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

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Thomas P. Gilson, M.D. 11001 Cedar Avenue, Cleveland, Ohio 44106 A National Association of Medical Examiners (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINERS OFFICE Heroin Related Deaths in Cuyahoga County Presentation to

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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

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1 1 1 2 1 1 2 3 2006 2007 2008 2009 2010 2011 2012 2013 2014

South Euclid Residents Heroin-Related Deaths 2006-2014

South Euclid

Source: Cuyahoga County Medical Examiners Office revised 4-21-15

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2 2 4 5 7 2 810 12 6 10 1 9 24 10 15 2 2 2 58 12 11 1 11 5 1 12 15 2 5 5 2 55 14 1 2 11 2 4 6 13 1 3 8 1 0 0 0 0 0 0 0 0 0 1 0 1 2 1 7 5 4 4 3 6 3 2 4 3 3 1 4 2

10 20 30 40 50 60 70

Bay Beachwood Bedford Bedford Hts. Berea Brecksville Broadview Hts. Brooklyn Brook Park Chagrin Falls Cleveland Hts. Cuyahoga Hts East Cleveland Euclid Fairview Park Garfield Hts. Gates Mills Highland Hts. Independence Lakewood Lyndhurst Maple Hts Mayfield Mayfield Hts Middleburgh Hts Newburgh Hts North Olmsted North Royalton Oakwood Olmsted Falls Olmsted Twp Orange Parma Parma Hts. Pepper Pike Richmond Hts Rocky River Seven Hills Shaker Hts South Euclid Strongsville Valley View Warrensville Hts Westlake Woodmere Bentleyville Bratenahl Brooklyn Hts. Glenwillow Highland Hills Hunting Valley Linndale Moreland Hills North Randall Solon University Hts Walton Hills Ashtabula Avon Avon Lake Brunswick Chesterland Twp. Columbia Station Eastlake Elyria Lorain Medina Mentor North Ridgeville Painesville Twinsburg Wickliffe Willoughby

TOTAL SUBURBAN HEROIN DEATHS (By community of residence) 2006-2014

TOTAL 2006-2014

Source: Cuyahoga County Medical Examiners Office revised 4-21-15

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49 40 64 64 91 107 161 194 198

127 114 107 117 103 98 111 116 124

13 16 22 40 39 36 33 45 48 21 17 13 31 32 44 26 33 49 23 11 9 7 13 8 10 5 37

81 87 87 103 91 113 85 101 124

50 100 150 200 250

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

Heroin Cocaine Oxycodone Diazepam Fentanyl All Opioids (Inc. Oxycodone & Fentanyl)

Cuyahoga County Overdose Deaths 2006-2014 Most Common Drugs

Source: Cuyahoga County Medical Examiners Office revised 4-21-15

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19.60% 17.70% 25.50% 23.79% 34.08% 35.55% 51.94% 57.06% 56.09% 50.80% 50.44% 42.63% 43.49% 38.58% 32.56% 35.81% 34.12% 35.13% 5.60% 7.08% 8.76% 14.87% 14.61% 11.96% 10.65% 13.24% 13.60%

9.20% 4.87% 3.59% 2.60% 4.87% 2.66% 3.23% 1.47% 10.48%

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

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

Heroin Cocaine Oxycodone Fentanyl

2006-2014 Cuyahoga County Overdose Deaths, Most Common Drugs (By %)

Source: Cuyahoga County Medical Examiners Office revised 4-21-15

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102300 16120

3968 1240

3100

124 3224

Non-med users Dependant ED Visits Treatment Admissions Overdose Deaths CUYAHOGA COUNTY PRESCRIPTION OPIOID MISUSE AND OUTCOMES 2014 *ESTIMATES BASED UPON SAMHSA SURVEY RATIOS

Source: Cuyahoga County Medical Examiners Office revised 6-22-15

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22770 15840 2970

1584

4950 198 5148

CUYAHOGA COUNTY HEROIN ABUSE AND OUTCOMES 2014 *ESTIMATES BASED UPON SAMHSA DRUG SURVEY RATIOS

Users (past year) Dependant ED Visits Treatment Admissions Overdose Deaths

Source: Cuyahoga County Medical Examiners Office revised 6-22-15