Drug Overdose Deaths in Kentucky, 2000

Transcription

Drug Overdose Deaths
in Kentucky,
2000 - 2013
Kentucky Injury Prevention and Research Center
Drug Overdose Deaths
in Kentucky, 2000-2013
March 6, 2015
Prepared by
Svetla Slavova, PhD
Terry L. Bunn, PhD
Wei Gao, MS
Released by
Kentucky Injury Prevention and Research Center (KIPRC)
333 Waller Avenue, Suite 242
Lexington, Kentucky 40504
For more information contact
Svetla Slavova
E-mail: [email protected]
This project was supported by Grant No. 2014-PM-BX-0010 (Data-Driven Multidisciplinary Approaches to Reducing Prescription
Abuse in Kentucky) awarded by the Bureau of Justice Assistance (BJA). BJA is a component of the Department of Justice’s Office
of Justice Program, which includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice
and Delinquency Prevention, the Office of Victims Crime, and the SMART Office. Points of view or opinions in this document are
those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice.
Executive Summary
1.
In 2013, there were 1,019 Kentucky resident drug overdose deaths. This is a 9% decrease from the
1,078 drug overdose deaths registered in 2012. For the first time in six years, the drug overdose deaths
in the state showed a decline.
2.
The 2013 Kentucky resident age-adjusted drug overdose death rate was 23.7/100,000, down from
25.0/100,000 in 2012. The U.S. age-adjusted drug overdose mortality rate actually increased from 2012
(13.1/100,000) to 2013 (13.8/100,000).
3.
In 2013, Kentucky still had the 2nd highest age-adjusted drug overdose death rate in the United States,
23.7 deaths per 100,000 population. The corresponding U.S. rate was 13.8/100,000.
4.
Pharmaceutical opioids remained the primary cause of Kentucky resident drug overdose deaths in
2013. Pharmaceutical opioids were involved in 438 drug overdose deaths in 2013, a 10% decrease
from the 488 pharmaceutical opioid overdose deaths in 2012. The rate of overdose deaths involving
pharmaceutical opioids in Kentucky declined from 11.2/100,000 in 2012 to 10.1/100,000 in 2013, a
10% decline. At the same time, the level of involvement of pharmaceutical opioids in overdose deaths
remained unchanged at the national level, 5.1/100,000 in 2012 as well as in 2013.
5.
The involvement of pharmaceutical opioids in Kentucky resident overdose deaths could be underestimated because about one third of the Kentucky death certificates do not list information on specific
drugs involved in the overdose. For example, in 2013 pharmaceutical opioids were listed in 438 of the
1,019 overdose deaths (43%). However, only 761 of the 1,019 deaths listed specific drugs. Therefore,
pharmaceutical opioids were involved in 58% (438 out of 761) of the deaths with involved drugs listed
on the death certificate.
6.
Heroin contributed to 215 Kentucky resident drug overdose deaths in 2013, a 50% increase from the
143 heroin-involved deaths recorded in 2012. There was a 50% increase in the Kentucky rate of overdose deaths involving heroin, from 3.4/100,000 in 2012 to 5.1/100,000 in 2013. A similar percentage
increase (42%) was observed at the national level , from 1.9/100,000 in 2012 to 2.7/100,000 in 2013.
7.
Males remained at higher risk for drug overdose deaths (29.9 deaths per 100,000 population) compared with females (17.5/100,000) in 2013.
8.
Of the 1,019 overdose deaths, 882 (87%) were declared unintentional/accidental deaths.
9.
Adults, ages 35-44 years old, were at highest risk for overdose deaths (49/100,000) in 2013, followed
by 45-54 year olds (44.6/100,000), and 25-34 year olds (37.8/100,000).
10.
Over the last three years, 2011-2013, the following counties experienced the highest number of over-dose
deaths involving pharmaceutical opioids per 100,000 county residents: Bell County (annual age-adjusted
rate of 55.4 deaths involving pharmaceutical opioids per 100,000 residents), Clay County (54.6/100,000),
Floyd County (53.3/100,000), Johnson County (46.3/100,000), and Knox County (40.2/100,000).
