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Table of Contents: Drug Environment Report—UNCLASSIFIED Purpose: The NH Drug Monitoring Iniave (DMI) is a holisc strategy to provide awareness and combat drug distribuon and abuse. In line with this approach the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products for stake- holders as well as situaonal awareness releases as needed. Secon Title Page # Overview Drug Overdose Deaths Drug Overdose Deaths Map EMS Narcan Administraon EMS Narcan Administraon Map Opioid Related Emergency Department Visits Treatment Admissions Situaonal Awareness Substance Abuse Treatment/Recovery Directory 1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE UNCLASSIFIED New Hampshire Drug Monitoring Iniave New Hampshire Drug Monitoring Iniave New Hampshire Informaon & Analysis Center Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303 NHIAC Product #: 2018-3234 December 2017 Report 31 January 2018 Populaon data source: hp://www.nh.gov/oep/data-center/populaon-esmates.htm Year/month overview charts are based on annual esmates from the above website. County charts are based on a 2016 esmated populaon of each county. If your agency is looking for further breakdowns than what is in this document please contact the NHIAC. Tracked by NHIAC/HSEC SINs: 03,16 / 05,06 Previous versions of the Drug Environment Report can be found at: hps://www.dhhs.nh.gov/dcbcs/bdas/data.htm 4 5

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  • Table of Contents:

    Drug Environment ReportUNCLASSIFIED

    Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line with this approach

    the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products for stake-

    holders as well as situational awareness releases as needed.

    Section Title Page #

    Overview

    Drug Overdose Deaths

    Drug Overdose Deaths Map

    EMS Narcan Administration

    EMS Narcan Administration Map

    Opioid Related Emergency Department Visits

    Treatment Admissions

    Situational Awareness

    Substance Abuse Treatment/Recovery Directory

    1 UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE

    UNCLASSIFIED

    New Hampshire Drug Monitoring InitiativeNew Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

    Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303

    NHIAC Product #: 2018-3234 December 2017 Report 31 January 2018

    Population data source: http://www.nh.gov/oep/data-center/population-estimates.htm Year/month overview charts are based on annual estimates from the above website. County charts are based on a 2016 estimated population of each county.

    If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.

    Tracked by NHIAC/HSEC SINs: 03,16 / 05,06

    Previous versions of the Drug Environment Report can be found at: https://www.dhhs.nh.gov/dcbcs/bdas/data.htm

    45

    mailto:[email protected]://www.nh.gov/oep/data-center/population-estimates.htmhttps://www.dhhs.nh.gov/dcbcs/bdas/data.htm

  • UNCLASSIFIED

    NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED

    Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:

    UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE 2

    0.00

    10.00

    20.00

    30.00

    40.00

    50.00

    60.00

    Even

    ts p

    er 1

    00,0

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    n

    Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS

    EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population

    January 2017 - December 2017Opioid Related EDVisits

    Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

    EMS NarcanAdministration

    13.4515.25

    12.3414.51

    25.03

    33.0036.46

    29.69

    36.46

    0.00

    5.00

    10.00

    15.00

    20.00

    25.00

    30.00

    35.00

    40.00

    2010 2011 2012 2013 2014 2015 2016 2017*# o

    f D

    rug

    Dea

    ths

    per

    100

    ,000

    po

    pu

    lati

    on

    * 2017 Numbers are based on analysis as of 23 January 2018 - 91 Cases Pending

    Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office

    Projected

  • Drug Overdose Deaths: Data Source: NH Medical Examiners Office

    UNCLASSIFIED

    NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED

    3 UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE

    Trends: At this time, drug overdose deaths are projected to stay the

    same from 2016 to 2017. In 2017 thus far, Hillsborough County has the highest suspected

    drug use resulting in overdose deaths per capita at 3.91 deathsper 10,000 population.

    Strafford County had the next highest suspected drug useresulting in overdose deaths per capita at 3.43 deaths per10,000 population.

    The age group with the largest number of drug overdosedeaths is 30-39 which represents 27% of all overdose deaths for2017.

    As released by the Attorney Generals Office, there have been12 deaths related to the use of carfentanil in 2017.

    Right click on the paperclip and select Open File to view additional data.

    *** IMPORTANT DATA NOTES***

    2017 Numbers are based on analysis as of 23 January, 2018.

    There are currently 91 cases pending toxicology for 2017.

    Analysis is based on county where the drug (s) is suspected to have been

    used.

    13.4515.25

    12.3414.51

    24.57

    33.00

    36.46

    29.69

    2.28 4.63 3.63

    6.57

    15.45

    24.6526.83

    22.55

    1.90 1.97 1.44 2.272.71 3.68

    4.742.86

    36.46

    0.00

    5.00

    10.00

    15.00

    20.00

    25.00

    30.00

    35.00

    40.00

    2010 2011 2012 2013 2014 2015 2016 2017*

    # o

    f D

    rug

    De

    ath

    s p

    er

    10

    0,0

    00

    po

    p

    Overdose Deaths by Year per 100,000 PopulationData Source: NH Medical Examiner's Office

    All DrugDeaths

    Fentanyl/Heroin RelatedDeaths +

    CocaineRelatedDeaths+

    * 2017 Projected numbers are based on analysis as of 23 January 2018 - 91 cases pending+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories

    Projected

    2.98

    1.881.55

    2.682.35

    3.91

    2.232.50

    3.43

    0.91

    0.00

    0.50

    1.00

    1.50

    2.00

    2.50

    3.00

    3.50

    4.00

    4.50#

    of

    de

    ath

    s p

    er

    10

    ,00

    0 p

    op

    * 2017 Numbers are based on analysis as of 23 January 2018 -91 cases still pending

