Mapping the Prescription Drug and Heroin Epidemic

Eight years ago, I lost my little brother, J. T., to the prescription drug epidemic that is growing and has been killing our families and friends. J. T. was the most charming person you could ever meet: an amazing musician, compassionate to all, and the best man at my wedding. He became addicted to the powerful painkiller called OxyContin. Before 2007, I had no idea what OxyContin was, but I’ve found that his story of becoming addicted was all too familiar to many others. According to the Centers for Disease Control and Prevention, more than 28,000 people died from prescription drugs alone in the United States in 2014—far more than car accidents—and many more addictions continue to impact families at home. I spoke very little of this topic during the first several years after J. T. passed, and I certainly didn’t think I’d ever be writing about it on a mapping blog. However, if our country, our families, and our friends are to truly address this issue, we must understand what it is and where it’s happening. I’ve become much more vocal in sharing this painful story, and maps have been my voice to raise awareness about the problem.

Associated with this epidemic is a definite stigma that needs to be refuted. This is happening to people everywhere—rich and poor, north and south, and within every demographic—so I started a memorial story map, Celebrating Lost Loved Ones. It shows a very small sample of bios written by people I’ve met who also lost loved ones to this epidemic, and the story map has been growing via social media. Each lost loved one has a picture and a bio with details about what made them special. Family members contribute by writing to CelebrateLostLovedOnes@gmail or contacting the community Facebook page. Grieving families in Canada have also started their own story map, and I have been collaborating with them to update the Celebrating Lost Loved Ones map. The map I created shows both prescription drug and heroin deaths. It is well documented that many people who start with opioid pills move on to heroin when it becomes harder to find pills, as the two drugs are very similar chemically. So the prescription drug epidemic and heroin addiction are bound together, causing massive impacts.

The map above is meant to help break through the stigma and show that the problem is real, but it doesn’t tell the whole story. Individual states are putting together examples to show the impact within their communities, such as in the map below by the Connecticut Office of Policy and Management, Division of Criminal Justice Policy and Planning, Research Unit.

I strongly believe that this problem can be best addressed at the community level. Several state, city, and county agencies are making simple maps to help in a variety of ways. Here are a few other simple ideas about how you can assist your community:

  • Mortality maps like the one above—Mortality maps show trends within a community and where extra outreach may need to occur. These trends can be shown in a variety of ways such as dashboards of local coroner data. The Arizona Department of Health has a great dashboard and accompanying video.
  • Prescription drug drop box locationsBelow is an example by the Arizona Department of Health Services. This is important, as it helps explain where to dispose of drugs so they don’t get into drinking water or in others’ hands. You can see states and counties that have similar drop box maps.
  • Where to access help—When a loved one needs help, family members don’t always know where to turn. Local resources, such as Riverside University Health System sites, can be invaluable.
  • Naloxone access and where it is administered—Naloxone can reverse the effects of an overdose. Police and fire departments administer it in emergencies, and maps, such as this one by the City of West Allis, Wisconsin, show how prevalent trends are and where overdoses have been prevented. Since naloxone is not readily available in all states, maps showing pharmacies that provide access can be lifesaving.

These simple resource maps can be just the start. Visualizing trends can help you build a story and understand more about what is happening near you. This will allow better decision making in determining where to access treatment, provide education to youth and medical staff on prescription practices, and find other health assistance. A great depiction of how statistics and geography come together is in this story map of Massachusetts. To see more examples of what federal, state, and local governments are doing, please see this gallery, which will be updated as new applications are shared.

About Jeremiah Lindemann

Jeremiah is a geographer that helps local governments implement ArcGIS, working from the Esri Denver office. He has been with Esri for 15 years where he started as an instructor. In his free time he enjoys sporting events and the outdoors with his wife, two daughters and dogs.
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  1. Jeremiah Lindemann says:

    Please note the updated Crowdsource map for the Lost Loved Ones map where families can contribute directly to the map:

  2. Ronald says:

    Hello jeremiah,

    My name is Ron Holmes. I am a retired pediatriian and volunteer as a drug educatior, workiing with Act on Drugs. We focus on giving class room lectures to middle school and high school students across Colorado and present several hundred in-school lectures each school year. We could use your help! If interested or wnat more information plese email Thank you and admire your work…verry helpful

  3. gdurkee says:

    Hi: just read your article in Slate. Good article but the link to your AGOL map requires a sign in and, even then, my several AGOL logins don’t work. Is the map public? Here’s the link in the article: