Overdose Deaths 2019 Data for all drug types

Overdose Deaths 2019

Data for all drug types

Drug Overdose Deaths in Tennessee, 2015 -2019 2 500 2 089 Number of Deaths 2 000 1 776 1 818 2017 2018 1 631 1 500 1 451 1 000 500 0 2015 2016 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Overdose Deaths by Sex, 2015 -2019 1500 1 353 1350 1200 Number of Deaths 1050 900 750 1 085 1 033 949 Male 811 640 682 743 735 Female 600 450 300 150 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Overdose Deaths by Race, 2015 -2019 1 752 1800 1 617 1 547 1600 1 440 Number of Deaths 1400 1 250 1200 1000 White Black 800 600 400 200 320 128 178 217 193 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Overdose Deaths by Race and Sex, 2015 -2019 100 88 Percentage of Overdose Death 86 89 87 84 80 65 60 56 58 58 60 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Number of people who died of a drug overdose in Tennessee by contributing substance, 2015 -2019 (n= 8, 765) Overdose Death 2015 2016 2017 2018 2019 All Drug 1, 451 1, 631 1, 776 1, 818 2, 089 Opioid 1, 034 1, 186 1, 268 1, 304 1, 543 689 739 644 548 515 Heroin 205 260 311 367 380 Fentanyl 169 294 500 742 1, 087 Methadone 67 82 69 66 53 Benzodiazepine 492 573 504 409 395 Opioid and Benzodiazepine 447 522 447 354 363 Stimulants other than Cocaine 112 187 319 462 651 Cocaine 203 250 306 251 334 Opioids and Stimulants 65 111 177 281 409 Pain Relievers (per CDC Definition, includes methadone) Source: Tennessee Department of Health, Office of Informatics and Analytics

Number of people who died of a drug overdose in Tennessee by contributing substance, 2015 -2019 (n= 8, 765) Overdose Death 2015 2016 2017 2018 2019 Count Percent Rate Count Percent Rate All Drug 1, 451 100 22 1, 631 100 25 1, 776 100 26 1, 818 100 27 2, 089 100 31 Opioid 1, 034 71 16 1, 186 73 18 1, 268 71 19 1, 304 72 19 1, 543 73 23 Pain Relievers (per CDC Definition, includes methadone) 689 48 10 739 45 11 644 36 10 548 30 8 515 25 8 Heroin 205 14 3 260 16 4 311 18 5 367 20 5 380 18 6 Fentanyl 169 12 3 294 18 4 500 28 7 742 41 11 1, 087 52 16 Methadone 67 5 1 82 5 1 69 4 1 66 4 1 53 3 1 Benzodiazepine 492 34 7 573 35 9 504 28 8 409 22 6 395 19 6 447 31 7 522 32 8 447 25 7 354 19 5 363 17 5 112 8 2 187 11 3 319 18 5 462 25 6 651 31 6 Cocaine 203 14 3 250 15 4 306 17 5 251 14 3 334 16 3 Opioids and Stimulants 65 4 1 111 7 2 177 10 3 281 15 4 409 20 4 Opioid and Benzodiazepine Stimulants other than Cocaine Rate is per 100, 000 persons. Rates & percentages have been rounded to nearest whole number. Source: Tennessee Department of Health, Office of Informatics and Analytics

Number of Overdose Deaths in Tennessee by Drug Type, 2015 -2019 2500 2089 Number of Deaths 2000 1776 1818 1631 1500 1543 1451 1186 1268 All drug overdose 1304 Any opioid 1087 1034 Pain Relievers Heroin 1000 689 739 644 501 500 205 Fentanyl 744 548 515 295 311 367 380 169 260 2015 2016 2017 2018 2019 0 Source: Tennessee Department of Health, Office of Informatics and Analytics

