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HomeMy WebLinkAboutRES-2018-011 Resolution regarding abatement of public health nuisancese TOM' , III I R-11 ME WHEREAS, Orange County Board of Commissbriers has the aiultholrity to adopt ordinances and resoMions with respect to county affairs and the abaternent of public healith nuisances in Orange County, North Carolina, pursuant to NC, Gen, Stat. Ann, § 153A-121; WHEREAS,, the Orange County Board of Commissioners hias the authority to tale action to protect the public health, safety, and welfare of the residents and citizens of Orange County; WHEREAS, there exists a serious public health and safety crisis involving opi,oid abuse, addiction, morbidity, and mortadlity in Orange County; WHEREAS, the diversion of legally produced controlled substances into the illicit market causes or contributes to the serious public health and safety crisis involiving opi!oid abuse, addiction, morbidity, and mortality in Orange County; WHEREAS, the olpioid crisis unreasonably interferes with rights common to the general public, of Orange County; involves a significant interference with the public health, safety, peace, comfort, and convenience of citizens and residents of Orange County; includes the delivery of controlled substances in violation, of State and Federal law and regLflations; and therefore constitutes a public nuisaincel; W'HEREAS, the opioid crisis is having an extended and far reaching irnpact of the general public, health, and safelty, of residents and citizens of O, ran lge County and must be ablated; WHEREAS, the violation of any laws of the State of North Carolina, or of the United States of America controlling the ' distribution of a controlled substance is inimical, (harmful, and adverse to the pubfic welfare of the residents and citizens of Orange County constitutes a public nuisance; WHEREAS, the Orange County Board of Commissioners has the authority to abate, or cause to be abated', any public nuisance including those acts that unreasonably interfere with rights common to the general public of Orange County and/or involve a significant interference with the public health, safety, peace, comfort, and convenience of citizens and residents of Orange County; WHEREAS, Orange County has expended, is expending, and will continue to expend in the flulture County, funds to respond to the serious public health and safety crisis involving opiolid abuse, addiction, morbidity, and mortality within Orange County; and WHEREAS, the Orange County Board of Commissioners have received information that indicates that the manufacturers and wholesale distributors of controlled SUlbstances, have distributed in Orange County, North, Carolina, and surrounding areas, and may have violated Federal and/or State laws and regulations that were enacted to prevent the diversion of legally produced controlled substances into the illicit rnarket, NOW, THEREFORE, BE IT RESOLVED based on information: a,nd documentation received by County Officials and Staff and data on opioid use and abuse in Orange County, including but not limited to Exhibits 1-3 attached hereto, the Orange County Board of Commissioners hereby declare the opioid crisis a public nuisance which must be abated for the benefit of Orange County and its residents and citizens. Adopted by the Orange County Board of Commissioners this 6th day of February, 201.8,. M Mark Doros(In, Ch'air Orange County Board of Commissioners Uffim