Birmingham-Hoover, AL

Drug misuse deaths reported to DAWN	95
Suicide deaths reported to DAWN	12
Metro area population, 2004	1,082,193
Population covered by DAWN	658,495
Percent of population covered by DAWN	61%

Metro area overview: Deaths and population by county, 2004

Metro area component	Drug misuse		Suicide		Total population
	Deaths	Rate1	Deaths	Rate1
§ Area did not participate in DAWN this year. 1 Deaths per 1,000,000 population.
Total participating (1)	95	144.3	12	18.2	658,495
1. Bibb County, AL§					21,317
2. Blount County, AL§					54,988
3. Chilton County, AL§					41,466
4. Jefferson County, AL	95	144.3	12	18.2	658,495
5. Shelby County, AL§					165,677
6. St. Clair County, AL§					70,245
7. Walker County, AL§					70,005

Deaths by case type, 2004

Suicide	11.2%
Overmedication	24.3%
Homicide	0.0%
All other accidental	57.9%
Could not be determined	6.5%

Place of death, 2004

Drug misuse	Deaths
Health care facility	15
Home	46
Public place	19
Other	15
Not documented	0

Suicide	Deaths
Health care facility	--
Home	7
Public place	--
Other	--
Not documented	0

Top 5 drugs involved: Drug misuse deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Opiates/opioids	0	60	60
Cocaine	15	41	56
Benzodiazepines	0	38	38
Antidepressants	0	24	24
Alcohol	0	23	23

Top 5 drugs involved: Suicide deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Antidepressants	0	5	5
Cocaine	0	5	5
Opiates/opioids	0	4	4
Benzodiazepines	0	4	4
Alcohol	0	4	4

Death rates by gender and age: Drug misuse, 2004

Gender	Deaths per 1,000,000 population
Male	202.0
Female	92.3

Age	Deaths per 1,000,000 population
Under 21	21.6
21 to 34	184.7
35 to 54	288.6
55 and over	77.7

Death rates by gender and age: Suicide, 2004

Gender	Deaths per 1,000,000 population
Male	25.7
Female	11.5

Age	Deaths per 1,000,000 population
Under 21	0.0
21 to 34	32.1
35 to 54	30.9
55 and over	13.0

Causes of death, 2004

Drug misuse	Deaths
Any drug-related cause	75
– Abuse	59
– Drug or alcohol	73
– Toxic effects	30
Body systems (includes infections)	25
Accidents and injuries	24

Suicide	Deaths
Any drug-related cause	8
– Abuse	--
– Drug or alcohol	8
– Toxic effects	6
Body systems (includes infections)	--
Accidents and injuries	5

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	89	95	15	7	12	0
Alcohol2	24	23	0	4	4
Cocaine	47	56	15	--	5
Marijuana	--	--	0	0	0
Stimulants	4	4	0	0	0
Club drugs3	--	--	0	0	0
Hallucinogens4	0	0	0	0	0
Inhalants	0	0	0	0	0
Antidepressants	30	24	0	--	5
Antipsychotics	6	--	0	0	--
Benzodiazepines	37	38	0	4	4
Misc. anxiolytics, sedatives, and hypnotics	16	14	0	--	--
Opiates/opioids	61	60	0	5	4
– Heroin (specified)	--	--	0	0	0
– Methadone	30	28	0	--	--
– All other opiates/opioids	40	43	0	--	--
Nonsteroidal anti-inflammatory agents	0	--	0	0	0
Salicylates/combinations	4	--	0	--	0
Misc. analgesics/combinations	12	6	0	--	0
Anticonvulsants	8	--	0	0	--
Muscle relaxants	8	8	0	--	--