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Brian Sandoval Richard Whitley Governor Director State of Nevada Department of Health and Human Services National Violent Death Registry System & State Unintentional Drug Overdose Reporting System Variables Division of Public and

  1. Brian Sandoval Richard Whitley Governor Director State of Nevada Department of Health and Human Services National Violent Death Registry System & State Unintentional Drug Overdose Reporting System Variables Division of Public and Behavioral Health Office of Public Health Epidemiology and Informatics Amy Roukie, MBA, Administrator October 19, 2017 Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  2. Statewide Epidemiology Workgroup Lorne Belt Health Program Specialist II NVDRS, ESOOS Project Manager Office of Public Health Epidemiology and Informatics lbelt@health.nv.gov 775.684.5976 Helping People. It’s who we are and what we do. 2

  3. NVDRS Definition Underlying cause of death must be coded to homicide, suicide, undetermined intent, legal intervention, unintentional firearm injury, or terrorism. Deaths prior to birth due to violence, i.e., fetal deaths, are not included. The victim must have a standard death certificate, not a fetal death certificate. Helping People. It’s who we are and what we do. 3

  4. SUDORS Definition Underlying cause of death must be coded to unintentional or undetermined intent. Any of the following ICD-10 codes T40.0, T40.1, T40.2, T40.3, T40.4, of T40.6 are listed in the multiple cause- of-death codes on the death certificate. Important – Cause of death must be attributed to lethal levels of opioids in the decedent’s body. Helping People. It’s who we are and what we do. 4

  5. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  6. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  7. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  8. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  10. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  17. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  22. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  24. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  25. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  26. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  32. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

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  34. Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.

  35. Methodology Unlike most public heath surveillance systems that are based on the individual victim, NVDRS and SUDORS are incident-based and links all victims and alleged perpetrators associated with a given incident in one record. Helping People. It’s who we are and what we do. 35

  36. NVDRS Methodology A single violent death, e.g., a suicide, constitutes an incident. Multiple people who are victims or suspects in violent deaths also constitute an incident if they are connected and the injuries occur within a 24-hour period. Helping People. It’s who we are and what we do. 36

  37. SUDORS Methodology A single unintentional or undetermined opioid death, constitutes an incident. Multiple overdose deaths occurring at approximately the same time (within 2-3 hours) in the same location constitutes a single incident. Helping People. It’s who we are and what we do. 37

  38. Data Collection • NVDRS cases must be initiated within 4 months of date of death. • Those same cases must be closed within 16 months of initiation. • SUDORS death data for the preceding six months ending December 31, is reportable no later than June 30, of the following year. • Those same cases must be closed no later than August 31. Helping People. It’s who we are and what we do. 38

  39. Data Collection Barriers • Only 40% of violent deaths have circumstance data from both ME and LE • Nearly 26% had no circumstance information • Just 6% had information from LE only • Suicides (87%) and undetermined deaths (79%) more likely to have circumstance information than homicides (49%) • Circumstance information critical for developing effective prevention programs Helping People. It’s who we are and what we do. 39

  40. NVDRS & SUDORS Variables Lorne Belt Health Program Specialist II Office of Public Health Informatics and Epidemiology lbelt@health.nv.gov Helping People. It’s who we are and what we do. 40

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