Heroin Related Deaths in Cuyahoga County Presentation to South - PowerPoint PPT Presentation

Thomas P. Gilson, M.D. 11001 Cedar Avenue, Cleveland, Ohio 44106 A National Association of Medical Examiner’s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER’S OFFICE Heroin Related Deaths in Cuyahoga County Presentation to South Euclid City Council, Public Safety Committee Councilman Marty Gelfand, Chair Monday, June 22, 2015

South Euclid Residents Heroin-Related Deaths 2006-2014 3 2 2 1 1 1 1 1 0 0 0 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 Source: Cuyahoga County Medical Examiners Office revised 4-21-15 South Euclid

10 20 30 40 50 60 70 Source: Cuyahoga County Medical Examiners Office revised 4-21-15 0 2 2 4 5 7 Bay Beachwood Bedford Bedford Hts. Berea 2 Brecksville 810 Broadview Hts. Brooklyn 12 Brook Park 6 Chagrin Falls 10 Cleveland Hts. 1 Cuyahoga Hts 9 East Cleveland 24 Euclid 10 Fairview Park 15 Garfield Hts. 2 2 2 Gates Mills Highland Hts. Independence 58 Lakewood 12 Lyndhurst (By community of residence) 2006-2014 11 Maple Hts 1 Mayfield TOTAL SUBURBAN HEROIN DEATHS 11 Mayfield Hts 5 Middleburgh Hts 1 Newburgh Hts 12 North Olmsted 15 North Royalton 2 Oakwood 5 5 Olmsted Falls Olmsted Twp 2 Orange 55 Parma 14 Parma Hts. 1 2 Pepper Pike Richmond Hts 11 Rocky River 2 4 6 Seven Hills TOTAL 2006-2014 Shaker Hts South Euclid 13 Strongsville 1 3 Valley View Warrensville Hts 8 Westlake 1 0 0 0 0 0 0 0 0 0 1 0 1 2 1 Woodmere Bentleyville Bratenahl Brooklyn Hts. Glenwillow Highland Hills Hunting Valley Linndale Moreland Hills North Randall Solon University Hts Walton Hills Ashtabula Avon 7 5 4 4 3 Avon Lake Brunswick Chesterland Twp. Columbia Station Eastlake 6 Elyria 3 2 4 3 3 1 Lorain Medina Mentor North Ridgeville Painesville Twinsburg 4 2 Wickliffe Willoughby

Cuyahoga County Overdose Deaths 2006-2014 Most Common Drugs 250 200 198 194 161 150 127 124 117 114 116 113 124 103 101 103 107 111 107 100 91 87 98 85 91 81 87 64 64 49 49 50 44 45 40 39 48 33 40 33 31 37 23 22 36 32 17 26 21 13 13 16 13 11 8 10 5 9 7 0 2006 - 250 cases 2007 - 226 cases 2008 - 251 cases 2009 - 269 cases 2010 - 267 cases 2011 - 301 cases 2012 - 310 cases 2013 -340 cases 2014- 353 cases Source: Cuyahoga County Medical Heroin Cocaine Examiners Office revised 4-21-15 Oxycodone Diazepam Fentanyl All Opioids (Inc. Oxycodone & Fentanyl)

2006-2014 Cuyahoga County Overdose Deaths, Most Common Drugs (By %) 60.00% 57.06% 51.94% 56.09% 50.80% 50.44% 50.00% 42.63% 43.49% 40.00% 38.58% 35.55% 35.81% 35.13% 34.08% 34.12% 32.56% 30.00% 25.50% 23.79% 19.60% 20.00% 17.70% 14.87% 14.61% 13.60% 11.96% 13.24% 10.65% 9.20% 8.76% 10.48% 10.00% 7.08% 5.60% 4.87% 4.87% 3.59% 2.60% 3.23% 1.47% 2.66% 0.00% 2006 - 250 cases 2007 - 226 cases 2008 - 251 cases 2009 - 269 cases 2010 - 267 cases 2011 - 301 cases 2012 - 310 cases 2013 - 340 cases 2014- 353 cases Source: Cuyahoga County Medical Examiners Office revised 4-21-15 Heroin Cocaine Oxycodone Fentanyl

CUYAHOGA COUNTY PRESCRIPTION OPIOID MISUSE AND OUTCOMES 2014 *ESTIMATES BASED UPON SAMHSA SURVEY RATIOS 16120 3968 1240 3224 124 3100 102300 Non-med users Dependant ED Visits Treatment Admissions Overdose Deaths Source: Cuyahoga County Medical Examiners Office revised 6-22-15

CUYAHOGA COUNTY HEROIN ABUSE AND OUTCOMES 2014 *ESTIMATES BASED UPON SAMHSA DRUG SURVEY RATIOS 2970 15840 1584 4950 5148 198 22770 Users (past year) Dependant ED Visits Treatment Admissions Overdose Deaths Source: Cuyahoga County Medical Examiners Office revised 6-22-15