Overdose Deaths Involving Opioids, Crude Rates/100,000 Columbia County vs. NYS Excluding NYC, 2014-2021
Data Source: NYSDOH County Annual Opioid Reports
Last Updated: 12/05/2022
Update Frequency: Annual

Between 2014 and 2021, the average annual crude rate of overdose among upstate NY counties was  17.6/100,000.  The average rate in Columbia County for the same time period was just below the upstate average (17.2/100,000).

In 2021, the upstate NY crude rate of overdose was 23.5 and the rate in Columbia County was 24.6; just above the average of upstate NY counties.

Overdose Deaths Involving Opioids, Crude Rates/100,000 Greene County vs. NYS Excluding NYC, 2014-2021
Data Source: NYSDOH County Annual Opioid Reports
Last Updated: 12/05/2022
Update Frequency: Annual

Between 2014 and 2021, the average annual crude rate of overdose among upstate NY counties was  17.6/100,000.  The average rate in Greene County for the same time period was about 1.5 times higher than the upstate average (25.5/100,000).

In 2021, the upstate NY crude rate of overdose was 23.5 and the rate in Greene County was 46.3,  almost double the average of upstate NY counties.

Annual Volume of Overdose Deaths, Columbia County, 2019-2021
Data Source: Vital Statistics
Last Updated: 11/25/2022
Update Frequency: Annual

29 Columbia County residents died of overdose between 2019 and 2021.  52% of those deaths occurred in 2021, alone.

*Compared to the figure above, Vital Statistics data include deaths among Columbia County residents that occurred in any county.  Source: NYS County Opioid Quarterly Report.

Annual Volume of Overdose Deaths, Greene County, 2019-2021
Data Source: Vital Statistics
Last Updated: 11/25/2022
Update Frequency: Annual

42 Greene County residents died of overdose between 2019 and 2021.  50% of those deaths occurred in 2021, alone.

*Compared to the figure above, Vital Statistics data include deaths among Greene County residents that occurred in any county.  Source: NYS County Opioid Quarterly Report

Quarterly Overdose Volume and Approximate Fatality Rates
Data Source: ODMAP & Columbia County Coroners' Office
Last Updated: 11/25/2022
Update Frequency: Quarterly

Combining data from ODMAP with data from the County Coroner, yields an approximate fatality rate.  The true fatality rate could only be smaller, as the number of fatalities is fixed (the numerator) and the number of total overdoses could only be larger (the denominator).  Annual fatality rates are rising over time.  The average fatality rate in 2019 was 16%, in 2020 it was 16%.  In 2021 the average fatality rate was 17% and YTD in 2022 it is 20%.

Quarterly Overdose Volume and Approximate Fatality Rates
Data Source: ODMAP & Greene County Coroners' Office
Last Updated: 11/25/2022
Update Frequency: Quarterly

Combining data from ODMAP with data from the County Coroner, yields an approximate fatality rate.  The true fatality rate could only be smaller, as the number of fatalities is fixed (the numerator) and the number of total overdoses could only be larger (the denominator).  Annual fatality rates for Greene County should be interpreted with caution due to varying levels of first responder participation with the ODMAP data system.  Based on available data, the average fatality rate in 2019 was 25%; in 2020 it was 8%.  In 2021 the average fatality rate was 18% and YTD in 2022 it is 22%.

Total Columbia County Overdose Events Entered into ODMAP and Percent Change since 2019
Data Source: ODMAP
Last Updated: 01/09/2023
Update Frequency: Annual

Not all overdose events are captured by ODMAP.  Record entry may vary by county based on independent protocols for entering records.  Overdoses may also occur with no first responder intervention and therefore would not be entered into ODMAP at all.  Based on available information*, overdose volume has increased by 100% in Columbia County between 2019 and 2022.

*Available information includes overdose events for which a first responder was on scene and entered overdose information into ODMAP.

Total Greene County Overdose Events Entered into ODMAP and Percent Change since 2019
Data Source: ODMAP
Last Updated: 01/09/2023
Update Frequency: Annual

Not all overdose events are captured by ODMAP.  Record entry may vary by county based on independent protocols for entering records.  Overdoses may also occur with no first responder intervention and therefore would not be entered into ODMAP at all.  Based on available information*, overdose volume has increased by 58% in Greene County between 2019 and 2022.

