Turning the Tide on the Opioid Epidemic


Susan Robinson, Vaccine-Preventable Disease Epidemiologist, Arizona Department of Health Services

Erica Weis, Injury Prevention Epidemiologist, Arizona Department of Health Services


March 27, 2019

Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview

These slides were presented at the Enhanced State Opioid Overdose Surveillance (ESOOS) Program Overview Partner meeting, led by CDC and organized by ASTHO in March of 2019. 


Puja Seth, PhD – Lead, Epidemiology and Surveillance

Alana Vivolo-Kantor, PhD – Morbidity Lead

Christine L. Mattson, PhD – Mortality Lead


March 27, 2019

Recommendations for Surveillance of EMS Data for Opioid Overdoses

Presented March 21, 2019.

FirstWatch Recommendations for Surveillance of EMS Data for Opioid Overdoses: https://www.firstwatch.net/finding-opioid-data/

March 29, 2019

Asthma vs. PM2.5: A Bridge Between Health and Environmental Surveillance.

Southwest states are prone to wildfires, dust storms, and high winds especially during the monsoon season (June- September). Wildfire smoke is a complex mixture of carbon monoxide, carbon dioxide, water vapor, hydrocarbons, nitrogen, oxides, metals, and particulate matter (PM). Dust storms are made up of aerosols and dust particles varying in size; particles bigger than 10 µm are not breathable, but can damage external organs such as causing skin and eye irritations.

June 18, 2019

Identification of Clinical Indicators of Opioid Overdose using innovative EMS software analytics.

In North America we experience the highest rate of drug related mortality in the world. In the US, overdose is now the leading cause of death among adults under 50. Each day more than 115 people in the United States die due to an opioid overdose. The opioid overdose national crisis is rapidly evolving due to changes in drug availability and the presence of adulterated fentanyl in some areas leading to a critical need for innovative methods to identify opioid overdoses for both surveillance and intervention purposes.

June 18, 2019

Sustainable Development Goal 3.6 and road traffic injury surveillance, Nigeria West Africa,2013 - 2016

Globally, road traffic crashes (RTCs) annually kill 1.3 million people and injure 20-50 million others. Nigeria accounts for an estimated 15% of RTC deaths in the WHO African Region.

Objective: This study aimed to describe RTC characteristics and trends in Nigeria and determine progress towards halving RTC-related deaths/injuries by 2020 [i.e., Sustainable Development Goal (SDG) Target 3.6].

June 18, 2019

Childhood home based unintentional injuries Surveillance in Punjab India

Injury and violence are public health problems now-a-days all over the world. Over 950000 children less than 18 years of age die as a result of injuries, 95% of which occur in low and middle income countries (LMIC) including India. Unintentional injuries account for 90% of these cases. The death rate due to unintentional injuries is almost double in LMIC as compared to developed countries. It is seen that most of childhood unintentional injuries occur in and around the home of children. India, with a population of app 1.25 billion, had about 40% children.

June 18, 2019

Identifying Children with Special Health Care Needs in Alexandria, Egypt

Children with special health care needs (CSHCN) are defined as: “those who have or are at increased risk for a chronic physical, developmental, behavioural, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally.” The care of CSHCN is a significant public health issue. These children are medically complex, require services and supports well beyond those that typically developing children require, and command a considerable proportion of the pediatric health care budget.

June 18, 2019

Syndrome Development to Assess IDU, HIV, and Homelessness in MA Emergency Departments

In Massachusetts, syndromic surveillance (SyS) data have been used to monitor injection drug use and acute opioid overdoses within EDs. Currently, Massachusetts Department of Public Health (MDPH) SyS captures over 90% of ED visits statewide. These real-time data contain rich free-text and coded clinical and demographic information used to categorize visits for population level public health surveillance. Other surveillance data have shown elevated rates of opioid overdose related ED visits, Emergency Medical Service incidents, and fatalities in Massachusetts from 2014-20171,2,3.

June 18, 2019

Comparing Cerebral Palsy Surveillance Definition to ICD Codes and Written Diagnoses

Cerebral Palsy (CP) is the most common cause of motor disability in children. CP registries often rely on administrative data such as CP diagnoses or International Classification of Diseases (ICD) codes indicative of CP. However, little is known about the validity of these indicators. We calculated sensitivity, specificity, positive and negative predictive values of CP ICD-9 codes and CP diagnoses compared to a gold standard CP classification based on detailed medical and education record review.

June 18, 2019


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