Donna Baker, Clerk to the Board County 2811 2012 2813 2814 2815 2898 Total N N N N N N N Alarnance 8,448,424 8 „718,131 5,952,725 7,837,483 11,791 €534 19.445,939 49,188;817 Alexander ,600701 2,782,1 52 2,796,881 '982,966 ', 7 1 ;67 ,7 Allegheny 583,512 668,101 575,539 887,747 828,389 959,521 4,7719,799 Anson 3501,127 1,44,21 1,48,784 ,552,1 1,983,652 1,758,578 9,635.772 Ashe 1,518,571 1,598,139 1,5955413 1,8471,791 2,525,588 2,411,347 11,589,929 Avery 925,3201 9401802_ 959,243 11084,022 1,443,0158 1,325,435 5,587;878 Beaufort 2,734.212 21947,0135 3,097,782 3,553,558 4,999;119 5,71800£849 22,512,545 lr 1,295,777 1,298,7119 1,224,7034 1.13891559 1,715,333 1.545,855 8,359,7059 Bl d r Z880,296 2,959,254 3,118.758 3,378,834 3,940,987 3,538,0641 19,8017,2709 Brunswick 7355,0121 1,899,4708 1,931,5970 83745,549 11 A24,14G 11,484,0052 54,5470,771; Buncombe 12,757,255 12,362,529 11 €939,943 13,987,843 18,821,951 17,853,479 85,89 ,900 Burke 5,944,275 7,441,855 1,5105,571 8,499,957 11 £3019,787 19,741,789 52,533,440 Cabarrus 8,382,995 8,833,938 8,5570,7025 10J56,329 13,987,355 13,935,559 52,845,352 Caldwell 8,591,412 .51855,598 52895,99 7,795,798 19,11,948 9€927;738 41, 119,33, Camden 319,428 339 €434 329,872 384,598 5577 129 581,115 23484,485 Carteret 4,245,883 4 494.314 48707,360 5.545,1013 7,36x,484 7,7 38,935 X3,494,0189! Caswell 553,438 715,711 820,060 993, €395 1,188,371 1,958515 5,3181499 13trl 9,7570,5570 171,847;80)1 11 19,859,985 11 F897=7088 15,794 €858 15,192;2401 74 053,204 Chatham 2,252,532 2,283,5714 2,3370,799 2,8201,884 31459,418 3,297,985 15,225,1270 Ch r k e 2,531,371 2.553,841 2,417,555 2.499,594 8,959 „'150 2.978;85 15,925.3 10 ! Chowan 5772158 571,548 573,7061 678,918 9185818 964,811 42282,212 Clay, 743,899 7970,539 7801,598 852,897 1,185,70014 1,112,853 5,,456,583 Cleveland nd 5,588154 5,814,574 8,853 €942 7,592,155 171,255,725 9,728:899 47:949,559 Injury Epidemiology and surveillance Unit For questions or other information regarding data, 919-707-5425 Pev. 1212012017- Page 1 Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919-707-5425 Rev. 1212012017- Page North �-al,olina Injury Violence Number of Opioi d Pills Dispensed By County, C RS: N.C. Residents, 2011-2016 County 2911 2012 _. 2018 2014 2015 - 2016 Total _ N N 1 N Columbus- 6 358.627 6.598.994 6,932,828 7;004,914 8,281,286 8,144,173 435820;772 Craven 6,027,063 6,6575870 6,877,217 7,408,739 110,155,149 9,699,129 46,825,16{ ier111 955. 1x}€ 15,19 =51 1;75 9 19,7,15' 29,913,537 99,52597: Currituck 83 7,04 9 812,439 815,175 890.678 1,225,910 1,137,960 5,719,211 Da re 2,058,496 2,060,337 21037,197 2,087,118 2,7261549 :2;539,614 13,509,311 Davidson 8,587,237 9,163,193 8,982,783 9,928,561 18,158,045 1222135514 62,023,333 Davie, 2,283,182 2,446 €885 2,483,100 2,724,677 3,754,330 8,508,836 17f 19 .0 19 Dig 1in 2,602,500 2,851.792 2,775,579 3,031,027 3,775,350 3,878x929 18,915,268 i rf rri 7,5 6,725 7,671,895 7 899,137 8;977,862 12.155.508 11,530-304 55,1 91.431 Eaecobe 2,144,115 2,136459 2,229,635 2,602,144 35398242 8,291,068 15,691,665 Forst h 14 ,006,1 1 3 3 s5,1O8,7O6 14,999;258 16,725,486 23,688,469 22,360;271 106,838,21 8 Franklin 2,785,911 2,884,770 2;857,288 3,242.533 4,869,558 4,023,218 20,138,27,E stop 13,613,763 14;312.715 14,822,061 16,_489,131 22,008,989 20,508,606 101,705,265 Gates _. 