Health Officials Fear Rising Death Toll May Be Consequence of COVID-19

NEW CASTLE (June 16, 2020) – In what Department of Health and Social Services (DHSS) officials fear may be a consequence of the uncertainty associated with the COVID-19 pandemic, deaths from suspected overdoses in Delaware during May tied a previous monthly total set in 2018, according to death investigation reports from the Division of Forensic Science.

In May 2020, 39 people died from suspected overdoses in Delaware. That ties the previous monthly high total set in August 2018. Among the 39 deaths in May, 20 were from New Castle County, 14 from Sussex County and five from Kent County.

Through May 31, 160 people have died from suspected overdoses in Delaware. That total is a 60% increase over a similar period in 2019 and a 48% increase over the same period in 2018.

“We are worried about the impact that COVID-19 is having on Delawareans who already are struggling with substance use disorder,” said DHSS Secretary Dr. Kara Odom Walker, a practicing family physician. “The pandemic is difficult for all of us emotionally, but none more so than people struggling with addiction, mental illness or both. And with such public health measures as social distancing in place to reduce people’s risk for COVID-19, treatment referrals for those with substance use disorder can be more difficult to access and the actual treatment can look different than what people are used to receiving.”

To help Delawareans cope with stress and address behavioral health needs during the coronavirus pandemic, DHSS’ Division of Substance Abuse and Mental Health in May launched the 24/7 Delaware Hope Line – a single point of contact where callers can connect to a variety of resources and information, including support from clinicians and peer specialists plus crisis assistance. For support, Delawareans can:

• Reach the free Hope Line at 1-833-9-HOPEDE or 1-833-946-7333.
• Get behavioral health tips and reminders by texting DEHOPE to 55753.
• Search for treatment services and resources in Delaware or nearby states at DHSS’ one-stop website, HelpIsHereDE.com.

Elizabeth Romero, director of the Division of Substance Abuse and Mental Health (DSAMH), urged individuals in active substance use to consult with a medical provider immediately or to call the Delaware Hope Line to be connected to trained crisis professionals who can discuss treatment options. “We know this pandemic has been especially difficult for those with substance use disorder,”

Romero said. “The Hope Line can help. Every call is answered by a trained crisis counselor, 24/7, ready to assist you in any way.”

Romero said the division is preparing for the correlating wave of despair with providers and increasing access to care and flexibility with telehealth. DHSS’ Division of Substance Abuse and Mental Health and Division of Public Health also have teamed up with several partners across the state to provide naloxone, a medication that can reverse an opioid overdose. A key partnership with the Food Bank of Delaware provides drive-through food pantry and life-saving naloxone distribution. These events will happen across the state in the upcoming weeks. “If you have a loved one with substance use disorder, please have naloxone on hand,” Romero said.

The increase in deaths from suspected overdoses during the first half of 2020 follows another increase in overdose deaths for all of 2019. In its annual report for 2019, the Division of Forensic Science reported 431 overdose deaths, an increase of almost 8% over 2018. The 431 deaths by county:

• New Castle County: 278
• Sussex County: 100
• Kent County: 53

Of the 431 total deaths, the Division reported that 341 (79%) involved fentanyl, a synthetic pain reliever that is 50-100 times more potent than morphine. The percentage of total cases in 2019 involving fentanyl was 5 percentage points higher than in 2018.

Romero encouraged anyone who is using or suffering from addiction to call for help, see a medical provider, or ask a police officer or another first responder for help. “Too many times, our police officers, EMTs and other first responders see first-hand the dangers of overdoses,” she said. “Our first priority is to save lives.”

Under Delaware’s 911/Good Samaritan Law, people who call 9-1-1 to report an overdose and the person in medical distress cannot be arrested for low-level drug crimes.

Division of Public Health Director Dr. Karyl Rattay urged those in active use to get naloxone through one of DSAMH’s Bridge Clinics, at a participating pharmacy – where no prescription is required – or at a naloxone training.

“Naloxone saves lives,” said Division of Public Health Director Dr. Karyl Rattay. “We urge anyone who needs access to naloxone to go to a Bridge Clinic, a training class or distribution event, or to a participating pharmacy to buy the overdose-reversing medication. We also encourage Delawareans to download OpiRescue Delaware, a smartphone app that provides lifesaving step-by-step instructions on how to respond to an overdose, including administration of naloxone.” To find the Bridge Clinic in your county, training or distribution events, or a participating pharmacy, go to HelpIsHereDE.com, and click on the overdose prevention tab.

MILLSBORO  — In response to six suspected overdose deaths, including four in Sussex County, that occurred over the holiday weekend, the Division of Public Health (DPH) will hold a Community Naloxone Training and Distribution event in Millsboro on Friday, Sept. 6, 2019. DPH will distribute free naloxone kits to members of the public from 10 a.m. to 2 p.m. at Millsboro Fire Company, 109 East State St., Millsboro, DE 19966.

