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Complete 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 X40-44, 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 X40-44 (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?

In 2002 the age-adjusted rate of drug poisoning deaths (14.0 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 2013, the age-adjusted death rate from drug poisonings (21.7 per 100,000 population) was more than three times as high as it was from MVC deaths (7.1 per 100,000 population). Prescription pain medications are responsible for many of the drug poisoning deaths in Utah.

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 4% decrease in the age-adjusted drug poisoning death rate from 2012 (22.6 per 100,000 population) to 2013 (21.7 per 100,000 population).

Prescription pain medications underlie many Utah poisoning deaths. In 2013, 23.8% of Utah poisoning deaths were of undetermined intent, 14.0% were self-inflicted, and 62.0% were unintentional.

From 2011 to 2013, males had a significantly higher drug poisoning death rate compared to females. Utahns between 25-64 years of age were significantly higher than the state rate of 19.5 per 100,000 population. Males 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 (38.4 per 10,000 population), along with 15-24 year olds (28.2 per 10,000 population), and 25-34 year olds (21.2 per 10,000 population) compared to the state (17.3 per 10,000 population) in 2010-2012.

How Do We Compare With U.S.?

From 2010 to 2013, the U.S. age-adjusted rate of drug poisoning deaths from all intents was 13.1 per 100,000 population. During this same time period, Utah's age-adjusted rate of drug poisoning deaths was significantly higher at 20.3 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. 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.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 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.

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.

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://poisoncontrol.utah.edu

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

During 2011-2013, the drug poisoning death rates in Utahns between 25-64 years of age were significantly higher than the state rate of 19.5 per 100,000 population. Males had a significantly higher drug poisoning death rate compared to females (22.3 and 16.7 per 100,000 population, respectively). For ages 18-34, male drug poisoning death rates were significantly higher than female drug poisoning death rates. Compared to other age groups, very few children died from drug poisonings.

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/2012RxOpioidDeaths.pdf (accessed 1/5/2015)

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Leading Causes of Injury Death by 3-Year Groups, Utah, 2002-2013

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confidence limits

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 2005-2007 to 2011-2013, there has been a statistically significant decrease in motor vehicle crash deaths. From 2008-2010 to 2011-2013, there has been a significant increase in poisoning, fall and suffocation deaths.

3 Year Groups (ending 2007, 2010) Leading Causes of Injury Death Age-adjusted Rate per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 20
02-04 Poisoning 17.2 16.2 18.3 1,105 7,086,532
02-04 Motor Vehicle, Traffic 13.1 12.2 14.0 879 7,086,232
02-04 Firearm 10.1 9.3 10.9 655 7,086,532
02-04 Fall 6.6 5.9 7.4 337 7,086,532
02-04 Suffocation 6.0 5.4 6.6 387 7,086,532
05-07 Poisoning 20.9 19.9 22.1 1,459 7,580,972
05-07 Motor Vehicle, Traffic 11.9 11.1 12.7 857 7,580,972
05-07 Firearm 9.9 9.2 10.7 686 7,580,972
05-07 Fall 6.2 5.6 6.9 349 7,580,972
05-07 Suffocation 5.2 4.7 5.8 376 7,580,972
08-10 Poisoning 20.4 19.3 21.4 1,527 8,160,874
08-10 Motor Vehicle, Traffic 9.6 8.9 10.3 727 8,160,874
08-10 Firearm 10.7 9.9 11.5 803 8,160,874
08-10 Fall 8.4 7.6 9.1 509 8,160,874
08-10 Suffocation 5.7 5.2 6.3 440 8,160,874
11-13 Poisoning 23.6 22.5 24.7 1,855 8,570,527
11-13 Motor Vehicle, Traffic 7.9 7.3 8.6 640 8,570,527
11-13 Firearm 12.2 11.4 13.0 958 8,570,527
11-13 Fall 10.0 9.2 10.8 655 8,570,527
11-13 Suffocation 7.0 6.4 7.6 558 8,270,527

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 2013.



