Injury and Violence Prevention Branch

Poisoning Data

Data and Surveillance Navigation

Deaths, hospitalizations, and emergency department (ED) visits due to poisoning, particularly medication and drug poisoning, have become a growing public health concern nationally and in North Carolina. Since 1999 the number of medication and drug poisoning deaths in North Carolina has increased by more than 580 percent, from 363 to 2,474 in 2017. Additionally, in 2017 there were nearly 12,000 hospitalizations and over 25,000 ED visits related to medication and drug poisoning.

Historically, prescription opioids have been a major driver of this epidemic. However, illicit drugs are now contributing to this problem in increasing numbers. Heroin or other synthetic narcotics (like fentanyl) were involved in nearly 80 percent of unintentional opioid deaths in 2017. The number of overdose deaths involving stimulants is also on the rise.

Please contact us with questions or data requests. Visit Poisoning Prevention and Unintentional Poisoning from Prescription Drugs for more information on preventing poisoning deaths in North Carolina.

N.C. Summary Data

03/08/19: NC Overdose Data: Trends and Surveillance is a recorded presentation of core overdose data.
- Download the slides: Core Overdose Data Slides January 2019 (PPTX, 6.9 MB)
The Prescription and Drug Overdose Fact Sheet (PDF, 180 KB) provides a snapshot of prescription drug overdose deaths.
The Opioid-related Overdose Fact Sheet provides information specific to the opioid epidemic.
Impacts of Substance Use on Families Fact Sheet (PDF, 329 KB)
Annual Data Summary: 2018 Opioid Overdose ED Visit Data (PDF, 324 KB)
05/03/19: Annual Data Summary: 2018 NC Harm Reduction Data (PDF, 423 KB)

N.C. Opioid Action Plan Data Dashboard - Updated Quarterly

Data dashboard to track and monitor the N.C. Opioid Action Plan metrics; data available for the state and individual counties.
North Carolina’s Opioid Action Plan

County Overdose Slide Sets

Note: When downloading and opening a slide set, within PowerPoint you may see a security notice warning you about links to other files. If so, you can ignore the notice and click the "Cancel" button to continue opening the file. Do not click the "Update Links" button.

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NC DETECT Opioid Overdose ED Visits Reports - Updated Monthly

April 2019 Opioid Surveillance ED Data (PDF, 193 KB)
April 2019 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 284 KB)
County Opioid Overdose Emergency Department Visit Reports (For counties with average monthly visits ≥ 5)
- Alamance (PDF, 97 KB)
- Buncombe (PDF, 98 KB)
- Burke (PDF, 97 KB)
- Cabarrus (PDF, 97 KB)
- Catawba (PDF, 97 KB)
- Craven (PDF, 97 KB)
- Cumberland (PDF, 97 KB)
- Davidson (PDF, 96 KB)
- Durham (PDF, 97 KB)
- Forsyth (PDF, 97 KB)
- Gaston (PDF, 97 KB)
- Guilford (PDF, 97 KB)
- Harnett (PDF, 96 KB)
- Henderson (PDF, 96 KB)
- Iredell (PDF, 97 KB)
- Johnston (PDF, 96 KB)
- Lee (PDF, 96 KB)
- Lincoln (PDF, 97 KB)
- Mecklenburg (PDF, 97 KB)
- Moore (PDF, 96 KB)
- Nash (PDF, 96 KB)
- New Hanover (PDF, 97 KB)
- Onslow (PDF, 97 KB)
- Orange (PDF, 96 KB)
- Pitt (PDF, 96 KB)
- Randolph (PDF, 97 KB)
- Richmond (PDF, 96 KB)
- Robeson (PDF, 97 KB)
- Rockingham (PDF, 97 KB)
- Rowan (PDF, 97 KB)
- Stanly (PDF, 96 KB)
- Surry (PDF, 97 KB)
- Union (PDF, 96 KB)
- Wake (PDF, 97 KB)
- Wayne (PDF, 97 KB)
Archive
County Archive
2018 Opioid Overdose Emergency Department Visits
- Alamance (PDF, 104 KB)
- Buncombe (PDF, 106 KB)
- Burke (PDF, 104 KB)
- Cabarrus (PDF, 104 KB)
- Catawba (PDF, 104 KB)
- Craven (PDF, 103 KB)
- Cumberland (PDF, 105 KB)
- Davidson (PDF, 104 KB)
- Durham (PDF, 104 KB)
- Forsyth (PDF, 104 KB)
- Gaston (PDF, 103 KB)
- Guilford (PDF, 105 KB)
- Harnett (PDF, 104 KB)
- Haywood (PDF, 104 KB)
- Henderson (PDF, 104 KB)
- Iredell (PDF, 104 KB)
- Lee (PDF, 104 KB)
- Lincoln (PDF, 104 KB)
- Mecklenburg (PDF, 106 KB)
- New Hanover (PDF, 103 KB)
- Onslow (PDF, 103 KB)
- Pitt (PDF, 104 KB)
- Randolph (PDF, 104 KB)
- Robeson (PDF, 104 KB)
- Rockingham (PDF, 105 KB)
- Rowan (PDF, 104 KB)
- Stanly (PDF, 104 KB)
- Surry (PDF, 104 KB)
- Union (PDF, 104 KB)
- Wake (PDF, 103 KB)
- Wayne (PDF, 104 KB)
2017 Opioid Overdose Emergency Department Visits
- Alamance (PDF, 139 KB)
- Buncombe (PDF, 141 KB)
- Cabarrus (PDF, 140 KB)
- Catawba (PDF, 139 KB)
- Craven (PDF, 139 KB)
- Cumberland (PDF, 140 KB)
- Davidson (PDF, 139 KB)
- Durham (PDF, 139 KB)
- Forsyth (PDF, 139 KB)
- Guilford (PDF, 142 KB)
- Iredell (PDF, 138 KB)
- Mecklenburg (PDF, 141 KB)
- New Hanover (PDF, 139 KB)
- Rowan (PDF, 139 KB)
- Union (PDF, 140 KB)
- Wake (PDF, 141 KB)
Monthly Statewide Report Archive
2019
- March 2019 Opioid Surveillance ED Data (PDF, 191 KB)
- February 2019 Opioid Surveillance ED Data (PDF, 190 KB)
- January 2019 Opioid Surveillance ED Data (PDF, 428 KB)
2018
- December 2018 Opioid Surveillance ED Data (PDF, 462 KB)
- November 2018 Opioid Surveillance ED Data (PDF, 407 KB)
- October 2018 Opioid Surveillance ED Data (PDF, 204 KB)
- September 2018 Opioid Surveillance ED Data (PDF, 202 KB)
- August 2018 Opioid Surveillance ED Data (PDF, 199 KB)
- July 2018 Opioid Surveillance ED Data (PDF, 202 KB)
- June 2018 Opioid Surveillance ED Data (PDF, 199 KB)
- May 2018 Opioid Surveillance ED Data (PDF, 171 KB)
- April 2018 Opioid Surveillance ED Data (PDF, 189 KB)
- March 2018 Opioid Surveillance ED Data (PDF, 264 KB)
- February 2018 Opioid Surveillance ED Data (PDF, 375 KB)
- January 2018 Emergency Department Visits for Opioid Overdose (PDF, 461 KB)
2017
- December 2017 Emergency Department Visits for Opioid Overdose (PDF, 468 KB)
- November 2017 Emergency Department Visits for Opioid Overdose (PDF, 467 KB)
- October 2017 Emergency Department Visits for Opioid Overdose (PDF, 471 KB)
- September 2017 Emergency Department Visits for Opioid Overdose (PDF, 453 KB)
- August 2017 Emergency Department Visits for Opioid Overdose (PDF, 466 KB)
- July 2017 Emergency Department Visits for Opioid Overdose (PDF, 461 KB)
Monthly Heat Map Archive
2019
- March 2019 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 277 KB)
- February 2019 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 283 KB)
- January 2019 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 264 KB)
2018
- December 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 245 KB)
- November 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 248 KB)
- October 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 213 KB)
- September 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 212 KB)
- August 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 181 KB)
- July 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 217 KB)
- June 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 194 KB)
- May 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 260 KB)
- April 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 223 KB)
- March 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 305 KB)
- February 2018 Opioid Overdose Emergency Department Visits Heat Maps (PDF, 292 KB)
- January 2018 Opioid Overdose Emergency Department Visits Map (PDF, 459 KB)
2017
- December 2017 Opioid Overdose Emergency Department Visits Map (PDF, 514 KB)
- November 2017 Opioid Overdose Emergency Department Visits Map (PDF, 535 KB)
- October 2017 Opioid Overdose Emergency Department Visits Map (PDF, 600 KB)
- September 2017 Opioid Overdose Emergency Department Visits Map (PDF, 592 KB)
- August 2017 Opioid Overdose Emergency Department Visits Map (PDF, 593 KB)
- July 2017 Opioid Overdose Emergency Department Visits Map (PDF, 600 KB)

