2017 Jackson ounty Drug Related Data Report€¦ · 5 EXEUTIVE SUMMARY elow is a snapshot of what...

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2017 Jackson County Drug -Related Data Report

Heroin and Opioid Task Force Data Committee

2

Executive Summary .............................................. 3

Hospital Drug Overdose Data ............................... 6

Medical Examiner Data ......................................... 11

Law Enforcement Heroin Log Data ....................... 15

First Responder Narcan Dispense Data ................. 18

Police and Fire Overdose Dispatched Calls ........... 22

Drug Overdose Heat Maps ................................... 24

Michigan Profile for Healthy Youth Data .............. 26

Recommendations ................................................ 28

Available Resources .............................................. 30

Acknowledgements .............................................. 33

TABLE OF

CONTENTS

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1. https://www.cdc.gov/vitalsigns/heroin/ 2. www.drugabuse.gov 3. https://www.cdc.gov/drugoverdose/data/statedeaths.html

EXECUTIVE

SUMMARY

The United States is in the middle of an opioid and heroin epidemic. According

to the CDC, between 2002 and 2013, the rate of heroin-related overdose

deaths nearly quadrupled1. Likewise, prescription opioid-related overdose

deaths have more than tripled in the past 20 years2. This is alarming as

research in the last decade has linked prescription opioid abuse to higher rates

of heroin abuse.

At the state level, Michigan had a 13.3% increase in its drug overdose deaths

from 2014 to 2015 (1,763 deaths in 2014; 1,980 deaths in 2015)3 making our

state one of nineteen states with statistically significant increases in drug

overdose deaths.

While national and state statistics are astounding, we realize our first priority

is here in Jackson County. In order to make the greatest impact, we need a

better understanding of what is happening in our community. Recognizing

rising drug-induced deaths as a public health epidemic in the community, the

Jackson County Task Force on Heroin and Prescription Drug Abuse formed a

Data Collection Committee to help characterize and evaluate Jackson’s drug

abuse crisis. The goal of this committee is to conduct public health

surveillance, develop a process for data collection, to format and create a

report to be presented at the 2017 and future Jackson Drug Summits, and

provide a template for future reports to be generated.

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_vitalsigns_heroin_&d=DwMFAg&c=QJUiHxSvcFqGBp-cOwXMmtbaJj-__VMpAqvmW5ayhys&r=kuhiMrwKa60Xf8rwDmPxlvIthyrFQvHPXVJZn5EOZUGvOZvIVHLjCkeLdg9C6m0z&m=Nv268Ear5RIorQP9nfTuXmr2GB6t69pZGcczpaNo5Ec&s=t69Zf

https://urldefense.proofpoint.com/v2/url?u=http-3A__www.drugabuse.gov&d=DwMFAg&c=QJUiHxSvcFqGBp-cOwXMmtbaJj-__VMpAqvmW5ayhys&r=kuhiMrwKa60Xf8rwDmPxlvIthyrFQvHPXVJZn5EOZUGvOZvIVHLjCkeLdg9C6m0z&m=Nv268Ear5RIorQP9nfTuXmr2GB6t69pZGcczpaNo5Ec&s=XbVNuiPHgE-43gosyaP

https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_drugoverdose_data_statedeaths.html&d=DwMFAg&c=QJUiHxSvcFqGBp-cOwXMmtbaJj-__VMpAqvmW5ayhys&r=kuhiMrwKa60Xf8rwDmPxlvIthyrFQvHPXVJZn5EOZUGvOZvIVHLjCkeLdg9C6m0z&m=Nv268Ear5RIorQP9nfTuXmr2GB6t69pZGcc

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Source: Centers for Disease Control and Prevention. National Center for Health Statistics. Underlying Cause of Death 1999-2015 on CDC WONDER Online Database, released December, 2016. Data are from the Multiple Cause of Death Files, 1999-2015, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gove/usc-icd10.html on Feb 16, 2017 3:37:10 PM

EXECUTIVE

SUMMARY

In 2015, Jackson County had the 4th highest age-adjusted rate per 100,000 of

drug-induced causes of death of the 6 counties listed below.