Poisoning Deaths by Year, Utah and U.S., 1999-2013

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confidence limits

UT Poisonings, US Poisonings, UT Drug Deaths, US Drug Deaths Year Age-adjusted Rate per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 60
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 2,774,424
UT Poison Deaths 2011 21.9 20.1 23.8 564 2,814,784
UT Poison Deaths 2012 25.4 23.5 27.4 661 2,854,871
UT Poison Deaths 2013 23.5 21.7 25.5 630 2,900,872
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
U.S. Poison Deaths 2011 14.6 46,047 311,852,564
U.S. Poison Deaths 2012 14.5 46,150 313,873,685
U.S. Poison Deaths 2013 15.2 48,545 316,128,839
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 2,774,424
Utah Drug Deaths 2011 19.3 17.6 21.1 499 2,814,784
Utah Drug Deaths 2012 22.6 20.8 24.6 589 2,854,871
Utah Drug Deaths 2013 21.7 19.9 23.5 584 2,900,872
U.S. Drug Deaths 1999 6.0 16,849 279,040,181
U.S. Drug Deaths 2000 6.2 17,415 281,421,906
U.S. Drug Deaths 2001 6.8 19,394 284,968,955
U.S. Drug Deaths 2002 8.2 23,518 287,625,193
U.S. Drug Deaths 2003 8.9 25,785 290,107,933
U.S. Drug Deaths 2004 9.3 27,424 292,805,298
U.S. Drug Deaths 2005 10.0 29,813 295,516,599
U.S. Drug Deaths 2006 11.4 34,425 298,379,912
U.S. Drug Deaths 2007 11.9 36,010 301,231,207
U.S. Drug Deaths 2008 11.9 36,450 304,093,966
U.S. Drug Deaths 2009 12.0 37,004 306,771,529
U.S. Drug Deaths 2010 12.3 38,329 308,745,538
U.S. Drug Deaths 2011 13.2 41,340 311,582,564
U.S. Drug Deaths 2012 13.1 41,502 313,873,685
U.S. Drug Deaths 2013 13.8 43,982 316,128,839

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.

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.

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

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 2013. 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, 2011-2013

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90.1% of all Utah poisoning deaths are the result of drug ingestion. Of these, 58.7% were unintentional drug overdose deaths, 15.0% were self-inflicted drug overdose deaths, and 26.3% could not be determined whether the decedent had intended suicide or if he or she had an unintentional overdose.

Drug vs. Non-drug Intent of Injury Age-adjusted Rate per 100,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 6
Drug Unintentional 12.4 11.6 13.2 981 8,570,527
Drug Suicide 3.2 2.8 3.7 251 8,570,527
Drug Intent Unknown 5.6 5.0 6.1 439 8,570,527
Other Unintentional 1.4 1.1 1.7 107 8,570,527
Other Suicide 0.8 0.6 1.0 63 8,570,527
Other Intent Unknown 0.2 0.1 0.3 13 8,570,527

Data Notes

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.

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.

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

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 2013.



Poisoning: Drug Deaths by Age and Sex, Utah, 2011-2013

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confidence limits

The drug poisoning death rates in Utahns between 25-64 years of age were significantly higher than the state rate of 19.5 per 100,000 population. Males had a significantly higher drug poisoning death rate compared to females (22.3 and 16.7 per 100,000 population, respectively). For ages 18-34, male drug poisoning death rates were significantly higher than female drug poisoning death rates. Compared to other age groups, very few children died from drug poisonings.

Males vs. Females Age Group Rate per 100,000 Population Lower Limit Upper Limit Note Numer- ator Denom- inator
Record Count: 21
Male 17 or Under 0.7 0.4 1.3 * 10 1,369,439
Male 18-24 24.5 20.3 29.3 121 494,171
Male 25-34 37.5 33.0 42.4 254 677,229
Male 35-44 38.0 33.0 43.5 209 549,840
Male 45-54 49.2 43.0 56.0 226 459,320
Male 55-64 29.5 24.3 35.4 114 386,603
Male 65+ 7.3 4.8 10.6 27 371,993
Female 17 or Under 0.4 0.1 0.9 * 5 1,297,078
Female 18-24 10.9 8.2 14.3 53 485,255
Female 25-34 22.1 18.6 26.0 144 652,424
Female 35-44 29.3 24.9 34.3 155 528,373
Female 45-54 44.5 38.6 51.1 204 458,204
Female 55-64 30.1 25.0 36.0 120 398,702
Female 65+ 6.8 4.6 9.7 30 441,896
Total 17 or Under 0.6 0.3 0.9 15 2,666,517
Total 18-24 17.8 15.2 20.6 174 979,426
Total 25-34 29.9 27.1 33.0 398 1,329,653
Total 35-44 33.8 30.4 37.4 364 1,078,213
Total 45-54 46.9 42.5 51.5 430 917,524
Total 55-64 29.8 26.1 33.9 234 785,305
Total 65+ 7.0 5.3 9.1 57 813,889

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.

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.

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

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 2013.