11.
From 2011 to 2013, the residents of the following counties were at highest risk for overdose deaths involving heroin: Campbell County (rate of 21.4 heroin overdose deaths per 100,000 county population), Kenton
County (13.4/100,000), Boone County (11.3/100,000), Fayette County (5.2/100,000), and Jefferson County
(4.8/100,000).
Kentucky Resident Drug Overdose Deaths, 2000-2013
1200
1,058
1,078
2011
2012
1,019
1,007
1000
Total Number
800
728
708
764
769
2006
2007
2008
2009
638
600
560
526
2003
2004
426
400
345
241
200
0
2000
2001
2002
2005
2010
2013
Produced by the Kentucky Injury Prevention and Research Center, February 2015. Data source: Centers for Disease Control and Prevention,
National Center for Health Statistics. Multiple Cause of Death 1999-2013 on CDC WONDER Online Database, released 2015.
Kentucky Resident Age-Adjusted Drug Overdose Mortality Rates, 2000-2013
Mortality Rate (# Deaths /100,000 Population)
30
25
23.6
20
17.4
17.9
18.0
2008
2009
25.0
25.0
2011
2012
23.7
16.7
15.3
15
13.6
12.8
10.5
10
8.4
5.9
5
0
2000
2001
2002
2003
2004
2005
2006
2007
2010
2013
2
Top Ten States with the Highest Age-Adjusted Drug Overdose Mortality Rates, 2013
West Virginia
Kentucky
New Mexico
Rhode Island
Utah
Nevada
Ohio
Oklahoma
Pennsylvania
Arizona
570
1,019
458
241
594
614
2,347
790
2,426
1,222
Age-adjusted drug overdose
death rate per 100,000
population
32.2
23.7
22.6
22.4
22.1
21.1
20.8
20.6
19.4
18.7
The United States
43,982
13.8
States
1
2
3
4
5
6
7
8
9
10
Number of drug overdose deaths
Age-Adjusted Drug Overdose Death Rate by State, 2013
Data source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2013
on CDC WONDER Online Database, released 2015. Accessed at http://wonder.cdc.gov/mcd-icd10.html on Feb 25, 2015.
3
4
0
200
400
600
800
1000
Cocaine (T40.5)
Heroin (T40.1)
Benzodiazepine (T42.4)
Prescription opioids (T40.0, T40.2-T40.4)
241
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Produced by the Kentucky Injury Prevention and Research Center, February 2015. Data source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2013 on CDC WONDER Online Database, released 2015.
2000
526
Deaths with at least one code for drug contributing to the deaths (T36-T50.8)
Total number of drug overdose deaths
345
214
129
54
<10
30
426
248
158
62
<10
35
560
324
213
52
<10
42
308
206
54
<10
45
638
380
266
74
728
448
310
97
708
421
322
102
1200
88
<10
147
75
29
<10
15
68
<10
74
<10
764
467
344
144
Total Number
Kentucky Resident Drug Overdose Deaths by Contributing Drugs, 2000-2013
57
12
769
505
388
254
23
37
1,007
685
532
391
37
38
1,058
740
560
438
55
32
1,078
771
488
372
143
55
1,019
761
438
324
215
77
5
637
619
642
700
653
Kentucky Resident Drug Overdose Deaths by Gender, 2000-2013
382
425
388
292
416
477
455
309
251
277
223
231
Male
Female
155
211
134
155
205
271
300
200
321
329
400
86
Total Number
415
451
500
457
600
100
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Kentucky Resident Age-Adjusted Drug Overdose Mortality Rates by Gender,
2000-2013
29.9
30.6
29.2
17.5
19.2
17.9
19.4
22.5
21.8
13.4
14.1
Female
11.6
12.8
10.5
11
Male
7.4
6.4
7.8
9.8
13.5
10.4
15
5
15.7
16.2
20
21.7
20.1
21.9
25
4.1
Mortality Rate (# Deaths/100,000 Population)
30
10
30.7
35
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