287,215 277,017 288,144 845 €168 497 €944 469,698 2,163,956 Gra Iham 768,392 759,491 715 059 726,316 968,0K 914,245 4,792,465: Granville 2,874,598 2€848,659 2,515,227 2,989,525 8,587,615 8,641,587 17,1025121 Greene 707,792 724,704 759,141 838,420 1 €142.459> 1,172,462 5,344.978 Guilford 16,725€466 17,616,487 17,866,941 20:0125 €972 28:136.563 26,868,179 127,239,558 H 1 2,400,573 2,476,387 2,534.048 2£802,626 3,820,132 31848,.117 17,881 ,288 Harnett 6,157,456 6,669,845 7,220,358 7,972 €431 9,898 €048 9 €505,599 47,423,732 lyrod 3,503,709 1 11 1754,005 3,698;216 4 106;160 5,845 400< 5,630;693 26,538,183 Henderson, 6,186,529 6,151,182 6,077,958 6,.632,596 9,154,630 8,582,867 42,786,212 Hertford 987,984 990;319 1,014, 30 1,120,191 1,505.479, 1,44-0,;820 7.059123 Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919-707-5425 Rev. 1212012017- Page County 2011 2012 2013 2014 2015 2016 Total N N N N N N N Hoke 1,660,611 1,847,682 1,730,864 11886,361 21400,964 2,404,861 11;921.333 Hyde 137,1 -9 162,682 187,906 239„50 349 ®214 361;922 1,428,319 Iredell 81114;920 8,460,377 8,012,226 9,339,817 12.524501 X2,155,336 59,106,926 Jackson 1,861,192. _ 2,046,686 1,881,866 21130,927 2,959,087 2,363,644 13,733=301 Johnston 6,940,3 76 7,462,926 7,736,606 8,646,413 11;435;244 11,126,219 53,3046,77 Jones 386,024 424,371 424,416 437111 626,269 614,972 2,912,162 Lea 3,366,616 3,661,310 3,684,993 4,186,606 5,166,837 6,099,982 26,044,242 nr 2,418,940 2,669,026 2,616,987 2,909,803 3,887 980 1 18:663,924 Lincoln 4,344,397 4,626,286 4,709,141 6,467,139 7,848,704 7 €242,486 34,228.162 McDowell 1,706,497 1,892,934 2"0051015-- 1,998€712 2,391,191 2,323;375 12,317,724: Macon 3;419,914 3,403,068 3,271,884 3,974,248 6,364,209 6,222,900 24,646,213 Madison 1;,862,634 1,827,839 1,797,601 2,186,688 2,766,467 863, t9 13;292,038 Martin 1,616,826 1,513,338 1 €369,288 1,307,403 1;814,498 1,691,962 9,212,299 Mecklenburg 23;617,673 24.476,733 24,409,784 27,6990286 41,640,413 38,661,869 1801404,769 Mitchell 1,220,083 1,164,001 1,193,068 1,366,366 1,862,183. 1,783,122 8,668,813 Montgomery 1,591,851::, __- 1 8696,764 1,773,223 1,997..264 2,607640 2,604.453 12,170,086 Moore 4,649,926 4, 47,372 4,957,001 6,666101 7,369 €693 7,413,214 34,7635216 Nlash 41716,899 4£836,128 - 4,962,963 6,664,886 7312,12{ ,7€085,429 34,666:416, Kievv Effacer 10,300,157 10,529x859 1O565 ,636 11,879,873 16,141.776 18,301,444 74,803.74-4 Northampton, 836,452 843,922 827908 899,841 1,:164:313- 1 €316618 6,078,064 Onslow 7,162,869 7,205,782 7,666,286 8,386,336 11,121,027 11,0143,171 62,471,469 %-'range 3451,746 3,472,183 31618;926 3;864,620 5,139,166 4,930,960 24_,377,690-; Parrs ico 691,189 760,358 838;387 9625393 1,237,373 1 ,163,59' 5,643,291 Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919- 707 -5425 Rev. 12121)12017- Page awry Epidemiology and Surveillance Unit For questions or rater intnrmaflon regarding rata, 919-:7707-5425 rev. 1212012017- Page North, Caro inn Injury S Violence Number of Oploid Pills Dispensed By County, CSRS; N.C. Residents, 2011 -2016 Count 2011 2012 2013 2014 2815 2016 Total N N N N N N N Pas t atar.k 1,410,006 1,425,904 -- 1,385,013 - 1:552 071 2,429,345 2,329;798 1 ; , 37 - -- Pend r 2,984,359 3,095,568 31151,617 3,449,053 4,665,444 4,632,414 21,9782455 Perquimans 498,871, 435,635 445.799 5 7,620 7519.431 802,701 3.510,063' Person 2,744,088 2,775,165 2,973,541 3,289,323 41270,216 4,009,051 20,061,384 P €ttt 6,995,528 7,188,145 7,333,438 82314,699 11,132,028 10.823,047 51,786,885 Palk 1,019,745 982,908 984,375 1,083,369 1,483,017 1,439,899 6,993,313 Randolph', 8,512,442 8 937 165 8,726,191 9,934,869= 13,678,943 12,664,137 62.353,767 Richmond _. 