Data on drug overdose death rates, by drug type and selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions, and changes over time. SOURCE: NCHS, National Vital Statistics System, numerator data from annual public-use Mortality Files; denominator data from U.S. Census Bureau national population estimates; and Murphy SL, Xu JQ, Kochanek KD, Arias E, Tejada-Vera B. Deaths: Final data for 2018. National Vital Statistics Reports; vol 69 no 13. Hyattsville, MD: National Center for Health Statistics.2021. Available from: https://www.cdc.gov/nchs/products/nvsr.htm. For more information on the National Vital Statistics System, see the corresponding Appendix entry at https://www.cdc.gov/nchs/data/hus/hus19-appendix-508.pdf.

A. SUMMARY This dataset includes data on a variety of substance use services funded by the San Francisco Department of Public Health (SFDPH). This dataset only includes Drug MediCal-certified residential treatment, withdrawal management, and methadone treatment. Other private non-Drug Medi-Cal treatment providers may operate in the city. Withdrawal management discharges are inclusive of anyone who left withdrawal management after admission and may include someone who left before completing withdrawal management.

This dataset also includes naloxone distribution from the SFDPH Behavioral Health Services Naloxone Clearinghouse and the SFDPH-funded Drug Overdose Prevention and Education program. Both programs distribute naloxone to various community-based organizations who then distribute naloxone to their program participants. Programs may also receive naloxone from other sources. Data from these other sources is not included in this dataset.

Finally, this dataset includes the number of clients on medications for opioid use disorder (MOUD).

The number of people who were treated with methadone at a Drug Medi-Cal certified Opioid Treatment Program (OTP) by year is populated by the San Francisco Department of Public Health (SFDPH) Behavioral Health Services Quality Management (BHSQM) program. OTPs in San Francisco are required to submit patient billing data in an electronic medical record system called Avatar. BHSQM calculates the number of people who received methadone annually based on Avatar data. Data only from Drug MediCal certified OTPs were included in this dataset.

The number of people who receive buprenorphine by year is populated from the Controlled Substance Utilization Review and Evaluation System (CURES), administered by the California Department of Justice. All licensed prescribers in California are required to document controlled substance prescriptions in CURES. The Center on Substance Use and Health calculates the total number of people who received a buprenorphine prescription annually based on CURES data. Formulations of buprenorphine that are prescribed only for pain management are excluded.

People may receive buprenorphine and methadone in the same year, so you cannot add the Buprenorphine Clients by Year, and Methadone Clients by Year data together to get the total number of unique people receiving medications for opioid use disorder.

For more information on where to find treatment in San Francisco, visit findtreatment-sf.org. 

B. HOW THE DATASET IS CREATED This dataset is created by copying the data into this dataset from the SFDPH Behavioral Health Services Quality Management Program, the California Controlled Substance Utilization Review and Evaluation System (CURES), and the Office of Overdose Prevention.

C. UPDATE PROCESS Residential Substance Use Treatment, Withdrawal Management, Methadone, and Naloxone data are updated quarterly with a 45-day delay. Buprenorphine data are updated quarterly and when the state makes this data available, usually at a 5-month delay.

D. HOW TO USE THIS DATASET Throughout the year this dataset may include partial year data for methadone and buprenorphine treatment. As both methadone and buprenorphine are used as long-term treatments for opioid use disorder, many people on treatment at the end of one calendar year will continue into the next. For this reason, doubling (methadone), or quadrupling (buprenorphine) partial year data will not accurately project year-end totals.

E. RELATED DATASETS Overdose-Related 911 Responses by Emergency Medical Services Unintentional Overdose Death Rates by Race/Ethnicity Preliminary Unintentional Drug Overdose Deaths

A. SUMMARY This dataset comes from the San Francisco Emergency Medical Services Agency and includes all opioid overdose-related 911 calls responded to by emergency medical services (ambulances). The purpose of this dataset is to show how many opioid overdose-related 911 calls the San Francisco Fire Department and other ambulance companies respond to each week. This dataset is based on ambulance patient care records and not 911 calls for service data.

B. HOW THE DATASET IS CREATED The San Francisco Fire Department and other ambulance companies send electronic patient care reports to the California Emergency Medical Services Agency for all 911 calls they respond to. The San Francisco Emergency Medical Services Agency (SF EMSA) has access to the state database that includes all reports for 911 calls in San Francisco County. In order to identify overdose-related calls that resulted in an emergency medical service (or ambulance) response, SF EMSA filters the patient care reports based on set criteria used in other jurisdictions called The Rhode Island Criteria. These criteria filter calls to only include those calls where EMS documented that an opioid overdose was involved and/or naloxone (Narcan) was administered. Calls that do not involve an opioid overdose are filtered out of the dataset. Calls that result in a patient death on scene are also filtered out of the dataset.

This dataset is created by copying the total number of calls each week when the state makes this data available.

C. UPDATE PROCESS Data is generally available with a 24-hour lag on a weekly frequency but the exact lag and update frequency is based on when the State makes this data available.

D. HOW TO USE THIS DATASET This dataset includes the total number of calls a week. The week starts on a Sunday and ends on the following Saturday.

This dataset will not match the Fire Department Calls for Service dataset, as this dataset has been filtered to include only opioid overdose-related 911 calls based on electronic patient care report data. Additionally, the Fire Department Calls for Service data are primarily based on 911 call data (i.e. calls triaged and recorded by San Francisco’s 911 call center) and not the finalized electronic patient care reports recorded by Fire Department paramedics.

E. RELATED DATASETS Fire Department Calls for Service San Francisco Department of Public Health Substance Use Services Unintentional Overdose Death Rates by Race/Ethnicity Preliminary Unintentional Drug Overdose Deaths

F. CHANGE LOG

• 1/17/2024 - updated date/time fields from Coordinated Universal Time (UTC) to Pacific Time (PT) which caused a slight change in historic case counts by week.