This graph shows that in 2015, 30 of every 100,000 residents died of a drug-induced cause of death in Jackson County. The data below include drug-induced deaths that involve accidental or intentional use of narcotics (including opioid overdose related deaths), hallucinogens, biological substances or other unspecified drugs.

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EXECUTIVE

SUMMARY

Below is a snapshot of what the Data Collection Committee found:

As of October 2017, Jackson County is on track to exceed 2016’s

emergency department admittances for overdoses

During a heroin-use crisis, white males between ages 20-39 are most

likely to appear at the emergency department

During an opioid-use crisis, white males between ages 40-59 are most

likely to appear at the emergency department

In 2016, 22 males were seen more than once in the emergency

department for a heroin overdose; 12 females were seen more than

once in the emergency department for a heroin overdose. As of

October, 2017, 10 males and 1 female were seen multiple times in the

emergency department

Between 2014 and 2016, drug-related deaths in Jackson County

increased 23%

White males between ages 30-59 presented the highest number of

drug-related deaths

In 2016, 24 deaths reported positive for either Fentanyl, Norfentanyl,

Acetylfentanyl, Carfentanyl, Furanylfentanyl or u4470 in the blood

Jackson County 911 Dispatch drug overdose call volume is increasing.

Conversely, the interval between calls has decreased from 3 days

average in 2015 to 2 days average in 2016

3.0% and 7.1% of middle and high school students, respectively,

reported taking a prescription drug not prescribed to them, including

painkillers, during the past 30 days

75.3% and 78.5% of middle and high school students, respectively,

reported that using prescription drugs not prescribed to them was of

moderate or great risk

6 Source: Henry Ford Allegiance Health Emergency Department

HOSPITAL DRUG

OVERDOSE DATA

Numbers are based on emergency department visit (chief complaints) and before any confirmed diagnoses are made.


HOSPITAL DRUG

OVERDOSE DATA



Asian

Asian

HOSPITAL DRUG

OVERDOSE DATA



HOSPITAL DRUG

OVERDOSE DATA

Numbers are based on emergency department visit (chief complaints) and before any confirmed diagnoses are made. In most instances, these individuals were seen numerous occasions

11 Source: Jackson County Medical Examiner’s Office

Total Number of Drug Related Deaths

2014 2015 2016 2017*

Drug Deaths 42 47 52 61

*as of November 1st, 2017

Detected in the System 2014 2015 2016 2017

Cocaine* 10 10 13 14

Fentanyl** 1 8 24 25

Heroin*** 16 22 21 14

*Cocaine or benzoylecgonine are present in the blood.

**Fentanyl, Norfentanyl, Acetylfentanyl, Carfentanyl, Furanylfentanyl or & 4470 are present in the blood

***Heroin is confirmed positive by the presence of morphine in the blood and the presence of 6-monoacetylmorphine whether it be in the blood or urine.

MEDICAL

EXAMINER DATA

The charts and graphs below were created by the Jackson County Health Department utilizing information shared by the Jackson County Medical Examiner’s Office. This data represents deaths that occurred in Jackson County where the cause of death or contributory cause of death were a result of drug use and/or abuse.


Race

2014 2015 2016 2017

Black 0 3 6 6

White 41 44 46 55

Other 1 0 0 0

1 0 0 003

6 6

4144

46

55

0

5

10

15

20

25

30

35

40

45

50

55

60

2014 2015 2016 2017

Race

Other

Black

White

MEDICAL

EXAMINER DATA


Age At Time of Death by Year

2014 2015 2016 2017

0 to 9 0 0 0 0

10 to 19 0 0 0 0

20 to 29 4 8 6 11

30 to 39 6 12 16 17

40 to 49 11 12 12 14

50 to 59 16 11 13 11

60 to 69 4 3 5 5

70 to 79 0 0 0 0

80 to 89 0 0 0 0

90 to 99 0 1 0 0

0

2

4

6

8

10

12

14

16

18

0 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 80 to 89 90 to 99

Age at Time of Death by Year

2014

2015

2016

2017

MEDICAL

EXAMINER DATA


Gender

2014 2015 2016 2017

Female 24 27 39 21

Male 18 20 13 40

MEDICAL

EXAMINER DATA

15 Source: Jackson County Office of the Sheriff Heroin Log

The “Law Enforcement

Heroin Log” is a

spreadsheet maintained

by the Jackson County

Office of the Sheriff to

record opioid-related

law enforcement

responses.