Deaths by type as a percent of all overdoses, 2015 -2019 100 90 80 73 71 73 72 71 Number of Deaths 70 All Drug Opioid 60 Pain Relievers Heroin 52 50 48 Fentanyl 45 Methadone 41 40 35 32 34 31 20 10 18 16 14 12 Opioid and Benzodiazepine 28 28 25 30 Benzodiazepine 36 30 22 19 20 18 25 19 17 18 5 5 4 4 3 2015 2016 2017 2018 2019 0 Source: Tennessee Department of Health, Office of Informatics and Analytics

Trends in overdose deaths by drug type (percent of overdose deaths), 2015 -2019 100 80 73 Number of Deaths 71 73 72 71 Opioid 60 Pain Relievers 52 48 Heroin 45 Fentanyl 41 40 35 34 28 20 14 16 18 Methadone 36 28 Benzodiazepine 30 22 20 18 Linear(Fentanyl) 25 19 18 12 5 5 4 4 3 0 2015 2016 2017 2018 2019 Drug types are not mutually exclusive, so will not sum to 100% Source: Tennessee Department of Health, Office of Informatics and Analytics

Trends in overdose deaths by type (numbers of overdose deaths), 2015 -2019 2 500 2 089 2 000 1, 818 Number of Deaths 1 776 1 631 1 500 1 543 1 451 All Drug 1 304 1 268 Opioid Pain Relievers 1 186 1 087 1 034 Heroin Fentanyl 1 000 689 573 492 500 205169 Benzodiazepine 742 739 260294 644 500504 311 548 367 515 409 380 395 0 2015 2016 2017 2018 2019 Drug types are not mutually exclusive, so will not sum to overdose death totals Source: Tennessee Department of Health, Office of Informatics and Analytics

Number of people who died of a stimulant drug overdose in Tennessee, 2015 -2019 (n= 8, 765) Overdose Death 2015 2016 2017 2018 2019 Any stimulant 301 413 587 671 910 Stimulants other than Cocaine 112 187 319 462 651 Cocaine 203 250 306 251 334 Opioids and Cocaine 205 260 311 367 380 Opioids and Stimulants other than cocaine 65 111 177 281 409 Opioids and any Stimulant 177 246 342 421 579 Source: Tennessee Department of Health, Office of Informatics and Analytics

Number of Stimulant Overdose Deaths in Tennessee, 2015 -2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Deaths by Age Distribution, 2015 -2019 600 Number of Deaths 500 400 2015 2016 300 2017 2018 2019 200 100 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Deaths by Age Distribution, 2015 -2019 550 500 450 Number of Deaths 400 15 -24 years 350 25 -34 years 300 35 -44 years 45 -54 years 250 55 -64 years 200 65 -74 years 150 75 -84 years 85+ years 100 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

2019 All Drug Deaths by County

Opioid specific data Source: Tennessee Department of Health, Office of Informatics and Analytics

Opioids Present In Overdose Deaths, 2015 -2019* Percentage of Opioid Overdose Death 100 80 73 71 73 72 71 60 52 Opioid 41 Fentanyl 40 Heroin 28 20 12 14 18 18 16 20 18 0 2015 2016 2017 2018 2019 * Percentages for fentanyl and heroin are included in the opioid category and are broken out for clarity. Source: Tennessee Department of Health, Office of Informatics and Analytics

Opioids Present In Overdose Deaths, 2015 -2019* Percentage of Opioid Overdose Death 100 80 73 71 73 72 71 Opioid 60 Fentanyl 52 Heroin Buprenorphine 41 40 28 20 18 16 12 14 4 3 20 18 18 5 4 3 0 2015 2016 2017 2018 2019 * Percentages for fentanyl, heroin, buprenorphine are included in the opioid category and are broken out for clarity. Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Overdose Deaths by Sex, 2015 -2019 1200 1 021 1050 Number of Deaths 900 805 743 750 600 450 686 Male 603 500 525 499 521 Female 431 300 150 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Overdose Deaths by Race, 2015 -2019 1600 1400 1 303 Number of Deaths 1200 1000 1 164 1 127 1 064 919 White Black 800 600 400 225 200 64 112 135 133 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Overdose Deaths by Race and Sex, 2015 -2019 100 90 Percentage of Opioid Overdose Death 89 89 89 84 80 66 60 58 58 59 62 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Deaths by Age Distribution, 2015 -2019 500 450 Number of Deaths 400 350 2015 300 2016 250 2017 200 2018 2019 150 100 50 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Deaths by Age Distribution, 2015 -2019 500 450 Number of Deaths 400 350 15 -24 years 25 -34 years 300 35 -44 years 250 45 -54 years 200 55 -64 years 65 -74 years 150 75 -84 years 100 85+ years 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Pain relievers Source: Tennessee Department of Health, Office of Informatics and Analytics

