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Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau of Communicable Diseases and Emergency Preparedness, Division of Public Health Wisconsin Department of Health Services July 2014 1 P-00696 (07/14)

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Page 1: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents

2004-2012

Office of Health Informatics andAIDS/HIV and Hepatitis C Program

Bureau of Communicable Diseases and Emergency Preparedness,Division of Public Health

Wisconsin Department of Health ServicesJuly 2014

1P-00696 (07/14)

Page 2: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Methods

All opioid-related deaths:• Case finding using specifications from

MMWR, Vol. 62, No. 26, 7/5/2013• Any contributing cause of death T401-T404,

International Classification of Diseases, 10th edition

• Includes heroin, methadone and all other natural and synthetic opioids

Wisconsin resident death certificates and county population estimates, 2004-2012, from Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics

Levels of urbanization from 2006 National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme

2

Page 3: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-related deaths, by county, Wisconsin residents

2004

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

3

Page 4: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2005

4

Page 5: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2006

5

Page 6: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2007

6

Page 7: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2008

7

Page 8: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2009

8

Page 9: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2010

9

Page 10: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2011

10

Page 11: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

Opioid-related deaths

0

1 - 4

5 - 9

10 - 19

20 - 29

30 - 149

Opioid-related deaths, by county, Wisconsin residents

2012

11

Page 12: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Counties with no opioid-related deaths, Wisconsin, 2004-2012

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

2004 2005 2006 2007 2008 2009 2010 2011 20120

5

10

15

20

25

30

35

4036

28

22 22 24

17

24

26

17

Wis

con

sin

Cou

ntie

s w

ith N

o O

pioi

d D

eath

s

12

Page 13: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Counties by level of urbanization, Wisconsin, 2010

Level of urbanizationMilwaukee County

Non-metropolitan counties

Non-metropolitan counties

Smaller metropolitan counties

Source: American Community Survey, 2010. 13

Page 14: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012

Mor

talit

y ra

te p

er 1

00,0

00

pop

ulat

ion

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.

2004 2005 2006 2007 2008 2009 2010 2011 20120.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Milwaukee County

Statewide

Smaller metro

Non-metro

14

Page 15: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

2004 2005 2006 2007 2008 2009 2010 2011 20120.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Heroin-related mortality rates per 100,000 population, by level of urbanization, Wisconsin, 2004-2012

Mor

talit

y ra

te p

er 1

00,0

00

pop

ulat

ion

Milwaukee County

Statewide

Non-metro

Smaller metro

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics. 15

Page 16: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-related mortality rates, by county, Wisconsin residents

2004-2006*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

16

Page 17: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-related mortality rates, by county, Wisconsin residents

2007-2009*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

17

Page 18: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Opioid-related mortality rates, by county, Wisconsin residents

2010-2012*

Source: Wisconsin resident death certificates; Department of Health Services, Division of Public Health, Office of Health Informatics.* Annual average rate per 100,000 population** Rates not shown if 1-4 deaths over the three-year period

Opioid-related mortality rates

0.0

Unstable**

1.1 - 5.9

6.0 - 9.9

10.0 - 19.9

18

Page 19: Opioid-Related Deaths and Mortality Rates by County, Wisconsin Residents 2004-2012 Office of Health Informatics and AIDS/HIV and Hepatitis C Program Bureau

Key Points

• Opioid-related deaths and mortality rates

increased in Wisconsin between 2004 and

2012.

• The number of Wisconsin counties with no

opioid-related deaths declined from 36 to 17

between 2004 and 2012.

• The rate of increase in opioid-related

mortality rates during 2004-2012 was similar

statewide, in Milwaukee County, and in

smaller metropolitan and non-metro

counties.

• Heroin-related deaths accounted for about

one-third of all opioid-related deaths

between 2004 and 2012. 19


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