Chicago Opioid Overdose Mortality Data Elizabeth SalisburyAfshar MD

Chicago Opioid Overdose Mortality Data Elizabeth Salisbury-Afshar, MD, MPH

In Chicago in 2017, 796 people died from opioid-related overdose In the same year, 650 people died from gun-related homicide

Opioid overdose deaths have increased dramatically in the past ten years in Chicago Opioid Overdose Deaths 700 600 Number of Deaths 500 400 300 200 100 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017^ Data Sources: Years 2008 -2016: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files. ^Year 2017: Cook County Medical Examiner. These data refer to deaths that occurred among Chicago Residents. Slide used with permission from Chicago Department of Public Health (Dr. Allison Arwady)

Opioid Overdose Deaths- 2015 -2017 Age-adjusted rate per 100, 000 35 30 29, 1 26, 7 25 20 15 10 15, 5 13, 3 14, 7 10, 410, 7 17, 2 14, 9 5 0 2015 US 2016 Illinois Chicago 2017 Chicago saw a 74% increase in opioid overdose death rate between 2015 -2016 Scholl et al. Drug and Opioid-Involved Overdose Deaths- United States 2013 -2017. MMWR Jan 4, 2019. Rushovich et al. Annual Opioid Surveillance Report- Chicago 2017. City of Chicago, October 2018.

Chicago Opioid-Related Overdose Deaths by Drug Type, 2015 -2017 Age-adjusted rate per 100, 000 35 29, 1 30 26, 7 25 21 20 17, 7 17, 1 15, 5 15 15, 1 12, 4 10 5 2, 7 1, 1 1, 4 3, 2 1 1, 8 2, 6 0 All opioids Heroin Fentanyl 2015 2016 Opioid pain reliever Methadone 2017 Rushovich et al. Annual Opioid Surveillance Report- Chicago 2017. City of Chicago, October 2018.

50 Opioid Overdose Death Rate by Gender, US and Chicago- 2017 46, 2 45 Age-adjusted rate per 100, 000 40 35 30 25 20, 4 20 13 15 10 9, 4 5 0 US* Includes 35 states Female Male US Chicago Scholl L, Seth P, et al. Drug and Opioid-Involved Overdose Deaths- United States, 2013 -2017. MMWR Jan 4 2018; 67(5152); 1419 -1427 Epidemiology Report: Increase in Overdose Deaths Involving Opioids, Chicago 2015 -2016

Opioid Overdose Death Rate by Age in the United States* and Chicago, 2017 80 73, 5 70, 8 Age-adjusted death rate per 100, 000 70 60 50 41 40 29, 1 30 25, 6 27, 3 24, 1 20 10 23, 2 17 9, 5 8, 4 3, 4 0 15 -24 US* Includes 35 states 25 -34 35 -44 45 -54 Age range in years 55 -64 U. S. 65 -74 Chicago Scholl L, Seth P, et al. Drug and Opioid-Involved Overdose Deaths- United States, 2013 -2017. MMWR Jan 4 2018; 67(5152); 1419 -1427 Epidemiology Report: Increase in Overdose Deaths Involving Opioids, Chicago 2015 -2016

Opioid Overdose Death Rate by Race/Ethnicity US* & Chicago- 2017 50 43, 6 45 Age-adjusted death rate per 100, 000 40 35 29, 7 30 25 19, 4 20 15 13, 3 12, 9 10 6, 8 5 1, 6 0 NH African American US* Includes 35 states NH White Hispanic/Latino US 0 NH Asian/PI Chicago Scholl et al. Drug and Opioid-Involved Overdose Deaths- United States 2013 -2017. MMWR Jan 4, 2019. Rushovich et al. Annual Opioid Surveillance Report- Chicago 2017. City of Chicago, October 2018.

Rate of Overdose Death Involving Opioids by Community Area- Chicago, 2017 Rushovich et al. Annual Opioid Surveillance Report- Chicago 2017. City of Chicago, October 2018.

Drugs involved in opioid-related overdoses in Chicago- 2017 Rushovich et al. Annual Opioid Surveillance Report- Chicago 2017. City of Chicago, October 2018.

Conclusions • Opioid overdose mortality rates continue to increase nationally and locally • Chicago’s rate of opioid-related overdose death is more than two times the national rate • There were more deaths due to opioid overdose than to gun-related homicide in 2017 in Chicago • In Chicago, illicit opioids (heroin and fentanyl) account for majority of the mortality burden with the highest rates of overdose among 45 -64 year olds, African Americans, and men • Understanding local trends can help craft more strategic interventions