4,170,774 4,352,167 4,559,556 5,199,985 6,116,186 6,179,376 30,488.044 Robeson 9.878,27 11,176,811 12,442,328 16;486,138 15,991,408 1,4,446 18,447,469: Rockingham 7,809,338 8,082,480 8,549,364 8,860,990 11,114,250 10,847,201 55,2637563 Rowan 9,236,294 9,196,41 9,989,661 9,943,495 12,972.216 12,049;217 62,48 ,295 Rutherford 4 {468,984 4,585,975 4x611 ,879 65366,877 71213,986 7;379,882 33,624,253 Sampson 3Y 77,130 4,001,975 31966,785 4,;410.642 5,508,408 5,42 ,167 27,099,19 Scotland 2;823,163 3,937,626 35428,733 0,722,057 4;586,992 4.186,638 21,784,399 tanl , , , 3,56,836 033,109 24,799,316 : .... . ... - -. stokes . .. .. 3,2322,509 . . 3,545,061 3,573,115 3,849,923 5,033,579 4,168,764 24;692,651 SIC 696# 30 5,743,340 5,657,881 , 100 a � L I ,1i 40 Swain 974;616 1,2060088 1,161,844 1,233,859 1,649:242 1,582, 794 7,747,842 Transylvania 1,866,455 1,783,836 1,835156 2,619)062 2,724,042 2,629785 121858,336 Tyrrell 216,939 239,671 204,916 234.747 320,960 284,272 1,501,505 Union 6,252738 6 ,683,736 6,819£365 7;801,346 11,522,563 10,689,960 491769,708: Vance 2,901,436 3 ,139,143 3,154,344 35364,037 4,028.954 3,697,656 20,285,570 Wake, 23,031,977 23,996,760 242686,161 28,431,371 41,394,885 40,5617;612 182,101.766 awry Epidemiology and Surveillance Unit For questions or rater intnrmaflon regarding rata, 919-:7707-5425 rev. 1212012017- Page Data 6ouee; North Carolina Division of Mental health, Developmental Disabilities and Substance Abuse Services, Controlled Substance Reporting System ( 3 ), 2011-2017 Notes: Data from N0 Opioid Action Plan Metrics, October 2017 . Data are subject to change. Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919- 707 -5425 Rev. 121211121717- Page North Carolira In u Violence e P R E Y E N T 10 ch N 8r n— ember of Op oid Pills Dispensed By County, CSRS N.C. Residents, 2011 -2016 County 2811 2012 2813 2014 2815 2016 Total N N N N N _ N Warren 733,417 793,362 827,294 907,302 1,117,811 15052,684 5,431,810 Washington 697,663- 7715615 767,884 X11 1,087, 49 1,006274 _ 5,142,191 Watauga i, 4,017 1,710,165 1,781,514 2,113:991 2,846,223 21709,505 12,855,516 Wayne -5,235,366 _ 5;588,669 5,667,553 6,1197,069 71912,479 7,719.589 38,311.659` Wilkes 5,656,766 5,561,753 5,517,975 5,966,681 7,651,283 6,952,973 37,187371 Wilson 3,931,456 3,936,628 3,984,693 4,383,83 5,519,071 71 5;328,386 27,080:273: Yadkin 2,1 62,472 31146,473 3,251,390 3,425,669 4,317, 189 4;661;745 21,164,238 Yancey 1,2171026 1,148,342 13116.692 > `x,,232,701 1,77751 1;747,025 8,240.181 STATE 443,944,396 463,888,112 471,979,252 524,621,218 703,194,548 675,315,375 3,282,854 ;891 Data 6ouee; North Carolina Division of Mental health, Developmental Disabilities and Substance Abuse Services, Controlled Substance Reporting System ( 3 ), 2011-2017 Notes: Data from N0 Opioid Action Plan Metrics, October 2017 . Data are subject to change. Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919- 707 -5425 Rev. 121211121717- Page North Carc'ina Injure & V,e11c 111 Intents Opiate Poisoning Deaths by County: N.C. Residents. 1999 -2016 County 1999 2000 2001 2002 2003 2814 2005 2696 2007 2968 2009 2010 2111 2012 2613 2414 2615 2016 Total Namance 4 1 5 - to 2 8 11 17 1 9 9 1- 11 14 161 Alexander _ - -_ LT [ r 6. n 6 0 1. 1 1 0 2 3 3 a 1 G 2 19 Ans= 0 i 2 ;: 9 O [ 3 3 2 0 1. 2 M 2 1 1 to Ache 1 3 2 1. 4 0 5 4 5 4 2 3 5 3 2 4 52 r e,, 3 1 3 1 4 2 2 >' 4 :1 2 t 2 4 1 1 3 5 42 Beau`oN 4 1 0 2 6 3 2 3 `d 5 4 5 3 5 10 59 Blac n 3 1 6 [ 3 2 0 4 4 4 4 2 3 4 2 J 5 4- 49 Bruns ick ..:., 3 . 