Format

Send to

Choose Destination
J Urban Health. 2019 Feb;96(1):49-54. doi: 10.1007/s11524-018-00343-z.

Increased Presence of Fentanyl in Cocaine-Involved Fatal Overdoses: Implications for Prevention.

Author information

1
Bureau of Alcohol and Drug Use Prevention, Care, and Treatment, New York City Department of Health and Mental Hygiene, 42-09 28th St, 19th Floor, Queens, New York, NY, 11101, USA. mnolan2@health.nyc.gov.
2
Bureau of Alcohol and Drug Use Prevention, Care, and Treatment, New York City Department of Health and Mental Hygiene, 42-09 28th St, 19th Floor, Queens, New York, NY, 11101, USA.

Abstract

After remaining stable from 2010 to 2014, theĀ  rate of cocaine-involved overdose death increased sharply from 2015 to 2016. This study aims to determine the contribution of opioids, and fentanyl in particular, to the increase in cocaine-involved overdose death from 2015 to 2016. Using New York City death certificate data linked to medical examiner toxicology data, we identified all overdose deaths where post-mortem toxicology results were positive for cocaine from 2010 to 2016. We analyzed cocaine-involved overdose deaths by co-occurring substances. Age-adjusted rates per 100,000 residents were calculated for 6-month intervals from 2010 to 2016. Data suggest that increased deaths involving opioids, specifically fentanyl, accounted for most of the increase in cocaine-involved deaths from 2015 to 2016.

KEYWORDS:

Cocaine; Fentanyl; Heroin; Opioid; Overdose

PMID:
30635841
PMCID:
PMC6391300
[Available on 2020-02-01]
DOI:
10.1007/s11524-018-00343-z

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center