Table of Contents:
Drug Environment Report—UNCLASSIFIED
Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and misuse. In line with this ap-
proach the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products
for stakeholders as well as situational awareness releases as needed.
Section Title Page #
Overview
Drug Overdose Deaths
Drug Overdose Deaths Map
EMS Narcan Administration
EMS Narcan Administration Map
Opioid Related Emergency Department Visits
Treatment Admissions
Situational Awareness
Substance Use Disorder Treatment/Recovery Directory
1 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
UNCLASSIFIED
New Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center
Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303
NHIAC Product #: 2020-4407 August 2020 Report 7 October 2020
Population data source: http://www.nh.gov/osi/data-center/population-estimates.htm Year/month overview charts are based on annual estimates from the above website. County charts are based on a 2019 estimated population of each county.
If your agency is looking for further breakdowns than what is in this document please contact the NHIAC.
Tracked by NHIAC/HSEC SINs: 03,16 / 05,06
Previous versions of the Drug Environment Report can be found at: https://www.dhhs.nh.gov/dcbcs/bdas/data.htm
The monthly online DMI viewer can be found at: https://nhvieww.nh.gov/IAC/DMI/
mailto:[email protected]://www.nh.gov/osi/data-center/population-estimates.htmhttps://www.dhhs.nh.gov/dcbcs/bdas/data.htm
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
Overview: Trends for Narcan, ED Visits, Treatment Admissions, and Overdose Deaths:
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2
13.45
15.25
12.34
14.51
25.03
33.00
36.34 36.35 34.73
30.53
17.36
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020*
# of
Dru
g D
eath
s pe
r 10
0,00
0 po
pula
tion
*2020 numbers are not finalized, and are based on analysis as of 18 September 2020
Drug Overdose Deaths By YearData Source: NH Medical Examiner's Office
*
0.00
5.00
10.00
15.00
20.00
25.00
Even
ts p
er 1
00,0
00 p
opul
atio
n
Source: NH Division of Public Health Services, NH Bureau of Drug & Alcohol Services, and NH Bureau of EMS
EMS Narcan Administration, Opioid Related ED Visits, and Treatment Admissions per 100,000 Population
September 2019 - August 2020Opioid Related ED Visits
Opioid/Opiate,Methamphetamine, &Cocaine/CrackTreatment Admissions
EMS NarcanAdministration
Drug Overdose Deaths: Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
3 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Right click on the paperclip and select “Open File” to view additional data.
Trends: As of 18 September there are 236 confirmed drug
overdose deaths and 55 cases pending toxicology for 2020.
Drug overdose deaths decreased from 471 to 415 from 2018-2019. This represents a 12% decrease.
So far in 2020, Strafford and Coos Counties have the highest suspected drug use resulting in overdose deaths per capita, at 2.41 and 1.80 deaths per 10,000 population respectively.
The age group with the largest number of drug overdose deaths is 30-39 years, which represents 33% of all overdose deaths for 2020.
*** IMPORTANT DATA NOTES***
***The NHIAC recently became aware that some drug overdose death data included in prior reports reflects the location where the death occurred, not where the drug is suspected to have been used. The location data is intended to reflect the location of suspected use, as death location has the potential to change town and county level information. The NHIAC and OCME are working together to correct the issue.***
1.131.23
0.90
1.80 1.751.60
1.47
1.16
2.41
0.68
0.00
0.50
1.00
1.50
2.00
2.50
3.00#
of
dea
ths
per
10,
000
po
p
2020 numbers are not finalized, and are based on analysis as of 18 August 2020
2020 Overdose Deaths by County per 10,000 PopulationData Source: NH Medical Examiner's Office