6 -. .. :.. 1( _ -.: 11 9 14 _ 3 9 . 13 23 19 ... 2 ::- 25 26 ..... 16 24 34 = -_ 283 47 t_ I' G 4 1 ' 14:.. _ E7 17 23 346 YIJ-Ke 1D 9 16 12 22 2 16 14 0 19 19 19 31 26 ? °; v?Qvff�,`$ 2 ee .3 3 13 25 1r� 12 19 29 13 ':6 �'1 22 17 Ff fiv 273 18.e11 9 3 4 & 12 19! 15 14 15 12 € 6 23 °9 173 g_ 5 5 6 13 ?2 7Js 12 7 i3 15 29 163 1 1 4' {:. 4 1 6 6 2 9 6 2 3 24 Catawba 2 3 13 1s 14 12 : 9s 1 :23 17 22 °13 23 15 18 _ 18 17 36 27 : Chatham g 0 0 1 2 2 5 4 4 1 5 1 1 Cherokee 3 2 2 5 4= 6i 5 8 6 5 11 i 1 3 4 1 4 9 n 1 i 9 0 9 6 [ 0 1 u 9 3 2 0 3 2 =1 ,Clay n 1 6 6 1 4 3 1 1 1 i 0 3 2, clevei2nd 1 5 9 4 11 6 7 9 10 16 14 15 5 12 8 3 18 19 163 cclumbtls " 2 2 5 1 4 7' 4 19 14 9 8 3 7 9 13: 1 1 R Craven G_ 2 1 4 12 1 sn 6 3 3 13 10 W 9-2 Curnbad d 8 7 5 8 9 14 14 14- 11 -9 27 22 24 26 20 34 41 53 353 G Jr .tuck G 0 0 0 2 F 3 2 9 f1 Q 2 4 25 Dare 1 2 5 3 8 8 3- 2 5 v 5 3 l 3 9 3 5 76 D3'idso 1 6 4 9 12 17 16 29 16 25 1 12 20 15 24 28 19 33 292 Davie 1 1 1 2 2 4 6 5 '' 5 v 3 .. 4 3 3 4 14 75 Dunl;n 0 0 1 2 2 4: 2 6 4 2 3 2 2_ 1 30 Gurna e 7 4 '1 '9 19 12 14 24 8 15 16 11 28 15 '7 221 Edgecombe 7 2 1 1 1 3 3 1 3 2 2 2 3 6 5 6 6_ 48 r rt 6 12 6 19 19 15 3 31 22 28 16 33 30,` 31 44 53 55 456 bra ,k1[. 9 2 - 0 1 2 4 4 6 5 4 3 ? 7 2 v- ._ ; 2 Mst 12 14 25 2rzz 21 25 : 25 31 -11 24 39 35 26 38 35 34 3 57 537 Gates 3 6:. 9 6 rablam 3 G 9 9. _ 2 0 1• 9 6 6 5 1 2 8 9 1 16 uranvflle 0 z 3_ 2_ 0 1 1 5 5 2 5 3 4 7 5 10 63 neene -. - 3 9 .. 0 .:.. 0._ -... 1 3 ,5 -. 1 1. G_ c 0 ._ 1 .. ti - 0 i1 2 3 1 Guilford , 17 19 18 106 6€ 27 28 3 24 34 22. 2 1. - in 42 41 , 3 ,x•13 i ica3i a 9 i i f.3 ' .: 'F 1 4 3 E-3 -52 Harnett 1 3 4 5 6 7 5 1 5 1 6 5 9 11 10 14 -124 [rtnr?t and Epidemiology SurveManee Unit For questions or other i nformation rLgard[ng data, 919-707 -5425 2ev . 10.'19!2017 -Pagel kc-th Carte r in,iury F2 Violen-ce _-A- _ r County 1999 2000 20101 2002 20113 2014 2005 2006 2007 2008 20109 2010 2011 2012 2013 2014 2015 2016 Tote N N N N N N N N N N 1d N N N N N Hit 2 3 1 5 b - 8 6. - 7 12 4 i� 0 10 12 HIerd,rso 3 5 ,1 4 1 3 11 6 9 14 ' €4 '15 11 9 0 1.3 14 191 HetUc:d ` ? 0 0 0 2 1 1 0 0 0 0 0 .. .. 1 0 Hake 0 1 1 __- 0 3.. J 2 2 2, 5 a 4 2 3 38 Ir ;[ 4 3 «. 1 12 14 13 11 25 13 23 17 22 15 15 =, .tom ksor 0 2 5 5 4 6; u 3 7 5 3 v 3 4 3 10 74 .chns.cn 2 3 7 8 5 9 13 16 11 8 13 1[ 93 e3 18 ,6_k < R 0 1 2 0 0 5 [ 3 13 Lea D 0 2 .. 3 3 4 2- 4 7 5 3 5 5 8 4 r u 78 Lenoir 3 0 2 6 3 �i , - -ccln 2 0 6 3 6 5 10 0 8 14 7 11 9 14 Q 5 16 136 Tv1c' owe l 0 1 1 4 4 - 9 5 12 0 4 4 " 4 2 4 8 14 90 Macon a ... 0 0..... .. 2- 8 2 12 5 4 1 2 1 4 2 4 3 5' 1 ire 0 i 0 0 3 0 0 7 0 5 1 2 1 2 6 0 30 ma n 0 0 0 1 3 3 1 0 3 1 1 2' M e a ur9 11 16 1r z5 29 29 26 35 M 41 37 ->48 58 42 64 61 121 ffi38" Mitc` e'l 2 3 5 3 3 5 1 n 3 2 2 4 i , v � � on'gorrier y 0 1 1 i i 1 3 r 2 [ 2 0 2 3 0 3 0 9 Moore 0 2 6 3 � 4 5 6 11 4 4 z 4 r }1 14 10 Nash G 0 5 3 3 -: 3- 2:, 4 5 1 2 4 2 8 .1 22 9' Plea Hanover 0 12 15 21 26 17 19 29 ? 24 86 29 27 24 40 64 -, -. Northampton v 2. 1 1 0 1 1 G" 0 0 1 0 0 1 2 1- 2 "' Onslov. 0 4_ 4 5 5 7 11 13 12 9 h 5 9 13 17 14 14 15 35 213 Orange 4 8 1 8 7 7 4 11 6 '0 6 -6 ,r0 5 _ 5 ° 6 1119 PaMINCO 0 1 1 9 0 0 2 0 0 n 1 0 3 4 9 Pas uots9k 0 1 1 0 0 a 3 4 2 0 4 3 3 2 7 39 a �d€r „ �. 