*Available information includes overdose events for which a first responder was on scene and entered overdose information into ODMAP.

Proportion of Overdose Deaths by Substance Involved, Columbia County, 2021 (N=14)
Data Source: Columbia County Coroners' Office
Date of Update: 11/25/2022
Update Frequency: Annual

Overdose death rates are still rising because the drug supply is more poisoned than ever before. Deaths involving heroin in Columbia County have largely disappeared because heroin has become much scarcer. Fentanyl is the substance most often implicated in overdose deaths, often in combination with other substances. This is why deaths involving stimulants are on the rise. 64% of overdose deaths in Columbia County last year involved stimulants in combination with fentanyl; mostly cocaine, but also amphetamine and methamphetamine. Aside from 2 overdoses attributed to  fentanyl alone, all fentanyl  overdoses that did not involve stimulants involved xylazine, a veterinary tranquilizer that increases risk of respiratory depression, and thus death to overdose.

Anyone who may be at risk of witnessing or experiencing an overdose can obtain naloxone free of charge by texting NARCANKIT to 21000.

Proportion of Overdose Deaths by Substance Involved, Greene County, 2021 (N=21)
Data Source: Greene County Coroners' Office
Date of Update: 11/25/2022
Update Frequency: Annual

Overdose death rates are still rising because the drug supply is more poisoned than ever before. Despite the regional scarcity of heroin, 9 of 21 deaths last year (43%) involved heroin in Greene County, all in combination with fentanyl. Fentanyl is the substance most often implicated in overdose deaths, often in combination with other substances. This is why overdose deaths involving stimulants are on the rise; 39% of deaths in Greene County last year involved fentanyl in combination with cocaine or amphetamine/methamphetamine.   1 death also involved fentanyl in combination with xylazine, a veterinary tranquilizer that increases risk of respiratory depression, and thus death to overdose.

Anyone who may be at risk of witnessing or experiencing an overdose can obtain naloxone free of charge by texting NARCANKIT to 21000.

*Note that polysubstance use is common and some deaths fall into more than one category by substance involved, therefore the total number of deaths in Greene County last year was 21, but some deaths are counted in more than 1 category.

Proportion of Overdose Deaths by Age Group, Columbia County, 2021 (N=14)
Data Source: Columbia County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

In 2021, no one under 30 years of age died of overdose.  Nearly half of the deaths (43%) occurred in people age 30-39 years old and and additional 36% of deaths occurred among people in their 40s.

Proportion of Overdose Deaths by Age Group, Greene County, 2021 (N=21)
Data Source: Greene County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

In 2021, most overdose deaths in Greene County occurred in people in their 30s (33%) or in their 40s (29%).  An additional 19% of deaths occurred in people in their 20s.

Proportion of Overdose Deaths by Gender, Columbia County, 2021 (N=14)
Data Source: Columbia County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

More males than females died of overdose in Columbia County last year.  64% of overdose deaths were among males.

Proportion of Overdose Deaths by Gender, Greene County, 2021 (N=21)
Data Source: Greene County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

More males than females died of overdose in Greene County last year.  67% of overdose deaths were among males.

Proportion of Overdose Deaths by Race, Columbia County, 2021 (N=14)
Data Source: Columbia County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

The majority of overdose deaths in Columbia County last year were among white/caucasian people (64%), followed by black/african american people (29%).  7% of deaths were  among people of multiple races.

Proportion of Overdose Deaths by Race, Greene County, 2021 (N=21)
Data Source: Greene County Coroners' Office
Date of Update: 12/05/2022
Update Frequency: Annual

The majority of overdose deaths in Greene County last year were among white/caucasian people (95%).  The remaining 5% of deaths were among black/african american people.

Regional Overdose Deaths by Municpality where the Death Occurred, 2019-2021. Columbia County
Data Source: Columbia County Coroners' Office
Last Updated: 12/06/2022
Update Frequency: Annually
Columbia County Data By Municpality
Region #1: 4
Region #2: 7
Region #3: 8
Region #4: 7
Region #5: 1
Region #6: 5
Columbia County Region #1 Columbia County Region #2 Columbia County Region #3 Columbia County Region #4 Columbia County Region #5 Columbia County Region #6

There were 32 deaths to overdose in Columbia County between 2019 and 2021.  Of those, 13% occurred in Region 1, 22% occurred in Region 2, 25% occurred in Region 3, 22% occurred in Region 4, 3% occurred in Region 5 and 16% occurred in Region 6.