All law enforcement

agencies are able to

access the Log and can

voluntarily submit data.

These graphs display

only what was entered

into the Log. As a result,

the data does not show

a complete picture.

LAW ENFORCEMENT

HEROIN LOG DATA


“Statuses” refer to the condition of the person for whom the 911 call was

made. Only one status is given per call per person.

Because of differences in year-to-year reporting and the severity of a call, data

can seem inconsistent. However, it is important to understand human

responses to heroin or an opioid can vary from person to person. It also

depends on what type of opioid was used (e.g., Fentanyl, Carfentanil).

This data should only be used to paint a broad picture of law enforcement life

saving efforts, as well as communicate the importance of calling 911 if you

suspect an overdose. Lives can be saved.

Lived

Narcan

Use

d/ Live

d

Narcan

Use

d 2

x/ Lived

Narcan

Use

d 3

x/ Lived

Narcan

Use

d 4

x/ Lived

Narcan

Use

d 6

x/Lived

Narcan

Use

d/ D

id N

ot W

ork

Narcan

Use

d/ D

ied

De

ceased/D

ead

De

ceased U

po

n A

rrival

Un

kno

wn

2016 73 53 6 1 1 1 2 NR* 15 1 11

2017 81 70 31 11 7 2 NR* 4 22 NR* 3

*This status was Not Reported in the heroin log

LAW ENFORCEMENT

HEROIN LOG DATA


Cell Phones

Paraphernalia

Syringes

Cotton Balls

Straws

Spoons

White Powder

“Heroin Kit”

Needles

Packaged Heroin

Pills

Admission of Use

Pipes

Needle in Ceiling Tile

Samples of evidence found on scene used to determine an

opioid or heroin overdose as recorded in the Heroin Log:

LAW ENFORCEMENT

HEROIN LOG DATA

18 Source: Jackson Community Ambulance Log

Total Number of Narcan Doses Dispensed by EMS

2015 2016 2017

Narcan Doses 225 429 397

The following data corresponds to Narcan (i.e., naloxone) doses administered by

First Responding Agencies. These agencies include fire, police, and public safety

offices across the county. Data is accurate as of October 30, 2017.

Please note this data does not reflect how many times Narcan was administered

to any single individual.

Gender

2015 2016 2017

Male 132 263 258

Female 93 162 132

Unreported 0 4 7

FIRST RESPONDER NARCAN

DISPENSE DATA


Race/Ethnicity Breakdown

2015 2016 2017

Black, Hispanic 0 1 0

Black, Non-Hispanic 19 32 29

Native American 1 1 0

Pacific Islander 0 0 1

White, Hispanic 4 11 6

White, Non-Hispanic 189 362 337

Unknown/Unreported 12 22 11


DISPENSE DATA


Monthly Narcan Dispenses by EMS by Year 2015 2016 2017

January 14 23 33

February 16 21 27

March 24 39 51

April 23 41 53

May 20 27 63

June 21 22 51

July 26 25 36

August 16 57 30

September 20 23 21

October 18 40 32

November 15 44 *

December 12 67 *


DISPENSE DATA


Age at Time of Narcan Dispensed by EMS by Year

2015 2016 2017

0 to 9 0 2 0

10 to 19 13 14 14

20 to 29 55 118 99

30 to 39 52 105 115

40 to 49 36 75 74

50 to 59 34 54 47

60 to 69 13 32 26

70 to 79 10 9 11

80 to 89 8 7 5

90 to 99 1 4 1

Unknown 3 9 5


DISPENSE DATA

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The data below may not reflect heroin overdoses specifically as the Dispatch

system does not distinguish between drug types.

Jackson County 911 Dispatch calls between drug overdoses are increasing,

from 3 days average between calls in 2015 to 2 days average in 2016.

