County Profiles of Opioid Use 2017

County Profiles of Opioid Use
And Related Outcomes

2
This report was created collaboratively with input and data from the following
divisions and individuals within the Indiana State Department of Health:
Epidemiology Resource Center (http://www.in.gov/isdh/25154.htm)

Joshua Clayton
Deborah Nichols
Amara Ross
Michele Starkey
Linda Stemnock
Ashley Suiter
Chris Waldron
Division of HIV, STD, and Viral Hepatitis (http://www.in.gov/isdh/17397.htm)
Erika Chapman
Caitlin Conrad
Daniel Hillman
Trauma and Injury Prevention Division (http://www.in.gov/isdh/19537.htm)
Kayley Dotson
Camry Hess
Jessica Schultz
3
Table of Contents
Introduction......................................................................................................................................... 5
Explanation of Charts and Graphs....................................................................................................... 6
Data Methodology.............................................................................................................................. 7
Statewide Indiana Maps and Charts.................................................................................................... 9

Non-fatal Emergency Department Visits due to Opioid Overdoses............................................ 10
Soft Tissue Infections Associated with Drug Abuse..................................................................... 12
Deaths from Drug Poisonings Opioids...................................................................................... 14

Hepatitis C, Acute........................................................................................................................ 16
Hepatitis C, Chronic..................................................................................................................... 18
Newly Diagnosed HIV/AIDS......................................................................................................... 20
HIV/AIDS Prevalence................................................................................................................... 22
Chlamydia................................................................................................................................... 24
Gonorrhea................................................................................................................................... 26
Endocarditis................................................................................................................................. 28
County-specific Charts and Resources................................................................................................ 30

Each county includes: Hepatitis C, Chronic; Non-fatal Emergency Department Visits due to Opioid
Overdoses; Hepatitis C, Acute (Clark, Delaware, and Marion Counties); and HIV/STD Resources.
4
Introduction
The Scott County, Indiana, outbreak of human immunodeficiency virus (HIV) and hepatitis C
virus (HCV) is the single largest known outbreak among persons who inject drugs (PWID) in the
United States. As of February 2017, 215 HIV cases had been reported to the Indiana State
Department of Health (ISDH) in Scott County. Of these, 204 (95%) reported injection drug use
and 204 (95%) were co-infected with HCV. Substantial increases in the rate of chronic HCV
infection have also been noted in Scott County (316 to 1,001 cases per 100,000 population from
2014 to 2015), although the full contribution of injection drugs is unknown due to the
magnitude of cases and fact that not all could be prioritized for investigation. The response to
the outbreak has been as large and complex as the outbreak itself, being among persons who
reported injecting oxymorphone (Opana) and sharing needles, and involving numerous federal,
state, and local agencies and partners.
This document and supporting interactive statistics, available through the state website at
http://in.gov/isdh/26680.htm, are offered as a resource to help inform prevention and response
efforts planned or under way.
What Local Health Departments Can Do

Local public health staff are critical to the identification of outbreaks. Important
activities to implement, maintain or enhance:
Promptly report new HIV cases to the ISDH Division of HIV/STD/Viral Hepatitis
Promptly report new HCV cases to the ISDH Epidemiology Resource Center
Look for possible clusters of HIV and/or HCV: case numbers above the baseline rate,
disproportionately more cases in a specific demographic group, or common risk factors
Become familiar with local data on injection drug use and related infections to identify
clusters
Request access to the ESSENCE system to monitor emergency department chief
complaints due to drug overdose
Consider enhanced testing for HIV and HCV, especially in jails, prisons, drug treatment
centers, and emergency departments
More information on steps local health departments and health care providers can take is
found in the CDC Health Advisory at https://emergency.cdc.gov/han/han00377.asp.
5
Explanation of Charts and Maps in This Profile
Line Chart
A solid blue line (anchored by circles)

indicates annual county rate over time. Circles
and lines are omitted if year is suppressed.
A thin dashed line indicates trend of

county (blue) or state (red). Trends are
omitted if one or more years are suppressed.
A dotted red line (anchored by triangles)

indicates annual state rate or count over time.
Bar Chart
A gray bar indicates an unstable

county rate, based on less than 20 cases
or events, for the variable of interest.
A blue bar indicates a stable

county rate for the variable of interest.
The vertical error line indicates the

95% confidence area of the county rate
for the variable of interest.
A horizontal dashed red line indicates

the state rate for the variable of interest.
Error lines which overlap the state rate
indicate statistical similarity.
Mapping
Counties of similiar rates are grouped

into 1 of 5 classes. Classification is based on
standard deviations from the mean rate of all
counties.
Dark blue indicates highest county rates.