All Pain Reliever Overdose Deaths by Sex, 2015 -2019 500 450 400 Number of Deaths 350 390 370 349 319 329 315 300 263 300 285 250 Male 215 Female 200 150 100 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Pain Reliever Overdose Deaths by Race, 2015 -2019 800 700 680 638 582 Number of Deaths 600 495 500 452 White Black 400 300 200 100 29 55 58 50 62 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Pain Reliever Overdose Deaths by Race and Sex, 2015 -2019 Percentage of Pain Reliever Overdose Death 100 93 92 90 90 88 80 60 54 58 53 51 52 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Pain Reliever Deaths by Age Distribution, 2015 -2019 250 Number of Deaths 200 2015 150 2016 2017 2018 100 2019 50 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

Pain Reliever Deaths by Age Distribution, 2015 -2019 250 Number of Deaths 200 15 -24 years 25 -34 years 150 35 -44 years 45 -54 years 55 -64 years 100 65 -74 years 75 -84 years 85+ years 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Heroin Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Overdose Deaths by Sex, 2015 -2019 350 300 265 Number of Deaths 257 250 216 200 150 Male 182 Female 149 95 100 115 78 56 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Overdose Deaths by Race, 2015 -2019 400 324 319 Number of Deaths 300 270 222 White Black 200 156 100 26 34 40 45 53 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Overdose Deaths by Race and Sex, 2015 -2019 100 87 Percentage of Heroin Overdose Death 85 80 76 73 70 87 69 85 70 70 60 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Deaths by Age Distribution, 2015 -2019 140 120 Number of Deaths 100 2015 80 2016 2017 60 2018 2019 40 20 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Deaths by Age Distribution, 2015 -2019 140 Number of Deaths 120 100 15 -24 years 25 -34 years 80 35 -44 years 45 -54 years 60 55 -64 years 65 -74 years 40 75 -84 years 85+ years 20 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Fentanyl Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Overdose Deaths by Sex, 2015 -2019 900 800 756 Number of Deaths 700 600 531 Male 500 Female 400 335 330 300 200 108 100 213 196 61 166 99 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Overdose Deaths by Race, 2015 -2019 1000 887 900 Number of Deaths 800 700 643 600 White Black 500 422 400 300 200 100 242 190 151 16 50 77 99 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Overdose Deaths by Race and Sex, 2015 -2019 100 Percentage of Fentanyl Overdose Death 89 86 84 82 82 80 64 67 67 71 70 60 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Deaths by Age Distribution, 2015 -2019 400 350 Number of Deaths 300 250 2015 2016 200 2017 2018 150 2019 100 50 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Deaths by Age Distribution, 2015 -2019 400 350 Number of Deaths 300 15 -24 years 25 -34 years 250 35 -44 years 200 45 -54 years 55 -64 years 150 65 -74 years 75 -84 years 100 85+ years 50 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Stimulants other than cocaine Source: Tennessee Department of Health, Office of Informatics and Analytics

