To: State, territorial, tribal, and local policymakers and administrators of agencies and programs focused on child, youth, and family health and well-being Dear Colleagues, Thank you for your work to support children, youth, and families. Populations served by Administration for Children and Families (ACF)-funded programs — including victims of trafficking or violence, those who are unhoused, and young people and families involved in the child welfare system — are often at particularly high risk for substance use and overdose. A variety of efforts are underway at the federal, state, and local levels to reduce overdose deaths. These efforts focus on stopping drugs from entering communities, providing life-saving resources, and preventing drug use before it starts. Initiatives across the country are already saving lives: the overdose death rate has declined over the past year but remains too high at 32.6 per 100,000 individuals. Fentanyl, a powerful synthetic opioid, raises the risk of overdose deaths because even a tiny amount can be deadly. Young people are particularly at risk for fentanyl exposure, driven in part by widespread availability of counterfeit pills containing fentanyl that are marketed to youth through social media. While overdose deaths among teens have recently begun to decline, there were 6,696 deaths among adolescents and young adults in 2022 (the latest year with data available)[1], making unintentional drug overdose the second leading cause of death for youth ages 15—19 and the first leading cause of death among young adults ages 20-24.[2] Often these deaths happen with others nearby and can be prevented when opioid overdose reversal medications, like naloxone, are administered in time. CDC’s State Unintentional Drug Overdose Reporting System dashboard shows that in all 30 jurisdictions with available data, 64.7% of drug overdose deaths had at least one potential opportunity for intervention.[3] Naloxone rapidly reverses an overdose and should be given to any person who shows signs of an opioid overdose or when an overdose is suspected. It can be given as a nasal spray. Studies show that naloxone administration reduces death rates and does not cause harm if used on a person who is not overdosing on opioids. States have different policies and regulations regarding naloxone distribution and administration. Forty-nine states and the District of Columbia have Good Samaritan laws protecting bystanders who aid at the scene of an overdose.[4] ACF grant recipients and partners can play a critical role in reducing overdose deaths by taking the following actions: Stop Overdose Now (U.S. Centers for Disease Control and Prevention) Integrating Harm Reduction Strategies into Services and Supports for Young Adults Experiencing Homelessness (PDF) (ACF) Thank you for your dedication and partnership. If you have any questions, please contact your local public health department or state behavioral health agency. Together, we can meaningfully reduce overdose deaths in every community. /s/ Meg Sullivan Principal Deputy Assistant Secretary [1] Products - Data Briefs - Number 491 - March 2024 [2] WISQARS Leading Causes of Death Visualization Tool [3] SUDORS Dashboard: Fatal Drug Overdose Data | Overdose Prevention | CDC [4] Based on 2024 report from the Legislative Analysis and Public Policy Association (PDF). Note that the state of Kansas adopted protections as well following the publication of this report. Metadata-only record linking to the original dataset. Open original dataset below.

Annual number of deaths registered related to drug poisoning in England and Wales by sex, region and whether selected substances were mentioned anywhere on the death certificate, with or without other drugs or alcohol, and involvement in suicides.

Deaths related to drug poisoning in England and Wales by cause of death, sex, age, substances involved in the death, geography and registration delay.

Date Created: December 2024Update Frequency: YearlyLast Reviewed: December 2024Accuracy, Completeness, and Known Issues Data are from the "Suspect drug-related and confirmed opioid toxicity deaths in Ottawa Public Health" custom report provided by the OCCO.Confirmed opioid toxicity deaths are deaths for which a coroner or forensic pathologist determined the cause of death to be drug toxicity with opioid involvement. These may include drug toxicity deaths involving multiple substances. Conclusions on cause of death may take several months to become available.Deaths have been assigned to public health unit based on six-digit postal code of the residence of the decedent. If residence postal code was unavailable, the postal code of the incident location was used. If postal code of the incident location was unavailable, the postal code of the death location was used. This methodology aligns with how deaths are assigned in PHO's Interactive Opioid Tool.The attribution of deaths to an ONS neighbourhood reflects the location of incident or death, based on postal code, and not necessarily the neighbourhood where the decedent resided. Postal codes that straddle more than one ONS neighbourhood are allocated to neighbourhoods based on the area of overlap between the straddled neighbourhoods. If there is no postal code information for the location of incident, the location of incident/death is not attributed to an ONS neighbourhood. Attributes:ONS neighbourhood ID – the identification number for the Ottawa Neighbourhood Study (ONS) neighbourhood.ONS neighbourhood name – the name of the ONS neighbourhood.Cumulative number of confirmed opioid toxicity deaths – the cumulative number of confirmed opioid toxicity deaths of Ottawa residents based on the location of the incident.Yearly average of confirmed opioid toxicity deaths – the cumulative number of confirmed opioid toxicity deaths of Ottawa residents divided by the number of years of data.Average yearly rate (per 100,000 population) of confirmed opioid toxicity deaths – the average of the yearly rate (per 100,000 population) of confirmed opioid toxicity deaths of Ottawa residents. To calculate each neighbourhood’s annual rate, the total number of drug overdose deaths by ONS neighbourhood is divided by the neighbourhood population estimate for that year and then multiplied by 100,000. This gives us an annual neighbourhood rate per 100,000 population for each year of data and neighbourhood. For each neighbourhood, the annual rates are summed to create a cumulative neighbourhood rate, which is then divided by the number of years to create the average yearly rate for each neighbourhood.Years – the range of years during which the deaths occurred. Data Steward: OPH Epidemiology TeamData Steward Email: oph-epidemiology@ottawa.caDepartment or Agency: Ottawa Public HealthBranch/Unit: Epidemiology and Evidence

Rank, number of deaths, percentage of deaths, and age-specific mortality rates for the leading causes of death, by age group and sex, 2000 to most recent year.