Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview

These slides were presented at the Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview Partner meeting, led by CDC and organized by ASTHO in March of 2019. 

Presenters

Puja Seth, PhD – Lead, Epidemiology and Surveillance

Alana Vivolo-Kantor, PhD – Morbidity Lead

Christine L. Mattson, PhD – Mortality Lead

Objectives

March 27, 2019

Fact Sheet: Naloxone Access and Overdose Good Samaritan Law in Ohio

This fact sheet, developed by the Network for Public Health Law and published August 29, 2018, summarizes Ohio's laws to combat the opioid overdose crisis.

Read more about this resource at https://www.networkforphl.org/resources_collection/2018/08/29/1027/naloxone_access_and_overdose_good_samaritan_law_in_ohio?blm_aid=193546.

August 31, 2018

Fact Sheet: Legal Interventions to Increase Access to Naloxone in Indiana

Drug overdose claimed the lives of more than 63,000 Americans in 2016. The majority of these deaths, over 42,000, involved opioids such as heroin, prescription painkillers, and, increasingly, illicitly manufactured fentanyl. Indiana is not immune to this national crisis. In 2003, for example, only three Indiana residents died from heroin-related overdose. In 2016, the number was 296.

March 29, 2018

Using Drug Overdose Syndromic Surveillance Data to Impact Local Public Health Action

Since 2008, drug overdose deaths exceeded the number of motor vehicle traffic-related deaths in Indiana and the gap continues to widen1. As the opioid crisis rages on in the United States the federal government is providing funding opportunities to states, but it often takes years for best practices to be developed, shared, and published. Indiana State Department of Health (ISDH) has developed a standard process for monitoring and alerting local health partners of increases in drug overdoses captured in Indiana’s syndromic surveillance system (ESSENCE).

January 21, 2018

Enhanced surveillance to monitor response to a provincial overdose emergency, Canada

On April 14, 2016, British Columbia (BC)’s Provincial Health Officer declared a public health emergency due to a significant increase in drug-related overdoses and deaths in the Province. Despite the declaration, 161 suspected drug overdose deaths were reported across the Province in December 2016, a 137% increase over the number of deaths occurring in the same month of 2015. In response to the surge overdoses, Vancouver Coastal Health Authority (VCH), one of 5 health regions within BC, rapidly implemented a number of novel harm reduction initiatives.

January 25, 2018

Issue Brief: Mandatory Drug Stewardship Programs

Unused, expired and leftover medicines that accumulate in homes represent a significant public health problem by increasing the risk of drug misuse and preventable poisonings. According to the National Survey on Drug Use and Health, nearly 75% percent of people who reported misusing painkillers in 2013-2014 most recently got the medication from a friend, family member, or dealer. Improper disposal of unwanted medications also poses a heightened risk to the environment.

March 01, 2018

Issue Brief: Fatal Overdose Review Panels – Overview of Laws in Six States

The overdose crisis continues unabated. While the epidemic was originally fueled largely by prescription opioid pain relievers, around 2010 a dramatic increase in heroin-related overdoses began. After remaining essentially stable for years, overdose deaths involving heroin spiked rapidly, more than tripling between 2010 and 2014. Starting in 2014, the epidemic began another transformation. Black market drug products—both heroin and counterfeit pills - became increasingly adulterated with illicitly—manufactured synthetic opioids, mainly fentanyl analogues.

March 01, 2018

Overdose Surveillance Committee (ODSC)

The mission of Overdose Surveillance Committee (ODSC) group is to organize and connect community members who are interested in overdose surveillance to discuss various issues concerning to this topic.

To learn more about the committee and participate in its activities, join the bimonthly calls scheduled for the first Friday every two months, from 1 - 2 pm ET. Look at the group calendar to find the next call!

 

November 30, 2018

Utilization of Emergency Department Data for Drug Overdose Surveillance in North Carolina

In North Carolina there has been an escalation of poisoning deaths. In 2011, the number of fatal poisonings was 1,368 deaths, with 91% classified as drug overdoses with the majority of those due to opioid analgesics.[1] Far greater numbers of drug overdoses result in hospitalization, emergency department (ED) or outpatient clinic visits, or resolve without the individual seeking medical attention. Although public health authorities have long employed death data for drug overdose surveillance in NC, little attention has been paid to the use of ED data for this purpose.

May 02, 2019

Surveillance of Overdose-related Emergency Department Visits in Rhode Island

During March-May 2013, 14 overdose deaths occurred in RI that were caused by acetyl fentanyl, a novel synthetic opioid about five times more potent than heroin1. Ten of these deaths were clustered in March, causing a significant increase over baseline of monthly illicit drug overdose deaths in RI1. Overdose deaths are well described in RI by forensic toxicology testing results. However, the overall number of ED visits associated with this event was unknown. We used RODS data retrospectively to characterize overdose related ED visits in RI and to analyze trends.

May 02, 2019

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