241 Total

Calls

In 2016, 25 locations across Jackson County made more than one 911 call for a

potential drug-related overdose. Most calls to a repeat location were not

made on consecutive days. In fact, for most locations, several weeks passed

between calls. Additionally, some repeat locations were businesses, such as the

hospital, hotels/motels, gas stations, and stores.

14 days in 2016 had three or more calls to 911 for a potential overdose. These

dates include: April 29 (3 calls); June 14 (3), August 4 (3); August 14 (3);

October 10 (4); October 13 (5); October 15 (4); November 1 (3); November 2

(3); November 5 (3); November 25 (3); December 12, (4); December 20 (7); and

December 17 (5)

Source: Jackson County Office of the Sheriff 911 Dispatch Log Source: Jackson Community Ambulance Log

POLICE AND FIRE OVERDOSE

DISPATCHED CALLS

23 Source: Jackson County Office of the Sheriff 911 Dispatch Log Source: Jackson Community Ambulance Log

The data below may not reflect heroin overdoses as the Dispatch system does not distinguish between drug types. This data is accurate as of October 26, 2017.

255 Total

Calls

As of October 26, 2017, 28 locations across Jackson County made more than one

911 call for a potential drug-related overdose. As with 2016 repeat locations,

several weeks passed between calls. Additionally, some repeat locations were

businesses, such as the hospital, hotels/motels, gas stations, and stores.

20 days in 2017 had three or more calls to 911 for a potential overdose. These

dates include: January 13 (3 calls); February 17 (3); March 1 (3); March 14 (3);

April 7 (3); April 11 (3); April 12 (3); May 13 (3); May 18 (3); May 22 (4); May 24

(4); June 6 (3); June 16 (3); June 29 (3); July 15 (3); July 19 (3); August 1 (3);

August 3 (3); August 25 (4); October 2 (4)

POLICE AND FIRE OVERDOSE

DISPATCHED CALLS


DRUG OVERDOSE

HEAT MAPS

25 Source: Michigan Profile for Healthy Youth 2015-2016

Percentage of students who ever used a needle to inject any illegal drug into their body 7.2%

Percentage of students who took painkillers such as, OxyContin, Codeine, Vicodin, or Percocet without a

doctor’s prescription in the past 30 days 2.5%

Percentage of students who took a prescription drug such as Ritalin, Adderall, or Xanax without a doctor’s

prescription during the past 30 days 1.3%

Percentage of students who took a prescription drug not prescribed to them, including painkillers, during the past

30 days 3.0%

Percentage of students who were offered, sold, or given an illegal drug on school property by someone during the

past 12 months 4.0%

Percentage of students who reported using prescription drugs that are not prescribed to them as moderate or

great risk 75.3%

Percentage of students who reported their parents felt using prescription drugs not prescribed to them to be

wrong or very wrong 97.9%

Percentage of students who reported their friends felt using prescription drugs not prescribed to them to be


Jackson County Middle School Data

MICHIGAN PROFILE FOR

HEALTHY YOUTH DATA

26 Source: Michigan Profile for Healthy Youth 2015-2016

Percentage of students who have taken barbiturates without a doctor’s prescription in the past 30 days 1.5%

Percentage of students who used heroin one or more times during the past 30 days 0.8%

Percentage of students who used a needle to inject any illegal drug into their body one or more times during the

past 30 days 0.8%

Percentage of students who took a prescription drug such as Ritalin, Adderall, or Xanax without a doctor’s

prescription during the past 30 days 4.6%

Percentage of students who took painkillers such as OxyContin, Codeine, Vicodin, or Percocet without a

doctor’s prescription during the past 30 days 5.8%

Percentage of students who took a prescription drug not prescribed to them, including painkillers, during the past

30 days 7.1%

Percentage of students who reported using prescription drugs that are not prescribed to them as moderate or

great risk 78.5%

Percentage of students who reported their parents felt using prescription drugs not prescribed to them to be


Percentage of students who reported their friends felt using prescription drugs not prescribed to them to be


Jackson County High School Data

MICHIGAN PROFILE FOR

HEALTHY YOUTH DATA

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The following are recommendations for all members of the Jackson County community

1. ALWAYS CALL 911 IF YOU SUSPECT AN OVERDOSE! You are

protected under the Good Samaritan Law. It may save a life!

