Paone Denise, Tuazon Ellenie, Kattan Jessica, Nolan Michelle L, O'Brien Daniella Bradley, Dowell Deborah, Farley Thomas A, Kunins Hillary V
MMWR Morb Mortal Wkly Rep. 2015 May 15;64(18):491-4.
From 2000 to 2011, the rate of unintentional drug poisoning (overdose) deaths involving opioid analgesics increased 435% in Staten Island, from 2.0 to 10.7 per 100,000 residents. During 2005-2011, disparities widened between Staten Island and the other four New York City (NYC) boroughs (Bronx, Brooklyn, Manhattan, and Queens); in 2011, the rate in Staten Island was 3.0-4.5 times higher than in the other boroughs. In response, the NYC Department of Health and Mental Hygiene (DOHMH) implemented a comprehensive five-part public health strategy, with both citywide and Staten Island-targeted efforts: 1) citywide opioid prescribing guidelines, 2) a data brief for local media highlighting Staten Island mortality and prescribing data, 3) Staten Island town hall meetings convened by the NYC commissioner of health and meetings with Staten Island stakeholders, 4) a Staten Island campaign to promote prescribing guidelines, and 5) citywide airing of public service announcements with additional airing in Staten Island. Concurrently, the New York state legislature enacted the Internet System for Tracking Over-Prescribing (I-STOP), a law requiring prescribers to review the state prescription monitoring system before prescribing controlled substances. This report describes a 29% decline in the opioid analgesic-involved overdose death rate in Staten Island from 2011 to 2013, while the rate did not change in the other four NYC boroughs, and compares opioid analgesic prescribing data for Staten Island with data for the other boroughs. Targeted public health interventions might be effective in lowering opioid analgesic-involved overdose mortality rates.
2000年至2011年期间，斯塔滕岛涉及阿片类镇痛药的非故意药物中毒（过量）死亡率增长了435%，从每10万居民2.0例增至10.7例。在2005年至2011年期间，斯塔滕岛与纽约市其他四个行政区（布朗克斯、布鲁克林、曼哈顿和皇后区）之间的差距扩大；2011年，斯塔滕岛的死亡率比其他行政区高3.0至4.5倍。作为回应，纽约市卫生和精神卫生部门（DOHMH）实施了一项由五个部分组成的全面公共卫生战略，包括全市范围和针对斯塔滕岛的举措：1）全市阿片类药物处方指南；2）向当地媒体发布一份数据简报，突出斯塔滕岛的死亡率和处方数据；3）由纽约市卫生专员召集的斯塔滕岛市政厅会议以及与斯塔滕岛利益相关者的会议；4）在斯塔滕岛开展一项推广处方指南的活动；5）在全市播放公共服务公告，并在斯塔滕岛额外播放。与此同时，纽约州立法机构颁布了《过量处方追踪互联网系统》（I-STOP），该法律要求开处方者在开具管制药品之前查阅该州的处方监测系统。本报告描述了2011年至2013年期间斯塔滕岛涉及阿片类镇痛药的过量死亡率下降了29%，而纽约市其他四个行政区的这一比率没有变化，并将斯塔滕岛的阿片类镇痛药处方数据与其他行政区的数据进行了比较。有针对性的公共卫生干预措施可能有助于降低涉及阿片类镇痛药的过量死亡率。
