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In Kittitas County injury and poisoning are among the leading causes of hospitalization <br />among adults ages 25-64,not including hospitalizations for pregnancy and childbirth.These rates <br />are concerning as they are all significantly higher than the state rates2.Drug overdose deaths are <br />a largely preventable cause of premature death in a population.Prescription drug abuse- <br />particularly opiates-has reached epidemic levels within the United States.3 The indicator for drug <br />misuse in a population is the number of drug poisoning deaths per 100,000 population.There <br />were 11 total deaths due to drug overdose in Kittitas County (combined years 2014-16)including <br />all prescription and intravenous drug use."Tlie niortality rate due to all drug overdoses is 8 per <br />100,000.In 2016,the inortality rate for opiate overdose is less than 1.6 per 100,000.6 Kittitas <br />County has the fifth lowest rate of death due to drug poisoning in the statet While the county <br />appears to be addressing the opioid epidemic successfully,it is important to note that <br />incarcerated individuals are disproportionately affected by substance use disorder compared to <br />the general population.At point of intake,over 30%of newly incarcerated individuals reported <br />experiencing a substance use disorder to a corrections department staff member.The actual <br />representation may be higher when disclosure is moved to a medical setting. <br />Program-specific Priority Area -A lack of accessibility to treatment providers and facilities <br />2Washington State Department of Health,Center for Health Statistics.WA Hospital Discharge Data,Comprehensive Hospitalization Abstract <br />Reporting System (CHARS)1987-2015.Cornmunity Health Assessment Tool (CHAT),August,2016. <br />*Centers for Disease Contral and Prevention.Increases in drug and opioid overdose deaths -United States,2000-20]4.Morbidity and Mortality <br />Weekly Report (MMWR)64{50)(Centers for Disease Control and Prevention).2016:1378-82.Available at: <br />https://www.cdc.govimmwr/preview/mmwrhtmilmm6450a3.htm (Accessed February 3,2018} <br />*University of Wisconsin Population Health Institute.County Health Rankings and Roadmaps.2018.Available <br />at:http://www.countyhealthrankings.orglapp/washington/20L8/rankings/kittitasicounty/factorsloverall/snapshot(Accessedlanuary22,2018). <br />*Washington State Department of Health,Center for Health Statistics.Washington State Drug Overdose Quarterly Report:Drug Overdose <br />Deaths 2017 First Three Quarters and 2016 Maps.Community Health Assessment Tool (CHAT),February I2,2018.(Accessed March 3 l,2018) <br />University of Wisconsin Population Health Institule.County Health Rankings and Roadmaps.2018.Available <br />at:http://www.countyhealthrankings.org/app/washington/2018/rankings/kittitas/county/factors/overallisnapshot (Accessed January 22,2018). <br />3 of 20