In a suspected opiate or heroin overdose
Kentucky has the Third Highest Drug Overdose Mortality Rate in the United States (Prescription Drug Abuse: Strategies to Stop the Epidemic.)
Kentucky Overdose Deaths (KY Office of Drug Control Policy):
Kentucky overdose fatalities increased in 2015.
Overdose deaths of Kentucky residents, regardless of where the death occurred, and nonresidents who died in Kentucky, numbered 1,248 as tabulated in May 2016, compared to 1,071 overdose deaths counted in the 2014 report.
- Jefferson County had the most overdose deaths of any county, with 268.
- The largest increase in overdose fatalities occurred in Jefferson County, where deaths increased by 64, from with 204 deaths in 2014 to 268 in 2015. Deaths in Kenton County increased by 41, from 71 in 2014 to 112 in 2015. The total in Fayette County increased by 29, from 112 in 2014 to 141 in 2015
- A review of cases autopsied by the Kentucky Medical Examiner’s Office and toxicology reports submitted by coroners indicates that in 2015:
- Morphine was the most detected controlled substance in overdose deaths, present in approximately 45 percent of all cases. When metabolized, heroin reveals as morphine in toxicology results.
- Fentanyl was detected in approximately 34 percent of cases; 6 monoacetylmorphine (heroin), 28 percent; Alprazolam, 28 percent; oxycodone, 23 percent; hydrocodone, 21 percent.
- The top five counties for heroin-related overdose deaths, using data from the Kentucky Medical Examiner and coroner reports, were:
- 1) Jefferson County 131
- 2) Kenton County 51
- 3) Fayette County 34
- 4) Campbell County 20
- 5) Boone County 19
- The top five counties for fentanyl-related deaths were:
- 1) Kenton County 53
- 2) Fayette County 51
- 3) Jefferson County 39
- 4) Boone County 29
- 5) Campbell County 20
The top 5 counties for Heroin detected overdoses (KY Medical Examiner):
- Jefferson County – 105
- Fayette County – 35
- Kenton County – 34
- Boone County – 22
- Campbell County – 16
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)