Atlantic County Public Health Profile Report
Deaths due to Unintentional Poisoning: Deaths per 100,000 Population, 2014-2015
Atlantic22.2 95% Confidence Interval(18.2 - 26.1)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
Atlantic Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Every day in the U.S., an average of 130 people die as a result of unintentional poisoning and 4,100 others are treated in emergency departments. Unintentional poisoning deaths in the United States nearly quadrupled between 2000 and 2015.[http://www.cdc.gov/injury/wisqars/index.html ^1^]
How Are We Doing?In approximately 93% of unintentional poisoning deaths nationally and in New Jersey, drugs are the poison. This includes unintentional overdose, wrong drug given or taken in error, drug taken inadvertently, and mistakes in the use of drugs in medical and surgical procedures. Not included are cases where the correct drug was properly administered but had an unforeseen adverse effect such as an allergic reaction. There are a handful of alcohol poisoning and carbon monoxide poisoning deaths each year and even fewer due to exposure to other noxious substances. Although death rates due to drug overdose among Blacks and Hispanics rose and fell over the past decade and a half, the death rates for these two groups rose sharply from 2014 to 2015 (32% and 47%, respectively). The most noticeable rate change prior to the current year occurred in 2005-2006, due in part to an increase in the availability of high-purity heroin and heroin adulterated with fentanyl. The drug overdose death rate among Whites in 2014, however, was nearly triple the rate in 2000, and rose another 19% just from 2014 to 2015. The increase can be in large part attributed to an increased supply of and demand for heroin, heroin tainted with adulterants (including fentanyl), and an expanded prescription opioid diversion network and substance abuse base, especially among younger populations.
What Is Being Done?The [http://nj.gov/health/integratedhealth/ Division of Mental Health and Addiction Services] promotes the prevention and treatment of substance disorders and supports the recovery of individuals affected by the chronic disease of addiction. In 2004, the New Jersey [http://www.njleg.state.nj.us/2004/Bills/PL04/9_.HTM Patient Safety Act] (P.L. 2004, c.9) was signed into law. The statute was designed to improve patient safety in hospitals and other health care facilities by establishing a medical error reporting system. The [http://www.njleg.state.nj.us/2012/Bills/PL13/46_.HTM Overdose Prevention Act] (P.L. 2013, c.46) was passed in 2013 to provide immunity from liability and professional discipline to health care professionals who prescribe, dispense, or administer naloxone, or any similarly acting drug approved for the treatment of an opioid overdose, in an emergency to an individual who the person believes is experiencing an opioid overdose. The Act also contains Good Samaritan provisions, which provide immunity from arrest and prosecution for drug possession to those non-health professional individuals who call 911 for suspected overdoses, and makes naloxone available to spouses, parents, and guardians who could be taught to administer the drug in case of an emergency. In 2014, the Health Commissioner expanded the scope of practice for Emergency Medical Technicians to allow for the administration of [http://www.nj.gov/health/ems/ems-toolbox/ naloxone] in cases of life threatening opioid overdoses. Later that spring, the Governor established a pilot program to train and equip police officers to administer naloxone; this program was expanded to every county in the state in June, 2014. A bill expanding the scope of the New Jersey Prescription Monitoring Program (NJPMP) was signed by the Governor in 2015, and requires all physicians and pharmacists practicing in New Jersey to register for access and mandates physicians to check the NJPMP when patients return for refills on opioid medications. In early 2017, the Governor signed a law ([http://www.njleg.state.nj.us/2016/Bills/PL17/28_.HTM P.L. 2017, c.28]) setting a five-day limit on initial prescriptions for opioids (reduced from seven days) and mandating that insurance companies accept those facing drug addiction into treatment for up to six months and without the need for prior coverage authorization. In 2016, NJDOH was awarded a CDC grant for [https://www.cdc.gov/drugoverdose/foa/ddpi.html Prescription Drug Overdose: Data-Driven Prevention Initiative] (DDPI), and funding will be used to advance and evaluate state-level actions to address opioid misuse, abuse, and overdose. Funds aim to help states improve data collection and analysis around opioid misuse, abuse, and overdose; develop strategies based on data that address the behaviors driving prescription opioid dependence and abuse; and work with communities to develop more comprehensive opioid overdose prevention programs. The New Jersey [http://nj.gov/health/ceohs/public-health-tracking/human-exposure/#1 Environmental Public Health Tracking] Program is collecting hospitalization data on unintentional carbon monoxide poisoning to better understand and track the impact of CO poisoning.
Healthy People Objective IVP-9.3:Prevent an increase in the rate of poisoning deaths: Unintentional or undetermined intent among all persons
U.S. Target: 11.1 deaths per 100,000 population
State Target: is not comparable because it does not include poisoning deaths of undetermined intent
- Carbon Monoxide Detectors: Self-Reported Presence in Home
- Portable Generators: Self-Reported Ownership for Use during Power Outages
- Alcohol Consumption - Binge Drinking
- Emergency Department Visits for Unintentional Carbon Monoxide Poisoning
- Hospitalizations Due to Unintentional Carbon Monoxide Poisoning
Health Status Outcomes:
Data SourcesCenters for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File. CDC WONDER On-line Database accessed at [http://wonder.cdc.gov/cmf-icd10.html] Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health Population Estimates, State Data Center, New Jersey Department of Labor and Workforce Development, [http://lwd.state.nj.us/labor/lpa/dmograph/est/est_index.html]
Measure Description for Deaths due to Unintentional Poisoning
Definition: Deaths with unintentional poisoning by and exposure to noxious substances as the underlying cause of death. '''''This includes, but is not limited to, opioids and other drugs.'''''[[br]] ICD-10 codes: X40-X49 (includes poisoning by legal and illegal drugs, alcohol, gases and vapors such as carbon monoxide and automobile exhaust, pesticides, and other chemicals and noxious substances)
Numerator: Number of deaths due to unintentional poisoning
Denominator: Total number of persons in the population