2%
19%
33%19%
18%
9%
Overdose Deaths by Age 2020*Data Source: NH Medical Examiner's Office
0-19
20-29
30-39
40-49
50-59
60+
*2020 numbers are not finalized, and based on analysis as of 18 August 2020
12.3414.51
25.03
33.00
36.34 36.3534.73
30.53
3.636.57
15.45
24.6526.75
28.08
30.97
27.36
1.442.27 2.71
3.68 4.72 3.724.72
5.81
17.36
14.86
2.72
15.59
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
2012 2013 2014 2015 2016 2017 2018 2019 2020*
# o
f D
rug
Dea
ths
per
100
,000
po
p
Overdose Deaths by Year per 100,000 PopulationData Source: NH Medical Examiner's Office
All Drug Deaths Fentanyl/ Heroin Related Deaths + Cocaine Related Deaths+ 2019 Comparison
*2020 numbers are not finalized, and are based on analysis as of 18 September 2020+ Cocaine and Fentanyl/Heroin Related deaths are not mutually exclusive, several deaths involved both categories
UNCLASSIFIED
2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December YTD 2020
Total 332 439 485 488 471 415 34 35 38 37 38 14 4 200
County
Belknap 17 17 16 27 29 16 2 0 1 2 2 0 0 7
Carroll 9 22 16 12 13 11 2 1 0 2 1 0 0 6
Cheshire 17 11 20 17 32 19 1 1 1 3 0 1 0 7
Coos 9 14 10 12 5 6 1 0 0 1 2 2 0 6
Grafton 17 13 16 26 17 24 2 2 3 1 5 2 1 16
Hillsborough 106 178 199 195 171 155 17 13 11 6 15 4 0 66
Merrimack 40 39 43 43 51 47 5 4 5 5 2 0 1 22
Rockingham 64 89 90 97 89 73 3 9 7 8 4 3 2 36
Strafford 40 47 55 54 50 56 1 4 9 8 7 2 0 31
Sullivan 4 8 9 4 7 7 0 1 1 1 0 0 0 3
Out of State 3 0 2 0 6 1 0 0 0 0 0 0 0 0
Undetermined 0 0 9 1 1 0 0 0 0 0 0 0 0 0
Gender
Male 219 307 336 347 328 288 6 29 28 21 27 10 2 123
Female 107 131 149 141 143 125 28 6 10 16 11 4 2 77
Age
0-19 3 8 7 2 4 2 2 0 0 1 0 1 0 4
20-29 79 110 123 118 88 83 8 8 6 7 7 2 0 38
30-39 80 116 147 127 146 132 14 10 14 9 14 3 2 66
40-49 67 99 98 114 114 87 5 5 6 10 7 3 1 37
50-59 78 91 89 98 83 82 3 9 6 7 7 3 1 36
60+ 19 14 21 29 36 29 2 3 6 3 3 1 0 18
Drug Overdose Deaths:Data Source: NH Medical Examiner's Office
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
2020 numbers are not finalized, and are based on analysis as of 18 August 2020.
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
nh.iacFile AttachmentDrug Overdose Deaths.pdf
Drug Overdose Deaths (Continued): Data Source: NH Medical Examiner’s Office
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
4 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Amphetamines, Cocaine,
Fentanyl
Acetyl Fentanyl, Fentanyl,
Fluoxetine, Tramadol
Alprazolam, Amphetamines,
Cocaine, FentanylCocaine, Ethanol, Fentanyl
Dextro/levomethorphan,
Fentanyl, Xylazine
ETOH, Fentanyl, Fluoxetine,
OlanzapineFentanyl, Hydrocodone
ETOH, Fentanyl,
Methamphetamine
Acetyl Fentanyl, Fentanyl,
MethadoneAlprazolam, Ethanol, Fentanyl Cocaine, ETOH, Fentanyl
Diphenhydramine, Fentanyl,
MethadoneFentanyl, Flualprazolam
Fentanyl, Methamphetamine,
Tramadol
1, 1-difluoroethane, Etizolam,
Fentanyl, Pyrazolam
Acetyl Fentanyl, Fentanyl,
Methadone, MorphineAmitriptyline, Fentanyl Cocaine, Oxycodone Duloxetine, Fentanyl Fentanyl, Heroin
Fentanyl, Morphine,
Oxycodone
Acetyl Fentanyl,
Buprenorphine, Fentanyl,
Methadone
Alprazolam, Amphetamines,
Citalopram/escitalopram,
ETOH, Fentanyl, Trazodone
Amphetamines, Fentanyl Cocaine, TramadolEthanol, Fentanyl, Gabapentin,
MorphineFentanyl, Heroin, Methadone Fentanyl, Oxymorphone
Ethanol, Fentanyl, OxycodoneFentanyl, Heroin,
Methamphetamine
Cocaine and/or Fentanyl Combination Related Drug Deaths that were noted once or twice*
*Cells filled with gray indicate combinations noted twice
72
14 14
6 6 6
0
10
20
30
40
50
60
70
80
# of
Dea
ths
Cocaine and/or Fentanyl Combination Related Drug Deaths 2020
*2020 numbers are not finalized, and are based on analysis as of 18 August 2020
Source: NH Medical Examiner's Office
Pittsburg
Lincoln
Alton
Errol
MilanStark
Albany
Berlin
Bartlett
LymeSandwich
Stratford
Ossipee
Weare
Conway
Odell
Hill
Bethlehem