6
7
Kentucky Resident Drug Overdose Deaths by Age Group, 2000-2013
Age Groups
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
15-24
25-34
35-44
45-54
55+
33
53
83
49
22
35
77
132
71
28
43
102
157
82
41
69
109
185
138
57
63
120
165
129
45
72
151
188
173
52
79
193
201
166
87
75
186
183
179
83
61
175
207
235
85
55
158
213
247
96
66
227
278
297
134
68
229
319
307
130
74
230
269
334
169
74
213
277
276
179
Kentucky Resident Drug Overdose Mortality Rates by Age Group, 2000-2013
(Rate per 100,000 population in the corresponding age group)
Age Groups
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
15-24
25-34
35-44
45-54
55+
5.8
9.3
12.9
8.8
2.5
6
13.8
20.7
12.3
3.1
7.4
18.5
25
14
4.5
11.8
19.8
29.8
23.2
6.1
10.7
21.7
26.8
21.4
4.7
12.3
27.2
30.9
28.2
5.3
13.6
34.8
33.1
26.6
8.6
12.8
33.3
30.4
28.4
8
10.4
31.3
34.8
36.8
7.9
9.4
28
36.5
38.5
8.8
11.2
40.1
48.2
46.2
12
11.5
40.2
56
48.2
11.3
12.5
40.5
47.5
53.3
14.4
12.4
37.8
49
44.6
14.8
8
9
Drug Overdose Deaths, by County, 2009-2013a
County (FIPS code)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Adair County, KY (21001)
Allen County, KY (21003)
Anderson County, KY (21005)
Ballard County, KY (21007)
Barren County, KY (21009)
Bath County, KY (21011)
Bell County, KY (21013)
Boone County, KY (21015)
Bourbon County, KY (21017)
Boyd County, KY (21019)
Boyle County, KY (21021)
Bracken County, KY (21023)
Breathitt County, KY (21025)
Breckinridge County, KY (21027)
Bullitt County, KY (21029)
Butler County, KY (21031)
Caldwell County, KY (21033)
Calloway County, KY (21035)
Campbell County, KY (21037)
Carlisle County, KY (21039)
Carroll County, KY (21041)
Carter County, KY (21043)
Casey County, KY (21045)
Christian County, KY (21047)
Clark County, KY (21049)
Clay County, KY (21051)
Clinton County, KY (21053)
Crittenden County, KY (21055)
Cumberland County, KY (21057)
Daviess County, KY (21059)
Edmonson County, KY (21061)
Elliott County, KY (21063)
Estill County, KY (21065)
Fayette County, KY (21067)
Fleming County, KY (21069)
Floyd County, KY (21071)
Franklin County, KY (21073)
Fulton County, KY (21075)
Gallatin County, KY (21077)
Garrard County, KY (21079)
Total number of drug
overdose deaths, 20092013
14
20
19
Suppressed
25
18
90
146
23
65
17
Suppressed
31
12
63
15
12
27
168
Suppressed
16
39
12
40
65
61
29
Suppressed
10
74
12
Suppressed
32
268
16
136
39
Suppressed
15
19
10
Annual rate
per 100,000
population
Unreliable
19.9
Unreliable
Suppressed
11.8
Unreliable
63.3
24.1
23
26.4
Unreliable
Suppressed
45
Unreliable
16.8
Unreliable
Unreliable
14.4
37.1
Suppressed
Unreliable
28.3
Unreliable
10.8
36.5
56.3
56.7
Suppressed
Unreliable
15.2
Unreliable
Suppressed
43.8
17.8
Unreliable
69.4
15.8
Suppressed
Unreliable
Unreliable
County (FIPS code)
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
Grant County, KY (21081)
Graves County, KY (21083)
Grayson County, KY (21085)
Green County, KY (21087)
Greenup County, KY (21089)
Hancock County, KY (21091)
Hardin County, KY (21093)
Harlan County, KY (21095)
Harrison County, KY (21097)
Hart County, KY (21099)
Henderson County, KY (21101)
Henry County, KY (21103)
Hickman County, KY (21105)
Hopkins County, KY (21107)
Jackson County, KY (21109)
Jefferson County, KY (21111)
Jessamine County, KY (21113)
Johnson County, KY (21115)