2. Talk to your friends and family about the dangers of

overdosing, especially youth and young adults. It may save a

life!

3. Ask your doctor if another pain management route is available

besides an opioid. It may save a life!

4. Purchase a medication safety lock-box to store all medications

with high potential for abuse. It may save a life!

5. Dispose of all unused and expired medications in a designated

drop box location or use proper medicine disposal guidelines.

It may save a life!

6. If you or a loved one are using an opioid (including heroin),

obtain a naloxone kit from your local pharmacy to use in an

emergency. No prescription is required, in most cases. It may

save a life!

7. Do not hesitate to refer your loved one to a substance use

disorder treatment center. You may have to broach the topic

more than once, but it may save a life!

WE

RECOMMEND

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The following are recommendations adapted from the Blue Cross Blue Shield of Michigan Taking Action on Opioid and Prescription Drug Abuse in Michigan for health care providers, government entities, and other social service agencies.

1. Promote safe prescribing practices: Train staff on up-to-date

prescribing practices, routinely utilize the Michigan Automated

Prescribing System (MAPS), and create access to non-opioid

alternatives for pain management

2. Expand access to medication-assisted treatment (MAT)

3. Increase naloxone access by implementing naloxone

distribution at SUD treatment facilities, primary care clinics,

and pharmacies; or promote co-prescribing of naloxone for

patients receiving chronic opioids.

4. Support and promote evidence-based programs that will

address the opioid and prescription drug epidemic in your

community, such as Breakout Drug Education and Most Teens

Don’t

5. Consider passing or supporting an ordinance to allow for harm

reduction strategies, such as needle exchange programs,

within the city limits and townships

WE

RECOMMEND

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As part of their final recommendations, Governor Snyder’s Prescription Drug and

Opioid Abuse Task Force found that naloxone (Narcan) is a safe and lifesaving

drug that should be more accessible. In 2016, Public Act 383 was passed giving

the chief medical executive authority to issue a standing order that, in most

cases, does not require a physician’s prescription to dispense naloxone.

When obtaining naloxone from a pharmacy, individuals will be provided with the

steps for responding to an opioid overdose, as well as important information

about where to go for treatment services. Pharmacies will be required to keep

track of the amount of naloxone dispensed and will report these numbers to

MDHHS on a quarterly basis.

AVAILABLE

RESOURCES

Jackson County Pharmacies Registered to Dispense Naloxone

*Pharmacy requires a physician’s prescription.

NALOXONE STANDING ORDER

Advanced Care Pharmacy Services 2136 Robinson Rd. Suite 2 Jackson, MI 49203 517-750-2180

Red Cap Pharmacy 001 214 N. West Ave. Suite A Jackson, MI 49202 517-879-4877

CVS- (Inside Target Store) 1076 Jackson Crossing Jackson, MI 49202 517-788-5359

Center for Family Health Pharmacy* 505 N. Jackson St. Jackson, MI 49201 517-748-5400

Rite Aid* 1733 Spring Arbor Rd. Jackson, MI 49203 517-789-6630

Walgreens 1314 N. West Ave. Jackson, MI 49202 517-783-1803

Walgreens 3040 E. Michigan Ave. Jackson, MI 49202 517-768-9002

Source: Michigan.gov

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Henry Ford Allegiance Health Crisis & Referral Access Helpline 1-800-531-3728

Substance Abuse & Mental Health Service Administration National Helpline 1-800-662-HELP(4357)

Centers for Substance Abuse Treatment (CSAT) 1-240-276-2750

Substance Abuse Treatment Facility Locator 1-240-276-2548

LOCAL AND NATIONAL HOTLINES

Born Free 300 W. Louis Glick Hwy Jackson, MI 49201 517-782-9905 www.strong-families.org/born-free/

