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State of Alaska

Health Indicator Report of Drug-Induced Mortality Rate

Alcohol and substance misuse have a devastating impact on individuals, families and entire communities across Alaska. The effects of alcohol and other drug misuse include unintentional and intentional injuries, violence, high-risk sexual behaviors, cirrhosis, and alcohol poisoning.^2,3^ Alaska experiences a disparately high rate of alcohol induced mortality compared to the U.S.^4^ Alcohol and other drug use is common among adolescents and is a strong predictor of dependence in later life.^5^ [[br]] [[br]] ---- {{class .SmallerFont 2. World Health Organization. Interpersonal violence and illicit drugs. [https://www.who.int/violenceprevention/interpersonal_violence_and_illicit_drug_use.pdf]. Accessed February 20, 2019. 3. World Health Organization. Global status report on alcohol and health 2018. [https://www.who.int/substance_abuse/publications/global_alcohol_report/gsr_2018/en/]. Accessed February 20, 2019. 4. Stahre M, Roeber J, Kanny D, Brewer RD, Zhang X. Contribution of Excessive Alcohol Consumption to Deaths and Years of Potential Life Lost in the United States. Prev Chronic Dis 2014;11:130293.[http://dx.doi.org/10.5888/pcd11.130293]. Accessed February 19, 2019. 5. National Institute on Drug Abuse. Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide. Updated June 2014. [https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/introduction]. Accessed February 19, 2019. }}

Notes

Data are age adjusted to U.S. 2000 standard population. 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. }}.   Rates based on fewer than 20 events are statistically unreliable and should be used with caution. ** Data not available

Data Interpretation Issues

[http://live.laborstats.alaska.gov/pop/index.cfm Alaska population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development]. The list of ICD-10 codes with descriptions for drug-induced mortality can be found in the National Vital Statistics Reports, [https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf Deaths: Final Data for 2016].

Definition

The age-adjusted 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 for a specific time period.

Denominator

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

Healthy People Objective: Reduce drug-induced deaths

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

How Are We Doing?

In 2017, drug-induced deaths claimed the lives of 154 Alaskans, an age-adjusted rate of 21.2 deaths per 100,000. A 19.8% increase over 2016. In 2017, there were 5,030 years of potential life lost due to drug-induced deaths, with 32.7 years lost prematurely for each death, on average. During 2003-2017, adults 25-34, 35-44 years old and 45-54 years old experienced the highest rates of drug-induced mortality at 23.1, 27.5 and 27.8 per 100,000, respectively. Rates of drug-induced mortality by region were lowest in the Northern region (7.4 per 100,000).

How Do We Compare With the U.S.?

In 2016 (the most recent year for which national data are available), the national rate of drug-induced mortality was 20.8 per 100,000.^6^ The 2016 rate for all Alaskans was 17.7 per 100,000 and 20.0 per 100,000 for Alaska Native people.[[br]] [[br]] ---- {{class .SmallerFont 6. Xu J, Murphy SL, et. al. Deaths: Final data for 2016. National Vital Statistics Reports. 66(6) July 26, 2018. [https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf]. Accessed December 31, 2018.}}

What Is Being Done?

Many illicit drugs are of public health concern in Alaska.^7^ In February 2017, Governor Bill Walker declared a public health crisis in response to the dramatic increase in heroin and opioid misuse in the state.^8^ The disaster declaration established a statewide [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/narcan.aspx Overdose Response Program] and allows for the distribution of Naloxone, a lifesaving drug that can reverse overdoses caused by opioids.^8^ 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.^8^[[br]] [[br]] ---- {{class .SmallerFont 7. 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. 8. 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.^9^ 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/ The system in Alaska that provides substance use treatment contains a continuum of care that includes residential services, outpatient services, and opioid treatment services. The system is comprised of both publicly funded and private providers. The DBH manages the public providers through behavioral health Medicaid and grants. The private system is now eligible as a result of provisions in SB 74 to become a Medicaid provider. This provision is expected to increase treatment capacity in Alaska. See: [http://dhss.alaska.gov/HealthyAlaska/Pages/Redesign/Redesign_news.aspx] If you are seeking treatment for substance abuse, contact a medical provider or locate a treatment center nearest you at [http://dhss.alaska.gov/dbh/Documents/TreatmentRecovery/SUD%20Providers/Substance%20Use%20Disorder%20Treatment%20Providers.pdf]. 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 9. 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 02/20/2019, Published on 02/20/2019
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 Thu, 20 June 2019 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: Wed, 20 Feb 2019 15:02:46 AKST
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 Thu, 20 June 2019 15:40:18 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: Wed, 20 Feb 2019 15:02:46 AKST