Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Health Indicator Report of Drug-Induced Mortality Rate

Alcohol and substance abuse have a devastating impact on individuals, families and entire communities across Alaska. The effects of alcohol and other drug abuse include unintentional and intentional injuries, violence, high-risk sexual behaviors, cirrhosis, and alcohol poisoning. Alaska experiences a disparately high rate of alcohol induced mortality compared to the U.S. Alcohol and other drug use is common among adolescents and is a strong predictor of dependence in later life. Causes of death attributable to drug-induced mortality include ICD-10 codes D52.1, Drug-induced folate deficiency anemia; D59.0, Drug-induced hemolytic anemia; D59.2, Drug-induced nonautoimmune hemolytic anemia; D61.1, Drug-induced aplastic anemia; D64.2, Secondary sideroblastic anemia due to drugs and toxins; E06.4, Drug-induced thyroiditis; E16.0, Drug-induced hypoglycemia without coma; E23.1, Drug-induced hypopituitarism; E24.2, Drug-induced Cushing's syndrome; E27.3, Drug-induced adrenocortical insufficiency; E66.1, Drug-induced obesity; selected codes from the ICD-10 title Mental and behavioral disorders due to psychoactive substance use, specifically F11.1-F11.5, F11.7-F11.9, F12.1-F12.5, F12.7-F12.9, F13.1-F13.5, F13.7-F13.9, F14.1-F14.5, F14.7-F14.9, F15.1-F15.5, F15.7-F15.9, F16.1-F16.5, F16.7-F16.9, F17.3-F17.5, F17.7-F17.9, F18.1-F18.5, F18.7-F18.9, F19.1-F19.5, and F19.7-F19.9; G21.1, Other drug-induced secondary parkinsonism; G24.0, Drug-induced dystonia; G25.1, Drug-induced tremor; G25.4, Drug-induced chorea; G25.6, Drug-induced tics and other tics of organic origin; G44.4, Drug-induced headache, not elsewhere classified; G62.0, Drug-induced polyneuropathy; G72.0, Drug-induced myopathy; I95.2, Hypotension due to drugs; J70.2, Acute drug-induced interstitial lung disorders; J70.3, Chronic drug-induced interstitial lung disorders; J70.4, Drug-induced interstitial lung disorder, unspecified; K85.3, Drug-induced acute pancreatitis; L10.5, Drug-induced pemphigus; L27.0, Generalized skin eruption due to drugs and medicaments; L27.1, Localized skin eruption due to drugs and medicaments; M10.2, Drug-induced gout; M32.0, Drug-induced systemic lupus erythematosus; M80.4, Drug-induced osteoporosis with pathological fracture; M81.4, Drug-induced osteoporosis; M83.5, Other drug-induced osteomalacia in adults; M87.1, Osteonecrosis due to drugs; R78.1, Finding of opiate drug in blood; R78.2, Finding of cocaine in blood; R78.3, Finding of hallucinogen in blood; R78.4, Finding of other drugs of addictive potential in blood; R78.5, Finding of psychotropic drug in blood; X40-X44, Accidental poisoning by and exposure to drugs, medicaments and biological substances; X60-X64, Intentional self-poisoning (suicide) by and exposure to drugs, medicaments and biological substances; X85, Assault (homicide) by drugs, medicaments and biological substances; and Y10-Y14, Poisoning by and exposure to drugs, medicaments and biological substances, undetermined intent. Drug-induced causes exclude accidents, homicides, and other causes indirectly related to drug use, as well as newborn deaths associated with mother's drug use. ^1^[[br]] [[br]] ---- {{class .SmallerFont 1. Kochanek KD, Murphy SL, Xu JQ, Tejada-Vera B. Deaths: Final data for 2014. National vital statistics reports; vol 65 no 4. Hyattsville, MD: National Center for Health Statistics. 2016. [https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf] Accessed January 27, 2017. }}

Notes

Drug-induced deaths include all deaths for which drugs are the underlying cause ,^1^ including those attributable to acute poisoning by drugs (drug overdoses) and deaths from medical conditions resulting from chronic drug use (e.g., drug-induced Cushing's syndrome). A drug includes illicit or street drugs (e.g., heroin and cocaine), as well as legal prescription and over-the-counter drugs; alcohol is not included.[[br]][[br]] NOTE: Alaska data includes values for F##.0 but lack K85.3 as of January 27, 2017. [[br]] [[br]] ---- {{class .SmallerFont 1. Kochanek KD, Murphy SL, Xu JQ, Tejada-Vera B. Deaths: Final data for 2014. National vital statistics reports; vol 65 no 4. Hyattsville, MD: National Center for Health Statistics. 2016. [https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf] Accessed January 27, 2017. }}.   ** Data not available Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services

Data Interpretation Issues

Alaska populations are from the [http://laborstats.alaska.gov/pop/popest.htm Alaska Department of Labor and Workforce Development, Research and Analysis].