Kenton County, KY (21117)
Knott County, KY (21119)
Knox County, KY (21121)
Larue County, KY (21123)
Laurel County, KY (21125)
Lawrence County, KY (21127)
Lee County, KY (21129)
Leslie County, KY (21131)
Letcher County, KY (21133)
Lewis County, KY (21135)
Lincoln County, KY (21137)
Livingston County, KY (21139)
Logan County, KY (21141)
Lyon County, KY (21143)
McCracken County, KY (21145)
McCreary County, KY (21147)
McLean County, KY (21149)
Madison County, KY (21151)
Magoffin County, KY (21153)
Marion County, KY (21155)
Marshall County, KY (21157)
Martin County, KY (21159)
39
23
35
Suppressed
48
Suppressed
68
62
15
10
29
Suppressed
Suppressed
45
Suppressed
705
47
68
296
45
69
Suppressed
66
24
18
28
61
11
31
12
17
Suppressed
71
10
Suppressed
85
27
19
37
35
11
Annual rate
per 100,000
population
31.6
12.3
27.1
Suppressed
26.1
Suppressed
12.8
42.8
Unreliable
Unreliable
12.5
Suppressed
Suppressed
19.2
Suppressed
18.9
19.1
58.2
36.8
55.4
43.3
Suppressed
22.3
30.2
Unreliable
49.9
50.5
Unreliable
25.2
Unreliable
Unreliable
Suppressed
21.6
Unreliable
Suppressed
20.2
41
Unreliable
23.6
54.6
County (FIPS code)
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
Mason County, KY (21161)
Meade County, KY (21163)
Menifee County, KY (21165)
Mercer County, KY (21167)
Metcalfe County, KY (21169)
Monroe County, KY (21171)
Montgomery County, KY (21173)
Morgan County, KY (21175)
Muhlenberg County, KY (21177)
Nelson County, KY (21179)
Nicholas County, KY (21181)
Ohio County, KY (21183)
Oldham County, KY (21185)
Owen County, KY (21187)
Owsley County, KY (21189)
Pendleton County, KY (21191)
Perry County, KY (21193)
Pike County, KY (21195)
Powell County, KY (21197)
Pulaski County, KY (21199)
Robertson County, KY (21201)
Rockcastle County, KY (21203)
Rowan County, KY (21205)
Russell County, KY (21207)
Scott County, KY (21209)
Shelby County, KY (21211)
Simpson County, KY (21213)
Spencer County, KY (21215)
Taylor County, KY (21217)
Todd County, KY (21219)
Trigg County, KY (21221)
Trimble County, KY (21223)
Union County, KY (21225)
Warren County, KY (21227)
Washington County, KY (21229)
Wayne County, KY (21231)
Webster County, KY (21233)
Whitley County, KY (21235)
Wolfe County, KY (21237)
Woodford County, KY (21239)
13
10
11
12
Suppressed
18
22
11
29
31
12
19
25
11
Suppressed
20
68
146
41
66
Suppressed
37
23
36
31
11
12
12
39
12
Suppressed
Suppressed
28
69
Suppressed
15
Suppressed
87
17
25
a
Annual rate
per 100,000
population
Unreliable
Unreliable
Unreliable
Unreliable
Suppressed
Unreliable
16.4
Unreliable
18.5
14.1
Unreliable
Unreliable
8.2
Unreliable
Suppressed
27.2
47.7
45.2
65.2
20.8
Suppressed
43.6
19.6
40.9
12.9
Unreliable
Unreliable
Unreliable
31.7
Unreliable
Suppressed
Suppressed
37.4
12
Suppressed
Unreliable
Suppressed
48.7
Unreliable
20
Data are “Suppressed” when the counts represent zero to nine (0-9) persons, in order to protect personal privacy
(http://wonder.cdc.gov/wonder/help/mcd.html#Assurance of Confidentiality). Death rates are flagged as “Unreliable” when the
rate is calculated with a numerator of 20 or less (http://wonder.cdc.gov/wonder/help/mcd.html#Unreliable)
12
Annual Age-Adjusted Rate of Drug Overdose Deaths, 2009-2013*
Rate represents average annual number of overdose deaths per 100,000 county population.
