In a suspected opiate or heroin overdose
Kentucky has the Fifth Highest Drug Overdose Mortality Rate in the United States (The Centers for Disease Control and Prevention)
Kentucky Overdose Deaths (KY Office of Drug Control Policy):
Kentucky overdose fatalities decreased in 2018.
Overdose deaths of Kentucky residents, regardless of where the death occurred, and nonresidents who died in Kentucky, numbered 1,333 as tabulated in June 2019, compared to 1,477 overdose deaths counted in the 2017 report.
- Jefferson County had the most overdose deaths of any county with 337.
- The largest increase in overdose fatalities occurred in Pike County, where deaths increased by five. Other counties with increases include Warren County by four and McCracken by three.
- The largest decrease occurred in Jefferson County, which had 89 fewer Kentucky resident fatalities in 2018 compared to the previous year. Other counties with significant declines include Kenton County, which declined by 24, Campbell County, which declined by 14, Nelson by 13 and Jessamine by 12.
- A review of cases autopsied by the Kentucky Medical Examiner’s Office and toxicology reports submitted by coroners indicates that in 2015:
- Morphine was detected in 432 resident cases, and Monoacetylmorphine (heroin) in 211. When metabolized, heroin reveals as morphine in toxicology results.
- Fentanyl and fentanyl analogues were detected in approximately 61 percent of cases; Morphine, 32 percent; methamphetamine, 33 percent; Gabapentin, 20 percent; Alprazolam, 16 percent; Monoacetylmorphine (heroin), 16 percent; Oxycodone, 8 percent.
- The top five counties for heroin-related overdose deaths, using data from the Kentucky Medical Examiner and coroner reports, were:
- Jefferson County 131
- Kenton County 51
- Fayette County 34
- Campbell County 20
- Boone County 19
- The top five counties for fentanyl-related deaths were:
- Jefferson County 229
- Fayette County 117
- Kenton County 71
- Boone County 39
- Campbell County 32
Important note: Morphine represents the true drug and metabolite of Heroin. When Heroin enters the brain, Heroin is converted back into morphine (National Institute of Drug Abuse: NIDA).
(Indicating >75% of overdoses in KY were from Heroin)
The total charges associated with the ED visits for Kentucky resident drug overdoses in 2016 were $37.2 million dollars, a 19% increase from the $31.2 million dollar total in 2015. The $37.2 million total included $19.8 million billed to Medicaid, $7.2 million billed to Medicare, $6.47 million billed to commercial insurance, and $2.99 million were self‐pay or charity.