Bath Jackson
Gilford
Concord
Carroll
Warner
Orford
Unity
Canaan
Dixville
Benton
Littleton
Success
Sutton
Warren
Derry
Franconia
Bow
Columbia
Livermore
Chatham
Enfield
Meredith
Loudon
Clarksville
Tamworth
Haverhill
Strafford
Groton
Jaffrey
Hanover
Hollis
Gilmanton
Stoddard
Plainfield
Deerfield
Campton
Keene
Dummer
Milton
WolfeboroGrafton
Thornton
Antrim
Rindge
Cornish
Jefferson
Lee
Woodstock
Alstead
Millsfield
Newport
Lancaster
Rumney
Henniker
Swanzey
Epsom
Winchester
Andover
Randolph
Dover
Madison
Acworth
Shelburne
Lebanon
Cambridge
Barrington
Moultonborough
Dublin
Tuftonboro
Wakefield
Walpole
Danbury
Hopkinton
Easton
Piermont
Rochester
Croydon
Barnstead
Eaton
Dalton
Wilmot
Newbury
Candia
Salisbury
Sanbornton
Lyman
Claremont
Freedom
Nottingham
Bedford
Hooksett
Springfield
Bradford
AmherstWilton
Alexandria
Dorchester
NashuaSalem
Canterbury
Lisbon
Washington
Gorham
Colebrook
Auburn
Deering
Chesterfield
Beans Purchase
Effingham
Troy
Wentworth
Waterville Valley
Belmont
Landaff
Hudson
Milford
Epping
Richmond
Goffstown
Marlow
Franklin
Hancock
Hillsborough
New Boston
Mason Pelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
NelsonChester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charles
town
Plymouth
Kilkenn
y
Temple
Northfield
Dunbarton
SurryManchester
Windham
Goshen Pittsfield
Peterborough
Grantham
Sunape
e
Northwood
New Ham
pton
New Ipswich
Greenfield
Hinsdale
Hebron
Westmoreland
Boscawen
Kingston
GilsumSullivan
Francestown
Ellsworth
Brookfield
Northu
mberla
ndPem
broke
Tilton
Sharon
BrooklineLyn
deborou
gh
FremontHarrisville
New London
Chiches
ter
Middleton
Allenstown
Second College GrantDixs Grant
Langdon
Bridgewate
r
Sugar Hill
Litchfield
Stratham
Marlborough
Brentwoo
d
24Sandown Danville
27
Roxbury
Ashland
Madbury
7
3
Atkinson
Mont Vernon
Newton
Greenland
Plaistow
Newmarket
Hampstead
11
29
1
22
Windsor
18
20
6
16
25
23
5
31
Newfields
21
30
Greenville12
17
19
4
913
8
14
15
!
28
2
!10
Coos
GraftonCarroll
Merrimack
CheshireHillsborough
Sullivan
Rockingham
Belknap
Strafford
0 10 20 305MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
Overdose Deaths by Town* - 2020 +(Data Source: NH Medical Examiner's Office)*Location where the drug(s) is suspected to have been used.
+2020 data was reported on August 18, 2020There are more deaths that are suspected to be drug related, but the official cause of death is pending until the toxicology results are received.57 CASES PENDING19 Cases have an unknown location
Number of Overdose Deaths by Town*Location where the drug(s) is suspected to have been used.
UNCLASSIFIED
UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 5
1 - 4 (66 towns)5 - 10 (4 towns)11 - 25 (2 towns)26 - 50 (1 towns)
Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant
Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth
INDEX
EMS Narcan Administration: Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
6 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: EMS Narcan administration incidents decreased by 19%
from July to August. In August, Belknap County had the most EMS Narcan
administration incidents per capita with 1.78 incidents per 10,000 population. Strafford County had the second highest with 1.32 incidents per 10,000 population.
The age group with the largest number of EMS Narcan administration incidents was 30-39, representing 36% of all EMS Narcan administrations in August.
*** IMPORTANT DATA NOTES***
Narcan data in this report involves the number of incidents where Narcan was administered, NOT the number of doses of Narcan during a certain time period. Multiple doses may be administered during an incident.
Narcan may be given for a decrease in alertness or respirations due to an overdose or unknown cause. Therefore, it cannot be concluded that all reported Narcan incidents actually involved drugs.
Right click on the paperclip and select “Open File” to view additional data.
