Louisville Medicine Volume 62, Issue 6 | Page 24

(continued from page 21) Table 2: Drug Overdose Deaths in Females Aged 13-50 Years in Two Periods of Time in 10 Counties (n1=280, n2=97). Post KASPER (N=280) Pre KASPER (N=97) County of Death N % 95% Lower 95% Upper N % 95% Lower 95% Upper P Jefferson 48 17.14 13.14 22.03 9 9.28 4.71 16.95 0.071 Fayette 22 7.86 5.18 11.67 1 1.03 0.00 6.2 0.013 Kenton 18 6.43 4.04 10 8 8.25 3.97 15.71 0.642 Boone 10 3.57 1.86 6.54 4 4.12 1.24 10.5 0.761 Campbell 9 3.21 1.6 6.09 2 2.06 0.08 7.7 0.736 Bullitt 7 2.5 1.11 5.18 1 1.03 0.00 6.2 0.686 Bell 7 2.5 1.11 5.18 1 1.03 0.00 6.2 0.686 Pulaski 7 2.5 1.11 5.18 4 4.12 1.24 10.5 0.484 Harlan 6 2.14 0.87 4.71 2 2.06 0.08 7.7 1 Anderson 3 1.07 0.21 3.26 0 0 0.00 4.6 0.572 Table 2a: Heroin Death in Top 10 counties in post KASPER group and Heroin Deaths in Females Aged 13-50 Years in Two Periods of Time in 10 Counties (n1=61, n2=3) Post KASPER (N=61) County of Heroin Death N % 95% Lower 95% Upper N % 95% Lower 95% Upper P Jefferson 13 21.31 12.61 33.41 0 0 0.00 67.62 1 Fayette 7 11.48 5.25 22.27 0 0 0.00 67.62 1 Kenton 5 8.2 3.05 18.3 2 66.67 13.78 100.00 0.03 Boone 4 6.56 2.02 16.25 1 33.33 0.00 86.22 0.22 Campbell 4 6.56 2.02 16.25 0 0 0.00 67.62 1 Bullitt 2 3.28 0.16 11.93 0 0 0.00 67.62 1 Bell 1 1.64 0.00 9.63 0 0 0.00 67.62 1 Pulaski 1 1.64 0.00 9.63 0 0 0.00 67.62 1 Harlan 1 1.64 0.00 9.63 0 0 0.00 67.62 1 Anderson 2 3.28 0.16 11.93 0 0 0.00 67.62 1 The intended benefits of the 2012 KASPER Drug Law were to decrease the street use of prescription opioids, shut down “pill mills,” and introduce more responsibility in drug prescribing. The unintended consequences of this drug law were to significantly increase the use of street heroin, increase respiratory failure as a cause of death, increase the place of death to emergency departments and increase the overdose deaths in married women. The overall number of females aged 13-50 years dying from a narcotic overdose has not changed, but the KASPER Drug Law increased the deaths from heroin. No pregnant woman was a drug overdose death, as reported by death certificates. The KASPER law decreased the availability of prescription narcotic drugs by shutting down “pill mills” by greater supervision of large dispensers o