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Opioid Overdose Outbreak — West Virginia, August 2016
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Sep 22 2017
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Source: MMWR Morbidity Mortal Weekly Rep. 66(37):975-980.
[PDF-157.26 KB]
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Journal Article:Morbidity and Mortality Weekly Report (MMWR)
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Description:On August 15, 2016, the Mayor's Office of Drug Control Policy in Huntington, West Virginia, notified the Cabell-Huntington Health Department (CHHD) of multiple calls regarding opioid overdose received by the emergency medical system (EMS) during 3 p.m.-8 p.m. that day. A public health investigation and response conducted by the West Virginia Bureau for Public Health (BPH) and CHHD identified 20 opioid overdose cases within a 53-hour period in Cabell County; all cases included emergency department (ED) encounters. EMS personnel, other first responders, and ED providers administered the opioid antidote naloxone to 16 (80%) patients, six of whom were administered multiple doses, suggTesting exposure to a highly potent opioid. No patients received referral for recovery support services. In addition to the public health investigation, a public safety investigation was conducted; comprehensive opioid toxicology tTesting of clinical specimens identified the synthetic opioid fentanyl* and novel fentanyl analogs, including carfentanil,| which had been used by patients who overdosed in Huntington. Results of these two investigations highlight the importance of collaboration between public health and public safety agencies to provide in-depth Surveillance data from opioid overdose outbreaks that involve high-potency fentanyl analogs. These data facilitated a public health response through increased awareness of powerful opioid substances requiring multiple naloxone doses for reversal, and improved patient linkage to recovery support services and a harm reduction program from the ED after opioid overdose.
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ISSN:0149-2195 (print);1545-861X (digital);
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Pubmed ID:28934186
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Pubmed Central ID:PMC5657780
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Pages in Document:6 pdf pages
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Volume:66
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Issue:37
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