New Hampshire Drug Monitoring Initiative

Table of Contents:

2020 Overview—Drug Environment Report—UNCLASSIFIED

Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line with this ap-

proach the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products

for stakeholders as well as situational awareness releases as needed.

Section Title Page #

Overview

Drug Overdose Deaths

Source: NH Medical Examiner’s Office

EMS Narcan Administration Incidents

Source: NH Bureau of Emergency Medical Services (EMS)

Opioid Related Emergency Department Visits

Source: NH Division of Public Health Services

Treatment Admissions

Source: NH Bureau of Drug & Alcohol Services

1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE

UNCLASSIFIED

New Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303

NHIAC Product #: 2021-4618 2020 Overview Report 17 February 2021

Population data source: http://www.nh.gov/oep/data-center/population-estimates.htm

Year/month overview charts are based on annual estimates from the above website.

County charts are based on a 2019 estimated population of each county.

If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.

*The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/

mailto:[email protected]

http://www.nh.gov/oep/data-center/population-estimates.htm

https://nhvieww.nh.gov/IAC/DMI/

UNCLASSIFIED

NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED

Overview: Trends for EMS Narcan Incidents, Opioid Related ED Visits, Treatment Admissions, and Overdose Deaths:

UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2

0.00

5.00

10.00

15.00

20.00

25.00

Even

ts p

er 1

00,0

00 p

opul

atio

n

Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS

EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population

January 2020 - December 2020Opioid Related EDVisits

Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions

EMS NarcanAdministration

13.45

15.2512.34

14.51

25.03

33.00

36.34 36.35 34.73

30.5325.30

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020*

# of

Dru

g D

eath

s pe

r 10

0,00

0 po

pula

tion

*2020 numbers are not finalized, and are based on analysis as of 15 January 2021

Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office

Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office

UNCLASSIFIED



Trends: As of 15 January 2021, drug overdose deaths are projected to

decrease by 3.1% from 2019 to 2020. There are 58 deaths pending toxicology. The projected total is 402, down from 415 in 2019.

Thus far in 2020, Strafford County has the highest suspected drug use resulting in overdose deaths per capita at 3.10 deaths per 10,000 population, while Hillsborough County is second, with 2.90 deaths per 10,000 population.

Thus far, no county experienced an increase in their suspected drug overdose death rate per 10,000 population with Carroll, Coos, and Sullivan Counties remaining the same at 2.26, 1.80, and 1.59 overdose deaths per 10,000 population, respectively.

So far in 2020, the age group with the largest number of drug overdose deaths is 30-39 year olds, at 32%.

*** IMPORTANT DATA NOTES***

Drug overdose deaths for 2020 numbers are not finalized and are based on

analysis as of 15 January 2021.

Analysis is based on county where the drug(s) is suspected to have been used.

1.46%

17%

32%

23%

18%

9%

Overdose Deaths by Age 2020*Data Source: NH Medical Examiner's Office

0-19

20-29

30-39

40-49

50-59

60+

2020 numbers are not finalized, and based on analysis as of 15 January 2021

2.59

2.26 2.

44

1.80

2.63

3.75

3.13

2.35

4.35

1.59

1.62

2.26

1.28

1.80

1.20

2.90

2.27

1.87

3.10

1.59

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

# o

f d

eath

s p

er 1

0,00

0 p

op

*2020 numbers are not finalized and are based on analysis as of 15 January 2021

2019 vs. 2020* Overdose Deaths by County per 10,000 Population

Data Source: NH Medical Examiner's Office

2019

2020

13.4515.25

12.3414.51

25.03

33.00

36.34 36.3534.73

30.53

25.30

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

2 0 1 0 2 0 1 1 2 0 1 2 2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9 2 0 2 0 *

# O

F D

RU

G D

EATH

S P

ER 1

0,0

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PO

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2020 NUMBERS ARE NOT FINALIZED, AND ARE BASED ON ANALYSIS AS OF 15 JANUARY 2021+ COCAINE, METH, AND FENTANYL/HEROIN RELATED DEATHS ARE NOT EXCLUSIVE, SEVERAL DEATHS

INVOLVED MULTIPLE CATEGORIES

OVERDOSE DEATHS BY YEAR PER 10,000 POPULATION

All Drug Deaths Fentanyl/ Heroin Related Deaths Cocaine Related Deaths Meth Related Deaths