NC OCME Poisoning Deaths Surveillance Reports - Updated Monthly

NC OCME Overdose Surveillance, Updated 09/10/18
Additional NC OCME data and reports can be found at http://www.ocme.dhhs.nc.gov/annreport/index.shtml.

NC Harm Reduction Slides - Updated Monthly

NC Harm Reduction Data Slides April 2019 (PDF, 3.8 MB)
Archive
2019
- NC Harm Reduction Data Slides March 2019 (PDF, 2.6 MB)
- NC Harm Reduction Data Slides February 2019 (PDF, 2.1 MB)
- NC Harm Reduction Data Slides January 2019 (PDF, 2 MB)
2018
- NC Harm Reduction Data Slides December 2018 (PDF, 2.1 MB)
- NC Harm Reduction Data Slides November 2018 (PDF, 2.6 MB)
- NC Harm Reduction Data Slides October 2018 (PDF, 2.6 MB)
- NC Harm Reduction Data Slides September 2018 (PDF, 2.7 MB)
- NC Harm Reduction Data Slides August 2018 (PDF, 2.6 MB)
- NC Harm Reduction Data Slides July 2018 (PDF, 2.6 MB)
- NC Harm Reduction Data Slides June 2018 (PDF, 2.8 MB)
- NC Harm Reduction Data Slides May 2018 (PDF, 2.9 MB)
- NC Harm Reduction Data Slides April 2018 (PDF, 2.9 MB)
- NC Harm Reduction Data Slides March 2018 (PDF, 2.9 MB)
- NC Harm Reduction Data Slides February 2018 (PDF, 2.9 MB)
- NC Harm Reduction Data Slides January 2018 (PDF, 3 MB)
2017
- NC Harm Reduction Data Slides December%202017 (PDF, 3 MB)
- NC Harm Reduction Data Slides November 2017 (PDF, 2.8 MB)
- NC Harm Reduction Data Slides October 2017 (PDF, 5.3 MB)

County-Level Poisoning Data Tables

See the topics below for data on various types of poisoning at the county level. Please see the North Carolina Poisoning Surveillance Definitions (PDF, 207 KB) table for a detailed description of case definitions for each type of poisoning. All tables contain the most recent 10 years of data. If additional years of data are needed, please send a request.

Previously, tables were posted with opioid prescribing data. These tables are no longer posted here but the data they contained can be found on the NC Opioid Data Dashboard.