0.00
5.00
10.00
15.00
20.00
25.00
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of
Inci
dent
s In
volv
ing
Nar
can
per 1
00,0
00 p
op
Source: NH Bureau of EMS
EMS Narcan Administration by Month per 100,000 PopulationJanuary 2016 - August 2020
2016
2017
2018
2019
2020
1.78
0.82
0.64
0.30
0.66
0.99 0.93
0.55
1.32
0.45
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
2.00#
of
Inci
de
nts
In
vo
lvin
g N
arc
an
pe
r 1
0,0
00
po
p
Source: NH Bureau of EMS
August EMS Narcan Administration by County per 10,000 Population
5%
15%
36%
20%
13%
10%
1%
August EMS Narcan Administrationby Age Group
0-19
20-29
30-39
40-49
50-59
60+
Unknown
Source: NH Bureau of EMS
UNCLASSIFIED
2014 2015 2016 2017 2018 2019 January February March April May June July August September October November December 2020
Total 1,892 2,677 2,895 2,774 2,357 1,966 131 95 125 113 129 118 146 118 975
County
Belknap 59 113 116 215 127 105 5 6 9 10 9 6 11 11 67
Carroll 52 80 91 68 62 68 5 2 0 1 4 2 7 4 25
Cheshire 65 79 144 104 112 109 5 8 7 8 12 9 4 5 58
Coos 41 65 65 73 38 36 2 5 5 2 5 3 8 1 31
Grafton 56 57 66 84 78 68 5 4 5 5 5 10 5 6 45
Hillsborough 757 1,139 1,209 1,140 1,044 778 54 18 41 32 46 36 54 41 322
Merrimack 185 228 233 310 247 226 17 14 17 11 15 17 15 14 120
Rockingham 380 501 488 503 375 320 22 14 25 20 17 14 19 17 148
Strafford 286 380 449 242 255 230 15 22 14 24 15 19 20 17 146
Sullivan 11 35 34 35 19 26 1 2 2 0 1 2 3 2 13
Gender
Male 1,185 1,736 1,916 1,879 1,503 1,342 85 66 89 79 100 84 102 78 683
Female 706 938 979 887 730 617 46 29 36 34 33 33 44 39 294
Transgender 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
Age
0-19 83 94 87 75 40 48 2 6 3 2 5 1 2 6 27
20-29 588 954 973 863 590 487 34 16 31 24 30 30 28 18 211
30-39 428 684 853 808 709 605 45 27 31 32 43 38 42 42 300
40-49 304 364 385 439 342 290 23 15 28 21 24 21 34 24 190
50-59 233 314 327 326 306 285 13 15 22 20 18 8 16 15 127
60+ 246 256 253 246 237 242 14 16 10 16 12 20 24 12 124
Age or Gender Not
Given10 11 17 20 10 14 0 0 0 0 1 0 0 1 2
EMS Narcan Administration:Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
nh.iacFile AttachmentEMS Narcan Administration.pdf
EMS Narcan Administration (Continued): Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
7 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
Source: NH Bureau of EMS
EMS Narcan Administration - Lives Saved %September 2019 - August 2020 Lives Saved
No Improvement
Some Improvement
Negative Improvement
RODS, or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR) and Glasgow Coma Score (GCS -measure of alertness) before and after Narcan administration. For example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10 to 13 (delta of 3), the RODS score would be 9. The delta of the vital signs is calculated per incident, so the patient may have received more than one dose of Narcan to achieve the effect in the RODS.
Source: NH Bureau of EMS Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
RODS Outcome
Total 132 153 139 164 131 95 125 113 129 118 146 118
28 39 25
13 22 18 12
38
11
40
5
3252
19
35
11
20
8
13914
46
18 15
4348
16
814131720
66
15171914
62 60 70 49 72
EMS Narcan Administration - Lives Saved
Some Improvement RODS Score of 1-7
RODS , or Revised Over Dose Score is based on the combined delta of documented respiratory rate (RR)
and Glasgow Coma Score (GCS - measure of a lertness) before and after Narcan adminis tration. For
example, RR improved from 6/min to 12/min (delta of 6) and GCS improved from 10-13 (delta of 3), the
RODS score would be 9. The delta of the vi ta l s igns i s ca lculated per incident, so the patient may have
received more than one dose of Narcan to achieve the effect in the RODS.