UNCLASSIFIED



130

24 2315

9 9 5 4 4 30

20

40

60

80

100

120

140

# of

Dea

ths

Cocaine and/or Fentanyl Combination Related Drug Deaths 2020

*2020 numbers are not finalized, and are based on analysis as of 15 January 2021

Source: NH Medical Examiner's Office

Amphetamines, Cocaine,

FentanylEthanol, Fentanyl, Oxycodone

Acetyl Fentanyl, Fentanyl,

Fluoxetine, Tramadol

Alprazolam,

Amphetamines,

Cocaine, Fentanyl

Amphetamines, Fentanyl Cocaine, Methamphetamine Duloxetine, FentanylFentanyl,

Flualprazolam

Fentanyl,

Hydrocodone

Cocaine, Ethanol, Fentanyl1, 1-difluoroethane, Etizolam,

Fentanyl, Pyrazolam


Methadone

Alprazolam, Ethanol,

FentanylCocaine, Ethanol Cocaine, Oxycodone

Ethanol, Fentanyl,

Fluoxetine,

Olanzapine

Fentanyl,

Gabapentin,

Hydroxyzine

Fentanyl, Methadone,

Morphine

Cocaine, Fentanyl,

Methadone

Acetyl Fentanyl,

Buprenorphine, Fentanyl,

Methadone


Methadone, MorphineAlprazolam, Fentanyl Cocaine, Ethanol, Methadone Cocaine, Tramadol

Ethanol, Fentanyl,

Gabapentin,

Morphine

Fentanyl, Heroin

Fentanyl,

Methamphetamine,

Tramadol

Ethanol, Fentanyl,

Methamphetamine

Acetyl Fentanyl, Cocaine,

Fentanyl, MDMA

alpha PHP/alpha PiHP,

Cyclobenzaprine, Fentanyl

Amitriptyline,

FentanylCocaine, Fentanyl, Morphine

Dextro/levomethorphan,

Fentanyl, Xylazine

Ethanol, Fentanyl,

Quetiapine,

Venlafaxine

Fentanyl, Heroin,

Methadone

Fentanyl,

Methamphetamine,

Zolpidem

*Cells filled with gray

indicate combinations

noted twice

Fentanyl, Oxymorphone

Alprazolam, Amphetamines,

Citalopram/escitalopram, Ethanol,

Fentanyl, Trazodone

Amphetamines,

Cocaine, Ethanol,

Fentanyl

Cocaine, Fentanyl, XylazineDiphenhydramine, Fentanyl,

MethadoneEutylone, Fentanyl

Fentanyl, Heroin,

Methamphetamine

Fentanyl, Morphine,

Oxycodone

Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice*


UNCLASSIFIED



2020 numbers are not finalized, and are

based on analysis as of 15 January 2021.

2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December YTD 2020

Total 332 439 485 488 471 415 34 35 38 42 45 26 43 24 31 14 10 2 344

County

Belknap 17 17 16 27 29 16 0 0 2 2 2 0 1 1 1 1 0 0 10

Carrol l 9 22 16 12 13 11 2 1 0 3 2 0 1 1 1 0 0 0 11

Cheshire 17 11 20 17 32 19 1 1 1 2 0 1 1 1 2 0 0 0 10

Coos 9 14 10 12 5 6 1 0 0 1 2 2 0 0 0 0 0 0 6

Grafton 17 13 16 26 17 24 0 1 2 1 2 2 1 1 1 0 0 0 11

Hi l l sborough 106 178 199 195 171 155 17 13 11 8 18 10 13 9 10 5 4 2 120

Merrimack 40 39 43 43 51 47 4 4 3 4 3 1 6 2 2 1 4 0 34

Rockingham 64 89 90 97 89 73 3 6 7 8 6 4 11 2 6 5 0 0 58

Strafford 40 47 55 54 50 56 1 3 9 7 6 2 1 4 3 2 2 0 40

Sul l ivan 4 8 9 4 7 7 0 1 1 2 0 1 1 0 1 0 0 0 7

Out of State 3 0 2 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0

Undetermined 0 0 9 1 1 0 5 5 2 4 4 3 7 3 4 0 0 0 37

Gender

Male 219 307 336 347 328 288 28 29 28 25 34 19 30 19 20 11 6 2 251

Female 107 131 149 141 143 125 6 6 10 17 11 7 13 5 11 3 4 0 93

Age

0-19 3 8 7 2 4 2 2 0 0 2 0 1 0 0 0 0 0 0 5

20-29 79 110 123 118 88 83 8 8 6 7 7 4 7 4 4 0 2 0 57

30-39 80 116 147 127 146 132 14 10 14 9 15 6 17 10 9 3 3 1 111

40-49 67 99 98 114 114 87 5 5 6 13 8 9 8 4 9 6 4 1 78

50-59 78 91 89 98 83 82 3 9 7 8 9 4 10 3 4 3 0 0 60

60+ 19 14 21 29 36 29 2 3 5 3 6 1 1 3 5 2 1 0 32

Pittsburg

Lincoln

Alton

Errol

MilanStark

Albany

Berlin

Bartlett

LymeSandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampton

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kings

ton

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

BrooklineLyn

debo

rough

FremontHarrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

!

