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首页> 美国卫生研究院文献>Academic Forensic Pathology >Epidemic Fentanyl Deaths in Maryland: A Public Health InterventionInvolving Geographic Information Systems and Collaboration with the DrugEnforcement Administration
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Epidemic Fentanyl Deaths in Maryland: A Public Health InterventionInvolving Geographic Information Systems and Collaboration with the DrugEnforcement Administration

机译：马里兰流行性芬太尼死亡：公共卫生干预涉及地理信息系统并与毒品合作执法管理

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摘要

An ongoing epidemic of illicit fentanyl overdose deaths started in Maryland in July 2013. The records of the Office of the Chief Medical Examiner for the state of Maryland were searched to identify these deaths from July 2013 to February 2015. A geographic information system was used to map and analyze the spatial and temporal distribution of the deaths in Maryland. A total of 266 fentanyl-related deaths were identified. The number of deaths per month generally increased from July 2013 to June 2014, decreased precipitously in August 2014, and rose steadily until the end of the study in February 2015. Deaths began in Baltimore City and then spread throughout the state. A statistically significant cluster (“hot spot”) of deaths was centered in Baltimore City. Greater death densities were also centered on other cities. A high-density band of deaths extended from Baltimore City towards Annapolis. Deaths extended past cities and into the surrounding suburbs; this effect was most pronounced around Baltimore City. Deaths in Baltimore City appeared concentrated in certain neighborhoods. However, the activity moved between various neighborhoods over the course of the study. Review of the above data with the United States Drug Enforcement Administration's Baltimore Office (DEA)allowed some of the above trends to be explained in terms of illicit drugproduction, transportation and distribution. The DEA is implementing a newstrategy to combat illicit narcotic distribution and use in Maryland.
机译：2013年7月，在马里兰州开始出现持续的非法芬太尼过量死亡流行病。2013年7月至2015年2月，对马里兰州首席体检官办公室的记录进行了搜索，以识别这些死亡病例。使用了地理信息系统绘制并分析马里兰州死亡的时空分布。总共鉴定出266例与芬太尼相关的死亡。从2013年7月至2014年6月，每月死亡人数普遍增加，在2014年8月急剧下降，并在2015年2月研究结束之前稳步上升。死亡始于巴尔的摩市，然后扩散到整个州。巴尔的摩市的死亡人数具有统计学意义（“热点”）。更高的死亡密度也集中在其他城市。高密度的死亡范围从巴尔的摩市一直延伸到安纳波利斯。死亡蔓延到城市和周边郊区。这种影响在巴尔的摩市附近最为明显。巴尔的摩市的死亡似乎集中在某些社区。但是，在研究过程中，活动在各个社区之间移动。与美国禁毒署巴尔的摩办事处（DEA）审查上述数据允许以非法药物解释上述某些趋势生产，运输和分配。 DEA正在实施新的马里兰州打击非法麻醉品分发和使用的战略。

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