Total Number of Drug Overdose Deaths, 2009-2013 Combined*
*Data source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2013 on CDC WONDER Online
Database, released 2015. Accessed at http://wonder.cdc.gov/mcd-icd10.html on Feb 25, 2015. Data are “Suppressed” when the counts represent zero to nine (0
-9) persons, in order to protect personal privacy (http://wonder.cdc.gov/wonder/help/mcd.html#Assurance of Confidentiality). Death rates are flagged as
“Unreliable” when the rate is calculated with a numerator of 20 or less (http://wonder.cdc.gov/wonder/help/mcd.html#Unreliable)
13
Top 5 counties by number of drug overdose deaths involving pharmaceutical opioids, 2011-2013
County (FIPS code)
overdose deaths involving
pharmaceutical opioids,
2011-2013
Annual ageadjusted rate per
100,000 population
150
6.7
1
2
3
4
5
95
10.3
59
53.3
Pike County, KY (21117)
55
29.2
54
11.2
Top 5 counties by rate of drug overdose deaths involving pharmaceutical opioids, 2011-2013
County (FIPS code)
1
2
3
4
5
pharmaceutical opioids,
2011-2013
100,000 population
Bell County, KY (21013)
48
55.4
Clay County, KY (21051)
36
54.6
59
53.3
Johnson County, KY (21115)
30
46.3
Knox County, KY (21197)
35
40.2
Top 5 counties by number of drug overdose deaths involving heroin, 2011-2013
County (FIPS code)
1
2
3
4
5
heroin, 2011-2013
100,000 population
108
4.8
65
13.4
Campbell County, KY (21037)
56
21.4
49
5.2
Boone County, KY (21015)
41
11.3
Note: a drug overdose death involving heroin and pharmaceutical opioids is counted under both categories.
14
Annual Age-Adjusted Rate of Drug Overdose Deaths Involving Heroin, 2011-2013*
The 3 counties with highest age-adjusted rate of heroin overdose deaths were in Northern Kentucky, on the border with Cincinnati area: Campbell County (21.4/100,000), Kenton County (13.4/100,000), and Boon County (11.3/100,000). The next two counties with highest risk for heroin overdose death were Fayette County/Lexington (5.2/100,000) and Jefferson County /Louisville
Annual Age-Adjusted Rate of Drug Overdose Deaths Involving Pharmaceutical Opioids,
2011-2013*
The top 5 counties at highest risk for overdose deaths involving pharmaceutical opioids were Bell County (average age-adjusted
annual rate of 55.4 overdose deaths per 100,000 population, 2011-2013), Clay County (54.6/100,000), Floyd County
(53.3/100,00), Johnson County (46.3/100,00), Knox County (40.2/100,000). These counties are all located in the Appalachian
*Data source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2013 on CDC WONDER Online
Database, released 2015. Accessed at http://wonder.cdc.gov/mcd-icd10.html on Feb 25, 2015. Data are “Suppressed” when the counts represent zero to nine (0
-9) persons, in order to protect personal privacy (http://wonder.cdc.gov/wonder/help/mcd.html#Assurance of Confidentiality). Death rates are flagged as
“Unreliable” when the rate is calculated with a numerator of 20 or less (http://wonder.cdc.gov/wonder/help/mcd.html#Unreliable)
15
About This Report
This report presents drug overdose mortality data for Kentucky residents. The data source for the
report is the U.S. Multiple Cause of Death files, 1999-2013, accessible through the CDC WONDER online query system http://wonder.cdc.gov/mcd-icd10.html. The Multiple Cause of Death database contains mortality
and population counts for all U.S. counties. Data are based on death certificates for U.S. residents.
