Opioid Mortality Trends by Drug TypeSan Juan Municipio, Puerto Rico
Opioid overdoses have skyrocketed since the late 1990's, becoming the worst drug epidemic in modern American history. This report examines the opioid crisis's impact in San Juan Municipio, Puerto Rico.
Opioids are a class of drugs that includes several kinds of painkillers—both prescription and illegal versions—as well as heroin. Black-market varieties of fentanyl, a synthetic opioid, have recently surged in popularity. Mortality data for several types of opioids in San Juan Municipio are presented below.
By the numbers:
San Juan Municipio's mortality statistics for each drug type in this report are not mutually exclusive. Multiple types of opioids may be found in an overdose victim, so the values for the subtypes of opioids do not necessarily add up to the total number of opioid-related deaths. The data in this report is from the Centers for Disease Control and Prevention (CDC), queried from their WONDER database under Multiple Causes of Death. Note that San Juan Municipio's data may not be available for every type of opioid: the CDC suppresses reporting of small death counts for privacy reasons.
Opioid Overdose Mortality Trends in San Juan Municipio: All Types
Prescription Opioid Deaths in San Juan Municipio, Puerto Rico
Prescription opioids include all types of opioids except opium and heroin, which are exclusively used illegally. Drug-related deaths within this classification may include prescription drugs, such as fentanyl, that are used illegally in San Juan Municipio. It is not possible to discern from the data whether or not a San Juan Municipio resident's death was from a legal prescription or an illicitly-acquired version of such drugs.
Health experts trace the roots of the opioid crisis to the overprescription of opioid pain relievers, beginning in the late 1990’s. It is now widely acknowledged that many prescription opioids are dangerously addictive. Increasingly, doctors have taken steps to limit their distribution. However, even as the supply of prescription opioids was constrained, the demand for opioids remained.
Heroin Overdose Deaths in San Juan Municipio, Puerto Rico
Heroin is an illegal drug made from morphine, which is in turn derived from poppies of the opium plant. Heroin deaths began spiking nationwide around 2010, just as deaths from prescription opioids had begun to level off. Of new heroin users, three out of four have previously abused prescription opioids.
Fentanyl and Other Synthetic Opioid Overdose Deaths in San Juan Municipio, Puerto Rico
Further complicating the crisis is black-market fentanyl, often sold alongside or mixed with heroin. Fentanyl is a synthetic (human-made) opioid that is legally available with a prescription. But in recent years, huge quantities of illegally manufactured fentanyl have entered the drug supply. The data shown here for San Juan Municipio includes both legal and illegal fentanyl, as well as other synthetic opioids chemically similar to fentanyl.
About the Data
The data in this article was queried from CDC Wonder, based on the following parameters:
• Opioid deaths: UCD codes: F11.0, X40-X44, X60-X64, X85, Y10-Y14; MCD codes: T40.0-T40.4, T40.6.
• Prescription Opioid Deaths: UCD codes: X40-X44, X60-X64, X85, Y10-Y14; MCD codes: T40.2-T40.4.
• Fentanyl and Other Synthetic Opioid Deaths: UCD codes: F11.0, X40-X44, X60-X64, Y10-Y14; MCD codes: T40.4.
• Heroin deaths: UCD codes: X40-X44, X60-X64, X85, Y10-Y14;MCD codes: T40.1.