All Stimulants (other than Cocaine) Overdose Deaths by Sex, 2015 -2019 500 450 422 400 Number of Deaths 350 302 300 Male 250 229 187 200 160 150 100 50 Female 132 121 72 66 40 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Stimulants (other than Cocaine) Overdose Deaths by Race, 2015 -2019 596 600 500 Number of Deaths 442 400 300 178 200 100 White Black 301 102 50 3 6 2015 2016 15 20 0 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Stimulants (other than Cocaine) Overdose Deaths by Race and Sex, 2015 -2019 100 95 Percentage of Stimulant Overdose Death 91 96 94 92 80 64 65 65 65 59 60 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Stimulants (other than Cocaine) Deaths by Age Distribution, 2015 -2019 200 180 160 Number of Deaths 140 2015 120 2016 100 2017 80 2018 2019 60 40 20 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

Stimulants (other than Cocaine) Deaths by Age Distribution, 2015 -2019 200 180 Number of Deaths 160 140 15 -24 years 25 -34 years 120 35 -44 years 100 45 -54 years 80 55 -64 years 65 -74 years 60 75 -84 years 40 85+ years 20 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Combination of opioids and stimulants Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioids plus Stimulant Overdose Deaths by Sex, 2015 -2019 300 256 Number of Deaths 250 195 200 153 150 97 100 80 69 42 50 Male Female 86 42 23 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioids plus Stimulant Overdose Deaths by Race, 2015 -2019 400 371 Number of Deaths 300 267 White Black 200 164 107 100 57 33 3 2 2015 2016 12 14 0 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioids plus Stimulant Overdose Deaths by Race and Sex, 2054 -2019 96 100 95 93 91 88 Percentage of Death 80 65 69 63 62 60 55 Percent White Percent Male 40 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Opioid plus Stimulant Deaths by Age Distribution, 2015 -2019 140 120 Number of Deaths 100 2015 80 2016 2017 60 2018 2019 40 20 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

Opioid plus Stimulant Deaths by Age Distribution, 2015 -2019 140 Number of Deaths 120 100 15 -24 years 25 -34 years 80 35 -44 years 45 -54 years 60 55 -64 years 65 -74 years 40 75 -84 years 85+ years 20 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Age-Specific Rates (instead of numbers) Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Death Rates by Age Distribution, 2015 -2019 70 Rate is per 100, 000 persons. 60 Rate of Deaths 50 2015 40 2016 2017 30 2018 2019 20 10 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Drug Death Rates by Age Distribution, 2015 -2019 70 60 Rate of Deaths 50 15 -24 years 25 -34 years 40 35 -44 years 45 -54 years 30 55 -64 years 65 -74 years 20 75 -84 years 85+ years 10 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Death Rates by Age Distribution, 2015 -2019 50 Rate is per 100, 000 persons. 45 40 Rate of Deaths 35 2015 30 2016 25 2017 2018 20 2019 15 10 5 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioid Death Rates by Age Distribution, 2015 -2019 50 45 40 15 -24 years Rate of Deaths 35 25 -34 years 30 35 -44 years 25 45 -54 years 20 55 -64 years 65 -74 years 15 75 -84 years 85+ years 10 5 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

Pain Reliever Death Rates by Age Distribution, 2015 -2019 30 Rate is per 100, 000 persons. Rate of Deaths 25 20 2015 2016 15 2017 2018 2019 10 5 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

Pain Reliever Death Rates by Age Distribution, 2015 -2019 30 Rate of Deaths 25 15 -24 years 20 25 -34 years 35 -44 years 15 45 -54 years 55 -64 years 65 -74 years 10 75 -84 years 85+ years 5 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Death Rates by Age Distribution, 2015 -2019 14 Rate is per 100, 000 persons. 12 Rate of Deaths 10 2015 8 2016 2017 6 2018 2019 4 2 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Heroin Death Rates by Age Distribution, 2015 -2019 14 12 Rate of Deaths 10 15 -24 years 25 -34 years 8 35 -44 years 45 -54 years 6 55 -64 years 65 -74 years 4 75 -84 years 85+ years 2 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Death Rates by Age Distribution, 2015 -2019 40 Rate is per 100, 000 persons. 35 Rate of Deaths 30 25 2016 20 2017 2018 15 2019 10 5 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Fentanyl Death Rates by Age Distribution, 2015 -2019 40 35 30 Rate of Deaths 15 -24 years 25 -34 years 25 35 -44 years 20 45 -54 years 55 -64 years 15 65 -74 years 75 -84 years 10 85+ years 5 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