0 2 2 3 1 4 4 9 4 A 8 7 2 14 84 PeTquimans 0 0 2 0 0 0` 1 0 0 1 0 2 14 person 0 1 2 -5 4 2 2 5 ss 3 2 3 3 4 3 Sit, 3 8 a 10 10 ' ' , ` 8 5 '_14 14 10 i0 3 ay 13 19 12 25 ;8 ' P01k 0 2 3 1 0 0 0 1" 4 3 3 > 0 0 2 4 36 € r c[ h1 v 7 6 5 8 0 6 i 1 20 14 22 15 30 30 232' Richmond 0 1 3 3 7 6 2 3 10 5 i, d� 7 6 9 11 5 1_0.6 Robeson 2 5 2 4 C 7 6 12 -14 U 14 1 1 14 120 fockingam n 4 3 2 10 6 14 1_ 16 15 6 3 12 1-1 9 8 11 21 167 R ,r� 4 6 18 8 23 2G_ 16 16 2t 28 €6 29 23 1 23 29 35 3 5 F.tit ,'artrCi 1 -:. .. _ - _ - _ 7 5 10 -. 14 15 1r .� O a 6 6 14 9 1 9 X3^1 uC5 1 2 4 1 2 3 €0 8 7 8 8 4 4 1 5 s: 0,0, sSc,otia ad 1 f 2 °€ 2 3 3 3 0 3 3 3 6 5 3 - S,a .[y 0 3 1 v ? A .a 5 6 13 8 9 3 F 1� 5 -. Stores 0 0 2 2 11 4 1, 4 4 ,3 a 5 13 -3 Y °r7 0 3 4 8 '0 12 7 8 2 16 10 12 1tU 1r ° 9 46 Injury and Epidemiology SumeiIlanee Unit For questions or other information regarding data, 91 9-707 a425 - Rev 10119120-17 Page 2. InNorth J r . Violence nce County 1999 288E 2811 2802 2093 2884 2085 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Total N N N N N N N N N N N N N N N N N N N 3 2 4 4 5 2 z 0 TCan�ylvanta 8 1 1 1 4 3 5 4 5 _ ? 4 6 5 4 4 6 _ 6' Tvrrim4l u 0 y 0 0 0 0 0 0 D 0 0 1 0 1 0 2 4 UniOr: 5 2 5 -5 9 14 5 12 $ a 5 '6 1 18 2 1 4 5 2 9 4 '2 e 1C a 13 12 2v' yo s9 2 43 3d 33 2 43 02 3 INashineton 0 0 0 0 1 0 U i 8 0 8 Q 0 0 1 0 3 Y §a' "a i 3 _ _ 6 2 r- 3 - _ 3 6 1 1Q' - 6 7 ? '6.. 114' =lc�s 4 Y 1 16v 2 15 1 2�,:. 24 � 269 13 = 1_ 3: 2 2 3 3 1 1 4 2 4 5 6 11;, 52 Yadkin 6 3 1 4 5 � 1 8 9 Ii f 91 Yancey d C 5 3 1 3 0 5 3 3 3 6 4 8 4 5 4 54, STATE 159 269 328 393 486 564 642 691 749 836 834 752 773 792 790 913 1,1110 1,518 12,591 Codes used: Any mention (cod cnd21) e. T40.0 tOpiu ), T40. 1 Oe of . }, 14012 ( i er Opio s). T4t0.3 (VethadonM andor T40-4 (Other synthetic ol,'[o ffl- Note: Counm l v any mention c' drug ,Wpe are not mu.ua y ex -.lus ve if a death involvedimulfiple druas it could be listed in addi oral mbles. injury and Epidemiology Surveillance Unit For quest-tons or ether information regarding data, 999 -7D7 -5425 Rev ,011912017 - Page 3 Rate Rate late Rate Rate Rate Fate Rate Rate Rate Rate lace 87.3 9(x.5 99.7 91,7 95.9 98.7 114.4 98.1 98 87.8 82.9 Alexander . 23.5 35.7 25:2 21.8 28.4 28.9 88.8 29 25.4` lle h y 81.8 94.5 94.4 93.8 197.1 103.1 191.2 117.9 193,2 1912 85 -3 ,Anson ! 84:8 87.4' -192.7 59.1 88.5 58:9 59.E 85.7 ,: 91.3 8109 77.1 Ache 89.1 195.1 193.7 199.8 93.8 195.5 197.5 11 .3 196 1013 ,very 118.1 121.3 129.9 132.1 119.3 115.8 '199.9 192.8 98.1 89.E 82=9 Beaufort 199.2 122.4 132.4 185.5 142.7 148.5 158.1 152.3 141.8 148,4 141 Berke '` 54 58.8 84.E .8 88.9 70.4 . 63 59.8 65 64.8 51.5` l l den 194.9 1OZ3 100 99 918 90.8 107.7 198.5 114.8 118.8 114.8 Bruns -vv k 116.7 115.9; 1'19.8 128.3 121.7 119.1 12519: ;. 124 8 1217, 118:8 1101 7' Buncombe 199.8 115.2,. 198.8 194.1 195.8 105.7 105.3 99 95.6 88.5 89.8 Burke 123.8 - 188.5 139, 8 1 34.2 146-5- 158.1 75.2 167- '159.8 154.9 15'1 5 b rru 194 108.7 111 198.8 114.1 115.7 115.5 118 3 110.3 101.4 95.2 Caldwell 118.1 118 1``18.7 11 ,9 _ 141.4 _- 1X1-1.8 _- 154.5,-:,, 151 148.9 149.7 185.8 Camden - - - - a _ - - Carteret 110.9 112' 113.2 114,3 122:7 1143 118.2 122.8 119.1 114.1 191.2 Caswell - - - - - - 53 8.3 15,2 14.1 12.8 Catawba 124.E 125.5 127.8 131.7 134.7 139.E 152.8 > 149.2 142.5 133_5 129.2: Chatham 37.8 38.7 49.9 44.3 47.8 48.4 59.4 59.8 47.9 43. 