Definition

Drug-induced mortality rate is defined as the number of deaths attributed to drugs per 100,000 population. The list of codes included in drug-induced causes was expanded in the 2003 data year to be more comprehensive. The following ICD-10 codes comprise the list of drug-induced codes: D52.1, D59.0, D59.2, D61.1, D64.2, E06.4, E16.0, E23.1, E24.2, E27.3, E66.1, F11.1-F11.5, F11.7-F11.9, F12.1-F12.5, F12.7-F12.9, F13.1-F13.5, F13.7-F13.9, F14.1-F14.5, F14.7-F14.9, F15.1-F15.5, F15.7-F15.9, F16.1-F16.5, F16.7-F16.9, F17.3-F17.5, F17.7-F17.9, F18.1-F18.5, F18.7-F18.9, F19.1-F19.5, F19.7-F19.9, G21.1,G24.0, G25.1, G25.4, G25.6, G44.4, G62.0, G72.0, I95.2, J70.2-J70.4, K85.3, L10.5, L27.0, L27.1, M10.2, M32.0, M80.4, M81.4, M83.5, M87.1, R78.1, R78.2, R78.3, R78.4, R78.5, X40-X44, X60-X64, X85, and Y10-Y14.

Numerator

Number of deaths induced by drugs in the resident population.

Denominator

Mid-year resident population for the same period, expressed as a rate per 100,000.

Healthy People Objective: Reduce drug-induced deaths

U.S. Target: 11.3 deaths per 100,000 population

How Are We Doing?

In 2016, drug-induced deaths claimed the lives of 131 Alaskans. Since 2006, the age-adjusted rate has increased 70.7%.^2^ In 2015, there were 4,301 years of potential life lost due to drug-induced deaths, with 34.1 years lost prematurely for each death, on average.^3^ During 2002-2016, adults 35-44 years old and 45-54 years old experienced the highest rates of drug-induced mortality at 27.3 per 100,000 and 26.8 per 100,000, respectively.^2^ Rates of drug-induced mortality by region were highest in the Matanuska-Susitna region, followed by the Anchorage region (19.0 and 18.2 per 100,000 respectively).^2^ ---- {{class .SmallerFont 2. Source: Alaska Health Analytics and Vital Records Updated: 08/11/2017. 3. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. }}

How Do We Compare With the U.S.?

In 2014 (the most recent year for which national data are available), the national rate of drug-induced mortality was 15.5 per 100,000. The rates for all Alaskans was 17.1 per 100,000 and 25.5 per 100,000 for Alaska Native people in 2014.

What Is Being Done?

Many illicit drugs are of public health concern in Alaska.^4^ In February 2017, Governor Bill Walker declared a public health crisis in response to the dramatic increase in heroin and opioid abuse in the state.^5^ The disaster declaration established a statewide Overdose Response Program and allows for the distribution of Naloxone, a lifesaving drug that can reverse overdoses caused by opioids.^5^ Although Naloxone would not be effective against an overdose on cocaine, the disaster declaration was also accompanied by the signing of Administrative Order 283. The order instructs all state departments to apply for federal funding for drug abuse prevention and treatment options, the elimination of illegally imported drugs into the state, and the development of resources to provide medical treatment to drug users.^5^ [[br]][[br]] ---- {{class.SmallerFont 4. Hull-Jilly DMC, Casto LD. State Epidemiologic Profile on Substance Use, Abuse, and Dependency--2007-2011. Alaska Department of Health and Social Services. Released November 7, 2013. 5. State of Alaska, Office of the Governor. Safer Alaska: Building Stronger Communities. 16 May 2017. Available at https://gov.alaska.gov/administration-focus/safer-alaska/, Accessed May 17, 2017. }}

Evidence-based Practices

SAMHSA maintains a website that collects the latest in substance abuse prevention evidence based practices. The link to the information can be found here[ http://www.samhsa.gov/ebp-web-guide/substance-abuse-prevention]

Available Services

If you are using, use a clean needle. Injection drug use is responsible for approximately 10% of HIV cases annually, and use of injected drugs also increases your risk of other diseases like Hepatitis C.^6^ The only way to be truly safe is to always use new needles, directly out of the package from a trusted source. The following links show where you can exchange used needles for new ones in Alaska. http://www.alaskanaids.org/index.php/prevention/syringe-exchange https://www.interioraids.org/ If you are seeking treatment for substance abuse, contact a medical provider or locate a treatment center nearest you at https://findtreatment.samhsa.gov/ To learn more about Naloxone, including how it can reverse the effects of opioids and where it is being distributed, visit http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/narcan.aspx For more information on how to get help, visit http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/help.aspx [[br]][[br]] ---- {{class .SmallerFont 6. State of Alaska, Division of Public Health. Heroin and Opioids in the Last Frontier: How to get help. Available at http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/help.aspx. Accessed May 17, 2017. }}

Health Program Information

The State of Alaska Epidemiologic Profile on Substance Use, Abuse and Dependency is available at: [http://dhss.alaska.gov/dph/Epi/injury/Documents/sa/SubstanceAbuseEpiProfile_2013.pdf]. This profile provides a more detailed report on the state of substance use and abuse in Alaska. The State of Alaska also provides websites on opioid use through Health and Social Services. Please use the following links to access more information about the misuse of opioids, much of which is applicable to other substances of abuse: [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/default.aspx].
Page Content Updated On 04/02/2018, Published on 04/02/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 July 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 2 Apr 2018 12:13:38 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 July 2018 13:20:36 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 2 Apr 2018 12:13:38 AKDT