Regional Overdose Deaths by Municpality where the Death Occurred, 2019-2021. Greene County
Data Source: Greene County Coroners' Office
Last Updated: 12/06/2022
Update Frequency: Annually
Greene County Data By Municpality
Region #1: 21
Region #2: 7
Region #3: 0
Region #4: 7
Region #5: 5
Region #6: 4
Greene County Region #1 Greene County Region #2 Greene County Region #3 Greene County Region #4 Greene County Region #5 Greene County Region #6

There were 44 deaths to overdose in Greene County between 2019 and 2021.  Of those, 48% occurred in Region 1, 16% were in Region 2, 16% were in Region 4, 11% were in Region 5 and 9% were in Region 6.  There were 0 deaths in Region 3.

Volume of Overdoses Reported into ODMAP by Region, 2019-2022, YTD. Columbia County
Data Source: ODMAP
Last Updated: 01/23/2023
Update Frequency: Weekly
Columbia County Data By Municpality
Region #1: 49
Region #2: 39
Region #3: 130
Region #4: 28
Region #5: 9
Region #6: 44
Columbia County Region #1 Columbia County Region #2 Region #3 Columbia County Region #4 Columbia County Region #5 Columbia County Region #6

Between 2019 and 2023 YTD (1/23/2023), there have been 299 overdose events entered into ODMAP in Columbia County.  Of those, 16% are in Region 1, 13% are in Region 2, 43% are in Region 3, 9% are in Region 4, 3% are in Region 5 and 15% are in Region 6.

Volume of Overdoses Reported into ODMAP by Region, 2019-2022, YTD. Greene County
Data Source: ODMAP
Last Updated: 01/23/2023
Update Frequency: Weekly
Greene County Data By Municpality
Region #1: 227
Region #2: 63
Region #3: 15
Region #4: 49
Region #5: 20
Region #6: 6
Greene County Region #1 Greene County Region #2 Greene County Region #3 Greene County Region #4 Greene County Region #5 Greene County Region #6

Between 2019 and 2023 YTD (1/23/2023), there have been 380 overdose events entered into ODMAP in Greene County.  Of those, 60% are in Region 1, 16% are in Region 2, 4% are in Region 3, 13% are in Region 4, 5% are in Region 5 and 1% are in Region 6.

Weekly Volume of Overdose Entries into ODMAP, Columbia County, 2022
Data Source: ODMAP
Last Updated: 01/23/2023
Update Frequency: Weekly

Columbia County uses ODMAP data to monitor overdoses daily.  When the volume of daily overdoses passes a threshold that may indicate a particularly risky substance may be present locally, a ‘spike alert’ is generated.  Anyone who may be at risk of overdose should carry naloxone and always practice harm reduction.  During a ‘spike alert’ the risk of overdose is particularly high.

Anyone who may be at risk of witnessing or experiencing an overdose can obtain naloxone free of charge by texting NARCANKIT to 21000.

Sign up for overdose spike alerts.

Weekly Volume of Overdose Entries into ODMAP, Greene County, 2022
Data Source: ODMAP
Last Updated: 01/23/2023
Update Frequency: Weekly

Greene County uses ODMAP data to monitor overdoses daily.  When the volume of daily overdoses passes a threshold that may indicate a particularly risky substance may be present locally, a ‘spike alert’ is generated.  Anyone who may be at risk of overdose should carry naloxone and always practice harm reduction.  During a ‘spike alert’ the risk of overdose is particularly high.

Anyone who may be at risk of witnessing or experiencing an overdose can obtain naloxone free of charge by texting NARCANKIT to 21000.

Sign up for overdose spike alerts.

Overdose data are compiled by the Greene County Department of Health, with the support of grant funding from the NYS Health Department and the CDC Foundation.  For inquiries relating to this data, please contact Veronica Salvas at vsalvas@cdcfoundation.org.