28

2

!

10

Coos

Grafton

Carroll

Merrimack

CheshireHillsborough

Sullivan

Rockingham

Belknap

Strafford

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

Overdose Deaths by Town* - 2020 +(Data Source: NH Medical Examiner's Office)

*Location where the drug(s) is suspected to have been used.+2020 data was reported on January 15, 2021

There are more deaths that are suspected to be drug related, but the official cause of death is pending

until the toxicology results are received.58 CASES PENDING

35 Cases have an unknown location

Number of Overdose Deaths by Town*Location where the drug(s) is suspected

to have been used.

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 6

1 - 5 (75 towns)

6 - 10 (6 towns)

11 - 25 (4 towns)

51 - 100 (1 towns)

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

EMS Narcan Administration Incidents: Data Source: NH Bureau of Emergency Medical Services (EMS)


UNCLASSIFIED


Trends: EMS Narcan administration incidents decreased by 30.1%

from 2019 to 2020. For the second year in a row, EMS Narcan administration

was under 2,000 incidents. In 2020, Strafford County had the most EMS Narcan

administration incidents per capita with 15.44 incidents per 10,000 population and Hillsborough County had the greatest decrease in incidents from 2019 to 2020, with a 41.5% reduction.

Coos County was the only county thus far to see an increase in EMS Narcan administration from 2019 to 2020 with a 11% increase from 10.78 to 11.98 incidents per 10,000 population.

The age group with the largest number of EMS Narcan administration incidents was 30-39, which represented 31.2% of all incidents for 2020.


Narcan data in this report involves the number of incidents where Narcan was administered, NOT the number of doses of Narcan during a certain time period. Multiple doses may be administered during an incident.

Narcan may be given for a decrease in alertness or respirations due to an overdose or unknown cause. Therefore, it cannot be concluded that all reported Narcan incidents actually involved drugs.

66.2878.52

142.62

201.22

216.92206.61

173.79

144.96

0.00

50.00

100.00

150.00

200.00

250.00

2 0 1 2 2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7 2 0 1 8 2 0 1 9# O

F I

NC

IDE

NT

S I

NV

OLV

ING

NA

RC

AN

PE

R 1

00

,00

0 P

OP

SOURCE: NH BUREAU OF EMS

EMS NARCAN ADMINIST RATION BY YEAR PER 100,000 POPULAT ION

17

.01

13

.98

13

.99

10

.78

7.4

4

18

.82

15

.07

10

.31

17

.85

5.9

1

15

.07

7.6

0 11

.17

11

.98

7.0

0

11

.01

10

.74

6.9

0

15

.44

5.6

8

0.002.004.006.008.00

10.0012.0014.0016.0018.0020.00

# O

F I

NC

IDE

NT

S IN

VO

LV

ING

NA

RC

AN

PE

R 1

0,0

00

PO

P

SOURCE: NH BUREAU OF EMS

2019 vs. 2020EMS Narcan Administration By County per 10,000 Population

2019

2020

2.4%

20.5%

31.2%18.9%

12.9%

13.8%

0.3%

2020 EMS Narcan Administrationby Age Group

0-19

20-29

30-39

40-49

50-59

60+

Unknown

EMS Narcan Administration Incidents (Continued): Data Source: NH Bureau of Emergency Medical Services (EMS)


UNCLASSIFIED


2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December 2020

Total 1,892 2,677 2,895 2,774 2,357 1,966 131 95 125 113 129 118 146 118 115 96 90 99 1,375

County

Belknap 59 113 116 215 127 105 5 6 9 10 9 6 11 11 4 13 5 4 93

Carrol l 52 80 91 68 62 68 5 2 0 1 4 2 7 4 6 2 2 2 37

Cheshire 65 79 144 104 112 109 5 8 7 8 12 9 4 5 6 2 7 14 87

Coos 41 65 65 73 38 36 2 5 5 2 5 3 8 1 1 2 4 2 40

Grafton 56 57 66 84 78 68 5 4 5 5 5 10 5 6 7 4 3 5 64

Hi l l sborough 757 1,139 1,209 1,140 1,044 778 54 18 41 32 46 36 54 41 38 33 26 36 455