Negative Improvement Negative RODS Score
Lives Saved RODS Score of 8+
No Improvement RODS Score of 0
2019 2020
54 81 67 73 68 54
0.97
0.41
1.16
0.90
1.09
0.87
1.13
0.45
1.47
0.45
1.44
0.51
2.40
0.55
1.31
1.00
0.61
1.55
0.68
1.78
0.82
0.64
0.30
0.66
0.99 0.93
0.55
1.32
0.45
0.00
0.50
1.00
1.50
2.00
2.50
3.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# o
f In
cid
ents
Invo
lvin
g N
arca
n p
er 1
0,00
0 p
op
Source: NH Bureau of EMS
EMS Narcan Administration by County per 10,000 Population
June
July
August
Pittsburg
Lincoln
Alton
Errol
MilanStark
Albany
Berlin
Bartlett
LymeSandwich
Stratford
Ossipee
Weare
Conway
Odell
Hill
Bethlehem
Bath Jackson
Gilford
Concord
Carroll
Warner
Orford
Unity
Canaan
Dixville
Benton
Littleton
Success
Sutton
Warren
Derry
Franconia
Bow
Columbia
Livermore
Chatham
EnfieldMeredith
Loudon
Clarksville
Tamworth
Haverhill
Strafford
Groton
Jaffrey
Hanover
Hollis
Gilmanton
Stoddard
Plainfield
Deerfield
Campton
Keene
Dummer
Milton
WolfeboroGrafton
Thornton
Antrim
Rindge
Cornish
Jefferson
Lee
Woodstock
Alstead
Millsfield
Newport
Lancaster
Rumney
Henniker
Swanzey
Epsom
Winchester
Andover
Randolph
Dover
Madison
Acworth
Shelburne
Lebanon
Cambridge
Barrington
Moultonborough
Dublin
Tuftonboro
Wakefield
Walpole
Danbury
Hopkinton
Easton
Piermont
Rochester
Croydon
Barnstead
Eaton
Dalton
Wilmot
Newbury
Candia
Salisbury
Sanbornton
Lyman
Claremont
Freedom
Nottingham
Bedford
Hooksett
Springfield
Bradford
AmherstWilton
Alexandria
Dorchester
NashuaSalem
Canterbury
Lisbon
Washington
Gorham
Colebrook
Auburn
Deering
Chesterfield
Beans Purchase
Effingham
Troy
Wentworth
Waterville Valley
Belmont
Landaff
Hudson
Milford
Epping
Richmond
Goffstown
Marlow
Franklin
Hancock
Hillsborough
New Boston
Mason Pelham
Whitefield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webster
New Durham
Londonderry
NelsonChester
Laconia
26
Farmington
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charles
town
Plymouth
Kilkenn
y
Temple
Northfield
Dunbarton
SurryManchester
Windham
Goshen Pittsfield
Peterborough
Grantham
Sunape
e
Northwood
New Ham
pton
New Ipswich
Greenfield
HinsdaleHebron
Westmoreland
Boscawen
Kingston
GilsumSullivan
Francestown
Ellsworth
Brookfield
Northu
mberla
ndPem
broke
Tilton
Sharon
Brookline
Lyndeb
orough
FremontHarrisville
New London
Chiches
ter
Middleton
Allenstown
Second College GrantDixs Grant
Langdon
Bridgewate
r
Sugar Hill
Litchfield
Stratham
Marlborough
Brentwoo
d
24Sandown Danville
27
Roxbury
Ashland
Madbury
7
3
Atkinson
Mont Vernon
Newton
Greenland
Plaistow
Newmarket
Hampstead
11
29
1
22
Windsor
18
20
6
16
25
23
5
31
Newfields
21
30
Greenville
12
17
19
4
913
8
14
15
28
2
!
10
Coos
Grafton Carroll
Merrimack
Cheshire Hillsborough
Sullivan
Belknap
Strafford
Rockingham
0 10 20 305MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
EMS/Narcan Administration by T own9/1/2019 – 8/31/2020Data Source: New Hampshire Bureau of EMS
UNCLASSIFIED
UNCLASSIFIED - AUTHORIZED FOR PUBLIC RELEASE 8
Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - T hompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant
Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth
INDEX
*Incidents Where Narcan Was Administered*1 - 1011 - 2526 - 5051 - 100101 - 200201 - 500
Opioid Related Emergency Department Visits: Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
9 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
*** IMPORTANT DATA NOTES***
County represents where the opioid use patient resides.
These data include data on suspected overdoses categorized as “all drug,” “all opioid,” “heroin,” and “all stimulant.” This report uses key words and ICD-10 associated overdose codes that CDC has defined as tailored to nonfatal opioid overdoses.
These data are now collected using criteria the CDC established for their Overdose Data to Action (OD2A) grant “making this report more transparent.”
Right click on the paperclip and select “Open File” to view additional data.
*Important Note* the data being reported for 2020 has different collection criteria than previous months. Due to the new collection criteria,
new data is no longer comparable to previous data. Trends: Opioid related ED visits decreased by 10% from July to
August. In August, residents from Strafford County had the most
opioid related ED visits per capita with 3.03 visits per 10,000 population. Coos County residents had the second highest number of opioid related ED visits per capita with 2.70 visits per 10,000 population.
In August, the age group with the largest number of opioid related ED visits was 30-39 year olds, with 24%.
