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    Area of Science:

    • Public Health
    • Epidemiology
    • Health Policy

    Background:

    • Opioid analgesic-involved overdose deaths surged in Staten Island between 2000-2011, with rates 3.0-4.5 times higher than other NYC boroughs by 2011.
    • Significant disparities in overdose mortality rates emerged, necessitating targeted interventions.

    Purpose of the Study:

    • To evaluate the impact of a comprehensive public health strategy and legislative changes on opioid analgesic-involved overdose death rates in Staten Island.
    • To compare changes in overdose mortality and prescribing patterns between Staten Island and other NYC boroughs.

    Main Methods:

    • Implementation of a five-part public health strategy by the NYC Department of Health and Mental Hygiene (DOHMH), including prescribing guidelines and public awareness campaigns.
    • Enactment of the Internet System for Tracking Over-Prescribing (I-STOP) law by New York state.
    • Analysis of overdose death rates and opioid analgesic prescribing data from 2011 to 2013.

    Main Results:

    • Staten Island experienced a 29% decline in the opioid analgesic-involved overdose death rate from 2011 to 2013.
    • Overdose death rates remained unchanged in the other four NYC boroughs during the same period.
    • Opioid analgesic prescribing data was compared between Staten Island and other boroughs.

    Conclusions:

    • Targeted public health interventions, coupled with legislative measures like I-STOP, can be effective in reducing opioid analgesic-involved overdose mortality.
    • The study highlights the potential for localized public health strategies to address regional health crises.