Deaths201321.719.923.55842,903,685
Utah Drug Deaths201421.820.023.65832,944,498
Utah Drug Deaths201522.821.024.76302,995,919
U.S. Drug Deaths19996.016,849279,040,181
U.S. Drug Deaths20006.217,415281,421,906
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 Deaths201012.338,329308,745,538
U.S. Drug Deaths201113.241,340311,718,857
U.S. Drug Deaths201213.141,502314,102,623
U.S. Drug Deaths201313.743,982316,427,395
U.S. Drug Deaths201414.647,055318,907,401
U.S. Drug Deaths201516.352,404321,418,820

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

  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • 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, 2013-2015

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Drug vs. Non-drugIntent of InjuryAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 6
DrugUnintentional14.413.615.21,1768,844,102
DrugSuicide3.53.13.92768,844,102
DrugIntent Unknown4.23.84.73438,844,102
OtherUnintentional1.31.01.6998,844,102
OtherSuicide0.80.61.0618,844,102
OtherIntent Unknown0.10.12.6*10844,102

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 2015


Poisoning: Drug Deaths by Age and Sex, Utah, 2013-2015

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confidence limits

Males vs. FemalesAge GroupRate per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 21
Male17 or Under0.60.21.1*81,394,697
Male18-2421.517.725.9110511,196
Male25-3444.539.649.8298670,179
Male35-4438.633.743.9228591,266
Male45-5441.936.248.2194463,189
Male55-6435.029.541.3143407,957
Male65+9.87.013.340409,111
Female17 or Under0.60.31.2*81,320,697
Female18-247.45.210.337497,039
Female25-3419.816.523.5129651,863
Female35-4437.032.142.3210568,034
Female45-5444.638.851.2205459,125
Female55-6435.530.041.6150422,591
Female65+7.85.510.737477,158
Total17 or Under0.60.31.0162,715,394
Total18-2414.612.317.11471,008,235
Total25-3432.329.335.54271,322,042
Total35-4437.834.341.54381,159,300
Total45-5443.339.147.7399922,314
Total55-6435.331.439.6293830,548
Total65+8.76.910.977886,269

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 2015


Poisoning: Drug Deaths by Local Health District, Utah, 2013-2015

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Local Health DistrictAge-adjusted Drug Deaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 15
Bear River15.912.320.369517,701
Central18.212.725.337229,768
Davis County16.914.319.8153988,588
Salt Lake County24.522.826.37903,281,357
San Juan13.44.331.3*546,041
Southeast41.129.855.246122,121
Southwest22.919.027.3129653,367
Summit14.68.423.617117,237
Tooele33.024.842.956185,327
TriCounty25.918.335.639175,268
Utah County18.916.621.42631,689,145
Wasatch11.65.521.4*1083,530
Weber-Morgan25.221.729.2183754,652
State of Utah22.121.123.21,7978,844,102
U.S.14.9143,441956,753,616

Data Notes

Data are age-adjusted (2000 U.S. standard population). *Use caution in interpreting, the estimate has a coefficient of variation >30% Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries. 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 2015
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Poisoning: Drug Deaths by Utah Small Area, 2013-2015

