Preliminary data show 938 confirmed and estimated opioid-related - - PowerPoint PPT Presentation

Preliminary data show 938 confirmed and estimated opioid-related overdose deaths within the first six months of 2019

193 152 165 160 181 179 182 167 149 146 155 166 162 137 163 108 40 1 2 7 4 1 4 2 3 3 4 2 4 1 1 10 12 41 119 144

50 100 150 200 250

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

Number of deaths

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

Confirmed Estimated

Estimated 938 deaths Estimated 1,050 deaths

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 25.2 30.5 29.7 29.4 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 Rate per 100,000 Residents

Figure 3. Rate of Confirmed and Estimated Opioid-Related Overdose Deaths, All Intents Massachusetts Residents: 2000 - 2018

27% 40% 21%

• 3%
• 1%

The rate of opioid-related overdose deaths decreased for a second straight year – for a total of an estimated 4% decrease from 2016 to 2018.

Fentanyl remains a key factor in opioid-related overdose deaths (92% present in toxicology screen) but we’re also seeing a rise in the presence of amphetamines.

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 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 - Q1 2019

Fentanyl¹ Likely Heroin Prescription Opioid² Benzodiazepine Cocaine Amphetamine

Prescription Monitoring Program – Data Trends

• Registered MassPAT providers conducted more than 2 million searches in the 2nd quarter of 2019, an increase of

approximately 200,000 searches since the previous quarter.

• There were just over 515,000 Schedule II opioid prescriptions reported to the MA PMP in the 2nd quarter of 2019; this

is a small decrease from the previous quarter and a 39% decrease from the 1st Quarter of 2015.

• In the 2nd quarter of 2019, just over 236,000 individuals in Massachusetts received prescriptions for Schedule II
• pioids; this is a small, but notable, decrease from the previous quarter and nearly a 40% decrease from the 1st quarter
• f 2015.

500,000 1,000,000 1,500,000 2,000,000 2,500,000 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 2015 2016 2017 2018 2019 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 - Q2 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 in the previous Online system) 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

Between 2007 and 2018, over 81,000 people enrolled in Overdose Education and Naloxone Distribution Programs (OEND), were trained in overdose prevention, and equipped with naloxone rescue kits.

248 1,273 1,647 2,539 2,588 2,862 3,689 6,312 6,159 7,716 7,905 6,450 50 707 768 1,279 1,335 1,481 1,750 3,930 4,696 6,386 5,202 4,656 298 1,980 2,415 3,818 3,923 4,343 5,439 10,242 10,855 14,102 13,107 11,106 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Enrollments Year

Figure 1: DPH OEND Program Enrollments by Year, 2007-2018

Non-User People who use drugs

Total Program Enrollments: 81,630 Total User Enrollments: 49,386 Total Non-User Enrollments: 32,244

Over 16,000 rescues were reported by bystanders who administered naloxone to a person who was overdosing.

206 255 256 384 412 659 1,276 1,899 2,562 3,098 3,628 16 40 26 52 46 61 161 225 377 389 451 222 295 282 436 458 720 1,437 2,124 2,939 3,487 4,079 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Rescues Year

Figure 2: DPH OEND Program Rescues by Year, 2007-2018

Non-User People who use drugs

Total Rescues: 16,480 Total Rescues by Users: 14,636 Total Rescues by Non-users: 1,844