Opioid-Related Intoxication Deaths and
Emergency Department Visits,
Anne Arundel County, 2009-2013
Bikash Singh, M.P.H.
Epidemiologist
Anne Arundel County Department of Health
April 15, 2015
Outline
• Heroin and prescription opioid-related
intoxication deaths by County in Maryland
• Heroin and prescription opioid-related
intoxication deaths in Anne Arundel County
• Heroin-related emergency department visits
Number of Heroin-Related Intoxication Deaths
By County, Maryland, 2013
160
Only Counties with ≥ 10 deaths included
150
Total number of deaths in Maryland = 464
Number of Deaths
140
120
100
80
60
40
20
76
41
28
25
22
21
16
14
0
Source: Maryland Vital Statistics Administration, Maryland Department of Health and Mental Hygiene (DHMH)
14
11
11
Number of Prescription Opioid-Related Intoxication
Deaths by County, Maryland, 2013
100
Only Counties with ≥ 10 deaths included
Total Number of Deaths in Maryland = 316
86
Number of Deaths
80
60
40
54
28
20
0
Source: Maryland Vital Statistics Administration, DHMH
16
14
14
14
13
12
12
Total Number of Drug and Alcohol-Related
Intoxication Deaths, Anne Arundel County,
2009 – September 2014
100
79
Number of Deaths
80
63
60
83
78
70
56
40
20
0
2009
2010
Source: Maryland Vital Statistics Administration, DHMH
2011
2012
2013
2014, through
September
Number of Drug and Alcohol-Related Intoxication
Deaths by Drug Type,
Anne Arundel County, 2009 - 2013
45
Total:
Heroin = 152
Prescription Opioid = 145
40
Number of Deaths
35
30
25
Heroin
20
Prescription Opioid
15
Cocaine
10
Alcohol
5
0
2009
2010
Source: Maryland Vital Statistics Administration, DHMH
2011
2012
2013
Heroin and Prescription Opioid-Related Intoxication
Deaths, Anne Arundel County,
2009 - September 2014
Heroin
Prescription Opioid
50
38
Number of Deaths
40
30
20
41
31
33
31
20
37
33
28
24
24
18
10
0
2009
2010
2011
2012
2013
If both drugs were involved, the case was counted in both categories.
Source: Maryland Vital Statistics Administration, DHMH
2014,
through
September
Heroin-Related Intoxication Death Rate
(per 100,000 Population) by Year,
Anne Arundel County and Maryland, 2009-2013
AACounty Heroin Death Rate
MD Heroin Death Rate
AACounty Prescription Opioid Death Rate
MD Prescription Opioid Death Rate
9
Death Rate per 100,000
8
7
6
5
4
3
2
1
0
2009
2010
2011
Source: Maryland Vital Statistics Administration, DHMH; Population Source: U.S. Census Bureau
2012
2013
Heroin and Prescription Opioid-Related Intoxication
Deaths, Anne Arundel County, 2009-2013
Gender
Race/ Ethnicity
Heroin
Prescription Opioid
Total = 152
Total = 145
77% Male
59% Male
23% Female
41% Female
92% Non-Hispanic
White
97% Non-Hispanic
White
8% Others
3% Others
If both drugs were involved, the case was counted in both categories
Source: Maryland Vital Statistics Administration, DHMH
Heroin-Related Intoxication Deaths by Age Group,
Anne Arundel County, 2009-2013
N = 152
45-54 yrs.
18%
55+ yrs.
7%
35-44 yrs.
24%
Source: Maryland Vital Statistics Administration, DHMH
< 25 yrs.
10%
25-34 yrs.
41%
Prescription Opioid-Related Intoxication Deaths by
Age Group, Anne Arundel County, 2009-2013
N = 145
55+ yrs.
12%
45-54 yrs.
23%
35-44 yrs.
24%
Source: Maryland Vital Statistics Administration, DHMH
< 25 yrs.
11%
25-34 yrs.
30%
Heroin-Related Intoxication Deaths,
Maryland, 2007- 2014 (through October)
By location of incident
Source: Maryland Vital Statistics Administration, DHMH
Number of Opioid-Related ED Visits,
Anne Arundel County by Year, 2009-2013
Number of Opioid-Related ED Visits
Heroin-Related ED Visits
Other Opioid-Related ED Visits
400
345
300
200
277
247
135
175
231
153
163
198
100
112
367
170
78
79
2010
2011
204
0
2009
Source: Maryland Health Services Cost Review Commission (HSCRC)
2012
2013
Heroin-Related ED Visits by Gender and
Race/Ethnicity, Anne Arundel County, 2013
• Heroin-Related ED Visits in 2013 = 204
• Gender
– 71%: Male
– 29%: Female
• Race/Ethnicity
– 81%: Non-Hispanic White
– 19%: Others
• Age
– 89%: 18-44 years
Source: Maryland Health Services Cost Review Commission (HSCRC)
Conclusion
• The number of heroin-related intoxication deaths and ED
visits has increased in the last few years.
• Heroin and prescription opioid-related intoxication deaths and
ED visits are higher in males than females.
• In females, prescription opioid-related deaths are more
common than heroin-related deaths.
• Opioid-related intoxication deaths and ED visits are higher in
non-Hispanic whites than any other racial or ethnic group.
• Heroin and prescription opioid-related deaths are higher in
the age group 25-34 years than other age groups.
• The number of heroin-related deaths is higher in the north
and central parts of the county than in the south and west
parts.