Floyd tops in overdose rates, report says


By Sheldon Compton - scompton@civitasmedia.com



FRANKFORT – Floyd County had the unfortunate distinction as having the highest rate of overdose deaths among all 120 counties throughout the state, according to a recent report issued by the Kentucky Office of Drug Control Policy.

Floyd County had the highest number of overdose deaths per 100,000 people with 55.1, while Louisville had the most overdose deaths in total with 204, an increase of 12 from 2013.

Kentucky overdose deaths increased in 2014, while the number of deaths attributed to the use of heroin stayed relatively constant from 2013 to 2014, according to a report issued today by the Office of Drug Control Policy. The total rise in overdose deaths, after leveling off last year, indicates the persistent challenge of reining in substance use and abuse, officials said.

The report indicates 1,087 overdose fatalities in 2014, compared to 1,010 identified in the 2013 report. Of the 795 deaths autopsied by the Kentucky Medical Examiner last year that were determined to be from a drug overdose, 233, or 29.5 percent, were attributed to heroin, compared to 230, or 31.9 percent, in 2013.

“I am discouraged that overdose deaths increased in 2014 over 2013 and I think this demonstrates the pervasive grip and cyclical nature of addiction,” said Van Ingram, executive director of the Office of Drug Control Policy. “Fortunately, we’ve recently put in place some changes that we hope will bring the number of deaths back down in 2015, including the expanded increase to naloxone and Good Samaritan provisions contained in Senate Bill 192. Meanwhile, there was not an increase in the prevalence of heroin in 2014, and I am pleased about that.”

The numbers, contained in the 2014 Overdose Fatality Report, were compiled from the Kentucky Medical Examiner’s Office, the Kentucky Injury Prevention & Research Council (KIPRC) and the Kentucky Office of Vital Statistics. The report was mandated under a provision in House Bill 1, which was passed in 2012.

The law also mandated more stringent reporting requirements for deaths caused by overdose, which went into effect midway through 2012. Ingram noted that a heightened awareness of those requirements may have contributed to the increase in deaths reported.

Ingram said that the report contains known overdose deaths as of mid-July 2015, and that a small number of overdose deaths for 2014 may still be reported as death certificates from county coroners are turned in to the Office of Vital Statistics.

Dr. Tracey Corey, Kentucky’s chief medical examiner, noted that many of the cases reported as morphine may in fact involve heroin, as morphine is the major pharmaceutical substance detected in the blood after injection of heroin, and the other substances present in the blood indicating heroin use may have already been eliminated at the time of death. But she also cautioned that some of those cases may involve only morphine, rather than heroin, so conclusions should be drawn with care.

Corey further cautioned that the data would need comparison to other data such as overall population numbers, to know if the changes from 2013 to 2014 are statistically significant. “With statistics and numbers, the devil is in the details. What we can definitely say is that we need to continue to devote significant resources and energy to help curb the tragic and untimely deaths of so many Kentuckians.”

The youngest overdose fatality was an infant, less than a year old, and the oldest was 80 years old.

By Sheldon Compton

scompton@civitasmedia.com

Sheldon Compton is a staff writer for The Floyd County Times. He can be reached at (606) 886-8506.

Sheldon Compton is a staff writer for The Floyd County Times. He can be reached at (606) 886-8506.

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