Merrimack 185 228 233 310 247 226 17 14 17 11 15 17 15 14 12 9 11 9 161

Rockingham 380 501 488 503 375 320 22 14 25 20 17 14 19 17 25 18 14 9 214

Strafford 286 380 449 242 255 230 15 22 14 24 15 19 20 17 12 11 14 16 199

Sul l ivan 11 35 34 35 19 26 1 2 2 0 1 2 3 2 4 2 4 2 25

Gender

Male 1,185 1,736 1,916 1,879 1,503 1,342 85 66 89 79 100 84 102 78 75 67 64 65 954

Female 706 938 979 887 730 617 46 29 36 34 33 33 44 39 40 29 26 34 423

Other 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1

Age

0-19 83 94 87 75 40 48 2 6 3 2 5 1 2 6 1 2 1 2 33

20-29 588 954 973 863 590 487 34 16 31 22 28 30 28 18 17 15 21 22 282

30-39 428 684 853 808 709 605 45 27 31 32 43 38 42 42 46 31 29 23 429

40-49 304 364 385 439 342 290 23 15 28 21 24 21 34 24 20 12 14 24 260

50-59 233 314 327 326 306 285 13 15 22 20 17 8 16 15 9 16 12 14 177

60+ 246 256 253 246 237 242 14 16 10 16 11 20 24 12 21 20 12 14 190

Age or Gender

Not Given10 11 17 20 10 14 0 0 0 0 1 0 0 1 1 0 1 0 4

Pittsburg

Lincoln

Alton

Errol

MilanStark

Albany

Berlin

Bartlett

LymeSandwich

Stratford

Ossipee

Weare

Conway

Odell

Hill

Bethlehem

Bath Jackson

Gilford

Concord

Carroll

Warner

Orford

Unity

Canaan

Dixville

Benton

Littleton

Success

Sutton

Warren

Derry

Franconia

Bow

Columbia

Livermore

Chatham

Enfield

Meredith

Loudon

Clarksville

Tamworth

Haverhill

Strafford

Groton

Jaffrey

Hanover

Hollis

Gilmanton

Stoddard

Plainfield

Deerfield

Campton

Keene

Dummer

Milton

Wolfeboro

Grafton

Thornton

Antrim

Rindge

Cornish

Jefferson

Lee

Woodstock

Alstead

Millsfield

Newport

Lancaster

Rumney

Henniker

Swanzey

Epsom

Winchester

Andover

Randolph

Dover

Madison

Acworth

Shelburne

Lebanon

Cambridge

Barrington

Moultonborough

Dublin

Tuftonboro

Wakefield

Walpole

Danbury

Hopkinton

Easton

Piermont

Rochester

Croydon

Barnstead

Eaton

Dalton

Wilmot

Newbury

Candia

Salisbury

Sanbornton

Lyman

Claremont

Freedom

Nottingham

Bedford

Hooksett

Springfield

Bradford

Amherst

Wilton

Alexandria

Dorchester

Nashua

Salem

Canterbury

Lisbon

Washington

Gorham

Colebrook

Auburn

Deering

Chesterfield

Beans Purchase

Effingham

Troy

Wentworth

Waterville Valley

Belmont

Landaff

Hudson

Milford

Epping

Richmond

Goffstown

Marlow

Franklin

Hancock

Hillsborough

New Boston

MasonPelham

Whitefield

Bristol

Lempster

Stewartstown

Fitzwilliam

Webster

New Durham

Londonderry

Nelson

Chester

Laconia

26

Farmington

Merrimack

Holderness

Monroe

Durham

Orange

Raymond

Exeter

Charl

estow

n

Plymouth

Kilke

nny

Temple

Northfield

Dunbarton

SurryManchester

Windham

GoshenPittsfield

Peterborough

Grantham

Suna

pee

Northwood

New Hampton

New Ipswich

Greenfield

Hinsdale

Hebron

Westmoreland

Boscawen

Kings

ton

Gilsum

SullivanFrancestown

Ellsworth

Brookfield

North

umbe

rland

Pembro

ke

Tilton

Sharon

Brookline

Lynde

borou

gh

FremontHarrisville

New London

Chich

ester

Middleto

n

Allenstown

Second College

Grant

Dixs Grant

Langdo

n

Bridgewater

Sugar Hill

Litchfield

Strath

am

Marlborough

Brentwood

24

Sandown Danv

ille

27

Roxbury

Ashland

Madbury

7

3

Atkinson

Mont Vernon

Newton

Greenland

Plaistow

Newmarket

Hampstead

11

29

1

22

Windsor

18

20

6

16

25

23

5

31

Newfields

21

30

Greenville

12

17

19

4

9

138

14

15

28

2

!

