Preliminary data show 2,023 confirmed and estimated opioid- related - - PowerPoint PPT Presentation

Preliminary data show 2,023 confirmed and estimated opioid- related overdose deaths in 2019.

Estimated 2,023 deaths Estimated 2,031 deaths

193 152 165 160 181 179 182 168 150 147 155 167 162 143 171 147 164 165 167 156 144 99 22 3 2 7 3 5 3 3 2 4 3 1 9 8 6 5 5 7 6 11 90 164 168

50 100 150 200 250

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 2019

Number of deaths

Figure 1. Opioid-Related Overdose Deaths, All Intents by Month Massachusetts Residents: January 2018 - December 2019

Confirmed Estimated

5.9 7.9 8.2 9.6 7.9 8.8 10.2 9.9 9.6 9.6 8.0 9.9 11.0 14.2 19.9 25.4 30.5 29.7 29.1 29.0 5 10 15 20 25 30 35

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Rate per 100,000 Residents

Figure 3. Rate of Confirmed and Estimated Opioid-Related Overdose Deaths, All Intents Massachusetts Residents: 2000 - 2019

28% 40% 20%

• 3%
• 2%

0%

The rate of opioid-related overdose deaths has stabilized in 2019 compared with 2018 and has decreased an estimated 5% since 2016.

Fentanyl remains a key factor in opioid-related overdose deaths (93% present in toxicology screen).

10 20 30 40 50 60 70 80 90 100 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 2014 2015 2016 2017 2018 2019 Percent Year and Quarter

Figure 4. Percent of Opioid-Related Overdose Deaths with Specific Drugs Present Massachusetts Residents: 2014 - Q3 2019

Fentanyl¹ Likely Heroin Prescription Opioid² Benzodiazepine Cocaine Amphetamine

Methodology Change*

3

The trajectory of the opioid epidemic would be far worse without public health interventions to address the crisis.

500 1000 1500 2000 2500 3000

Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec Jan-Jun Jul-Dec 2012 2013 2014 2015 2016 2017 2018 2019

Count

Figure 6. Confirmed and Estimated Opioid-Related Overdose Deaths by Six Month Intervals, Massachusetts Residents: January 2012 - December 2019

Actual Count Expected Count if Pre-2016 Rate of Change Continued

June 2015: Governor Baker's opioid working group delivers recommendations to combat the epidemic

Prescription Monitoring Program – Data Trends

• Registered MassPAT providers conducted more than 2.8 million searches in the 4th quarter
• f 2019, an increase of approximately 500,000 searches since the previous quarter.
• There were just under 500,000 Schedule II opioid prescriptions reported to the MA PMP in

the 4th quarter of 2019; this is a small decrease from the previous quarter and just over a 40% decrease from the 1st Quarter of 2015.

• In the 4th quarter of 2019, just over 225,000 individuals in Massachusetts received

prescriptions for Schedule II opioids; this is a small decrease from the previous quarter and nearly a 42% decrease from the 1st quarter of 2015.

500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 2015 2016 2017 2018 2019 450,000 500,000 550,000 600,000 650,000 700,000 750,000 800,000 850,000 900,000 Number of Searches Number of Prescriptions

Figure 1. Schedule II Opioid Prescriptions and MassPAT1 Search Activity2 Trends MA: Q1-2015 - Q4 2019

Total Schedule II Opioid Prescriptions Number of Searches by Prescribers and Pharmacists

1 MassPAT is the Massachusetts Prescription Awareness Tool (Online PMP) 2 Search activity includes prescribers, delegates, and pharmacists registered in MassPAT and licensed users of EHR Integration 3 Pharmacies required to report daily 4 STEP bill signed into law (7-day supply requirements go into effect) 5 MA prescribers required to look up patient when prescribing a Schedule II or III opioid medication

Dec 7, 20153 Mar 15, 20164 Mass PAT GoLive Aug 22, 2016 Oct 15, 20165