Boston-Cambridge-Quincy, MA-NH

Drug misuse deaths reported to DAWN	445
Suicide deaths reported to DAWN	50
Metro area population, 2004	4,424,649
Population covered by DAWN	4,424,649
Percent of population covered by DAWN	100%

Metro area overview: Deaths and population by county, 2004

Metro area component	Drug misuse		Suicide		Total population
	Deaths	Rate1	Deaths	Rate1
* Indicates area featured in Spotlight section. 1 Deaths per 1,000,000 population.
Total participating (7)	445	100.6	50	11.3	4,424,649
1. Essex County, MA*	79	106.9	11	14.9	738,984
2. Middlesex County, MA*	121	82.6	11	7.5	1,464,628
3. Norfolk County, MA	55	84.1	9	13.8	653,617
4. Plymouth County, MA	33	67.3	3	6.1	490,655
5. Suffolk County, MA*	128	192.2	13	19.5	666,022
6. Rockingham County, NH	24	82.0	2	6.8	292,526
7. Strafford County, NH	5	42.3	1	8.5	118,217

Deaths by case type, 2004

Suicide	10.1%
Overmedication	1.8%
Homicide	0.0%
All other accidental	7.3%
Could not be determined	80.8%

Place of death, 2004

Drug misuse	Deaths
Health care facility	92
Home	235
Public place	30
Other	59
Not documented	29

Suicide	Deaths
Health care facility	11
Home	30
Public place	--
Other	--
Not documented	--

Top 5 drugs involved: Drug misuse deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Opiates/opioids	132	191	323
Cocaine	35	129	164
Alcohol	2	125	127
Antidepressants	10	37	47
Benzodiazepines	3	37	40

Top 5 drugs involved: Suicide deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Alcohol	0	16	16
Cocaine	5	7	12
Antipsychotics	4	7	11
Antidepressants	2	8	10
Opiates/opioids	4	4	8

Death rates by gender and age: Drug misuse, 2004

Gender	Deaths per 1,000,000 population
Male	150.2
Female	54.1

Age	Deaths per 1,000,000 population
Under 21	11.8
21 to 34	138.7
35 to 54	208.1
55 and over	25.9

Death rates by gender and age: Suicide, 2004

Gender	Deaths per 1,000,000 population
Male	12.1
Female	10.6

Age	Deaths per 1,000,000 population
Under 21	3.4
21 to 34	18.8
35 to 54	16.7
55 and over	7.0

Causes of death, 2004

Drug misuse	Deaths
Any drug-related cause	443
– Abuse	97
– Drug or alcohol	439
– Toxic effects	402
Body systems (includes infections)	60
Accidents and injuries	58

Suicide	Deaths
Any drug-related cause	47
– Abuse	--
– Drug or alcohol	46
– Toxic effects	38
Body systems (includes infections)	6
Accidents and injuries	24

Drug-related deaths by drug category, 2003-2004

Drug category	Drug misuse			Suicide
	Deaths, 2003	Deaths, 2004	Single-drug deaths, 2004	Deaths, 2003	Deaths, 2004	Single-drug deaths, 2004
2 Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 3 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.
ALL DRUGS	486	445	193	63	50	25
Alcohol2	114	127	--	15	16	0
Cocaine	216	164	35	21	12	5
Marijuana	18	7	--	0	--	0
Stimulants	--	4	--	0	0	0
Club drugs3	--	--	--	0	0	0
Hallucinogens4	0	0	0	0	0	0
Inhalants	5	--	--	--	--	--
Antidepressants	32	47	10	11	10	--
Antipsychotics	10	7	--	5	11	4
Benzodiazepines	88	40	--	7	7	--
Misc. anxiolytics, sedatives, and hypnotics	5	5	0	5	6	--
Opiates/opioids	316	323	132	23	8	4
– Heroin (specified)	109	142	67	--	0	0
– Methadone	35	40	19	--	0	0
– All other opiates/opioids	188	150	46	20	8	4
Nonsteroidal anti-inflammatory agents	0	0	0	0	0	0
Salicylates/combinations	--	0	0	--	0	0
Misc. analgesics/combinations	4	8	4	--	4	4
Anticonvulsants	--	--	0	0	0	0
Muscle relaxants	--	--	0	0	--	0