Stimulants (other than Cocaine) Death Rates by Age Distribution, 2015 -2019 25 Rate is per 100, 000 persons. Rate of Deaths 20 2015 15 2016 2017 2018 10 2019 5 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

Stimulants “other than Cocaine” Death Rates by Age Distribution, 2015 -2019 25 20 Rate of Deaths 15 -24 years 25 -34 years 15 35 -44 years 45 -54 years 55 -64 years 10 65 -74 years 75 -84 years 85+ years 5 0 2015 2016 2017 2018 2019 Rate is per 100, 000 persons. Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioids plus Stimulant Death Rates by Age Distribution, 2015 -2019 16 Rate is per 100, 000 persons. 14 Rate of Deaths 12 10 2015 2016 8 2017 2018 6 2019 4 2 0 15 -24 years 25 -34 years 35 -44 years 45 -54 years 55 -64 years 65 -74 years 75 -84 years 85+ years Source: Tennessee Department of Health, Office of Informatics and Analytics

All Opioids plus Stimulant Death Rates by Age Distribution, 2015 -2019 Rate is per 100, 000 persons. 16 14 Number of Deaths 12 15 -24 years 25 -34 years 10 35 -44 years 8 45 -54 years 55 -64 years 6 65 -74 years 75 -84 years 4 85+ years 2 0 2015 2016 2017 2018 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

CSMD Concordance slides Source: Tennessee Department of Health, Office of Informatics and Analytics

Percent who filled any prescription in the Tennessee CSMD within 365 days of death by type of overdose death among all individuals who died by year, 2015 -2019 (n_total=8, 765, n_linked=7, 646)a Overdose Death 2015 2016 2017 2018 2019 Percent (n=1, 451) (n=1, 631) (n=1, 776) (n=1, 818) (n=2, 089) Differenceb All Drug 75 69 66 60 55 -20 Opioid Pain Relievers 77 70 68 61 56 -21 (per CDC Definition, includes methadone) 82 76 77 72 66 -16 Heroin 64 58 61 51 51 -13 Fentanyl 70 63 57 53 51 -19 Methadone 73 68 77 70 64 -9 Benzodiazepine Opioid and Benzodiazepine 83 75 78 78 68 -15 84 75 77 76 68 -16 b. Difference between 2018 and 2014 Source: Tennessee Department of Health, Office of Informatics and Analytics

Percent who filled any prescription in the Tennessee CSMD within 60 days of death by type of overdose death among all individuals who died by year, 2015 -2019 (n_total=8, 765, n_linked=7, 646)a Overdose Death 2015 2016 2017 2018 2019 Percent (n=1, 451) (n=1, 631) (n=1, 776) (n=1, 818) (n=2, 089) Differenceb All Drug 57 50 45 41 36 -21 Opioid Pain Relievers 61 51 47 41 36 -25 (per CDC Definition, includes methadone) 69 61 61 56 49 -20 Heroin 41 36 31 32 30 -9 Fentanyl 50 38 33 30 39 -11 Methadone 52 46 55 56 38 -14 Benzodiazepine Opioid and Benzodiazepine 71 60 61 64 55 -16 72 60 59 62 55 -17 b. Difference between 2019 and 2015 Source: Tennessee Department of Health, Office of Informatics and Analytics