10

Coos

GraftonCarroll

Merrimack

CheshireHillsborough

Sullivan

Belknap

Strafford

Rockingham

0 10 20 305

MilesScale: 1:1,150,000

Prepared by:NH Information & Analysis Center

µ

EMS/Narcan Administration by T own1/1/2020 – 12/31/2020

Data Source: New Hampshire Bureau of EMS

UNCLASSIFIED

UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 9

Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - T hompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant

Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth

INDEX

*Incidents Where Narcan Was Administered*

1 - 10

11 - 25

26 - 50

51 - 100

101 - 200

201 - 500

Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services

UNCLASSIFIED



Trends: In 2020, July had the most opioid related ED visits with

22.66 visits per 100,000 population and April had the few-est opioid related ED visits with 11.33 visits per 100,000 population.

Residents from Strafford County had the most opioid re-lated ED visits per capita with 30.26 visits per 10,000 pop-ulation in 2020.

Based on absolute numbers, residents from Hillsborough County had the most opioid related ED visits with 993 vis-its in 2020.

In 2020, the age group with the largest number of opioid related ED visits was 20-29 which represented 24% of all opioid related ED visits, followed by 30-39 with 22%.


*Important Note*: The data being reported for 2020 has different collection criteria than previous months/years. Due to the new collection criteria, the data is no longer comparable to previous data.

County represents where the opioid use patient resides.

These data include data on suspected overdoses categorized as “all drug,” “all opioid,” “heroin,” and “all stimulant.” This report uses key words and ICD-10 associated overdose codes that CDC has defined as tailored to nonfatal opioid overdoses.

These data are now collected using criteria the CDC established for their Overdose Data to Action (OD2A) grant “making this report more transparent.”

6%

11%

24%

22%

13%

11%

13%

2020 Emergency Department Opioid Use Visits by Age

0-9

10-19

20-29

30-39

40-49

50-59

60+

17.9915.83

17.46

22.16

9.63

24.02

14.54 13.70

30.26

14.78

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan

# O

F O

PIO

ID U

SE

VIS

ITS

PE

R 1

0,0

00

PO

P

SOURCE: NH DIVISION OF PUBLIC HEALTH SERVICES

2020 Emergency Department Opioid Use Visit by County per 10,000 Population

19.20

14.34

19.64

11.33

18.09

16.77

22.6620.45

19.71

17.2118.98

16.04

0.00

5.00

10.00

15.00

20.00

25.00

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

# o

f ED

Op

ioid

Use

Vis

its

per

100

,000

Source: NH Division of Public Health Services

2020 Emergency Department Opioid Use Visits by Month Per 100,000 Population

Opioid Related Emergency Department Visits (Continued): Data Source: NH Division of Public Health Services

UNCLASSIFIED



*Important Note* the data being reported for 2020 has different collection criteria than previous months. Due to the new collection criteria, new data is no longer comparable to previous data.

January February March April May June July August September October November December 2020 Total