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confidence limits

Utah Small AreasAge-adjusted Drug Deaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 65
Brigham City30.118.047.31972,712
Box Elder Co (Other)14.77.027.1*1081,734
Logan14.49.121.825231,310
Cache Co (Oth)/Rich Co (All)12.06.619.815131,976
Ben Lomond21.715.130.236177,225
Morgan Co (All)/Weber Co (E)20.213.129.826136,639
Ogden (Downtown)47.735.662.753112,942
South Ogden21.113.032.422110,980
Roy/Hooper14.88.923.319137,249
Riverdale35.022.651.72679,553
Clearfield/Hill AFB19.913.827.935211,762
Layton17.412.124.137236,831
Syracuse/Kaysville9.75.615.816187,182
Farmington/Centerville17.210.227.019113,438
Woods Cross/North Salt Lake16.49.326.81698,946
Bountiful22.715.132.829140,382
SLC (Rose Park)34.923.749.433106,476
SLC (Avenues)19.39.934.01368,476
SLC (Foothill/U of U)15.37.428.1*1172,677
Magna26.816.141.82082,743
SLC (Glendale)47.834.165.24194,621
West Valley (West)21.415.928.252247,308
West Valley (East) V230.021.640.844158,129
SLC (Downtown)36.327.447.260155,607
South Salt Lake46.232.164.53680,800
Millcreek23.917.032.641173,909
Holladay22.815.732.135141,513
Cottonwood20.012.929.626128,212
Kearns V225.616.637.728121,097
Taylorsville (E)/Murray (W)31.321.244.632110,916
Taylorsville (West)16.89.826.719118,616
Murray33.522.847.534100,689
Midvale32.521.547.22991,357
West Jordan (NE) V237.125.053.03293,465
West Jordan (SE)17.710.827.520111,987
West Jordan (W)/Copperton16.210.124.523138,147
South Jordan13.28.319.823180,511
Sandy (Center)30.022.139.849166,159
Sandy (NE)26.014.942.01771,896
Sandy (SE)21.411.935.31690,168
Riverton/Draper14.810.919.851374,992
Tooele Co33.525.243.656185,322
Lehi/Cedar Valley13.89.519.438321,399
American Fork/Alpine19.312.827.829170,260
Pleasant Grove/Lindon12.87.420.518169,892
Orem (North)19.711.731.020113,563
Orem (West)16.08.128.31499,759
Orem (East)18.99.234.3*1167,233
Provo (North)/BYU16.68.828.516157,857
Provo (South)21.813.932.529201,760
Springville/Spanish Fork25.719.433.457272,983
Utah Co (South)28.518.741.727114,379
Summit Co14.68.423.517117,222
Wasatch Co12.05.722.2*1083,526
TriCounty LHD25.818.235.439175,264
Juab/Millard/Sanpete Co21.414.131.128154,450
Sevier/Piute/Wayne Co12.65.624.2*975,323
Carbon/Emery Co52.838.071.54493,783
Grand/San Juan Co10.44.121.5*774,359
St George25.518.933.753245,283
Washington Co (Other)21.014.729.138209,846
Cedar City18.811.129.719129,010
Southwest LHD (Other)27.616.343.81969,295
State22.121.123.21,7978,844,102
U.S.14.9143,441956,753,616

Data Notes

Data are age-adjusted (2000 U.S. standard population). *Use caution in interpreting, the estimate has a coefficient of variation >30% A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.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 2015
  • 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<112.610.914.5190150,952
ED Visits1-434.032.635.52,091614,651
ED Visits5-146.46.06.89661,514,414
ED Visits15-2429.328.430.24,1201,406,511
ED Visits25-3421.921.122.72,8921,322,815
ED Visits35-4417.116.317.81,9101,119,819
ED Visits45-5415.714.916.61,444918,293
ED Visits55-649.68.910.3772807,358
ED Visits65-748.67.89.5424490,481
ED Visits75-8410.29.011.5262257,826
ED Visits85+9.67.811.797101,406
Hospitalizations<11.61.02.424150,952
Hospitalizations1-41.91.52.2115614,651
Hospitalizations5-141.31.21.52021,514,414
Hospitalizations15-249.28.79.81,2991,406,511
Hospitalizations25-3411.110.511.71,4691,322,815
Hospitalizations35-4410.710.111.41,2011,119,819
Hospitalizations45-5413.312.614.01,220918,293
Hospitalizations55-6410.810.011.5868807,358
Hospitalizations65-749.88.910.7480490,481
Hospitalizations75-848.06.99.2206257,826
Hospitalizations85+7.86.29.779101,406

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 2015


Poisoning: Prescription Opioid Deaths by Year, Utah, 2000-2015

::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: 16
200060
200194
2002138
2003198
2004217
2005268
2006280
2007326
2008289
2009272
2010236
2011246
2012268
2013274
2014301
2015281

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 Source

Utah Department of Health, Office of the Medical Examiner

References and Community Resources

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 01/05/2017, Published on 02/06/2017
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, 23 October 2017 20:02:31 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, 12 Oct 2017 16:38:05 MDT