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Drug poisoning deaths among Kentucky residents have increased fourfold since 2000. According to the National Center for Health Statistics (NCHS), in 2014 Kentucky had the 4th highest drug overdose mortality rate in the U.S., with 1,077 Kentucky-resident drug overdose deaths in (24.8 drug overdose deaths per 100,000 population). Data suggest that recent, major legislative initiatives to improve opioid prescribing practices may have led to reductions in drug overdoses involving historically common prescription drugs such as oxycodone, oxymorphone, hydrocodone, and alprazolam. At the same time, however, involvement of other drugs such as heroin and fentanyl is increasing. In addition to this legislation, there has been a broad, multi-sectoral response to the opioid epidemic in Kentucky. Key stakeholders include the Governor and Attorney General, Office of Drug Control Policy (ODCP), KY All-Schedule Prescription Electronic Reporting System (KASPER), KY State Police (KSP), local needle exchange programs and heroin task forces, the KY Department for Behavioral Health and Developmental and Intellectual Disabilities (KDBHDID), medical licensure boards, Operation UNITE, and others. As a bona fide agent for the Kentucky Department for Public Health, the Kentucky Injury Prevention and Research Center (KIPRC) has also been heavily involved in the Commonwealth’s response to the opioid epidemic. KIPRC has been a Core Violence and Injury Prevention Program (CVIPP) grantee since 2005, and a National Violent Death Reporting System (NVDRS) grantee since 2004. With support from the Prescription Drug Overdose: Prevention for States (PfS) program and the Bureau of Justice Assistance, KIPRC has established an infrastructure for providing drug overdose surveillance data to key stakeholders through its Drug Overdose Fatality Surveillance System (DOFSS) and Drug Overdose Technical Assistance Core (DOTAC). There remains a need to build upon these efforts to more fully utilize Kentucky’s growing data resources for enhanced surveillance of fatal and nonfatal opioid overdose events to inform and support stakeholder prevention efforts. We propose a set of strategies and activities that will establish enhanced surveillance systems for opioid-involved drug overdose in Kentucky; engage key stakeholders in development of a dissemination plan to maximize impact of the enhanced surveillance data; and contribute to the development of nationwide capacity for enhanced surveillance of OIDO through collaboration with CDC and other Enhanced State Surveillance for Opioid-Involved Morbidity and Mortality (ESSOMM) grantees
|Effective start/end date||9/1/16 → 8/31/19|
- Center for Disease Control and Prevention
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