0.00
5.00
10.00
15.00
20.00
25.00
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# o
f ED
Op
ioid
Use
Vis
its
per
100
,000
po
p
Source: NH Division of Public Health Services
Emergency Department Opioid Use Visits by Month per 100,000 PopulationJanuary 2020 - August 2020
2020
1.46
1.85
2.05
2.70
0.88
2.13
1.401.29
3.03
1.59
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
# of
ED
Opi
oid
Use
Vis
its
per
10,0
00 p
op
Source: NH Division of Public Health Services
Emergency Department Opioid Use Visits by Countyper 10,000 Population
August
5%
11%
20%
24%
20%
10%
10%
August Emergency Department Opioid Use Visits by Age
0-9
10-19
20-29
30-39
40-49
50-59
60+
Source: NH Division of Public Health Services
UNCLASSIFIED
2017 2018 2019 January February March April May June July August September October November December Total
Total 6,684 5,539 5,562 261 195 267 154 246 228 308 278 1,937
County
Belknap 134 281 247 5 4 12 4 8 8 12 9 62
Carroll 107 110 118 5 3 4 4 4 6 13 9 48
Cheshire 158 157 99 11 8 12 7 14 19 9 16 96
Coos 172 92 110 5 5 12 2 6 8 12 9 59
Grafton 176 151 126 5 0 3 4 6 8 10 8 44
Hillsborough 2,713 2,154 1,884 96 71 89 52 98 65 107 88 666
Merrimack 970 630 548 24 15 26 10 20 18 20 21 154
Rockingham 660 539 724 49 30 23 21 33 27 44 40 267
Strafford 896 856 955 30 32 46 18 25 33 47 39 270
Sullivan 197 111 210 6 3 7 6 7 3 7 7 46
Out of State 501 458 541 25 24 33 26 25 33 27 32 225
Gender
Male 3,798 3,183 3,126 147 108 159 88 132 125 178 149 1,086
Female 2,886 2,356 2,436 114 87 108 66 114 103 130 129 851
Age
0-9 11 10 8 13 5 14 13 20 16 13 15 109
10-19 170 104 74 30 25 29 14 25 17 28 31 199
20-29 2,477 1,881 1,722 72 48 58 43 54 60 73 55 463
30-39 2,235 1,929 2,031 60 55 55 30 59 56 62 67 444
40-49 879 756 781 34 23 41 24 32 26 36 55 271
50-59 562 509 590 23 22 36 18 28 24 35 28 214
60+ 350 350 356 29 17 34 12 28 29 61 27 237
*Note: The data reported in 2020 has different collection criteria than previous years and is no longer comparable to previous data.
Opioid Related Emergency Department Visits:Data Source: NH Division of Public Health Services
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
nh.iacFile AttachmentOpioid Related ED Visits.pdf
Opioid Related Emergency Department Visits (Continued): Data Source: NH Division of Public Health Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
10 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
19.20
14.34
19.64
11.33
18.09 16.77
22.6620.45
0.00
5.00
10.00
15.00
20.00
25.00
January February March April May June July August# o
f ED
Op
ioid
Use
Vis
its
per
100
,000
po
p
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits per 100,000 Population January 2020 - August 2020
1.30 1.23
2.44 2.40
0.88
1.57
1.20
0.87
2.56
0.68
1.94
2.67
1.16
3.59
1.09
2.59
1.331.42
3.65
1.46
1.85 2.05
2.70
0.88
2.13
1.401.29
3.03
1.59
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# o
f E
D O
pio
id U
se V
isit
s p
er
10
,00
0 p
op
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits by County per 10,000 Population
June
July
August
Treatment Admissions: Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
11 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Trends: Opioid/opiate, Methamphetamine, & Cocaine/Crack
treatment admissions decreased 6% from July to August. In August, residents from Strafford County were
admitted at the highest per capita rate for opioid/opiate treatment, with 1.71 admissions per 10,000 population.
More males than females were admitted to treatment programs in August for Opioid/Opiate, Methamphetamine, & Cocaine/Crack use.
Methamphetamine treatment admissions decreased 23% from July to August.
Cocaine/Crack treatment admissions increased 71% from July to August.
Heroin/Fentanyl treatment admissions decreased by 11% from July to August.
Right click on the paperclip and select “Open File” to view additional data.
*** IMPORTANT DATA NOTES***
County represents where the patient resides.
These data represent treatment admissions to state funded facilities.
These data have decreased due to numerous factors. The Affordable Care Act has been fully implemented, resulting in increased access to affordable health insurance and coverage for substance use disorder treatment in NH. New Hampshire expanded its Medicaid program, which also provided increased opportunities for substance use disorder treatment in the state. Substance use disorder treatment in the state has increased sharply in response to these policies which has shifted clients served by State of New Hampshire contracted treatment providers to other payment models and facilities.