7 43.4 Cherokee 124.9 115.5 ` 1, 16.3 128 3 1416 ;141 151.7 149.5 125.8 111.3 125! howan 89,3 87.9 85.3 84.2 89.2 193.8 114.8 114.6 113,1 10M 111.5 Clad 78.1 79 11 11 A 198.4 113:9 11 a.7 122 .2 115.4 133,9 139.E 129.2 Cleveland 139.8 139.7 137.3 144.8 1543 154.3 159.2 158.3 148.5 139 128" Injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919-707-5425 Rev. 12/20/2017- Pagf* North Carolina injury & Violence I PREVENTIONB r a n C 1 #pioid Prescribing Rates (prescriptions per 100 residents) By County, CDC- N.C. Residents, 2006-2011 County 2106 2007 2008 2009 2010 - 2011 2012 2013 2014 2015 201 Rate Rate Rate Rate Rate Rate Rate Rate Rate Rat- Columbus 166.9 76.5 176.4 175.9 73.6 174.5 191.3 21:15 177.6 Craven 11 6 1212 126.7 126 169.9 166.6 176.6 161 129 126.6 119.6 Cumberland, nd 73.3 75,3 39 64.2 91.5 94.2 193.1 100-.-7 M5 966 86: urritu k 23.9 21 21.7 22.3 24.3 22.8 21.2 210.8 21.3 19-8 19 Dare 129.9 120.1 126.6 139.9 1 . 1 38.5 142.5 1 383 1323 118.3 10t.6- Davidson 64.5 66.1 67.9 91.4 94.6 93.1 96.5 91.3 34.5 761 31.4 Davie 95.6 92.7 > X6.2 99.9 1012.6 166.4: 1:14.2 11 126:9 112.E Duplin, 62.2 73 75.4 74.1 78.7 69.3 92.6 96.1 99,9 663 73.1 Durham 76.2 75.6 ' 76.3 76.6 69.4 65.6 -M5 57.6 54A 49.1 E-dgec rube 59.3 59.2 46.3 47.6 47.6 47.4 55.7 57 55.5 54.7 76.2 Forsyth ` 69.4 83.6 > 66.7 67.9 91;6 94 1 01.3 93 92.6 63.9 76 Fra nitlin 46.9 45.5 43.2 49.2 54 55.2 64.1 67.4 67.5 62z9 56.6 Gaston 1322 141.1 146.6 141.7 _ 143.6 _- 141.6' 146.7 144.6 133::1 126.5 119 Gates - . _ - - 3 3 2.3 ,Graham 132.5 126.6 129.3 119 1- 16-.5 199.6 124.5 119,3 111.2 114.6 101,8 Granville 46.6 533 56.5 65.3 79.6 773 81.1 64.1 67.6 65.9 793 Greene 49.4 49.7' x-9.3 ; 5i ,2 27:7 33.3< 36.2 42.2 314 64.6 26.2 uIIf rd -` 9(x.3 92.6 96 _ 66.7 _ 96.1 65.2 94.2 M2 66.9 64 74.5 Halifax 109.7 17.1: 121.1 _< 122.1 - 121.9 124.4 161.6. 1 36.1 126 123 116 Harnett 71.1 69.2 73.3 76 72.3 72.1 84-5 91-5 93.7 66.5 79.6 Haywood 113.E 117,3': 1'14 1'11 3.4 1013.2 196.2 123.6 115.1 111.6 195.2 102.7' Henderson 97.3 99.3 101.8 93.9 102.7 101,8 167 97.6 94 697 64.2 Hertford 116.2 1X9 124.1 129.3 116;2 _ 115-9 131.6 133.9 139.6 132.9 136.4 Hoke 29 34.6 39.5 .: 3 -3 30.7 351 49 51.6 66.5 66.2 61.2 52.7 66.5 64.1- injury piderm n[o + and Surveillance Unit For questions or other information regarding data, 919 - 707-5425 Rev. 12/20/2017- Page Countv 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Rate Rate Rate Rate Rate Rate Rate Rate Rata Rate I Rate lred ll 1262 105.9 166.1 166.6 113.2 112.4 122.1 119 116.4 168,8 102 ,Jackson 66:6 69.6 61.2 56.6 89:6 97.1 102 ' ''1016 6 109.9 _ 101 A 91.7 Johnston 712 76.6 76.7 76.7 72,8 72 77.3 175 74.8 73,6 79.2 Jones 22;6 46.7 61.2 4=8.7 6.3 5.4 24.2; Lee 126.6 126.2 136.1 134.9 166,6 168 169 144.9 166.6 119.9 129.6 Lnoir 69:8 - 76.7: <78.8_ . 97:6 97.E 167.6 1 19.2 91.8 82.7 Lincoln 97.6 95.4, 96.1 98.9 116.4 114.9 134 132.6 130.6 123.6 116.7 I IcDo ll 82:2 88.6 96-8-- 914.8 88:2 91.4 53.8 ` 9512 X7.6 92;7 87_ Macon 116.9 118.4 111.6 112.6 112 1163 1217.6 116.6 167.1 93.8 91.1 Madison 68:6 69.7: 717 13.8 813 79.6 743 76.8 613 60.9 68.8; Martin 67.7 66.6 67.6 718 703 733 92.6 96.3 98.6 82.8 102.1 Mecklenb r : 64 62-4:, ; 63.4 _ 64.3 66.6 66.9 68.7 > X6.7 6 .7 69:7 64=4 Mitchell 136.7 128.6 12 7.1 119 118.4 128.7 149 142.7 167 164.1 166.3 Montgorne ry 84.E 76.7 73.9 74.=1 63.3 63.1- 79.4 77,7 74.9 79:9 66.3' Moore 88.8 103.9 113.4 114.7 113 118.3 122.6 129.3 136,7 1343 127.3 Nash 94, 162.7; 1179,2 111,4 1127 114.9 112.9 111,1 114.9 167:8 92.3; New Hanover 106.9 110"1 109.7 114.9 122 119 1126.7 118.9 119.1 114.4 162.7 l orthampton 6 1,6 1:4 16.6 Drislow 62 66.9 71.4 79,1 842 91.6 94.1 95.2 86.1 81.4 76.9 Orange 46,6 44.9 43-6 413 44:6 46.2 47.3 47.6 46.8 48.9 42.1 Parnli o 68.6 68.1 60.3 60.2 77.6 66.1 67.4 76.4 74 79.8 86.9 Pstan 94.9 1633 1116.4 126.6 127,8 134 146.6 149.3 141.6 136.6 :1393: Pnr 46.9 62.6 63.8 52.6 67.6 64.6 48,4 46.6 46,1 46.3 69.6 Perquimans 473 56.6: 49.8 44.7 41.7 42.7 46.5 44.2 ,. 