opioid surveillance q2 2021 - hd.ingham.org
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Ingham County Opioid Surveillance
2
Medical Examiner Source: Ingham County Medical Examiner, Data are current as of 7/7/2021. All tables and graphs represent cases through June 30, 2021
73 total drug-related deaths (Table 1 & Fig. 1) 59 deaths were opioid-related.
51 opioid-related deaths were Ingham County residents. 8 opioid-related death was a non-county resident.
14 deaths were non-opioid-related. 13 non-opioid deaths were Ingham County residents.
1 non-opioid death was a non-county resident.
Figure 1: Drug-related deaths by related cause of death and county of residence, Ingham County 2021*
Table 1: Number of drug-related deaths by related cause of death and county of residence, Ingham County 2021*
*Data are current as of 7/7/2021. All tables and graphs represent cases through June 30, 2021
*Data are current as of 7/7/2021. All tables and graphs represent cases through June 30, 2021
Related Cause of
Death
Ingham County
Resident
Non-County
Resident Total
Opioids 51 8 59
Non-Opioids 13 1 14
Total 64 9 73
9 8
1
64
51
13
0
10
20
30
40
50
60
70
80
Total Deaths Opioids Non-Opioids
Ingham County
Resident
Non-County Resident
Ingham County Opioid Surveillance
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Figure 2: Number of opioid-related deaths among residents in Ingham County by month, Ingham County 2019 -2021*
Figure 4: Opioid-related deaths by selected type of opioid among Ingham County residents, Ingham County 2021*
Note: Deaths by type of drug are not mutually exclusive. Often multiple drugs are identified as a related cause of death in a single case. *Data are current as of 7/7/2021. All tables and graphs represent cases through June 30, 2021
**Morphine, Codeine, Methadone, Oxycodone, Hydrocodone, Hydromorphone, Oxymorphone., Tramadol, and Meperidine
Figure 3: Opioid-related deaths by educational level among Ingham County residents, 2021*
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
2019 8 4 3 6 9 6 6 3 6 11 7 9 78
2020 6 9 8 11 10 12 11 11 9 6 5 6 104
2021* 9 6 8 16 9 3 51
02468
101214
0
2
8
29
9
0
3
0 5 10 15 20 25 30 35
Unknown
Less than 9th Grade
High School (9-12th grade) but no diploma
HS Diploma/GED
Some college but no degree
Associate's degree
Bachelor's degree or higher
16
1
6
2
40
0 5 10 15 20 25 30 35 40 45
Prescription Opioids**
Non-prescription Opioids and Benzodiazepines
6
Heroin
Fentanyl and/or Analogues
Ingham County Opioid Surveillance
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Table 2: Characteristics of Opioid-related deaths among residents in Ingham County, Ingham County 2021**
Figure 5: Number of opioid-related deaths among residents in Ingham County by month, 2005-2020**
†All rates are per 100,000 Ingham County residents
*Data suppressed due to insufficient numbers. ** Data are current as of 7/7/2021. All tables and graphs represent cases through June 30, 2021
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
# of Deaths 15 7 15 19 17 23 31 30 41 55 68 77 73 76 78 104
0
20
40
60
80
100
120
Sources: 1. Michigan Substance Use Disorder Data Repository based on data from Michigan Death Certificates, Division for Vital
Records and Health Statistics/ MDHHS (2004-2013). Retrieved from http://mi-suddr.com/blog/2018/09/26/opioid- heroin- poisonings/ [Accessed 2/25/2020]
2. Ingham County Medical Examiner Records (2014 - 2020)
Decedent Characteristic Number Death Rate† 95% CI for Calcu-
lated Rate
Total Deaths 51 17.4 12.7-22.2
Sex
Male 28 * *
Female 23 * *
Age Group
<15 0 * *
15-24 2 * *
25-34 8 * *
35-44 19 * *
45-54 9 * *
55-64 9 * *
≥65 4 * *
Race
White 35 16.0 10.7-21.4
Black 15 * *
Other 1 * *
Hispanic Ethnicity
Hispanic or Latino 2 * *
Non-Hispanic or Latino 48 17.8 12.8-22.9
Unknown 0 * *
Missing 0 * * Other characteristics
Age (years)
Median 42
Mean 45.6
Range 21 -76
Manner of Death
Accident 49
Indeterminate 2
Suicide 0
Ingham County Opioid Surveillance
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EMS/ Fire Department Source: City of Lansing Fire Department/EMS, *Data are current as of 7/6/2021. All tables and graphs represent cases through June 30, 2021
Each Naloxone incident is defined as Naloxone administered to a person at a specific place and time excluding repeated doses.
Total number of Naloxone incidents 204
Number of Naloxone incidents (1 dose administered per person) 108
Number of Naloxone incidents (2 doses administered per person) 74
Number of Naloxone incidents (3 doses administered per person) 15
Number of Naloxone incidents (4 or more doses administered per person) 7
Average age: 43.7 years, Median age: 42 years
Figure 6: Number of Naloxone incidents by month in Ingham County, 2019 - 2021*
Table 3: Naloxone incidents by demographic characteristics, City of Lansing, 2021*
*Data are current as of 7/6/20201 All tables and graphs represent cases through Jun 30, 2021
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
2019 20 25 14 23 52 36 31 22 15 33 37 22 330
2020 32 31 33 30 34 44 33 33 36 30 29 29 394
2021* 37 22 33 37 30 40 199
05
1015202530354045505560
Characteristic Count Percent
Sex
Male 135 67.8%
Female 65 32.7%
Missing 0 0.0%
Age Group
<15 0 0.0%
15-24 14 7.0%
25-34 52 26.1%
35-44 50 25.1%
45-54 30 15.1%
55-64 34 17.1%
≥65 17 8.5%
Missing 2 1.0%
Race
White 0.0%
Black 0.0%
Other Race 0.0%
Missing 199 100.0%
Total 199 100.0%
Ingham County Opioid Surveillance
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Law Enforcement Data Sources: East Lansing Police Department and Lansing Police Department (Lansing only). Drug Overdose Incidents in Tri -County Area through June 30, 2021*
120 drug overdose incidents: 61 survived
18 died Average age: 35.5 years Median age: 34 years
Table 4: Number of drug overdose-related cases (including overdose-related deaths) by law enforcement jurisdic-tion and month of incident, Tri-County Area 2021*
Source: Ingham County law enforcement jurisdictions (ICSO - Ingham County Sheriff’s Office, CCSO - Clinton County Sheriff’s Office, ECSO - Eaton County Sheriff’s Office, MTPD - Meridian Township Police Dept.)
