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In Kittitas County injury and poisoning are among the leading causes of hospitalization among adults ages 25-64, not including hospitalizaiions for pregnancy and childbirth. These rates are conceming as they are ail significantly higher than the state rates2. Drug overdose deaths are a largely preventable cause of premature death in a population. Prescripticn drug abuse- particularly opiates-has reached epidemic levels within the United States.l The indicator for drug misuse in a population is the number of drug poisoning deaths per 100,000 population. There were I I total deaths due to drug overdose in Kittitas County (combined years20l4-16) including all prescription and intravenous drug use.a The raortaliry rate due to all drug overdoses is I per 100,000, InZaL6, the morfality rate for opiate overdose is less than 1.6 per 100,000.5 Kittitas County has the fifth lowest rate of death due to drug poisoning in the state6. While the county appeaffi to be addressing the opioid epidemic successfully, it is important to note that incarcerated individuals are disproportionately affected by substance use disorder compared to the general population. At point of intake, over 3AYa of newly incarcerated individuals reported experiencing a substance use disorder to a corections departrnent staff member. The acrual representation may be higher when disclosure is moved to a medical setting. Program-specific Priority Area - A lack of accessibllity to treatment providers and facilities ] Washington Statc Departucnt ofl Heafth, Ccnter for Health Statisiics. VfA Hospital Disehargc Data, Comprehcnsive Hospitalizarion Abslrsct Repcrting system {cHARs} 1987-2015- community Flealdr Assessment Tool (aHAT), Augusr, 2016.I Centers ltn Disease Conrrol and Prevention. lncrea-.ses in drug and opioid overdose diatbs ]Unit"d Stut.r, Zaa}-za4.Morbidiry and Mortality Wcckly Report iMMWR) 64(501 {Centers for Discasc Control and Prcvcntion),2016: 1378-82. A}ailable sr: https.:/,/rvww.cdc.gov/mmwy'prcviedmmwrhtnllmm6450a3.htm (Accessed Februory 3, 201 g) ' University of Wisconsin Population Health lnstitute. Couary Hsalrh Rankings and Roadmaps. 2018, Avaitable ot:htlp:l/www'countyheallhrankings.orgiapplwashingtoa,r20 I 8/rankings/kittitaslcountlfhctcislovcrall/snap shot {Accessed January 2?, 20 I g). 5 Washington State Depmtment of Health, Center foi llealth Statisricsl Washington Siate Drug Overdose qru*erly Repofi: Drug overdose Deaths 201 7 First Three Qua*ers and 2016 lvlaps. Community Health dssessment lool {CHAT), Februsry tz,zff8. {A"ccesseriMarch 3 t, z0lgl6 University oflVisconsin Population Health Institute. Counry Health Rankings and Roadmap". 10t L Available at;htip:l/wrvw.countyhealfhrankings.orglapp/washirgton/201 Slrankings&inins/countylfactors/overalUsnap shot (Accessed January 22, 20 i g). 3al2O