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Health Indicator Report of Drug Overdose and Poisoning Incidents

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, 85.3% of which are unintentional 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 unintentinal and undetermined drug poisoning deaths in the state.

Poisoning Deaths by Year, Utah and U.S., 1999-2018

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-X44, 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. U.S. data for 2018 is not yet available.

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 2018
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)

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. 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). Prescription opioid deaths are identified using data from the Office of the Medical Examiner in the Utah Violent Death Reporting System.

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. __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). __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.

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 2018 age-adjusted drug poisoning death rate was 21.2 per 100,000 population. During that year, 6.3% of Utah drug poisoning deaths were of undetermined intent, 12.8% were self-inflicted, and 80.8% were unintentional. From 2016 to 2018, males (25.6 per 100,000 population) had a significantly higher age-adjusted drug poisoning death rate compared to females (18.0 per 100,000 population). Both males and females had the highest crude 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.

How Do We Compare With the U.S.?

In 2017, the U.S. age-adjusted rate of drug poisoning deaths from all intents was 21.7 per 100,000 population. During this same year, the Utah age-adjusted rate of drug poisoning deaths statistically similar, with 22.3 deaths per 100,000 population. Data Source: NCHS Vital Statistics System for numbers of death. Bureau of Census for population estimates.

What Is Being Done?

The Utah Department of Health (UDOH) has received 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. To address the opioid epidemic in Utah, the Violence and Injury Prevention Program oversees academic detailing; leads opioid dashboard development; manages Stop the Opidemic, a campaign that works to raise awareness on opioid abuse and misuse while reducing stigma; organizes naloxone dissemination and tracks overdose reversals; and provides funding to local health departments, 2-1-1, and other community partners who work alongside the UDOH in the opioid epidemic.

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[[br]] [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. The 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.
Page Content Updated On 11/06/2019, Published on 11/20/2019
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 Fri, 13 December 2019 9:26:31 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 20 Nov 2019 13:46:51 MST