Total 261 195 267 154 246 228 308 278 268 234 258 218 2,915

County

Belknap 5 4 12 4 8 8 12 9 12 18 12 7 111

Carrol l 5 3 4 4 4 6 13 9 9 5 9 6 77

Cheshire 11 8 12 7 14 19 9 16 14 6 13 7 136

Coos 5 5 12 2 6 8 12 9 6 5 3 1 74

Grafton 5 0 3 4 6 8 10 8 14 9 11 10 88

Hi l l sborough 96 71 89 52 98 65 107 88 91 86 74 76 993

Merrimack 24 15 26 10 20 18 20 21 17 14 21 12 218

Rockingham 49 30 23 21 33 27 44 40 37 41 41 39 425

Strafford 30 32 46 18 25 33 47 39 31 29 31 29 390

Sul l ivan 6 3 7 6 7 3 7 7 6 3 6 4 65

Out of State 25 24 33 26 25 33 27 32 31 18 37 27 338

Gender

Male 147 108 159 88 132 125 178 149 153 123 150 113 1,625

Female 114 87 108 66 114 103 130 129 115 111 108 105 1,290

Age

0-9 13 5 14 13 20 16 13 15 17 8 15 14 163

10-19 30 25 29 14 25 17 28 31 32 32 47 25 335

20-29 72 48 58 43 54 60 73 55 55 57 67 48 690

30-39 60 55 55 30 59 56 62 67 63 54 49 47 657

40-49 34 23 41 24 32 26 36 55 39 31 27 23 391

50-59 23 22 36 18 28 24 35 28 28 24 22 25 313

60+ 29 17 34 12 28 29 61 27 34 28 31 36 366

Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED



Trends: Opioid/opiate, methamphetamine, & cocaine/crack

treatment admissions increased by 32% from 2019-2020. In 2020, residents from Hillsborough & Strafford County

were admitted most often for opioid/opiate, methamphetamine, & cocaine/crack treatment per capita with 18.48, & 17.61 admissions per 10,000 population respectively.

Based on absolute numbers, Hillsborough County had the most residents admitted for opioid/opiate, methamphetamine, & cocaine/crack treatment with 764 admissions in 2020, a 27% decrease from 2019, where Hillsborough County also had the most residents admitted.

In 2020, 81% of treatment admissions for the referenced substances involved opioid/opiates.


County represents where the patient resides.

These data represent treatment admissions to state funded facilities.

235.65

299.71

244.72265.46

181.68

0

50

100

150

200

250

300

350

2016 2017 2018 2019 2020

# o

f T

re

atm

en

t A

dm

issio

ns p

er

10

0,0

00

po

p


Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Year per 100,000 Population

24

.63

7.4

0

5.3

9

19

.77

15

.32

25

.45

20

.40

6.9

6

25

.22

6.5

9

17

.39

11

.34

5.5

5

3.8

5

12

.28

12

.26

18

.48

10

.27

4.8

7

17

.61

11

.37

11

.96

0

5

10

15

20

25

30#

of

Tre

atm

en

t A

dm

issi

on

s p

er

10

,00

0 p

op


2019 - 2020 Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population

2019

2020

12%

7%69%

12%

81%

2020 Percentage of Opioid/Opiate (Rx Opiate, Heroin/Fentanyl), Methamphetamine, &

Cocaine/Crack Treatment Admissions

Methamphetamine Cocaine/Crack

Heroin/Fentanyl Rx Opiates


Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services

UNCLASSIFIED



Treatment data includes opioid/opiate, methamphetamine,

& cocaine/crack admissions

2017 2018 2019 January February March April May June July August September October November December Total 2020

Total 4,024 3,319 3,609 288 237 201 196 176 220 226 212 225 183 142 164 2,470

County

Belknap 156 114 152 6 6 5 5 3 6 11 8 8 3 5 4 70

Carrol l 43 38 36 1 6 1 3 2 6 1 0 1 3 0 3 27

Cheshire 60 32 42 3 3 1 3 3 1 3 0 3 5 1 4 30

Coos 45 42 66 4 6 2 2 1 5 5 1 3 6 4 2 41

Grafton 122 129 140 12 15 5 8 7 11 12 14 12 9 2 5 112

Hi l l sborough 1,044 797 1,052 91 75 77 72 59 66 76 57 58 48 39 46 764

Merrimack 342 214 306 25 9 13 10 13 16 15 16 11 11 7 8 154

Rockingham 319 233 216 13 17 16 22 9 8 11 8 9 14 12 12 151

Strafford 336 322 325 21 17 17 17 12 21 22 23 25 20 10 22 227

Sul l ivan 25 14 29 8 2 2 6 3 1 4 3 6 5 7 3 50

Out of State 129 16 65 7 3 3 0 1 2 5 5 10 10 6 11 63

Not Provided 1,403 1,368 1,180 97 78 59 48 63 77 61 77 79 49 49 44 781

Gender

Male 2,419 1,891 1,964 174 134 103 108 100 138 131 126 134 104 84 106 1,442

Female 1,602 1,425 1,641 114 103 96 88 76 80 95 85 91 78 58 58 1,022

Transgender 2 3 4 0 0 2 0 0 2 0 1 0 1 0 0 6

Age

< 18 7 2 8 0 0 0 0 0 0 0 0 0 0 1 0 1

18-25 821 581 537 31 35 26 21 25 37 26 28 28 15 21 16 309

> 26 3,196 2,736 3,064 257 202 175 175 151 183 200 184 197 168 120 148 2,160

New Hampshire Drug Monitoring Initiative

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