Light blue indicates lowest county rate.
Counties depicted by a gray screen

pattern indicate the data for the county
have been suppressed.
6
Data Methodology
Data were acquired from several Indiana State Department of Health divisions. If the number
of cases in a county was less than five, case counts and corresponding rates were suppressed
to protect patient privacy and were reported as zero. Rates in this report represent cases per
one hundred thousand persons by county and were calculated by dividing the case count by
the county population estimate (U.S. Census Bureau) for the corresponding year(s). Rates
calculated from counts less than 20 were considered unstable and are indicated by a grey bar
in the bar charts and a "U" in the maps. Time series charts illustrate change in a variable over
a period of time. Linear trend lines were added to the time series chart to indicate an
increasing or decreasing trend. Trend lines were calculated on the suppressed datasets by
identifying the slope () and y-intercept () of each dataset.
()
= + = y intercept =
2 ( )2
Mapped data classified using a Natural Breaks method. This method groups data together
by placing class breaks at the low points within the histogram.
Data Descriptions
Non-Fatal Emergency Department Visits due to Opioid Overdoses: Indiana State Department
of Health, Division of Trauma and Injury Prevention. Data reported by county of residence.
ICD-9-CM Diagnostic Code: 965.00-965.09, ICD-10-CM Diagnostic Code: T40.0, T40.1 T40.2;
T40.3; T40.4; T40.6.
Soft Tissue Infections Associated with Drug Abuse: Indiana State Department of Health, Division
of Trauma and Injury Prevention. Emergency Department discharge from acute care hospital
for patients age 15 to 74 with a primary diagnosis of abscess and/or cellulitis of the trunk,
buttocks, or extremities (International Classification of Diseases, Ninth Revision [ICD- 9CM])
codes 682.2682.7 and 682.9) and a primary or secondary diagnosis of opiate, cocaine, or
amphetamine dependence/abuse (ICD-9-CM codes 304.0, 305.5, 304.2, 305.6, 304.4, 305.7).
Data is based on county of residence.
Deaths from Drug Poisoning - Opioid: Indiana State Department of Health, Data Analysis
Team. Drug poisoning deaths by county of residence with underlying cause of death of ICD-10
codes X40-X44, X60-X64, X85, Y10-Y14 with contributing cause of ICD-10 codes T40.2, T40.3,
T40.4.
Hepatitis C, Acute and Chronic: County and state data provided represent case investigation
counts that include either acute or chronic (confirmed, probable) cases reported through the
Indiana National Electronic Disease Surveillance System (I-NEDSS) and were based on county
where the case was investigated. Year is determined based on first positive laboratory specimen
date. Rates are per 100,000 population. Data include those who were incarcerated in the
Indiana
7
Department of Correction or Federal Bureau of Prison Facilities at the time the
investigation was closed (Cass, Clark, Noble, Hendricks, Henry, Jefferson, La Porte,
Madison, Marion, Miami, Parke, Perry, Putnam, Sullivan, and Vigo). National rates were
acquired from https://www.cdc.gov/hepatitis/statistics/index.htm (November 2016).
Newly Diagnosed HIV/AIDS and HIV/AIDS Prevalence: Indiana State Department of Health,
HIV/STD Division. National Data were acquired from the CDC HIV Surveillance Report: http://
www.cdc.gov/hiv/library/reports/hiv-surveillance.html (November 2016).
Chlamydia and Gonorrhea: Indiana State Department of Health, HIV/STD Division. Year is
Morbidity and Mortality Weekly Report (MMWR) Year.
Endocarditis: Indiana State Department of Health, Division of Trauma and Injury Prevention.
ICD-9-CM: 421.0, 421.9, 424.90, 424.91, 424.99. ICD-10-CM: I33; I33.9; I38; I39.
8
Statewide Indiana Maps and Charts
9
Non-fatal Emergency Department Visits due to Opioid Overdoses
Opioid overdoses that present to the emergency department can be used to monitor trends in morbidity and
aid overdose prevention planning efforts. Prevention strategies include distribution of naloxone (a medication
that reverses the effects of opioids), enhancing access to treatment, including medication-assisted treatment,
and implementing harm reduction services, including comprehensive syringe services programs.
Data Summary: From 2011 to 2015, the rate of non-fatal emergency department visits due to opioid
overdoses increased from 28.5 (n=1,856) to 45.0 (n=2,977) occurrences per 100,000 population.
e
eas
al Incr
nnu
%A
14.2
10
LaG range Steuben
St Joseph
Elkha rt 14.7 21.6
LaPorte 42.1
16.4
48.4
Lake Porter
32.1 Noble DeKalb
30.3
Non-Fatal ED
19.7 23.1
M arshall
Starke 28.1 Kosciusko
Visits Due to
48.4
27.7
W hitley
Allen
Opioid Overdoses
24.6
Ja sper Pulaski Fulton 18.2
25.7 59.7 29.2
New ton
2011 - 2015 24.1 (U)
Wabash Huntington
Cass M iami 46.4
W hite 38.5 Wells Ada ms
34.8
Incidence Rate 36.8
25.5 25.2 11.0 (U)
By County of Residence Benton Carroll
25.1 (U) 25.0 Grant
Howard 40.6 Blackford Jay
60.6 48.2
Tippecanoe 46.1
94.1 Warren
35.3 Clinton Tipton
21.5 (U)
Per 100,000 Population
60.7 77.8 32.1 Delaware

