Query purpose:
To assist state, local, tribal, territorial, and federal public health practitioners in monitoring emergency department (ED) visits for suspected nonfatal heroin-involved overdoses using syndromic surveillance data.
Definition description:
Query purpose:
To assist state, local, tribal, territorial, and federal public health practitioners in monitoring emergency department (ED) visits for suspected nonfatal overdoses involving any drug using syndromic surveillance data.
Definition description:
Query purpose:
To assist state, local, tribal, territorial, and federal public health practitioners in monitoring emergency department (ED) visits for suspected nonfatal opioid-involved overdoses using syndromic surveillance data.
Definition description:
Query purpose:
To assist state, local, tribal, territorial, and federal public health practitioners in monitoring emergency department (ED) visits for suspected heroin overdoses.
The opioid epidemic is a multifaceted public health issue that requires a coordinated and dynamic response to address the ongoing changes in the trends of opioid overdoses. Access to timely and accurate data allows more targeted and effective programs and policies to prevent and reduce fatal and nonfatal drug overdoses in California. As a part of a Centers for Disease Control and Prevention Enhanced State Opioid Overdose Surveillance grant, the goals of this surveillance are to more rapidly identify changes in trends of nonfatal drug overdose, opioid overdose, and heroin overdose emergency department visits; identify demographic groups or areas within California that are experiencing these changes; and to provide these data and trends to state and local partners addressing the opioid crisis throughout California. Emergency department (ED) visit data are analyzed on an ongoing quarterly basis to monitor the proportion of all ED visits that are attributed to nonfatal drug, opioid, and heroin overdoses as a portion of the statewide opioid overdose surveillance.
Objective: To track and monitor nonfatal emergency department opioid overdoses in California for use in the statewide response in the opioid epidemic.
As a Centers for Disease Control and Prevention Enhanced State Opioid Overdose Surveillance (ESOOS) funded state, Kentucky started utilizing Emergency Medical Services (EMS) data to increase timeliness of state data on drug overdose events in late 2016. Using developed definitions of heroin overdose for EMS emergency runs, Kentucky analyzed the patterns of refused/transported EMS runs for both statewide and local jurisdictions. Changes in EMS transportation patterns of heroin overdoses can have a dramatic impact on other surveillance systems, such as emergency department (ED) claims data or syndromic surveillance (SyS) data.
Objective: The aim of this project was to explore changing patterns in patient refusal to transport by emergency medical services for classified heroin overdoses and possible implications on heroin overdose surveillance in Kentucky.
THE KNOWLEDGE REPOSITORY HAS BEEN UPDATED TO INCLUDE CDC ALL DRUG V2 - THE UPDATED SYNDROME DEFINITION CAN BE FOUND HERE.
THE KNOWLEDGE REPOSITORY HAS BEEN UPDATED TO INCLUDE CDC HEROIN OVERDOSE V4 - THE UPDATED SYNDROME DEFINITION CAN BE FOUND HERE.
The overdose crisis continues unabated. While the epidemic was originally fueled largely by prescription opioid pain relievers, around 2010 a dramatic increase in heroin-related overdoses began. After remaining essentially stable for years, overdose deaths involving heroin spiked rapidly, more than tripling between 2010 and 2014. Starting in 2014, the epidemic began another transformation. Black market drug products—both heroin and counterfeit pills - became increasingly adulterated with illicitly—manufactured synthetic opioids, mainly fentanyl analogues.
In 2016, the Centers for Disease Control and Prevention funded 12 states, under the Enhanced State Opioid Overdose Surveillance (ESOOS) program, to utilize state Emergency Medical Services (EMS) and emergency department syndromic surveillance (SyS) data systems to increase timeliness of state data on drug overdose events. An important component of the ESOOS program is the development and validation of case definitions for drug overdoses for EMS and ED SyS data systems with a focus on small area anomaly detection. In fiscal year one of the grant Kentucky collaborated with CDC to develop case definitions for heroin and opioid overdoses for both SyS and EMS data. These drug overdose case definitions are compared between these two rapid surveillance systems, and further compared to emergency department (ED) hospital administrative claims billing data, to assess their face validity.
Objective:
The aim of this project was to assess the face validity of surveillance case definitions for heroin overdose in emergency medical services (EMS) and emergency department syndromic surveillance (SyS) data systems by comparing case counts to those found in a statewide emergency department (ED) hospital administrative billing data system.