Poisoning: Drug Deaths by Local Health District, Utah, and U.S., 2011-2013

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confidence limits

Local Health District Age-adjusted Drug Deaths per 100,000 Population Lower Limit Upper Limit Note Numer- ator Denom- inator
Record Count: 14
Bear River 16.1 12.5 20.5 70 505,498
Central 22.1 16.0 29.7 45 228,437
Davis County 15.3 12.7 18.2 131 949,687
Salt Lake County 23.0 21.3 24.8 712 3,191,822
Southeastern 37.2 27.8 48.6 56 168,839
Southwest 24.2 20.1 28.8 134 630,752
Summit 13.5 7.5 22.4 15 113,837
Tooele 23.0 16.4 31.6 39 179,883
TriCounty 16.9 10.9 25.2 25 165,012
Utah County 19.7 17.3 22.3 269 1,621,905
Wasatch 11.2 4.8 22.0 * 8 76,124
Weber-Morgan 23.8 20.3 27.7 168 738,731
State 21.2 20.2 22.3 1,672 8,570,527
U.S. 13.4 126,824 941,585,088

Data Notes

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

*Use caution in interpreting, the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards.

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.

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

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 2013. National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS).



Poisoning: Drug Deaths by Utah Small Area, 2011-2013

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confidence limits

Death rates from drug poisoning varied considerably across the Utah Small Areas. South Salt Lake, Carbon/Emery Counties, Ogden (Downtown), SLC (Glendale), SLC (Downtown) had significantly higher rates than the state rate of 21.2 per 100,000 population.

Lehi/Cedar Valley, Morgan/Weber County (East), Riverton/Draper, Logan, South Jordan, and SLC (Foothill/U of U) had significantly lower rates than the state rate of 21.2 per 100,000 population.

Utah Small Areas Age-adjusted Drug Deaths per 100,000 Population Lower Limit Upper Limit Note Numer- ator Denom- inator
Record Count: 68
Brigham City 30.2 18.0 47.5 19 71,540
Box Elder Co (Other) 13.5 6.1 26.0 * 9 79,719
Logan 11.5 6.9 18.2 21 224,821
Cache Co (Oth)/Rich Co (All) 17.4 10.6 27.1 20 129,399
Ben Lomond 19.6 13.3 27.8 32 173,045
Morgan Co (All)/Weber Co (E) 12.7 7.1 20.8 16 131,524
Ogden (Downtown) 45.6 33.4 60.9 47 111,658
South Ogden 25.8 16.8 37.8 27 110,006
Roy/Hooper 20.2 13.0 30.0 25 134,249
Riverdale 22.5 12.9 36.5 17 78,353
Clearfield/Hill AFB 16.5 10.9 24.0 30 207,714
Layton 16.8 11.5 23.6 34 226,416
Syracuse/Kaysville 14.0 8.7 21.2 22 178,479
Farmington/Centerville 15.6 8.8 25.5 16 106,375
Woods Cross/North Salt Lake 12.7 6.2 23.1 * 11 92,903
Bountiful 16.0 9.7 24.9 20 137,822
SLC (Rose Park) 23.6 14.7 36.0 22 104,030
SLC (Avenues) 14.0 5.6 28.9 * 7 66,081
SLC (Foothill/U of U) 9.2 3.3 20.2 * 6 70,850
Magna 16.4 8.6 28.4 13 81,477
SLC (Glendale) 43.6 30.5 60.3 38 92,458
West Valley (West) 21.9 16.2 29.0 50 242,263
West Valley (East) 19.8 9.3 36.8 *,^ 10 55,024
West Valley (East) V2 33.1 22.3 47.3 # 31 104,326
SLC (Downtown) 39.3 29.8 51.0 61 153,227
South Salt Lake 65.3 47.6 87.3 46 78,862
Millcreek 21.5 14.8 30.2 34 170,870
Holladay 24.2 16.4 34.4 32 139,365
Cottonwood 16.2 10.0 24.8 22 132,075
Kearns 24.8 13.2 42.5 ^ 14 65,956
Kearns V2 26.1 15.4 41.5 # 19 79,677
Taylorsville (E)/Murray (W) 22.9 14.4 34.4 24 110,210
Taylorsville (West) 24.4 14.5 38.5 # 19 78,547
Murray 32.0 21.4 46.2 31 98,001
Midvale 31.8 20.7 46.8 27 88,994
West Jordan (NE) 25.2 12.0 46.8 *,^ 10 35,681
West Jordan (NE) V2 31.4 18.7 49.4 # 19 62,765
West Jordan (SE) 19.8 12.4 30.2 22 109,137
West Jordan (W)/Copperton 18.8 11.8 28.4 24 132,381
South Jordan 10.8 6.3 17.3 17 166,207
Sandy (Center) 26.3 18.8 35.6 42 161,095
Sandy (NE) 19.9 9.9 35.6 12 66,657
Sandy (SE) 19.9 11.2 32.8 16 89,712
Riverton/Draper 12.1 8.6 16.5 40 354,463
Tooele Co 22.4 15.8 30.9 38 179,870
Lehi/Cedar Valley 13.1 8.3 19.8 27 289,111
American Fork/Alpine 17.9 11.7 26.3 26 164,370
Pleasant Grove/Lindon 21.3 14.3 30.6 30 166,337
Orem (North) 23.1 14.0 35.9 22 113,180
Orem (West) 17.3 9.1 30.0 15 95,601
Orem (East) 20.0 9.8 36.4 * 11 65,621
Provo (North)/BYU 24.6 14.2 39.5 22 154,887
Provo (South) 25.8 17.2 37.4 37 198,108
Springville/Spanish Fork 23.0 17.2 30.1 56 264,135
Utah Co (South) 21.9 13.4 33.7 21 110,608
Summit Co 14.6 8.3 23.8 16 113,833
Wasatch Co 12.3 5.6 23.5 * 9 76,116
TriCounty LHD 16.5 10.6 24.6 25 165,022
Juab/Millard/Sanpete Co 21.6 14.4 31.3 29 153,131
Sevier/Piute/Wayne Co 24.3 14.1 39.2 17 75,688
Carbon/Emery Co 56.7 41.1 76.3 47 96,204
Grand/San Juan Co 13.6 6.1 26.2 * 9 72,649
St George 22.9 16.7 30.6 49 233,466
Washington Co (Other) 21.9 15.2 30.6 37 200,487
Cedar City 25.0 16.3 36.9 28 126,082
Southwest LHD (Other) 29.5 17.7 46.3 20 70,671
State 21.2 20.2 22.3 1,672 8,570,527
U.S. 13.4 126,824 941,585,088