M adison 36.8 Randolph
43.7 Fountain 39.0
45.3
36.7 Ham ilton
31.5 M ontgomery Boone
27.7
65.9 39.7
20.2 Henry
26.9 Wayne
5.2 Verm. Hancock 53.3
13.8 Parke Hendricks M arion 39.4
Suppressed* (U) 55.2
18.7 (U) 29.6
Putnam
Rush Fayette Union
30.3
37.7 94.1 54.7
(U) on map indicates an unstable Shelby
M organ Johnson
county rate (less than 20 cases) 58.0
Vigo 79.3 43.6 Fra nklin
Clay
12.9 27.9
*Rates for counties with less than 24.7 Owen Decatur
5 cases are suppressed 29.3 47.3
M onroe Brow n Bartholom ew
38.4 Dearborn
Emergency Department visits
27.2 18.6 (U) Ripley
with ICD-9-CM Diagnostic Code: Sullivan 31.8
965.00-965.09 ICD-10-CM 30.3 Greene 22.4
24.4 Jennings
Diagnostic Code: T40.0, T40.1
T40.2; T40.3; T40.4; T40.6 Ja ckso n 59.1 Ohio
(for Q4 2015 only) 32.7 Switzerla nd
Lawrence
Jefferson 13.3 (U)
49.3
31.4
Knox Daviess Scott
Martin
16.3 14.2 69.6
Washington
Orange 44.4
32.4 Cla rk
46.6
Pike Dubois
Gibson 7.9 (U) 5.2 (U) Floyd
Craw ford
16.1 15.1 (U) 40.1
Harrison
0 10 20
34.1
Vander Warrick Perry
Posey Spencer Miles
burgh 16.1 21.6
7.8 (U) 20.1 15.3 (U)
Data Source: ISDH, Trauma and Injury Prevention Division

