Opioid Overdose Data Trends in Arizona
More than 5 Arizonans died from opioids daily in 2020. Opioid deaths totaled 2,500, with varying impacts on different counties. The monthly number of deaths peaked in mid-2020, declined, but increased again in 2021. CDC reported 2,005 opioid-related deaths in April 2021. The majority of fatal and non-fatal opioid events occurred in individuals aged 15-44.
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An ADHS Update on Opioid Overdose Data Trends December 2, 2021 Sheila Sjolander, Assistant Director, Prevention Services
More than 5 Arizonans a day died from opioids last year Total Opioid Deaths 2,500 1,982 2,000 1,752 Rx/Synthetic Deaths 1,365 1,500 1,167 959 1,072 800 1,000 679 789 621 569 561 454 526 613 500 Heroin Deaths 489 532 431 293 438 389 379 362 230 379 346 311 248 190 137 123 92 89 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Similarly, the monthly number of opioid deaths reached a peak in mid-2020, followed by a decline, but has increased again in 2021. 226 214 204 198 187 183 169173 167 167 160 160 144 142 137 134 133128 129 128 132 130 119 118 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2019 2020 2021 Data Source: Death Certificates (July 2019- June 2021), n=3,782 *Data for 2020 and 2021 is provisional and subject to change
CDC 12 Month-ending Provisional Drug Overdoses As of April 2021: 2,005 deaths involving opioids 1,192 deaths involving psychostimulants In prior 12 months Total Number of Reported Overdose Deaths in Past 12 Months in Arizona April 2020: 2,146 April 2021: 2,743 Source: https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
The rate of opioid deaths per 100,000 residents was higher in 2020 than in 2019 for all counties except Yuma. Highest rates are in Maricopa, Pima and Yavapai counties. 2019 2020 Data Source: Death Certificates, 2019-2020
Two-thirds of verified fatal and non-fatal opioid overdose events were among people aged 15-44, with 30% of overdose events among 25-34 year- olds. 29.6% 23.2% 18.0% 11.8% 9.8% 4.2% 1.9% 1.6% 0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+
Similarly, two-thirds of opioid deaths were among people aged 15-44, although there was a lower proportion of fatalities among 15-24 year-olds. 29.7% 22.5% 16.4% 15.0% 11.6% 3.5% 0.8% 0.6% 0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+
From Arizona Child Fatality Review In 2019 Of the 30 poisoning deaths, 28 deaths involved opioids and 27 of opioid deaths involved fentanyl In 2020 Of the 52 poisoning deaths, 51 were opiate overdoses and fentanyl was responsible for 50 poisonings Number of Substances Found as a Contributing Factor to the Death of a Child by Deceased Child User or Other Child or Adult User, Ages 0-17 Years, Arizona, 2020 60 55 54 50 40 28 30 24 23 19 20 14 13 12 10 3 0 Alcohol Marijuana Methamphetamine Opiate Other Child Other
White, non-Hispanic individuals accounted for 57% of opioid deaths. WHITE 56.8% HISPANIC OR LATINO 27.8% BLACK OR AFRICAN AMERICAN 7.3% AMERICAN INDIAN OR ALASKA NATIVE 6.1% MULTI- 2.1% RACIAL/REFUSED/UNKNOWN ASIAN 0.0% Data Source: Death Certificates, Jan 2019- Aug 2021 (n=4,866)
Fentanyl and Oxycodone are the most common substances involved in verified fatal and non-fatal opioid overdose events in the last two years. Percent of Substances involved in Verified Fatal and Non-fatal Opioid Overdose Events (n=10,701) Fentanyl 49.3% Oxycodone 22.7% Heroin 12.0% Opioid Drugs Other Rx Opiate 11.5% Methadone 4.7% Morphine 3.8% Hydrocodone 2.5% Tramadol 1.2% Hydromorphone 0.7% Methamphetamine 17.6% Non-Opioid Drugs Marijuana 15.9% Benzodiazepine 10.6% Amphetamine 7.0% Cocaine 5.0% Tylenol 0.3% Data Source: MEDSIS, July 2019- June 2021
Pre-hospital/emergency medical services (EMS) responses for suspected opioid overdoses increased in 2020. Monthly responses have fluctuated but remained relatively constant since then. 1,770 1,793 1,782 1,734 1,698 1,716 1,5901,636 1,643 1,638 1,585 1,736 1,729 1,730 1,608 1,492 1,324 1,427 1,399 1,072 9611,001 1,028 864 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2019 2020 2021 Data source: AZPIERS (Arizona Pre Hospital Information and EMS Registry System) July 2019- June 2021
Naloxone administered by law enforcement personnel during suspected opioid overdose responses gradually increased until mid-2020, with ongoing fluctuations since then. 153 147 144 139 132 132125 123 123 115 111 111 102106 101 10699 107 105 105 103 99 83 77 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2019 2020 2021 Data source: AZPIERS (Arizona Pre Hospital Information and EMS Registry System) July 2019- June 2021. n=2,748
Coming soon: Coming soon: An updated website: azhealth.gov/opioid State Unintentional Drug Overdose Reporting System (SUDORS) Reports from ASU Questions/Comments: azopioid@azdhs.gov sheila.sjolander@azdhs.gov
