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Local Public Health Surveillance of Heroin-Related Morbidity and Mortality, Orange County, Florida, 2010-2014.

Abstract Heroin-related deaths have increased substantially in the past 10 years in the United States, particularly in Florida. Our objectives were to measure heroin-related morbidity and mortality rates in Orange County, Florida, and to assess trends in those rates during 2010-2014.
PMID
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Authors

Mayor MeshTerms

Morbidity

Keywords

heroin

morbidity

mortality

surveillance

Journal Title public health reports (washington, d.c. : 1974)
Publication Year Start




PMID- 28692385
OWN - NLM
STAT- MEDLINE
DA  - 20170710
DCOM- 20170724
LR  - 20170724
IS  - 1468-2877 (Electronic)
IS  - 0033-3549 (Linking)
VI  - 132
IP  - 1_suppl
DP  - 2017 Jul/Aug
TI  - Local Public Health Surveillance of Heroin-Related Morbidity and Mortality,
      Orange County, Florida, 2010-2014.
PG  - 80S-87S
LID - 10.1177/0033354917709783 [doi]
AB  - OBJECTIVES: Heroin-related deaths have increased substantially in the past 10
      years in the United States, particularly in Florida. Our objectives were to
      measure heroin-related morbidity and mortality rates in Orange County, Florida,
      and to assess trends in those rates during 2010-2014. METHODS: We used 3 heroin
      surveillance methods, based on data from the Florida Medical Examiner, the
      Florida Agency for Health Care Administration (AHCA), and the Electronic
      Surveillance System for the Early Notification of Community-Based
      Epidemics-Florida (ESSENCE-FL). We conducted descriptive and geographic spatial
      analyses of all 3 data sets, determined heroin-related mortality and morbidity
      (emergency department [ED] visit) rates, and compared the timeliness of data
      availability from the 3 data sources. RESULTS: Heroin-related deaths in Orange
      County increased by 590%, from 10 in 2010 to 69 in 2014. Heroin-related ED visits
      during the same period increased 12-fold (from 13 to 154) and 6-fold (from 49 to 
      307) when based on AHCA and ESSENCE-FL data, respectively. ESSENCE-FL identified 
      140% more heroin-related visits than did AHCA. Spatial analysis found geographic 
      clustering of heroin-related morbidity and mortality. Hospitals facing the
      greatest burden of heroin-related ED visits were close to communities with the
      highest crude heroin-related ED visit rates. Of the 3 data sources, ESSENCE-FL
      provided the timeliest data availability. CONCLUSIONS: These 3 data sources can
      be considered acceptable surveillance systems for monitoring heroin-related
      events in Orange County. The timely availability of data from ESSENCE-FL makes it
      the most useful source for obtaining near-real-time data about the heroin
      epidemic, potentially leading to improved identification of populations most in
      need of interventions to reduce morbidity and mortality.
FAU - Hudson, Toni-Marie L
AU  - Hudson TL
AD  - 1 Florida Department of Health in Orange County, Orlando, FL, USA.
FAU - Klekamp, Benjamin G
AU  - Klekamp BG
AD  - 1 Florida Department of Health in Orange County, Orlando, FL, USA.
FAU - Matthews, Sarah D
AU  - Matthews SD
AD  - 1 Florida Department of Health in Orange County, Orlando, FL, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Public Health Rep
JT  - Public health reports (Washington, D.C. : 1974)
JID - 9716844
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Florida/epidemiology
MH  - Heroin Dependence/*epidemiology/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Morbidity
MH  - Public Health Surveillance/*methods
MH  - Spatial Analysis
OTO - NOTNLM
OT  - heroin
OT  - morbidity
OT  - mortality
OT  - surveillance
EDAT- 2017/07/12 06:00
MHDA- 2017/07/25 06:00
CRDT- 2017/07/11 06:00
AID - 10.1177/0033354917709783 [doi]
PST - ppublish
SO  - Public Health Rep. 2017 Jul/Aug;132(1_suppl):80S-87S. doi:
      10.1177/0033354917709783.