Map Author: ISDH ERC PHG, 2017
Soft Tissue Infections Associated with Drug Abuse
The risk of skin and soft tissue infections might be increased by poor injection site hygiene, syringe reuse,
intramuscular or subcutaneous routes of injection, and contaminated drugs. Prevention strategies include
preventing initiation of injection drug use, increasing access to substance abuse treatment programs, promoting
hygienic injection practices such as access to alcohol swabs, clean needles, syringes, and other injection
equipment, and increasing education about and medical access for the treatment of soft tissue infections.
Data Summary: From 2011 to 2015, the rate of soft tissue infections associated with drug abuse in Indiana
increased from 2.4 (n=153) to 5.1 (n=338) occurences per 100,000 population.
crease
nnual In
27.3% A
12
ED Discharges:
StJ
oseph LaGr
a n ge St
e ub e n
Elkh a r
t
LaPor
te 5.2
1.1( U)
Soft Tissue Infections

3.4(U)
Lake Port
er
2.
0(U) Nob le DeKa lb
Associated with
2.
2 4.
7( U)
M ars
h a ll 2.
5( U)
St
arke 4.7(U) Kosciusko
Drug Abuse
5.
2(U)
2.6( U)
W h it
le y Allen
Aged 15-74Yea r
s
2.1
J
a spe r Pula ski Fult
on
2011to2015 New t
on
h Hun t
W abas in gt
on
M ia m i 6.2(U) 3. 8( U)
Ca ss 3.3( U) W ells Ad a m s
In ciden ce Rate W h it
e
By Coun t y of Residen ce
Be n t
on Ca r
roll Grant
How a r
d J
ay
73.
0 2.6(U) Bla c kfor
d
1.2( U) 13.2
Tippec a n oe (
U)
ion
19.
4
opula t
W ar
ren 1.3( U) Clin t
on Tipt
on
8.
0 3.6( U) Dela w a r
e
000P
M a d ison 1.9( U) Ra n d olph

4.
5 5. 5( U)
2.5( U)
er100,
Foun t
a in Ha m ilton
2.
6 M on t
gom er
y Boon e
1.2( U)
2.6(U) 4.
3( U)
P
1.
1 He n r
y
W a yn e
S
uppr
ess
ed* V er
m. Ha n c oc k 11. 8
He n d r
ic ks M ar
ion 1.4( U)
Pa r
ke 5.
3
1. 3( U)
Putn am
Fayet
te
(
U)on m a pin dica t
esa n un s
ta b le 7.4( U) Rush Un ion
coun t
yr ate( lesstha n 20ca ses ) 19.3
Sh e lb y
M or
ga n J
oh n son
6.7( U)
*
Ra t
esforcoun t
iesw it
h lesst
ha n V igo 9.
8 3. 2
Fr
a n klin
5ca s
esa r
es uppressed 2.6( U) Cla y
Ow en Dec a t
ur
Dis cha r ge fr om a cut e ca re
hos pit a lforpat ien tsa ge 15 Ba r
th olom e w
to74w it h a pr im a ry dia gn os is M on r
oe Br
ow n 3.5( U) Dea r
b or
n
of a b s ces sa n d/ orcellulit isof 2.
4( U) Ripley 3.6( U)
the t r un k, b ut tocks ,orext rem it ies Sulliva n Gr
e en e 5.
6( U)
(Int ern at ion a lCla s sifica t
ion of 3.
1( U) J
en n in gs
Dis ea s es , Nin t h Revis ion [ICD- 9]) 10.7( U) Oh io
J
a c kson
codes682. 2 68 2.7a n d 6 82. 9)
a n d a pr im a ry ors econ da r y Law r
en c e 13. 3
Sw it
ze r
la n d
dia gn os isof opia t e, coca in e, or 3.1(U) J
effer
son
a m phet a m in e depen den ce/ a b us e Kn ox
(ICD- 9codes3 04. 0 ,305. 5, 304. 2, Da vie ss M a r
tin Scot
t
2.6( U) 73.0
3 05. 6, 304. 4, 305 .7). W as
h in gt
on
Or
a n ge 7.9( U)
Cla r
k
7. 4
Pike Dub ois
Gib son Floyd
3.0( U) Cr
a w for
d 5.0( U)
Ha r
ris
on
3.6(U) 0 10 20
V a n d er W a r
ric k
b ur gh 2.0(U) Per
ry M iles
Posey Spe n c e r
4. 4
Da t
a S
our
ce:I
SDH,
Tra um a a n d I
n ju
ry Preven t
ion Divis
ion
M a pAu t
hor :I
S DHE RCPHG, 2017
Deaths from Drug Poisonings Opioids
Since 1999, a national trend of increasing drug overdose deaths has occurred. Recent rate increases were
driven by synthetic opioids, including illicitly manufactured fentanyl and heroin. Prevention strategies
include distribution of naloxone (a medication that reverses the effects of opioids), enhancing access to
treatment, including medication-assisted treatment, and implementing harm reduction services, including
comprehensive syringe services programs.
Data Summary: From 2013 to 2015, the rate of deaths from drug poisonings due to opioids in Indiana
increased from 2.6 (n=168) to 4.1 (n=274) deaths per 100,000 population.
se
ual Increa
3.5% Ann
14
La G ran ge S te u b e n
S t Jo s e p h
E lk h ar t 0.5 (U ) 2.9 (U )
La Po rte 3. 7
2. 8
0.9 (U )
La ke Po rte r
5.9 N o b le D e K a lb
1.7
Deaths From Drug