    2017* Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office

    0.51%

    23%

    27%22%

    22%

    6%

    Overdose Deaths by Age 2017*Data Source: NH Medical Examiner's Office

    0-19

    20-29

    30-39

    40-49

    50-59

    60+

    *2017 Numbers are based on analysis as of 23 January, 2018

  • Drug Overdose Deaths: Data Source: NH Medical Examiners Office

    UNCLASSIFIED

    NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED

    UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE

    2017 Numbers are based on analysis as of 23 January 2018 90 cases still pending

    2013 2014 2015 2016 January February March April May June July August September October November December YTD 2017

    Total 192 332 439 485 35 30 35 52 45 36 47 42 42 27 4 0 395

    County

    Belknap 8 17 17 16 1 1 3 3 0 0 4 2 2 2 0 0 18

    Carroll 4 9 22 16 0 0 2 2 1 1 1 1 0 0 1 0 9

    Cheshire 14 17 11 20 2 0 2 1 0 0 0 2 2 3 0 0 12

    Coos 6 9 14 10 3 1 0 0 0 2 0 1 2 0 0 0 9

    Grafton 13 17 13 16 1 2 3 1 3 5 2 2 0 2 0 0 21

    Hillsborough 68 106 178 199 10 10 12 22 22 17 22 14 17 11 1 0 158

    Merrimack 17 40 39 43 6 2 1 4 4 2 6 4 3 1 0 0 33

    Rockingham 34 64 89 90 8 6 12 9 8 4 8 8 10 1 1 0 75

    Strafford 25 40 47 55 3 6 0 6 5 5 3 7 4 4 0 0 43

    Sullivan 4 4 8 9 0 1 0 2 0 0 0 1 0 0 0 0 4

    Out of State 0 3 0 2 0 1 0 0 0 0 0 0 0 0 0 0 1

    Not Determined 0 0 0 9 1 0 0 2 2 0 1 0 2 3 1 0 12

    Gender

    Male 132 219 307 336 26 18 31 36 32 29 31 33 27 17 4 0 284

    Female 61 107 131 149 9 12 4 16 13 7 16 9 15 10 0 0 111

    Age

    0-19 3 3 8 7 0 0 0 0 0 0 1 1 0 0 0 0 2

    20-29 40 79 110 123 12 6 8 9 6 10 11 12 8 6 2 0 90

    30-39 32 80 116 147 6 10 9 15 11 10 13 10 17 6 0 0 107

    40-49 52 67 99 98 9 12 6 14 12 6 12 2 9 5 0 0 87

    50-59 51 78 91 89 6 1 10 11 10 9 7 13 8 8 2 0 85

    60+ 15 19 14 21 2 1 2 3 6 1 3 4 0 2 0 0 24

    NH IACFile AttachmentDrug Overdose Deaths.pdf

  • Drug Overdose Deaths (Continued): Data Source: NH Medical Examiners Office

    UNCLASSIFIED

    NH Drug Monitoring Initiative Drug Environment ReportUNCLASSIFIED

    4 UNCLASSIFIEDAUTHORIZED FOR PUBLIC RELEASE

    Cocaine Combinations (Top 10)

    Cocaine; Fentanyl 12

    Cocaine 7

    Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2

    Clonazepam; Cocaine; Fentanyl 2

    Cocaine; Ethanol; Fentanyl 2

    Cocaine; Fentanyl; Heroin 2

    Acetyl Fentanyl; Cocaine; Fentanyl 1

    Acetyl Fentanyl; Cocaine; Fentanyl; Morphine 1

    Alprazolam; Cocaine; Ethanol 1

    Buprenorphine; Cocaine; Fentanyl 1

    Fentanyl Combinations (Top 10)

    Fentanyl 166

    Acetyl Fentanyl; Fentanyl 28

    Ethanol; Fentanyl 14

    Cocaine; Fentanyl 12

    Fentanyl; Heroin 11

    Carfentanil; Fentanyl 5

    Fentanyl; Methamphetamine 4

    Acetyl Fentanyl; Ethanol; Fentanyl 3

    Acetyl Fentanyl 2

    Acetyl Fentanyl; Cocaine; Fentanyl; Heroin 2

    166

    28

    14 12 115 3 2 4 2

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    # o

    f D

    ea

    ths

    Fentanyl Combination Related Drug Deaths 2017*

    *2017 Numbers are based on analysis as of 23 January, 2018Source: NH Medical Examiner's Office

    12

    7

    2 2 2 2

    1 1 1 1

    0

    2

    4

    6

    8

    10

    12

    14

    # o

    f D

    ea

    ths

    Cocaine Combination Related Drug Deaths 2017*

    *2017 Numbers are based on analysis as of 23 January, 2018Source: NH Medical Examiner's Office

  • Pittsburg

    Lincoln

    Alton

    Errol

    MilanStark

    Albany

    Berlin

    Bartlett

    LymeSandwich

    Stratford

    Ossipee

    Weare

    Conway

    Odell

    Hill

    Bethlehem

    Bath Jackson

    Gilford

    Concord

    Carroll

    Warner

    Orford

    Unity

    Canaan

    Dixville

    Benton

    Littleton

    Success

    Sutton

    Warren

    Derry

    Franconia

    Bow

    Columbia

    Livermore

    Chatham