40.2 37.8 36.1 Person 96 96.6 93.8 94.3 96 94.3 119.6 113.7 112.2 169.8 164.6 jnjury Epidemiology and Surveillance Unit For questions or other information regarding data, 919-707-5425 Rev. r No %1l Carolina Injury & Violence Y RVNONrc *ploid Prescribing Rates (prescriptions per 100 residents) By County, CDC: N.C. Residents, 2006-2017 County 2006 2607 2008 2009 2010 2011 2012 2013 2614 2015 2616 Rate Rate Rate Rate Rate Rate Rate Rate Rate date Rate Pitt 76 62.5- 64.5 = 6,7 956 96.7` 99.4 99,4 94 6914 62.9 Palk 67.5 66.4 69.2 74 62.7 64.2 56.6 65.4 66,9 72.6 64,7 Randolph 67.7 72.6 r 6.6 76.4 2 65.6 X3.9 8 . 79.6 76.1 71.5 Richmo nd 152.4 1673 1673 144.6 156.5 159 1792 176.2 1663 164.9 151.6 Robeson 107.1 194 195.6 196.9 114.9 116.9 132 132.4 141.1 140A 129,7 Rockingham 146.9 153.1 147.1 146.6 149 159.7 166.E 162.9 14 .4 161.6 161.9 Rowan , 64.6 66.1 90.5 92.4 96=6 97.6 166,4 199.3 96A 91. 60.6' Rutherford 96.7 79.6 663 71.1 66.6 7 6.4 196.5 196.1 166.4 106.1 97.6 Sampson 64;1 66.7 67.7 65 69.9 89.4 93.6 96.4 9.4 92,6 X7.2 Scotland 192.5 1419 141 146.5 156.7 16.7 175 196.6 225.1 216.7 191.6 tar ty 167.E M0 9 107.2 116.2 1267 126.1 14{x.6 142.6 129.1 '12696 tkes 76.6 62.6 67,2 67.6 66.9 6.7 96.9 92.6 91.2 66.4 66.1 Burry 151.1 153-1 161.6 169 166:5 166.6 167 195.6 191.5 18t6 164 wain 67.4 71.1 69.2 96.7 96.2 96.2 63 96 194.6 972 86.5 Transylvania ' 196.3 99.5 < - 96 191.3 169.5 ' 117-7 119.5 114.7 115.8 166.E 96,9' "real 69 65.6 75,1 91.6 9 - T 74.6 94.6 86.6 Ilcr 66.E 66.E " X6.7 71 73H5 74.6 77.6 76.1 76.6 76.2 67.9 Vance _ 162 167.9 142 152 146.5 146 146.2 154 146.4- 1319 12&9 W ake 612 66 2 64.6 64.7 6618 67.2 65.1 64 61.6 56.6 54.5' Warren 49,1 64.5 62 62.7 62.6 29.2 29,9 39.6 61.6 619 6276 'Washington 61.7 71.9 71.1 67.9 16.4 75 74.4 91.1 193.2 967 67.1. Watauga 66.1 95.7 94.5 95.2 96 69 92.1 95 92.1 65.5 76,6 Wayne 67.6 68.6: 69.E 67.6 76;1 76.2` 66.6 16.6 66.6 66.2 76.6 injury Epidemiology and Surveillance Unit For questions or other information regarding data, 919-707-5425 Rev. 1212012017- Page 4 County 2006 2007 2008 2009 2010 2011 201 _ 201 201 201 201 Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Wilkes 119.6 112A 109 109.4 110.4 109.9 108.4 105.4 !M2 97A 91.E Wilson, 87.8 98.4 96.6 .1 10545 102.8 10&5 108.6 105.7 98.6 90.7 Yadkin 72.5 76.7 75.2 83.5 88.5 -7 M8 84.9 74.E 64.6 69.3 ance 11 115.7 28.9 134.9 1112.1 9642 95.E 121.1 111.6 -109-4 987 STATE 85.2 875 88.6 89.3 93.1 915 98.6 96.7 93.7 88.4 82.5 These data are the rate of reta °I opioid prescriptions dispensed per 100 persons-. from the CDC U.S. Prescribing Rates: Notes. Data is from the CDC US PrescHbing Rate tIaps and is subject to change. Prescribing data source: QuIntilesIMS Transactional Data Warehouse JD 2006- 2016. QuintilesIMS TDB.# is based on a sample of approximately 59,000 retail (none hospital) pharmacies, wfich dispense nearly 88% of all retail prescriptions In the U.S, For this database, a prescription is an initial or refill prescription dispensed at a retail pharmacy in the sample, and paid for by come- nercial insurance; Medicaid, Medicare, or cash or its equivalent. Does not include mail order pharmacy data. Injury Epidemiology and Surveillance Unit For questions or other information regarding Bata. 919- 707 -5425 Rev= 12,12012017- Page