Each kit contains two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication. The Division of Substance Abuse and Mental Health (DSAMH) will also have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder. 

“We know that 80 percent of overdoses happen in a residence,” said DPH Director Dr. Karyl Rattay. “If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person. We urge anyone who might ever have a need for access to naloxone to attend this distribution event, and also to download OpiRescue Delaware, a new smartphone app that provides lifesaving step-by-step instructions on how to respond to an overdose, including administration of naloxone.”

For more information about OpiRescue Delaware, go to HelpIsHereDE.com, and click on the overdose prevention tab.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

As of today, Sept. 5, the Division of Forensic Science has reported a total of 194 suspected overdose deaths in Delaware this year. There is always a lag in terms of both toxicology analyses and death determinations. In 2018, there were 400 overdose deaths across the state, an increase of 16 percent from the 2017 total of 345 deaths. The Centers for Disease Control and Prevention (CDC) ranked Delaware as number six in the nation for overdose deaths in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium.

Community access to naloxone has increased significantly since 2014, when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on pharmacy access and training for naloxone, along with resources regarding prevention, treatment and recovery, are available on HelpisHereDE.com.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

NEW CASTLE (Sept. 3, 2019) – Health and public safety officials are urging people in active use of heroin or other opioids and their families to seek immediate treatment and to acquire the overdose-reversing medication naloxone in the wake of six suspected overdose deaths, including four in Sussex County, during the holiday weekend.
The six suspected overdose deaths happened in Sussex and New Castle counties between Friday, Aug. 30, and Sunday, Sept. 1, the Division of Forensic Science reported. Preliminary data show that first responders in Sussex County – police, fire and EMS – responded to 25 suspected overdose incidents between Aug. 30 and Sept. 2, a substantial increase over a typical four-day period.
The five deaths from suspected overdoses on Aug. 30-31 brought the monthly total for August to 33 deaths. As of today, Sept. 3, the Division of Forensic Science has reported a total of 194 suspected overdose deaths in Delaware this year. There is always a lag in terms of both toxicology analyses and death determinations. In 2018, there were 400 overdose deaths across the state, an increase of 16 percent from the 2017 total of 345 deaths.
“Until the Division of Forensic Science determines the particular chemical make-up of the substances involved in these deaths, it is critical that people be aware of the dangers,” said Department of Health and Social Services (DHSS) Secretary Dr. Kara Odom Walker, a practicing family physician. “Five of these deaths happened at residences, so it’s important that people have naloxone in their homes if they know or suspect their loved one is using opioids. If you see someone overdose, call 9-1-1 immediately, begin rescue breathing and administer naloxone, which can reverse the effects of an opioid overdose, and save the person in distress.”
“Naloxone saves lives,” said Division of Public Health Director Dr. Karyl Rattay. “We urge anyone who needs access to naloxone to connect with Brandywine Counseling & Community Services, which operates the syringe services program for the Division of Public Health or go to a participating pharmacy to buy the overdose-reversing medication. We also urge Delawareans to download OpiRescue Delaware, a new smartphone app that provides lifesaving step-by-step instructions on how to respond to an overdose, including administration of naloxone.” For more information, go to HelpIsHereDE.com, and click on the overdose prevention tab.
In 2018, first responders administered 3,728 doses of naloxone, compared with 2,861 doses in 2017, a 30 percent increase.
Elizabeth Romero, director of the Division of Substance Abuse and Mental Health (DSAMH), urged individuals in active substance use to see a medical provider immediately, come to a DSAMH Bridge Clinic in Sussex or New Castle counties, or call DHSS’ 24/7 Crisis Services Helpline to be connected to trained crisis professionals who can discuss treatment options.
The Sussex County Bridge Clinic, in the Thurman Adams State Service Center, 546 S. Bedford St., Georgetown, is open from 8:30 a.m.to 4 p.m. Monday through Friday. For more information, call 302-515-3310. The New Castle County Bridge Clinic, 14 Central Ave. (just off U.S. 13) near New Castle, is open from 9 a.m. to 4:30 p.m. Monday through Friday. For more information, call 302-255-1650. The Kent County Bridge Clinic is expected to open this fall.
In Kent and Sussex counties, the DSAMH Crisis Helpline number is 1-800-345-6785. In New Castle County, the number is 1-800-652-2929. Individuals and families also can visit DHSS’ website, www.HelpIsHereDE.com, to find addiction treatment and recovery services in Delaware and nearby states.
Romero encouraged anyone who is using or suffering from addiction to call for help, see a medical provider, or ask a police officer or another first responder for help. “Too many times, our police officers, EMTs and other first responders see first-hand the dangers of overdoses,” she said. “Our first priority is to save lives.”
Under Delaware’s 911/Good Samaritan Law, people who call 9-1-1 to report an overdose and the person in medical distress cannot be arrested for low-level drug crimes.
In 2018, the Division of Forensic Science confirmed the presence of fentanyl in 296 of the 400 total fatal overdoses, a 41 percent increase over 2017. Fentanyl is a synthetic pain reliever that is up to 50 times more potent than heroin.
Drug dealers sell fentanyl in a variety of ways, according to the Drug Enforcement Administration (DEA). Dealers sell pure fentanyl in white powder form to users who often assume they are buying heroin. They lace cocaine or heroin with fentanyl. And they press fentanyl into pills and pass them off as Oxycodone.
When users ingest fentanyl or a drug laced with fentanyl, it affects their central nervous system and brain. Because it is such a powerful opioid, users often have trouble breathing or can stop breathing as the drug sedates them. If someone is too drowsy to answer questions, is having difficulty breathing, or appears to be so asleep they cannot be awakened, call 9-1-1 immediately, start rescue breathing and administer naloxone if you have it at home.