Typically, when a drug overdose death occurs, the coroner completes a death certificate and lists the
causes of death and information on how the death occurred. This information/text is then transferred in an
electronic record that is sent to the National Center for Health Statistics (NCHS) at the Centers for Disease
Control and Prevention (CDC ) to be coded according to the guidelines of the Tenth Revision of the International Classification of Diseases (ICD-10) [www.who.int/classifications/icd10/] to allow standardized classification of the causes of death. Each death certificate is assigned a single underlying cause of death and up to
twenty additional multiple causes of death. The underlying cause of death is defined as the reason that initiated the chain of events leading directly to death.
For example, the death described below is coded with an underlying cause of death being unintentional drug overdose (X42 Accidental poisoning and exposure to narcotics and psychodysleptics). The following additional multiple causes of death were assigned based on the information listed on the death certificate: T40.3 Methadone, G93.1 Anoxic brain damage, T50.9 Other and unspecified drugs.
16
When the information on the death certificate is not specific enough and there is no mention of a
particular drug contributing to the death, the death cannot be associated with a drug/drug class. For example, about one third of the death certificates for drug overdose cases in Kentucky list only “drug overdose”,
“drug toxicity”, “acute drug intoxication”, or “polypharmacy intoxication”, with no mention of particular
drugs involved. Therefore, the involvement of pharmaceutical opioids or heroin in Kentucky resident overdose deaths could be underestimated as about one third of the overdose deaths are not associated with
specific drugs. When an overdose death involves multiple drugs from different classes (for example heroin
and methadone), each drug will receive appropriate ICD-10-coded cause of death (T40.1 for heroin, T40. 3
for methadone) and the death will be counted under both categories of drugs (heroin-associated deaths and
pharmaceutical opioid-associated deaths). If an overdose death involves multiple drugs from the same drug
class, only one multiple cause of death ICD-10 code will be assigned. For example, if oxycodone and hydrocodone are both listed on a death certificate, their involvement will be coded with one ICD-10 code (T40.2)
that represents the involvement of natural or semi-synthetic opioids.
Definition: Drug overdose deaths were identified as deaths with an underlying cause of death in the following ICD-10 code range: X40-X44(accidental/unintentional drug poisoning), X60-X64(suicide by drug poisoning), X85(homicide by drug poisoning), and Y10-Y14 (drug poisoning with undetermined intent).
X40 (Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics)
X41 (Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified)
X42 (Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified)
X43 (Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system)
X44 (Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances)
X60 (Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics)
X61 (Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified)
X62 (Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified)
X63 (Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system)
X64 (Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances)
X85 (Assault by drugs, medicaments and biological substances)
Y10 (Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent)
Y11 (Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent)
Y12 (Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent)
Y13 (Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent)
Y14 (Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent)
The types of drugs contributing to drug overdose deaths can be identified using ICD-10 codes T36T50.9 listed in any of the multiple causes of death fields. In this report we included statistics on drug overdose deaths involving heroin (T40.1), pharmaceutical opioids (T40.2, T40.3, or T40.4), cocaine ( T40.5), or
benzodiazepines (T42.4).
Age-adjusted morbidity and mortality rates were based on 2000 U.S. standard population data.
Previous reports (http://www.mc.uky.edu/kiprc/projects/kdodhedv/index.html) on Kentucky resident drug overdose deaths were based on data from the state Office of Vital Statistics and therefore the
numbers do not necessary match with the numbers presented in this report.
17

Drug Overdose Deaths in Kentucky, 2000

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