Revised February 2018
Opioid-Related Overdose Deaths
In 2016, there were 77 opioid-related overdose deaths in Hawaii—a rate of 5.2 deaths per 100,000 persons—less than half the national rate of 13.3 deaths per 100,000 persons. Since 2013, heroin-related overdose deaths increased from 10 to 20 deaths while prescription opioid overdose deaths remained steady. Only one year of data exist for synthetic opioid-related deaths and so comparisons across years are not possible.
Opioid Pain Reliever Prescriptions
In 2013, Hawaii providers wrote 51 opioid prescriptions for every 100 persons (approximately 717,000 prescriptions)—the lowest prescribing rate in the country. Since then, opioid prescriptions in the United States have declined, with a nearly 11.1 percent decline in Hawaii from 2013 to 2015, resulting in an estimated 45.3 opioid prescriptions per 100 persons (646,000 prescriptions) in 2015 (IMS Health, 2016).
Neonatal Abstinence Syndrome (NAS)
The incidence of NAS in Hawaii increased from 0.1 cases per 1,000 births in 2000 to 0.7 cases per 1,000 in 2013—a sevenfold increase (CDC, MMWR, 2014). The average across the 28 states included in the 2013 analysis was 6.0 cases per 1,000 births.
HIV Prevalence and HIV Diagnoses Attributed to Injection Drug Use (IDU)
- U.S. Incidence: In 2015, 9.1 percent (3,5941) of the 39,513 new diagnoses of HIV in the United States were attributed to IDU. Among new cases, 8.2 percent (2,6141) of cases among men and 13.2 percent (980) of cases among women were transmitted via IDU (CDC).
- U.S. Prevalence: In 2014, 955,081 Americans were living with a diagnosed HIV infection—a rate of 299.5 per 100,000 persons. Of these, 18.1 percent (131,0561) of males and 22.6 percent (52,013) of females were living with HIV attributed to IDU (CDC).
- State Incidence: Of the new HIV cases in 2015, 115 occurred in Hawaii, with 15.0 percent1 of new cases in males and 18.2 percent of new cases in females attributed to IDU (AIDSVu).
- State Prevalence: In 2014, an estimated 2,741 persons were living with a diagnosed HIV infection in Hawaii—a rate of 230 infections per 100,000 persons. Of these, 13.7 percent1 of males and 26.6 percent of females were living with HIV attributed to IDU (AIDSVu).
Hepatitis C (HCV) Prevalence and HCV Diagnoses Attributed to Injection Drug Use
- U.S. Incidence: In 2015, there were 181,871 reported cases of chronic HCV and 33,900 estimated cases of acute HCV2 (CDC). Where data were available, 64.2 percent of acute cases reported IDU (CDC).
- U.S. Prevalence: An estimated 3.5 million Americans are living with HCV, including approximately 2.7 million living with chronic infections (CDC).
- State Incidence: State incidence data are not available
- State Prevalence: As of 2016, an estimated 23,000 persons are living with chronic HCV in Hawaii (Hawaii.gov).
- State of Hawaii, Department of Health, Preventing Prescription Drug Overdose in Hawaii and Information on Poisoning Prevention
- Centers for Disease Control and Prevention, Opioid Overdose
- Centers for Disease Control and Prevention, Annual Surveillance Report of Drug-Related Risks and Outcomes (2017)
- Substance Abuse and Mental Health Services Administration, Behavioral Health Barometer Hawaii, Volume 4 (2017)
- Includes transmission to individuals with injection drug use as a risk factor.
- 2015 estimate after adjusting for under-ascertainment and under-reporting. Data for 2015 were unavailable for Alaska, Arizona, Connecticut, the District of Columbia, Hawaii, Iowa, Mississippi, New Hampshire, Rhode Island, and Wyoming.
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