Drug Related Deaths in the North East Tom Le Ruez Tees Preventing - - PowerPoint PPT Presentation

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drug related deaths in the north east
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Drug Related Deaths in the North East Tom Le Ruez Tees Preventing - - PowerPoint PPT Presentation

Mar 28, 2024 249 likes •439 views

Drug Related Deaths in the North East Tom Le Ruez Tees Preventing Drug Related Deaths Co-ordinator Outline of presentation North East drug related deaths key themes Current or emerging trends Projects on-going in the north east

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SLIDE 1

Drug Related Deaths in the North East

Tom Le Ruez

Tees Preventing Drug Related Deaths Co-ordinator

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SLIDE 2

Outline of presentation

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  • North East drug related deaths key themes
  • Current or emerging trends
  • Projects on-going in the north east
  • Summary
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SLIDE 3

Drug related deaths and the North East

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SLIDE 4

North East Drug Related Deaths

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  • Population of north east is roughly

2.7 million (ONS, 2019).

  • Highest prevalence of drug users in

England given size of population (PHE, 2019).

  • Hartlepool, Middlesbrough have

highest rates of drug deaths in the region, and some of highest on local level in England and Wales (ONS, 2019).

(Image sourced from Newcastle University, 2019)

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SLIDE 5

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0.0 20.0 40.0 60.0 80.0 100.0 120.0 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017

Rate of DRD

Year

North East North West London

Source: ONS, 2019

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SLIDE 6

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50 100 150 200 250 300 350 400 450 500 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017

Number of DRDs Year

North East North West London

Source: ONS, 2019

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SLIDE 7

Results from the ‘deep dive’ into DRD inquests

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‘Mixed – toxicity’ Opioid detected ‘Tablets’ detected Two thirds are male Majority aged 30 - 49 Born in 70’s or 80’s Unemployed Single Arrested/ prison sentence Living Alone Found unresponsive in home Mental health diagnosis Previous trauma Smoker/COPD/Asthma

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SLIDE 8

Why such a sharp increase in the north east?

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  • Rise in multi-drug use?
  • Purity/price?
  • Changing drug market?

Service cuts? Socio-economic factors? Female deaths?... Ageing cohort?... Deteriorating physical health?...

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SLIDE 9

Recent trends in the North East: Comparing data from 2015/16 to 2018/19

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SLIDE 10

Increases in drugs detected post-mortem

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Cocaine

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

2015-16 2018-19

Percentage cocaine featured in deaths Year

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SLIDE 11

Increases in drugs detected post-mortem

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‘Exotic’ Benzo’s

Reduction in Diazepam (Valium) ‘blues’ Increase in Alprazolam (Xanax) …but also Etizolam

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0%

2015-16 2018-19

Diazepam Alprazolam and Etizolam

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SLIDE 12

Increases in drugs detected post-mortem

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Other meds or ‘tablets’

Pregabalin and Gabapentin Zopiclone …Emergence of Promethazine?

Detections with heroin have also increased, but to lesser extent.

Methadone and alcohol detections stable

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SLIDE 13

Rise in ‘multi-drug’ use?

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‘Multi-drug’ use

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1-2 drugs 3+ drugs 5+ drugs 7+ drugs

2015/16 (122 cases) 2018/19 (63 cases)

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SLIDE 14

Projects in the North East

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SLIDE 15

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Peer naloxone Heroin Assisted Treatment Injectable methadone pilot Suicide cocaine task group Drug analysis project Prison release task group

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Summary

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Summary

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  • Drug deaths have risen significantly over the past 10

years in the North East

  • Changes in drugs appearing post-mortem and

multiple-use more frequent  matches similar profile to Scotland

  • A number of projects being set up…
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SLIDE 18

Thank you for listening

Tom Le Ruez @tomleruez

Tees Preventing Drug Related Deaths Co-ordinator