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Substance Use and Abuse in Durham County - Stablerack

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# of deaths<br />

community or when there is a change <strong>in</strong> the purity of a drug that is commonly used. Information<br />

from the medical exam<strong>in</strong>er give us a sense of the demographics of populations most at risk as well<br />

as the types of dangerous drugs that are <strong>in</strong> the community.<br />

Data: Data were provided by the NC Office of the Chief Medical Exam<strong>in</strong>er. Please note that ten<br />

deaths related to Carbon Monoxide poison<strong>in</strong>g were omitted. Individuals <strong>in</strong>clude <strong>Durham</strong> <strong>County</strong><br />

residents regardless of whether the death occurred <strong>in</strong> a different county. Although race <strong>and</strong><br />

ethnicity are not mutually exclusive (that is, someone can be both White <strong>and</strong> Hispanic or Black <strong>and</strong><br />

Hispanic), <strong>in</strong> these data, there was no one who had Hispanic ethnicity with a race listed. Deaths<br />

from tox<strong>in</strong>s <strong>in</strong>clude <strong>in</strong>tentional suicides or homicides, natural causes, undeterm<strong>in</strong>ed causes but<br />

are more likely to be un<strong>in</strong>tentional overdoses (11).<br />

F<strong>in</strong>d<strong>in</strong>gs: Figure 3 exam<strong>in</strong>es the number of tox<strong>in</strong>-related deaths to <strong>Durham</strong> <strong>County</strong> residents from<br />

2004-2011. Across all eight years, about 40% of deaths are African Americans, 48% Whites, 10%<br />

Hispanics, <strong>and</strong> less than 2% of Native Americans, Asians, <strong>and</strong> <strong>in</strong>dividuals of unknown race/ethnic<br />

orig<strong>in</strong>. Although the numbers fluctuate some from year to year, <strong>and</strong> while there is not strong<br />

upward or downward trend, <strong>in</strong> 2010 <strong>and</strong> 2011 there was an <strong>in</strong>crease <strong>in</strong> the number of deaths <strong>in</strong><br />

White residents. Across the six years, males constituted 75% of deaths from tox<strong>in</strong>s <strong>and</strong> females<br />

25%.<br />

Black White Hispanic Total<br />

50 51<br />

31<br />

34<br />

38 38<br />

36 36<br />

32<br />

29<br />

20<br />

19<br />

18<br />

18 18<br />

17<br />

11 10<br />

15 16<br />

15<br />

14<br />

4<br />

2<br />

3 3 3 3<br />

12<br />

14<br />

6 7<br />

2004 2005 2006 2007 2008 2009 2010 2011<br />

Source: NC Office of the Chief Medical Exam<strong>in</strong>er<br />

*Note: Native Americans(who had 1 death <strong>in</strong> 2009), Asians (who had 1 death <strong>in</strong> 2011), <strong>and</strong> <strong>in</strong>dividuals of<br />

unknown race (who had 1 death <strong>in</strong> each 2006, 2007 <strong>and</strong> 2008) were omitted from this figure.<br />

[Figure 3]<br />

Number of deaths related to tox<strong>in</strong>s for <strong>Durham</strong> <strong>County</strong> residents, 2004-2011<br />

The NC Office of the Chief Medical Exam<strong>in</strong>er lists tox<strong>in</strong>s that are either the primary or a<br />

contribut<strong>in</strong>g factor <strong>in</strong> the <strong>in</strong>dividual’s death. The drugs were coded <strong>in</strong>to the follow<strong>in</strong>g five<br />

<strong>Substance</strong> <strong>Use</strong> <strong>and</strong> <strong>Abuse</strong> <strong>in</strong> <strong>Durham</strong> <strong>County</strong> 16

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