Henry Ford Allegiance Addiction Recovery Center 2424 W. Washington Ave. Jackson, MI 49203 517-782-4001 www.allegiancehealth.org/locations/henry-ford-allegiance-addiction-recovery-center

Henry Ford Allegiance Substance Abuse Services 2424 W. Washington Ave Jackson, MI 49203 517-783-2732 www.allegiancehealth.org/locations/henry-ford-allegiance-substance-abuse-services

Home of New Vision 407 W. Michigan Ave Jackson, MI 49201 517-788-5596 www.homeofnewvision.org/jackson/

LOCAL TREATMENT RESOURCES

FAMILY SUPPORT GROUP

Families for HOPE (Heroin Opioid Prevention Effort) Meets at New Covenant Living Church

2405 W. Washington Jackson, MI 49203

517-812-9883 **meetings vary, call for next meeting date and time

www.andysangels.net

AVAILABLE

RESOURCES

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City of Jackson Police Department 216 E. Washington Ave, Jackson

517-788-4100 Every day: 6am – 10pm

Accepts All pills; No Liquids or Needles

Weatherwax Pharmacy 105 N. Main St, Brooklyn

517-592-8505 Mon – Fri: 8am – 6 pm

Accepts Non-Controlled Pills Only

Grass Lake Village Hall 119 N. Lake St, Grass Lake

517-522-4550 Every day: 24 hours

Accepts All Pills; No Liquids, Inhalants, Or Needles

Center for Family Health 505 N. Jackson St, Jackson

517-748-5400 Mon-Fri: 8am – 5:30pm

Accepts All Pills, Liquids, And Patches; No Inhalants

Jackson County Office of the Sheriff 212 W. Wesley St, Jackson

517-768-7900 Mon-Fri: 8am – 4:30pm

Accepts All Pills; No Liquids or Needles

Michigan State Police– Jackson Post 3401 Cooper St, Jackson

517-780-4580 Mon-Fri: 8am - 4pm

Accepts All Pills; No Liquids or Needles

Columbia Township Police Department

8500 Jefferson Rd, Brooklyn 517-592-3122

Mon – Fri: 8am – 12pm Accepts Pills, Liquids, and Needles

NO NARCOTICS Prescription Pills: Everyday 24 hours

Walgreens 1314 N. West Ave, Jackson

517-783-1803 Mon – Fri: 6am – 12 am Sat & Sun: 9am – 9pm

Accepts All Pills; No Liquids, Needles Or Inhalants

JACKSON COUNTY PRESCRIPTION DRUG DISPOSAL LOCATIONS

AVAILABLE

RESOURCES

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NOTES

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DATA

COMMITTEE

The Heroin and Opioid Task Force Data Collection Committee is comprised of

awesome data gurus from several agencies. Thank you to all who participated!

Rhonda Rudolph, Co-Chair of the Data Collection Committee; Health Educator, Jackson

County Health Department

Sarah Allison, Co-Chair of the Data Collection Committee; Health Action Coordinator, Jackson

County Substance Abuse Prevention Coalition

Joe Beatty, Quality Data Analysis Manager, Huron Valley Ambulance/Jackson County

Ambulance

Wayne Bisard, Captain, Jackson County Office of the Sheriff

Jill Glair, Administrative Assistant, Jackson County Medical Examiner

Jason Hammon, Lieutenant, Jackson County Office of the Sheriff/ 911 Dispatch

Timothy Hibbard, Sergeant, City of Jackson Police Department

Courtney Page, Community Programs Assistant, Jackson County Substance Abuse Prevention

Coalition

Debra Pemberton, Case Manager, Henry Ford Allegiance Behavioral Health

Emma Sigman, Substance Abuse Prevention Specialist, Jackson County Substance Abuse

Prevention Coalition

Tom Tinklepaugh, Officer, City of Jackson Police Department

Richard Thoune, Health Officer, Jackson County Health Department and Henry Ford

Allegiance Health

Dawn Weeks, Business Operations Coordinator, Henry Ford Allegiance Health

Derrick White, Detective/Lieutenant, Jackson Narcotics Enforcement Team/ Michigan State

Police

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