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. 2022 Dec;54(1):1081-1088.
doi: 10.1080/07853890.2022.2067350.

Opioid overdose decedent characteristics during COVID-19

Gian-Gabriel P Garcia  1 , Erin J Stringfellow  2 , Catherine DiGennaro  2 , Nicole Poellinger  2 , Jaden Wood  2 , Sarah Wakeman  2 , Mohammad S Jalali  2
Affiliations

Opioid overdose decedent characteristics during COVID-19

Gian-Gabriel P Garcia et al. Ann Med. 2022 Dec.

Abstract

Introduction: Alongside the emergence of COVID-19 in the United States, several reports highlighted increasing rates of opioid overdose from preliminary data. Yet, little is known about how state-level opioid overdose death trends and decedent characteristics have evolved using official death records.

Methods: We requested vital statistics data from 2018-2020 from all 50 states and the District of Columbia, receiving data from 14 states. Accounting for COVID-19, we excluded states without data past March 2020, leaving 11 states for analysis. We defined state-specific analysis periods from March 13 until the latest reliable date in each state's data, then conducted retrospective year-over-year analyses comparing opioid-related overdose death rates, the presence of specific opioids and other psychoactive substances, and decedents' sex, race, and age from 2020 to 2019 and 2019 to 2018 within each state's analysis period. We assessed whether significant changes in 2020 vs. 2019 in opioid overdose deaths were new or continuing trends using joinpoint regression.

Results: We found significant increases in opioid-related overdose death rates in Alaska (55.3%), Colorado (80.2%), Indiana (40.1%), Nevada (50.0%), North Carolina (30.5%), Rhode Island (29.6%), and Virginia (66.4%) - all continuing previous trends. Increases in synthetic opioid-involved overdose deaths were new in Alaska (136.5%), Indiana (27.6%), and Virginia (16.5%), whilst continuing in Colorado (44.4%), Connecticut (3.6%), Nevada (75.0%), and North Carolina (14.6%). We found new increases in male decedents in Indiana (12.0%), and continuing increases in Colorado (15.2%). We also found continuing increases in Black non-Hispanic decedents in Massachusetts (43.9%) and Virginia (33.7%).

Conclusion: This research analyzes vital statistics data from 11 states, highlighting new trends in opioid overdose deaths and decedent characteristics across 10 of these states. These findings can inform state-specific public health interventions and highlight the need for timely and comprehensive fatal opioid overdose data, especially amidst concurrent crises such as COVID-19. Key messages:Our results highlight shifts in opioid overdose trends during the COVID-19 pandemic that cannot otherwise be extracted from aggregated or provisional opioid overdose death data such as those published by the Centres for Disease Control and Prevention.Fentanyl and other synthetic opioids continue to drive increases in fatal overdoses, making it difficult to separate these trends from any possible COVID-19-related factors.Black non-Hispanic people are making up an increasing proportion of opioid overdose deaths in some states.State-specific limitations and variations in data-reporting for vital statistics make it challenging to acquire and analyse up-to-date data on opioid-related overdose deaths. More timely and comprehensive data are needed to generate broader insights on the nature of the intersecting opioid and COVID-19 crises.

Keywords: COVID-19; Opioid overdoses; decedent characteristics.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Changes in annual opioid overdose deaths per 100,000 people between 2020 vs. 2019 and 2019 vs. 2018 by state.
See this image and copyright information in PMC

References

    1. Wakeman SE, Green TC, Rich J.. An overdose surge will compound the COVID-19 pandemic if urgent action is not taken. Nat Med. 2020;26(6):819–820. - PMC - PubMed
    1. Becker WC, Fiellin DA.. When epidemics collide: Coronavirus disease 2019 (COVID-19) and the opioid crisis. Ann Intern Med. 2020;173(1):59–60. - PMC - PubMed
    1. Rodda LN, West KL, LeSaint KT.. Opioid overdose-related emergency department visits and accidental deaths during the COVID-19 Pandemic. J Urban Health. 2020;97(6):808–813. - PMC - PubMed
    1. Glober N, Mohler G, Huynh P, et al. Impact of COVID-19 pandemic on drug overdoses in indianapolis. J Urban Health. 2020;97(6):802–807. - PMC - PubMed
    1. Root ED, Slavova S, LaRochelle M, et al. The impact of the national stay-at-Home order on emergency department visits for suspected opioid overdose during the first wave of the COVID-19 pandemic. Drug Alcohol Depend. 2021;228:108977. - PMC - PubMed

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