ArticleAmerican journal of public health2018
Spatial Methods to Enhance Public Health Surveillance and Resource Deployment in the Opioid Epidemic.
Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- An Evaluation of the User Experience and Privacy Concerns of Individuals Misusing Opioids Using a Location Tracking Mobile Application.Substance use & misuse · 2024Article
- Public transport access to drug treatment before and during COVID-19: Implications for the opioid epidemic.The International journal on drug policy · 2023Article
- Neighborhood deprivation and morbid obesity: Insights from the Houston Methodist Cardiovascular Disease Health System Learning Registry.Preventive medicine reports · 2023Article
- Toxicology Test Results for Public Health Surveillance of the Opioid Epidemic: Retrospective Analysis.Online journal of public health informatics · 2023Article
- Your neighborhood matters: A machine-learning approach to the geospatial and social determinants of health in 9-1-1 activated chest pain.Research in nursing & health · 2022Article
- The Role of the Pharmacist in Combating the Opioid Crisis: An Update.Substance abuse and rehabilitation · 2022Review
- Targeting community-based naloxone distribution using opioid overdose death rates: A descriptive analysis of naloxone rescue kits and opioid overdose deaths in Massachusetts and Rhode Island.The International journal on drug policy · 2021Article
- Suspected heroin-related overdoses incidents in Cincinnati, Ohio: A spatiotemporal analysis.PLoS medicine · 2019Article
- Identifying high-risk areas for nonfatal opioid overdose: a spatial case-control study using EMS run data.Annals of epidemiology · 2019Article
- Determining spatial access to opioid use disorder treatment and emergency medical services in New Hampshire.Journal of substance abuse treatment · 2019Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo improve public health surveillance and response by using spatial optimization.
methodsWe identified cases of suspected nonfatal opioid overdose events in which naloxone was administered from April 2013 through December 2016 treated by the city of Pittsburgh, Pennsylvania, Bureau of Emergency Medical Services. We used spatial modeling to identify areas hardest hit to spatially optimize naloxone distribution among pharmacies in Pittsburgh.
resultsWe identified 3182 opioid overdose events with our classification approach, which generated spatial patterns of opioid overdoses within Pittsburgh. We then used overdose location to spatially optimize accessibility to naloxone via pharmacies in the city. Only 24 pharmacies offered naloxone at the time, and only 3 matched with our optimized solution.
conclusionsOur methodology rapidly identified communities hardest hit by the opioid epidemic with standard public health data. Naloxone accessibility can be optimized with established location-allocation approaches. Public Health Implications. Our methodology can be easily implemented by public health departments for automated surveillance of the opioid epidemic and has the flexibility to optimize a variety of intervention strategies.
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