Virginia Department of Health Office of the Chief Medical Examiner Rosie Hobron, MPH Statewide Forensic Epidemiologist OCME Forensic Trends in Virginia

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  • Virginia Department of Health Office of the Chief Medical Examiner Rosie Hobron, MPH Statewide Forensic Epidemiologist OCME Forensic Trends in Virginia
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  • Virginia population estimates came from the Virginia Department of Health, Division of Health Statistics (http://www.vdh.virginia.gov/healthstats/stats.htm#pop); stars on years 1999-2002 indicate that a different Virginia population source was used for the rate calculation as determined by previous OCME Annual Reports
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  • Number of Cases by Case Type, Manner, and District, 2013
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  • Top Three Methods of Death in 2013 # 3 Motor Vehicles (n=831) #2 Guns (n=848) #1 Drug Poisonings (n=912)
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  • Motor Vehicle Fatalities
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  • *Data for national motor vehicle fatalities was obtained from the Insurance Institute for Highway Safetys Yearly Snapshots (http://www.iihs.org/iihs/topics/t/general- statistics/fatalityfacts/overview-of-fatality-facts); national population totals were obtained from the United States Census (http://www.census.gov/)http://www.iihs.org/iihs/topics/t/general- statistics/fatalityfacts/overview-of-fatality-factshttp://www.census.gov/
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  • * * No rate can be calculated
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  • Motor Vehicle Fatalities by Location of Injury, 2013
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  • Motor Vehicle Fatalities and Alcohol
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  • Deceased Drivers and Alcohol, 2013 Of the 548 DRIVERS that died as a result of a motor vehicle accident (65.9% of all motor vehicle fatalities) 511 (93.2%) were tested for drugs and/or alcohol
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  • Drunk Drivers Continued Of the 161 deceased DRIVERS with a BAC >0.08%... The average BAC was 0.20% (Range 0.8-0.49; SD 0.07) At least 76 of these decedents (47.2%) were speeding at the time of death At least 96 decedents (59.6%) were NOT wearing a seatbelt at the time of death. Additionally, 18 decedents (11.2%) had an unknown seatbelt status at the time of death
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  • Gun Deaths
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  • Unique Gun Statistics Total gun deaths from 2007-2013 (n=5908) 50.1% (n=2961) were suicides in white males 18.3% (n=1080) were homicides in black males
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  • Drug/Poison Deaths
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  • The Opioid Epidemic From 2007-2013, opioids accounted for nearly 70% of all drug/poison deaths
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  • *The total number of drugs are tallied by whether the drug caused or contributed to death, so the number of drugs will far exceed the total number of actual drug deaths because often, more than one drug caused or contributed to death; additional drug/poisons not present in this figure may have caused or contributed to death
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  • Opioid Demographic Differences Prescription Opioids, 2007-2013Heroin, 2007-2013
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  • Fatal Heroin Overdoses by Locality of Injury, 2013
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  • Fatal Prescription Opioid Overdoses by Locality of Injury, 2013
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  • Conclusion Accidents and suicides have been on in the incline, homicides on the decline Similar to national trends, the number of motor vehicle deaths in Virginia have been decreasing The number of suicides by firearm have been increasing For the first time in Virginia history, drug/poison deaths were the #1 method of death (2013) for ME cases Opioids are the cause of ~70% of drug/deaths in Virginia While the increase in the number of fatal heroin deaths has been of big concern statewide, opioid prescription drug deaths kill more than twice the number of people as heroin For the last 7 years, the number of prescription opioid deaths has plateaued
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  • QUESTIONS?