1. Bronx Community Health Dashboard: Drug Abuse and Opioids Created: 5/18/ Last Updated: 10/23/ See last slide for more information about this project.

2. USA Opioid-Related Mortality Rate
Men in the USA are 3 times more likely to die from opioids than men in other World Bank high income countries
250% increase
USA Opioid-Related Mortality Rate
Data source: Institute for Health Metrics and Evaluation. GBD Compare Data Visualization.
abuse of opioid analgesics = over $72 billion in medical costs alone each year. This is comparable to costs related to other chronic diseases such as asthma and HIV
Other studies estimate the cost of opioid abuse to be between $53-$56 billion annually, accounting for medical and substance abuse treatment costs, lost work productivity, and criminal justice costs 4
Average number of daily drug overdoses in NYC, 2016
80%
Percent of overdose deaths involved opioids
Data source: Healing NYC: Preventing Overdoses, Saving Lives 2017

3. Youth Behavior

4. Youth in Staten Island were more likely to report taking benzodiazepines and other Rxs without a doctor’s prescription one ore more times in the last year
such as Xanax, Valium, Klonopin, or Ativan
Data source: NYC Youth Risky Behavior Study, Analysis by Montefiore OCPH.
Data for benzodiazepine and Rx use not collected before 2015.

5. Youth in Staten Island were most likely to report using heroin at least one or more times in their lifetime
Data source: NYC Youth Risky Behavior Study, Analysis by Montefiore OCPH.
Data collected every two years.

6. Drug-related hospitalizations

7. 6 of 10 districts with highest drug-related hospitalizations are in the Bronx
201
Mott Haven & Melrose
202
Hunts Point & Longwood
203
Morrisania & Crotona
204
Highbridge & Concourse
205
Fordham & University Heights
206
Belmont & East Tremont
207
Kingsbridge Heights & Bedford
208
Riverdale & Fieldston
209
Parkchester & Soundview
210
Throgs Neck & Co-op City
211
Morris Park & Bronxdale
212
Williamsbridge & Baychester
201
202
203
204
206
207
208
209
210
211
212
205
NYC 907
Data source: NYC Community Health Profiles.

8. Opioid-Related Mortality
Including suicide, intentional
CDC ICD Codes used for this category:
F11.0-F11.5, F11.7-F11.9, F12.0-F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.9, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-F18.5, F18.7- F18.9, F19.0-F19.5, F19.7-F19.9, X40-X44, X60-X64, X85, Y10-Y14

9. When compared to similar counties, the Bronx has nearly double the rate of opioid-related mortality rates
Opioid-Related Mortality includes suicides, unintentional and intentional mortality
Data source: National Vital Statistics Surveillance System, Underlying Cause of Death, Analysis by Montefiore OCPH.

10. Drug related mortality rates are increasing at a higher rate in the Bronx than the rest of NYC
Opioid-Related Mortality includes suicides, unintentional and intentional mortality
Data source: National Vital Statistics Surveillance System, Underlying Cause of Death, Analysis by Montefiore OCPH.

11. Males and those 45-54 have the highest drug related mortality rates in the Bronx
Data source: Underlying Cause of Death, Analysis by Montefiore OCPH.
Age-specific rates are not age-adjusted year data unstable , year data unstable 2000,

12. Non-Hispanic White populations have the highest rates of drug related mortality in the Bronx
Data source: National Vital Statistics Surveillance System, Underlying Cause of Death, Analysis by Montefiore OCPH.

13. 4 of 5 districts with highest drug-related mortality rate are in the Bronx
NYC 8.6
201
Mott Haven & Melrose
202
Hunts Point & Longwood
203
Morrisania & Crotona
204
Highbridge & Concourse
205
Fordham & University Heights
206
Belmont & East Tremont
207
Kingsbridge Heights & Bedford
208
Riverdale & Fieldston
209
Parkchester & Soundview
210
Throgs Neck & Co-op City
211
Morris Park & Bronxdale
212
Williamsbridge & Baychester
201
202
203
204
206
207
208
209
210
211
212
205
Data source: NYC Community Health Profiles.
25 community districts, including 2 in the Bronx, did not have stable data to report drug-related age-adjusted death rates

14. Overdose Mortality
unintentional

15. The Bronx has higher outpatient emergency department visits and hospitalization overdose rates than the rest of NYC
Overdose Mortality refers to unintentional deaths
Reported overdoses in Hospitalizations
Reported overdoses in outpatient emergency department visits
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Bronx and NYC Excluding Bronx data are not age-adjusted

16. Staten Island has the highest rate of all opioid overdoses occurring in outpatient emergency departments while the Bronx has the highest rate of hospitalization opioid overdoses
Reported overdoses in Hospitalizations
Reported overdoses in outpatient emergency department visits
**work the wording on this slide
Outpatient – not actually admitted to a hospital, hospitalization data = admitted to a hospital and overdose occurred there
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Data are not age adjusted

17. Staten Island has higher rates of OED heroin overdoses and the Bronx has higher rates of Hospitalization heroin overdoses
Reported overdoses in outpatient emergency department visits
Reported overdoses in Hospitalizations
SPARCS collects information about ED visits through the patient discharge data system. Outpatient ED visits are events that did not result in admission to the hospital. Each outpatient emergency department (ED) visit receives an ICD-9-CM code (ICD-10-CM codes beginning Oct. 1, 2015) at discharge that indicates the primary reason for the occurrence. There are also a first-listed cause, external cause of injury, and up to 24 other diagnosis codes recorded to further describe the ED visits.
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Hospitalization overdose data for Staten Island not stable after Jan-Mar, 2016; Data are not age adjusted

18. Staten island has the highest OED based opioid overdoses (excluding heroin) while the Bronx and Brooklyn have the highest opioid overdoses (excluding heroin) in hospitalizations
Reported overdoses in outpatient emergency department visits
Reported overdoses in Hospitalizations
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Data are not age adjusted

19. Brooklyn and the Bronx have the highest Naloxone administration numbers reported by emergency medical services (EMS)
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Numbers represent naloxone administration events reported electronically, actual number of events may be higher

20. The Bronx has the highest Naloxone administration rate reported by emergency medical services (EMS) per 100,000
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Numbers represent naloxone administration events reported electronically, actual number of events may be higher

21. The Bronx has the highest rate of unique clients admitted for heroin and all opioids per 100,000 persons
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH.
Individual clients can be admitted to treatment in more than one quarter during the year

22. Bronx non-heroin overdoses
Non-heroin overdoses in the Bronx and NYC are contributing to a lower percentage of total overdoses
15% decrease
Bronx non-heroin overdoses
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH. .

23. Bronx heroin overdose mortality
Heroin overdoses are contributing to a growing percentage of all overdose mortality in NYC
15% increase
Bronx heroin overdose mortality
Data source: New York State: County Opioid Quarterly Report, Analysis by Montefiore OCPH. .

24. About the Community Health Dashboard Project
The goal of the project is to provide Bronx-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e.g., by age, sex, race/ethnicity, etc.) and sub-county/neighborhood level data
Data will be periodically updated as new data becomes available.
Produced by Montefiore’s Office of Community & Population Health using publicly-available data sources
For more information please contact Colin Rehm, PhD, Manager of Research & Evaluation