Percent who filled a prescription for an opioid or benzodiazepine in the Tennessee CSMD within 60 days of death by type of overdose death among all individuals who died by year, 2015 -2019 (n_total=8, 765, n_linked=7, 646) a Opioid prescription filled Overdose Death Benzodiazepine prescription filled Percent 2015 2016 2017 2018 2019 Differenceb All Drug 47 40 35 28 22 -25 36 30 23 21 15 -21 Opioid 51 42 38 29 23 -28 38 31 23 21 16 -22 Pain Relievers 59 52 52 43 37 -22 46 39 32 30 24 -22 Heroin 29 27 23 23 18 -11 22 19 12 14 14 -8 Fentanyl 41 28 24 19 18 -23 26 18 12 12 12 -14 Methadone 31 35 46 30 15 -16 40 32 41 27 19 -21 Benzodiazepine Opioid and Benzodiazepine 59 46 46 41 31 -28 55 44 41 50 39 -16 61 48 47 42 33 -28 56 44 40 48 39 -17 b. Difference between 2015 and 2019 Source: Tennessee Department of Health, Office of Informatics and Analytics

Percent who filled a prescription for an opioid or benzodiazepine in the Tennessee CSMD within 180 days of death by type of overdose death among all individuals who died by year, 2015 -2019 (n_total=8, 765, n_linked=7, 646)a Opioid prescription filled Overdose Death Benzodiazepine prescription filled Percent 2015 2016 2017 2018 2019 Differenceb All Drug 59 52 48 40 33 -26 42 36 28 25 20 -22 Opioid 62 53 51 41 35 -27 44 37 28 24 20 -24 Pain Relievers 69 63 62 55 48 -21 51 45 38 35 29 -22 Heroin 43 39 39 34 29 -14 27 25 17 15 19 -8 Fentanyl 56 40 38 32 30 -26 32 23 16 14 15 -17 Methadone 49 55 62 42 34 -15 43 38 45 32 30 -13 Benzodiazepine 69 57 58 Opioid and Benzodiazepine 71 59 59 b. Difference between 2015 and 2019 53 42 -27 61 49 48 53 45 -16 55 44 -27 62 49 46 51 45 -17 Source: Tennessee Department of Health, Office of Informatics and Analytics

Percent who filled a prescription for an opioid or benzodiazepine in the Tennessee CSMD within 365 days of death by type of overdose death among all individuals who died by year, 2015 -2019 (n_total=8, 765, n_linked=7, 646)a Opioid prescription filled Overdose Death Benzodiazepine prescription filled Percent 2015 2016 2017 2018 2019 Differenceb All Drug 67 62 59 51 44 -23 47 40 33 30 24 -23 Opioid 70 63 62 53 46 -24 48 40 34 29 24 -24 Pain Relievers 76 70 72 65 56 -20 55 49 44 42 33 -22 Heroin 54 51 54 44 41 -13 31 27 22 19 23 -8 Fentanyl 62 54 51 45 42 -20 36 26 21 19 19 -17 Methadone 58 62 72 58 47 -11 46 39 49 41 32 -14 Benzodiazepine 75 65 69 Opioid and Benzodiazepine 77 67 71 b. Difference between 2015 and 2019 64 52 -15 64 53 53 58 49 -7 65 53 -16 65 53 52 55 49 -10 Source: Tennessee Department of Health, Office of Informatics and Analytics

Dispensed a CS in past 60 days among overdose deaths, 2015 -2019 80 70 Percent Filled in TN CSMD 60 50 2015 2016 2017 2018 2019 40 30 20 10 0 All Drug Opioid Pain Relievers Heroin Fentanyl Methadone Benzodiazepine Source: Tennessee Department of Health, Office of Informatics and Analytics

Opioid dispensed in past 60 days among overdose deaths by contributing drug type, 2015 -2019 70 Percent Filled in TN CSMD 60 50 2015 40 2016 2017 30 2018 2019 20 10 0 All Drug Opioid Pain Relievers Heroin Fentanyl Benzodiazepine Opioid and Benzodiazepine Source: Tennessee Department of Health, Office of Informatics and Analytics

Benzodiazepine dispensed in past 60 days, 2015 -2019 60 Percent Filled in TN CSMD 50 40 2015 2016 30 2017 2018 20 2019 10 0 All Drug Opioid Pain Relievers Heroin Fentanyl Benzodiazepine Opioid and Benzodiazepine Source: Tennessee Department of Health, Office of Informatics and Analytics