San Francisco Burden of Disease & Injury Study:
Determinants of Health
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Overdose Mortality ("Poisonings')

Poisonings are almost entirely from overdoses of illicit drugs, usually from heroin (often in combination with alcohol and other drugs). Poisonings is the sixth leading cause of premature mortality in San Francisco.

Although mortality from poisonings is approximately 100% attributable to illicit drugs, poisonings may not necessarily be the main means by which illicit drugs contribute to mortality. Some proportion of violence and HIV infection are attributable to illicit drugs, and these proportions vary by demographic group.

The burden of premature mortality from drug overdoses ("poisonings") is not distributed equally among the various neighborhoods in San Francisco. These are the neighborhoods in which poisonings ranks among the top ten causes of premature death (see Health Outcomes) and the percentage of Years of Lost Life (YLL) from the ten causes in each neighborhood (note that this is preliminary information...need to determine variability among zips in how their top ten causes contribute to their total YLL):

Neighborhood Zip Code Percentage of drug overdose mortality among the ten leading causes of death in that Zip (% of YLL)
City as a whole All Zips
7.5 %
Hayes Valley/Tenderloin/North of Market 94102
15 %
South of Market 94103
10 %
Potrero Hill 94107
7 %
Polk/Russian Hill (Nob Hill) 94109
10 %
Inner Mission/Bernal Heights 94110
7 %
Ingelside-Excelsior/Crocker-Amazon 94112
6 %
Castro/Noe Valley 94114
6 %
Western Addition/Japantown 94115
6 %
Parkside/Forest Hill 94116
3 %
Haight-Ashbury 94117
7 %
Sunset 94122
4 %
Bayview-Hunters Point 94124
5 %
St. Francis Wood/Miraloma/West Portal 94127
6 %
Visitacion Valley/Sunnydale 94134
7 %

 

Illicit Drugs

Overview

Contribution to overall disease burden in SF

Downstream (health consequences)

Upstream causes

What can be done?

Web resources

MEDLINE strategies

Updated September 26, 2005 • Please send feedback: brian.s.katcher@sfdph.org

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