Drug Overdose Deaths in Milwaukee Co. January 1, 2011 – July 5, 2016 Drug Overdose Deaths by Year and Race/Ethnicity Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 Data represents only overdose deaths occurring during the first 6 months of 2016 (January 1-July5) 300 251 250 200 255 220 58 180 60 167 138 52 150 53 43 33 100 174 179 143 50 111 107 2011 2012 99 0 2013 White 2014 Black Hispanic 2015 Other Drug overdose deaths have been steadily increasing in Milwaukee Co since 2012 with a 53% increase from 2012 to 2015. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 1 2016 Drug Overdose Deaths by Age Range and Race/Ethnicity Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 350 299 300 8 277 272 8 8 250 206 111 35 79 8 200 15 150 108 8 208 100 171 174 171 42 50 22 8 0 8 0-9 62 8 8 15 10-19 17 20-29 30-39 40-49 White 50-59 Black Hispanic 60-69 1 1 10 8 8 70-79 80-89 90-99 Other The majority of overdose deaths (67%) occur among white victims between the ages of 30-59. While the distribution of white overdose deaths mirrors the overall distribution, black overdose deaths skew older with 37% occuring between the ages of 50-59. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 2 Drug Overdose Deaths by Sex Drug Overdose Deaths by Race/Ethnicity Data represents all drug related overdose deaths between January 1, 2011 July 5th, 2016 Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 6% 2% 25% Black Male 37% White Female Hispanic 63% 67% Other Of the 1211 overdose deaths between January 1, 2011 and July 5th, 2016, 67% were white and 63% were male. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 3 Fentanyl-Related Overdose Deaths Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 39 30 16 16 Data represents only overdose deaths occurring during the first 6 months of 2016 (January 1July5) 11 5 2011 2012 2013 2014 2015 2016 Of the 138 overdose deaths between January 1, 2016 and July 5th, 2016, 28% involved the drug fentanyl. In 2015, only 16% of drug overdose deaths involved fentanyl; the rate of overdose deaths involving fentanyl for the first six months of 2016 alone already surpasses the rate for all of 2015. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 4 Fentanyl-Related Overdose Deaths by Age Group Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 29 30 26 23 7 0 1 0-9 10-19 20-29 30-39 40-49 Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 5 50-59 60-69 1 0 0 70-79 80-89 90-99 Heroin-Related Deaths by Age Group Data represents all drug related overdose deaths between January 1, 2011 - July 5th, 2016 131 119 89 68 30 12 0 0-9 10-19 20-29 30-39 40-49 50-59 60-69 1 1 0 70-79 80-89 90-99 40-49 year olds are the highest affected age group in terms of fentanyl-related overdose deaths, while heroin-related deaths most affect younger groups, with the 20-29 year old group having the highest incidence. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 6 Drug Overdose Deaths in Milwaukee Co. January 1, 2016 – July 5, 2016 Drug Overdose Deaths by Race/Ethnicity Drug Overdose Deaths by Sex January 1, 2016-July 5, 2016 January 1, 2016-July 5, 2016 1% 3% 24% 34% Black Male White Female Hispanic 66% Other 72% Of the 138 overdose deaths between January 1, 2016 and July 5th, 2016, 72% were white and 66% were male. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 7 Drug Overdose Deaths by Age Group January 1, 2016-July 5, 2016 40 33 24 21 13 3 0-9 3 10-19 20-29 30-39 40-49 50-59 60-69 0 0 70-79 80-89 Of the 138 overdose deaths between January 1, 2016 and July 5th, 2016, 68% were between the ages of 30-59. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 8 1 90-99 Total Sex Male Female Missing Age Range under 9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 Race/Ethnicity White Black Hispanic Other Missing Drug Type* Heroin Oxycodone Cocaine Alprazolam Diazepam Methadone Morphine** Fentanyl All Overdoses 2011-2015 1211 Frequency Percent 2015 255 Frequency Percent 2016 (January 1 - July 5) 138 Frequency Percent 760 450 1 63% 37% <1% 162 92 1 64% 36% <1% 91 47 0 66% 34% 0% 8 22 206 272 277 299 108 17 1 1 <1% 2% 17% 23% 23% 25% 9% 1% <1% <1% 1 4 46 64 53 54 29 4 0 0 <1% 2% 18% 25% 21% 21% 11% 2% 0% 0% 3 3 24 40 21 33 13 0 0 1 2% 2% 17% 29% 15% 24% 9% 0% 0% 1% 813 299 73 23 3 67% 25% 6% 2% <1% 179 60 10 5 1 70% 24% 4% 2% <1% 99 33 5 1 0 72% 24% 4% <1% 451 346 282 227 196 151 181 117 37% 29% 23% 19% 16% 13% 15% 10% 110 59 63 49 26 39 48 30 43% 23% 25% 19% 10% 15% 19% 12% 58 26 30 20 18 16 15 39 42% 19% 22% 14% 13% 12% 11% 28% *Not mutually exclusive **Heroin metabolizes to 6-monoacetylmorphine and is detectable in the blood for up to two hours in a living person. 6-monoacetylmorphine is then metabolized to morphine. When 6-monoacetylmorphine is found on a Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 9 toxicology screen, the Medical Examiner can identify heroin as the cause of the overdose. However, if 6-monoacetylmorphine is not detected, morphine is identified as the cause of death. Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 10 Total All Overdoses 2011-2016 2011 2012 2013 2014 2015 2016 (January 1 - July 5) 1211 180 167 220 251 255 138 Frequency Percent Frequency Percent Frequency Percent Frequency Percent Frequency Percent Frequency Percent Frequency Percent Sex Male 760 63% 122 68% 99 59% 132 60% 154 61% 162 64% 91 66% Female 450 37% 58 32% 68 41% 88 40% 97 39% 92 36% 47 34% 8 <1% 2 1% 0 0% 2 1% 0 0% 1 <1% 3 2% Age Range under 9 10-19 22 2% 5 3% 2 1% 6 3% 2 1% 4 2% 3 2% 20-29 206 17% 22 12% 24 14% 38 17% 52 21% 46 18% 24 17% 30-39 272 23% 38 21% 40 24% 337 153% 53 21% 64 25% 40 29% 40-49 277 23% 46 26% 36 22% 69 31% 52 21% 53 21% 21 15% 50-59 299 25% 51 28% 49 29% 53 24% 59 24% 54 21% 33 24% 60-69 108 9% 14 8% 14 8% 10 5% 28 11% 29 11% 13 9% 70-79 17 1% 2 1% 2 1% 5 2% 4 2% 4 2% 0 0% 80-89 1 <1% 0 0% 0 0% 0 0% 1 0% 0 0% 0 0% 90-99 1 <1% 0 0% 0 0% 0 0% 0 0% 0 0% 1 1% White 813 67% 111 62% 107 64% 143 65% 174 69% 179 70% 99 72% Black Race/Ethnicity 299 25% 53 29% 43 26% 52 24% 58 23% 60 24% 33 24% Hispanic 73 6% 13 7% 12 7% 18 8% 15 6% 10 4% 5 4% Other 23 2% 2 1% 5 3% 4 2% 4 2% 5 2% 1 <1% 3 <1% 1 1% 0 0% 1 <1% 0 0% 1 <1% 0 0% Heroin 451 37% 45 25% 53 32% 69 31% 116 46% 110 43% 58 42% Oxycodone 346 29% 55 31% 60 36% 64 29% 82 33% 59 23% 26 19% Cocaine 282 23% 50 28% 34 20% 47 21% 58 23% 63 25% 30 22% Alprazolam 227 19% 32 18% 31 19% 46 21% 49 20% 49 19% 20 14% Diazepam 196 16% 30 17% 36 22% 37 17% 49 20% 26 10% 18 13% Methadone 151 13% 21 12% 26 16% 26 12% 23 9% 39 15% 16 12% Morphine** 181 15% 26 14% 24 14% 37 17% 31 12% 48 19% 15 11% Fentanyl 117 10% 16 9% 5 3% 11 5% 16 6% 30 12% 39 28% Missing Drug Type* Data source: Milwaukee County Medical Examiner – Drug-related overdose deaths January 2011-July 5th, 2016. 11