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Home > Dying for heroin: the increasing opioid related mortality in the Republic of Ireland.

Kelleher, MJ and McKeown, PJ and O'Gara, C and Keaney, F and Farrell, Michael and Strang, John (2005) Dying for heroin: the increasing opioid related mortality in the Republic of Ireland. European Journal of Public Health , 15 , (6) , pp. 589-592.

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Over the past 20 years there has been a steady rise in mortality associated with opioid misuse in several Western countries. The aim of this study was to examine trends in opioid-related mortality over a 20-year period in the Republic of Ireland.

A retrospective analysis of deaths attributed to ICD-9 codes 304.0 (morphine-type dependence) and E850.0 (accidental poisoning by opiates and related narcotics) in the Republic of Ireland between 1980 and 1999 was inducted. The Republic of Ireland has seen a rapid increase in the number of opioid-related deaths over the 20-year period studied, from 0.01% of total deaths in 1980 to 0.15% in 1999. This is most marked in the younger age groups where, for example, it rose to 23% of 15-19 year old male deaths for 1997. The opioid-related mortality rate in the 15-44 years age range increased by nearly 14 times between 1980-1984 and 1995-1999. Over the whole period, 87% of opioid-related deaths were amongst males. Outside Dublin there has been a considerable increase in opioid-related mortality, nearly doubling the percentage of the total from 6% in the 1980s to 11% in the 1990s.

Opioid-related mortality is an increasing problem in the Republic of Ireland, as in other Western countries. Today, young people have a very low mortality rate, and hence this rapid increase may need specific targeted interventions. The spread of opioid-related mortality outside Dublin to rural and other urban areas will have implications for service planning and provision.


Item Type
Article
Date
2005
Page Range
pp. 589-592
Publisher
Oxford University Press
Volume
15
Number
6
EndNote
Accession Number
HRB 3045 (Electronic Only)
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