Data Notes

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

*Use caution in interpreting, the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards.

^Due to Utah Small Area reclassification, numbers for 'West Valley (East)', 'Kearns', and 'West Jordan (NE)' only include data for 2011.

#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 2012-2013.

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

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.

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

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 2013. 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, 2010-2012

::chart - missing::
confidence limits

ED visit rates for drug poison ingestion were significantly higher than the state rate of 17.3 per 10,000 population for persons 1 to 4 years of age and 15 to 34 years of age. Persons who were <1 years of age, 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 8.5 per 10,000 population for persons 15 to 74 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 Drug Poisoning Rate per 10,000 Population Lower Limit Upper Limit Numer- ator Denom- inator
Record Count: 22
ED Visits <1 12.8 11.1 14.7 196 153,136
ED Visits 1-4 38.4 36.9 40.0 2,415 628,909
ED Visits 5-14 4.9 4.6 5.3 722 1,465,787
ED Visits 15-24 28.2 27.3 29.1 3,834 1,360,635
ED Visits 25-34 21.2 20.5 22.0 2,838 1,335,493
ED Visits 35-44 17.4 16.6 18.2 1,807 1,040,713
ED Visits 45-54 15.5 14.7 16.3 1,423 919,246
ED Visits 55-64 9.4 8.8 10.1 715 758,670
ED Visits 65-74 8.5 7.7 9.4 372 437,701
ED Visits 75-84 9.0 7.8 10.2 221 246,743
ED Visits 85+ 10.1 8.2 12.3 98 97,046
Hospitalizations <1 1.3 0.8 2.0 20 153,136
Hospitalizations 1-4 1.9 1.6 2.3 122 628,909
Hospitalizations 5-14 1.0 0.8 1.2 143 1,465,787
Hospitalizations 15-24 9.6 9.1 10.1 1,305 1,360,635
Hospitalizations 25-34 11.5 10.9 12.1 1,535 1,335,493
Hospitalizations 35-44 12.4 11.7 13.1 1,290 1,040,713
Hospitalizations 45-54 14.0 13.3 14.8 1,291 919,246
Hospitalizations 55-64 10.3 9.6 11.1 782 758,670
Hospitalizations 65-74 9.9 9.0 10.8 432 437,701
Hospitalizations 75-84 8.0 6.9 9.2 197 246,743
Hospitalizations 85+ 8.4 6.6 10.4 81 97,046

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.

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 2013.



Poisoning: Prescription Opioid Deaths by Year, Utah, 2000-2013

::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.

Year Number of Deaths Occurring in Utah
Record Count: 14
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
2013 270

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 Sources

Utah Department of Health, Office of the Medical Examiner.


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 01/22/2015, Published on 01/23/2015
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 Tue, 28 July 2015 13:41:57 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: Fri, 23 Jan 2015 12:08:25 MST