20.96
22.51
19.64 20.0121.18
17.43
14.78 14.4212.95
16.18 16.6215.59
0.00
5.00
10.00
15.00
20.00
25.00
Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug
# o
f T
rea
tme
nt
Ad
mis
sio
ns
pe
r 1
00
,00
0 p
op
Source: NH Bureau of Drug & Alcohol Services
Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Month per 100,000 Population
September 2019 - August 2020
0.97
1.091.04
0.93
0.23
1.71
0.68
0.32 0.300.22
0.07 0.07 0.08
0.27
0.030.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
# o
f T
re
atm
en
t A
dm
issio
ns p
er 1
0,0
00
po
p
Source: NH Bureau of Drug & Alcohol Services
August Opioid/Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by County per 10,000 Population
Opioid/Opiate
Methamphetamine
Cocaine/Crack
59%
40%
1%
August Treatment Admissions by Gender
Male
Female
Transgender
Source: NH Bureau of Drug & Alcohol
UNCLASSIFIED
2017 2018 2019 January February March April May June July August September October November December YTD 2020
Total 4,024 3,319 3,609 288 237 201 196 176 220 226 212 1,756
County
Belknap 156 114 152 6 6 5 5 3 6 11 8 50
Carroll 43 38 36 1 6 1 3 2 6 1 0 20
Cheshire 60 32 42 3 3 1 3 3 1 3 0 17
Coos 45 42 66 4 6 2 2 1 5 5 1 26
Grafton 122 129 140 12 15 5 8 7 11 12 14 84
Hillsborough 1,044 797 1,052 91 75 77 72 59 66 76 57 573
Merrimack 342 214 306 25 9 13 10 13 16 15 16 117
Rockingham 319 233 216 13 17 16 22 9 8 11 8 104
Strafford 336 322 325 21 17 17 17 12 21 22 23 150
Sullivan 25 14 29 8 2 2 6 3 1 4 3 29
Out of State 129 16 65 7 3 3 0 1 2 5 5 26
Not Provided 1,403 1,368 1,180 97 78 59 48 63 77 61 77 560
Gender
Male 2,419 1,891 1,964 174 134 103 108 100 138 131 126 1,014
Female 1,602 1,425 1,641 114 103 96 88 76 80 95 85 737
Transgender 2 3 4 0 0 2 0 0 2 0 1 5
Age
< 18 7 2 8 0 0 0 0 0 0 0 0 0
18-25 821 581 537 31 35 26 21 25 37 26 28 229
> 26 3,196 2,736 3,064 257 202 175 175 151 183 200 184 1,527
Treatment data includes
opioid/opiate, methamphetamine, &
cocaine/crack admissions.
Treatment Admissions:Data Source: NH Bureau of Drug & Alcohol Services
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
nh.iacFile AttachmentTreatment Admissions.pdf
Treatment Admissions (Continued): Data Source: NH Bureau of Drug & Alcohol Services
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
12 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug
# o
f T
reat
me
nt
Ad
mis
sio
ns
pe
r 1
00
,00
0 p
op
Source: NH Bureau of Drug & Alcohol Services
Heroin/Fentanyl , Rx Opiate, Methamphetamine, & Cocaine/Crack Treatment Admissions by Month per 100,000 Population September 2019-August 2020
Heroin/Fentanyl
Rx Opiates
Methamphetamine
Cocaine/Crack
0.81
1.23
0.13
1.20
1.09
1.40
0.87
0.19
1.40
0.23
1.62
0.21
0.39
0.88
1.57
0.73
0.32
1.55
0.97
1.091.04
0.93
0.23
1.71
0.68
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
Belknap Carroll Cheshire Coos Grafton Hillsborough Merrimack Rockingham Strafford Sullivan
Opioid/Opiate Treatment Admissions by County per 10,000 Population
June
July
August
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
13 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Situational Awareness:
New Law Requires Opioid Treatment in
County Jails
Gov. Chris Sununu signed a bill last week that will require county correctional facilities to provide Medication-Assisted Treatment for opioid addiction in 2021.
Although data is not readily available for county correctional facilities, it is estimated that more than 50% of individuals currently incarcerated in New Hampshire state prisons have opioid use disorder, according to the Governor’s Commission on Alcohol and Other Drugs.
The most effective treatment for opioid addiction involves medications like methadone, buprenorphine and naltrexone, according to the American Society of Addiction Medicine. Yet, until last week, New Hampshire County jails were not required to offer this treatment.
Based on a 2019 report from the Commission on Alcohol and Other Drugs, county jails in New Hampshire varied in what medication-assisted treatment they offered.
While Merrimack and Keene offered a variety of programs for inmates who had been prescribed MAT before incarceration, other counties either offered these medications only to pregnant inmates or did not offer the medications at all.
There were a variety of logistical problems that made some facilities hesitant to adopt MAT. For example, any given doctor cannot administer methadone. They need to go through additional licensing through the state and federal governments.
Furthermore, some commissioners and superintendents had philosophical qualms with the treatment.
