Presentation on theme: "Deaths from Heroin and Prescription Opiates in Virginia: An Overview William T. Gormley, MD, PhD, Chief Medical Examiner Rosie Hobron, MPH, Forensic."— Presentation transcript:
1 The Office of the Chief Medical Examiner, Virginia Department of Health
2 Deaths from Heroin and Prescription Opiates in Virginia: An Overview William T. Gormley, MD, PhD, Chief Medical Examiner Rosie Hobron, MPH, Forensic EpidemiologistData Sources: Office of the Chief Medical Examiner, Virginia Medical Examiner Data System (VMEDS)
3 Office of the Chief Medical Examiner Code of Virginia § Investigation of deaths: obtaining consent to removal of organs, etc.; fees
7 Heroin and Prescription Opiates Heroin under-representedHeroin is Morphine Pro-drugDiagnosis of Heroin COD6-Acetyl MorphineCircumstancesOpiates – prescription vs. illicitMedical RecordsScene and circumstances
21 Surveillance Roles Situational Awareness Monitor death incidence as close to real time as possible.Forecast and warn public.PreventionIdentify strategies.Evaluate and document result of strategy implementation.
22 Surveillance Data OCME Death data delayed by 3 to 6 months Other data streams include:Hospital and ER admissions – VDHLaw enforcement drug seizures – DFSLaw enforcement intelligence – i.e. FusionPrescription Monitoring Program (PMP)
23 Summary Heroin under-represented Heroin is Morphine Pre-drug Diagnosis of Heroin COD6-Acetyl MorphineCircumstancesOpiates – prescription vs. illicitMedical RecordsScene and circumstancesGeneral increase in deaths from both over the last decade.Heroin approximately 20% per year, 35% in 2012, >50% in 2013Prescription opiates approximately 10% per year, 15% in 2012SurveillanceSituational AwarenessIdentify Prevention StrategiesEvaluate Prevention Strategies
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