*Data are current as of 7/12/2021. All tables and graphs represent cases through June 30, 2021.
Table 5: Number of drug overdose-related deaths by law enforcement jurisdiction and month of incident, Tri-County Area 2021*
Source: Ingham County law enforcement jurisdictions *Data are current as of 7/12/2021. All tables and graphs represent cases through June 30, 2021.
Jurisdiction Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Year-to-
Date
Bath Twp 0
Charlotte PD 0
Delhi Twp 0
DeWitt Twp PD 0
ECSD 0
CCSO/CCSD 1 1
E. Lansing PD 1 1 2 4
ICSO/ICSD 1 2 2 3 1 2 11
Lansing PD 17 9 23 19 16 20 104
Lansing Charter Twp PD 0
Mason/ICSO Assist 0
Meridian Charter Twp PD 0
Williamston PD 0
Total 18 12 26 23 19 22 0 0 0 0 0 0 120
Jurisdiction Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Year-to-
Date
Bath Twp 0
CCSO/CCSD 1 1
Charlotte PD 0
DeWitt Twp PD 0
ELPD 2 2
ICSO/ICSD 1 2 3
Lansing PD 1 1 3 2 2 3 12
MTPD 0
Total 1 2 4 4 2 5 0 0 0 0 0 0 18
Ingham County Opioid Surveillance
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Emergency Department Visit Data
Source: Michigan Syndromic Surveillance System,
Data are current as of 7/21/2021. All tables and graphs represent cases through
June 30, 2021*
Total of 157 opioid overdose-related visits
Average age : 40.1 years
Median age: 36.0 years
Source: Michigan Syndromic Surveillance System
*Data are current as of 7/21/2021. All tables and graphs represent cases through June 30, 2021
**"Methadone" includes Methadone, Buprenorphine, and Suboxone.
***"Oxycodone" includes Oxycodone (Oxycontin) and Oxymorphone.
Note: Numbers are based on emergency department visit (chief complaints) and before any confirmed diagnoses are made.
Figure 8: Number of Opioid Overdose-related Emergency Department Visits by Year, Ingham County 2020 - 2021*
Figure 7: Number of Opioid Overdose-related Emergency Department Visits by Month, Ingham County 2021*
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total
Total Opioids 34 18 26 25 27 27 0 0 0 157
Heroin 30 15 21 21 18 23 128
Methadone** 1 2 3 3 3 1 13
Oxycodon*** 1 0 2 0 2 3 8
Unspecified Opiates 2 1 0 1 4 0 8
0
10
20
30
40
50
60
70
# o
f ED
Vis
its
Heroin Methadone** Oxycodon***Unspecified
OpiatesTotal Opioids
2020 452 55 12 59 578
2021* 128 13 8 8 157
0
100
200
300
400
500
600
# o
f ED
Vis
its
Ingham County Opioid Surveillance
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Figure 9: Number of Overdose-related Emergency Department Visits Ingham County, 2009-2019
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
# of ER visits 46 32 41 155 344 320 383 446 544 376 412
0
100
200
300
400
500
600
Source: Michigan Syndromic Surveillance System
Ingham County Opioid Surveillance
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Ingham County Department of Health and Human Services (DHHS) Source: Department of Health and Human Services (DHHS) Data are current as of 7/9/2021. All tables and graphs represent cases through June
30, 2021
Total of 55 child removals (99 children)
22 removals involved substance abuse 8 removals involved opioids
On average, 4 removals per month involved substance abuse and 1 opioids.
Table 6: Number of Child Removals by Month, Ingham County 2021*
Figure 10: Total Number of Child Removals by Substance Abuse, Ingham County 2021*
Source: Ingham County Department of Health and Human Services (DHHS)
*Data are current as of 7/9/2021. All tables and graphs represent cases through June 30, 2021.
Important Note: Counts reported in this document do not represent final numbers. They are subject to change after cases are updated by the data source.
Removals w/ No
Substance Abuse
33
w/ Opioids
8
No
Opioids
14
Removals w/
Substance
Abuse…
Total DHHS Removals = 55
Child Removals Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Year to
Date
Total Removals 7 6 15 7 10 10 55
Substance Abuse 5 2 6 0 4 5 22
Opioids 2 0 2 0 2 2 8
Non-Opioids 3 2 4 0 2 3 14
No Substance
Abuse 2 4 9 7 6 5 33
Ingham County Opioid Surveillance
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Source: Ingham County Medical Examiner (geocoded residential addresses of the deceased, not the location where the event occurred)
Source: Lansing EMS
Heat Map of Opioid-Related Deaths in Ingham County, from Jan 1 to June 30, 2021
Heat Map of Naloxone Incidents in Ingham County, from Jan 1 to June 30, 2021