Source: www.concordmonitor.com 08/06/2020
New Hampshire Safe Stations
Senators Ask For Drug-Trafficking Information On Dark Web CONCORD, N.H. (AP) — U.S. Sen. Maggie Hassan of New Hampshire is asking the U.S. attorney general’s office and the FBI for a progress report on illegal drug trafficking, particularly of fentanyl and other opioids, on a hidden part of the internet known as the dark web. Hassan was joined by fellow Democrat U.S. Sen. Dianne Feinstein, of California, and Republican U.S. Sen. John Cornyn, of Texas, in a letter Tuesday asking for information regarding the work of the Joint Criminal Opioid Darknet Enforcement, known as J-CODE. That was created by former U.S. Attorney General Jeff Sessions in 2018 to develop a strategic plan to disrupt and dismantle dark web marketplaces that facilitate the distribution of opioids. The senators wrote that the dark web can provide anonymity to those who use it, hiding identities and locations. The senators asked whether the Justice Department has a system that tracks indictments and investigations related to crimes involving the dark web and opioids; if authorities have been able to determine which countries opioids are coming from on the dark web; and whether there are technology companies that provide secure or encrypted communications that don’t cooperate with law enforcement with respect to drug trafficking. Source: www.apnews.com 09/15/2020
Manchester Safe Station Began 5/4/2016
Manchester
As of 09/11/2020
Q3 2020 Total
Number of requests at MFD for Safe Station: 172 7,312
Number of participants transported to hospitals: 32 1,599
Number of participants taken to Substance Misuse Treatment Facilities: 112 5,645
Average length of time company “Not Available”: 11.0 Min 13.7 Min
Number of UNIQUE participants: 149 4,034
Number of REPEAT participants: 109 2,810
Number of unique participants seen in both City’s Safe Station Program 564
https://www.concordmonitor.com/Opioid-Treatment-New-Hampshire-Prisons-35593754https://remote.nehidta.org/go/https:/office1.nehidta.local/owa/?ae=Item&a=Open&t=IPM.Note&id=RgAAAABKQvKIWhZxTYphS0lS0mgqBwAqZmwtjWf8QKr552kGIYZCAAAAAEBvAAAqZmwtjWf8QKr552kGIYZCAAAADePRAAAJ&pspid=_1601388929366_588938531
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED
14 UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE
Substance Use Disorder Treatment/Recovery Directory: State funded treatment facilities in NH (NOT a complete list) - Data Source: NH Department of Health and Human Services
BETHLEHAM
North Country Health Consortium
(NCHC)/ Friendship House
262 Cottage Street. Suite 230
Bethlehem, NH
Phone: 603-259-3700
DOVER
Southeastern NH Alcohol and
Drug Abuse Services
272 County Farm Road
Dover, NH
Crisis Center: 603-516-8181
Main: 603-516-8160
DUBLIN
Phoenix House Comprehensive
Addiction Treatment Services
3 Pierce Rd. Dublin, NH
Phone: 603-563-8501, Option 1
FRANKLIN
Farnum Center North
Ray House (Women)
14 Holy Cross Road. Franklin, NH
Phone: 603-263-6287
Families in Transition - New
Horizons
293 Wilson Street
Manchester, NH
Phone: 603-641-9441 ext. 401
Farnum Center
140 Queen City Avenue
Manchester, NH
Phone: 603-622-3020
NASHUA
Greater Nashua Council on
Alcoholism
12 & 1/2 Amherst Street
Nashua, NH
Phone: 603-943-7971 Ext. 3
Greater Nashua Council on
Alcoholism: Keystone Hall
615 Amherst Street
Nashua, NH
Phone: 603-881-4848
Greater Nashua Mental Health
Center
110 West Pearl Street
Nashua, NH
Phone: 603-889-6147
ROCHESTER
Hope on Haven Hill
PO Box 1271
Rochester, NH 03867
Phone: 603-247-2043
KEENE
Phoenix House Comprehensive
Addiction Treatment Services
106 Roxbury Street. Keene, NH
Phone: 603-358-4041, Option 1
LEBANON
Headrest
14 Church Street
Lebanon, NH
Phone: 603-448-4400
Alice Peck Day Hospital
10 Alice Peck Day Drive
Lebanon, NH
Phone: 603-448-4400
West Central Services, Inc.
9 Hanover Street, Suite 2
Lebanon, NH
Phone: 603-448-0126
MANCHESTER
Dismas Home of NH, Inc. (Women)
102 Fourth Street
Manchester, NH
Phone: 603-782-3004
A full list of Substance Use Disorder
Treatment Facilities can be found
here.
A treatment locator can be found
here.
http://www.dhhs.nh.gov/dcbcs/bdas/guide.htmhttp://nhtreatment.org/