Prescription Opiates and Heroin - Skamania County

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Opiate Related Deaths (Prescription and/or Heroin) by County of Residence, 2008-2010 County 3 yr count 2008-2010 Average annual rate per 100,000 Clallam 25 11.7 Spokane 142 10.1 Cowlitz 28 9.2 Ferry-Pend Oreille-Stevens 16 8.5 Okanogan 10 8.2 Chelan-Douglas 27 8.2 Snohomish 166 8.0 Jefferson 7 7.9 Lewis 17 7.6 Grays Harbor 15 7.0 Mason 12 6.9 Whatcom 41 6.8 Pierce 156 6.5 Asotin-Columbia-Garfield 5 6.0 Grant 15 5.7 King 324 5.6 Skagit 18 5.0 Clark 57 4.4 Thurston 33 4.4 Kittitas 5 4.2 Yakima 28 3.9 Kitsap 28 3.9 Benton 18 3.6 Island 8 3.3 Franklin 6 2.6 Pacific-Wahkiakum 4 Whitman 4 Lincoln 3 San Juan 3 Walla Walla 3 Skamania 2 Adams 1 Klickitat 1 State Total 1228 6.1 Note: Rates suppressed for counts less than 5. Source: Fatal Overdoses Involving Heroin and/or Prescription Opiates, WA State Department of Health 1

Treatment Admissions (Prescription Opiates) by County of Residence County 1999 Count 2010 Count 2010 Rate* Mason 4 128 220.6 Clallam 5 148 207.2 Asotin-Columbia-Garfield 0 49 177.7 Whatcom 23 270 134.7 Grays Harbor 6 93 129.5 Skagit 13 143 119.6 Spokane 35 554 118.2 Lewis 2 87 116.4 Snohomish 44 793 114.2 Thurston 5 226 90.0 Kitsap 9 216 89.7 Ferry-Pend Oreille-Stevens 11 56 89.2 Pacific-Wahkiakum 2 19 75.0 Pierce 26 510 64.0 Okanogan 3 24 59.2 San Juan 2 9 58.1 Clark 4 237 54.9 Chelan-Douglas 4 54 49.1 King 87 929 48.5 Grant 0 42 47.7 Skamania 0 5 45.9 Cowlitz 5 46 45.1 Walla Walla 1 25 42.3 Benton 7 66 39.2 Lincoln 1 4 39.0 Klickitat 0 8 38.9 Yakima 9 81 33.9 Jefferson 2 10 33.7 Franklin 5 23 29.7 Whitman 0 12 28.1 Island 3 22 27.1 Kittitas 0 9 22.8 Adams 0 0 0.0 State Total 318 4,898 73.5 Source: Methadone maintenance, in-patient, out-patient, WA State Department of Health, Division of Behavioral Health and Recovery, TARGET Data. 2

Treatment Admissions (Heroin) by County of Residence County 1999 Count 2010 Count 2010 Rate* Cowlitz 119 336 329.5 Skagit 66 383 320.4 Whatcom 128 591 294.9 Grays Harbor 36 159 221.5 Clark 113 714 165.3 Lewis 29 118 157.9 Spokane 387 679 144.9 Mason 37 71 122.4 Pacific-Wahkiakum 10 31 122.4 Snohomish 287 711 102.4 Yakima 212 235 98.3 Thurston 103 224 89.3 King 1962 1693 88.3 Ferry-Pend Oreille-Stevens 6 46 73.2 Pierce 406 504 63.3 Skamania 1 6 55.1 Kitsap 80 132 54.8 Clallam 18 38 53.2 Jefferson 0 14 47.2 San Juan 3 7 45.2 Island 11 36 44.4 Klickitat 1 9 43.8 Asotin-Columbia-Garfield 4 12 43.5 Chelan-Douglas 26 40 36.4 Franklin 20 27 34.9 Walla Walla 23 19 32.2 Benton 40 53 31.5 Lincoln 0 3 29.3 Grant 10 13 14.8 Kittitas 6 4 10.1 Okanogan 6 4 9.9 Whitman 2 2 4.7 Adams 0 0 0.0 State Total 4152 6914 103.7 Source: Methadone maintenance, in-patient, out-patient, WA State Department of Health, Division of Behavioral Health and Recovery, TARGET Data. 3

Police Evidence Testing (Prescription Opiates) by County of Residence County 2000 Count 2009 Count 2009 Rate* Grays Harbor 8 76 105.9 Lincoln 0 10 97.6 Kittitas 0 36 91.1 Clallam 1 63 88.2 Whitman 0 37 86.7 Mason 2 47 81.0 Lewis 1 60 80.3 Cowlitz 3 62 60.8 Chelan-Douglas 2 61 55.5 Jefferson 0 16 53.9 Grant 2 46 52.2 Pacific-Wahkiakum 0 13 51.3 Ferry-Pend Oreille-Stevens 4 32 51.0 Whatcom 10 100 49.9 Skagit 2 56 46.8 Franklin 0 35 45.2 Walla Walla 1 24 40.6 Adams 1 7 39.5 Kitsap 1 82 34.0 Okanogan 1 13 32.1 Klickitat 0 6 29.2 Clark 5 112 25.9 Benton 4 42 25.0 Snohomish 18 153 22.0 Island 2 17 21.0 King 32 352 18.4 Yakima 2 36 15.1 Spokane 10 66 14.1 Asotin-Columbia-Garfield 1 3 10.9 Thurston 2 24 9.6 Pierce 11 75 9.4 Skamania 3 1 9.2 San Juan 0 0 0.0 State Total 132 1775 26.6 Source: Police Evidence Tested by State Lab, WSP Forensic Lab Services Bureau, Crime Lab 4

Police Evidence Testing (Heroin) by County of Residence County 2000 Count 2009 Count 2009 Rate* Grays Harbor 22 147 204.7 Cowlitz 37 143 140.2 Whatcom 24 237 118.2 Skagit 24 90 75.3 Pacific-Wahkiakum 0 14 55.3 Ferry-Pend Oreille-Stevens 0 29 46.2 Lewis 18 28 37.5 Clark 25 125 28.9 Franklin 24 22 28.4 Clallam 6 20 28.0 Mason 5 15 25.9 Yakima 59 49 20.5 Benton 11 30 17.8 Adams 0 3 16.9 Kitsap 6 36 14.9 San Juan 1 2 12.9 Snohomish 84 89 12.8 Kittitas 2 5 12.6 King 189 225 11.7 Island 4 9 11.1 Walla Walla 6 6 10.2 Thurston 7 25 10.0 Chelan-Douglas 1 9 8.2 Whitman 2 3 7.0 Spokane 38 30 6.4 Pierce 73 42 5.3 Klickitat 1 1 4.9 Grant 8 4 4.5 Jefferson 0 1 3.4 Lincoln 0 0 0.0 Okanogan 0 0 0.0 Skamania 1 0 0.0 Asotin-Columbia-Garfield 2 0 0.0 State Total 690 1443 21.65 Source: Police Evidence Tested by State Lab, WSP Forensic Lab Services Bureau, Crime Lab 5