NEW CASTLE (March 28, 2019) – As part of its Community Naloxone Distribution initiative, the Division of Public Health (DPH) will hold two additional community naloxone distribution events in New Castle County next week. This initiative is part of a multi-pronged approach to address the opioid crisis and reduce the number of individuals dying from drug overdoses in Delaware.

In conjunction with National Public Health Week (April 1 through 7, 2019), DPH will distribute free naloxone kits to members of the general public during the following times:

• Wednesday, April 3, 2019, 11:00 a.m. to 2:30 p.m.,
  Springer Building Gymnasium, DHSS Herman Holloway Campus
  1901 N. Dupont Highway, New Castle, DE 19720
• Saturday, April 6, 2019, 10:00 a.m. to 2:00 p.m.
  Porter State Service Center509 West 8th St., Wilmington, DE 19801

Individuals are encouraged to stop by at any time during either event. Training takes approximately 15 minutes. Each naloxone kit will contain two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication.

“This training is so important that we wanted to have an event on our main campus that would be open not only to the public, but to state employees as well,” said Dr. Kara Odom Walker, Cabinet Secretary for the Department of Health and Social Services (DHSS). “We all can play a role in reducing harm among people suffering from substance use disorder and, potentially, in saving a life. I urge people to stop by either event to get trained on how to use naloxone.” Secretary Walker, a board-certified family physician, will do the training at the Holloway Campus event and receive a naloxone kit.

The Division of Substance Abuse and Mental Health (DSAMH) also will have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder.

About 80 percent of all overdoses happen in a private residence – whether it’s the home of the person who overdosed or someone else’s – which is why DPH is encouraging friends, family members, and those struggling with opioid addiction to have naloxone on hand. If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

Preliminary estimates for 2018 indicate 419 overdose deaths across the state, an increase of 21 percent from the 2017 total of 345 deaths, according to the Division of Forensic Science. The Centers for Disease Control and Prevention ranked Delaware number six in the nation for overdose mortality rate in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium. In October, DPH also announced the agency was awarded federal funds to support the purchase of naloxone and other programs for first responders.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on community training and pharmacy access to naloxone, along with resources regarding prevention, treatment and recovery are available at https://www.helpisherede.com/Get-Help/Overdose-Prevention.

DOVER – In an effort to reduce the number of individuals dying from drug overdoses in Delaware, the Division of Public Health (DPH) will hold Community Naloxone Distribution events in each county throughout the month of March. DPH will distribute free naloxone kits to members of the general public from 5:30 p.m. to 8:30 p.m., on Wednesday, March 20, 2019, at Delaware Technical Community College, Terry Campus, 100 Campus Drive, Dover, DE 19904. The distribution event will be held in the Corporate Training Center, Rooms 408 and 412. Individuals are encouraged to stop by at any time during the event. Training takes approximately 15 minutes. 

Each naloxone kit will contain two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication. The Division of Substance Abuse and Mental Health (DSAMH) also will have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder.

About 80 percent of all overdoses happen in a private residence, whether it’s their own or someone else’s, which is why DPH is encouraging friends, family members, and those struggling with opioid addiction to have naloxone on hand. If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

Preliminary estimates for 2018 indicate 419 overdose deaths across the state, an increase of 21 percent from the 2017 total of 345 deaths, according to the Division of Forensic Science. The Centers for Disease Control and Prevention ranked Delaware number six in the nation for overdose mortality rate in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium. In October, DPH also announced the agency was awarded federal funds to support the purchase of naloxone and other programs for first responders.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on community training and pharmacy access to naloxone, along with resources regarding prevention, treatment and recovery are available at https://www.helpisherede.com/Get-Help/Overdose-Prevention.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.