2. 1 (U ) 2.4 (U )
M a rsh a ll
S ta rke 1.3 (U ) Ko s c iu s ko
Poisoning - Opioids
9.5 (U )
1.0 (U )
W h itle y
1. 2 (U ) A lle n
2011 to 2015 P u las k i F u lto n 2. 1

Ja s p e r 6. 1 (U ) 1.9 (U )
N e w to n
1.4 (U )
Death Rate W a b a sh H u n tin gto n
Ca s s M ia m i 1.9 (U ) 2.7 (U )
By County of Residence W h ite
1. 0 (U ) 2. 8 (U )
W e lls Adam s
1.6 (U ) 3.6 (U ) 1. 2 (U )
Be n to n
6.8 (U ) Ca rro ll G ra n t
25.2 H o w ard 2.0 (U ) Black fo rd Jay
5.8 17 .7 (U )
T ip p e c a n o e 6.6 (U )
15.0 W ar re n
2.3 Clin to n T ip to n
4.8 (U )
7.8 2.4 (U ) 7.7 (U ) D e law a re
M a d is o n 8.9 R an d o lp h
4.4
Fo u n ta in 14 .9 4. 7 (U )
2.4 (U ) H a m ilto n
2.1 M o n tgo m e r y Boone
1.1 (U )
1.6 (U ) 3. 6 (U )
0.5 Henry
3. 7 (U ) W ayn e
Suppressed* Ve rm . H a n c o ck 5.6 (U )
1.3 H e n d r ic k s M a rio n 4.5 (U )
(U ) Pa rke 3. 2
2. 1 (U )
(U) on m ap indicates an unstable P u tn am
Rush Fay e tte U n io n
county rate (less than 20 deaths) 0. 5 (U )
2. 4 (U ) 12.6 (U ) 5. 5 (U )
S h e lb y
M o rga n Jo h n s o n
*Rates for counties with less than 2. 2 (U )
5 deaths are suppressed Vigo Cla y 4.3 (U ) 1. 1 (U ) F ra n k lin
3.5 (U ) 0.7 8.7 (U )
Ow en D e c atu r
Drug poisoning deaths with (U )
0.9 (U ) 3.8 (U )
underlying cause of death of
Bro w n B ar th o lo m e w
ICD-10 codes X40-X44, X60-X64, M o n ro e D e a r b o rn
X85 or Y10-Y14 with contributing 1.3 (U ) 1. 0 (U )
S u lliv an 1.5 (U ) Rip le y 9. 7
cause of ICD-10 codes T40.2,
0.9 (U ) 2. 1 (U )
T40.3, T40.4 G re e n e Je n n in g s
O h io
6. 4 (U )
Ja c ks o n 10 .0 (U )
La w re n c e 4.6 (U ) Sw itze rla n d
Je ffe rs o n 3.8 (U )
7.4 (U )
2.5 (U )
Kn o x D av ie s s S co tt
M a rtin
2.6 (U ) 3.1 (U ) 25 .2
W a sh in gto n
O ra n ge 6.4 (U )
5.1 (U ) Cla rk
Pike 4. 9
D u b o is
6.3 (U ) F lo y d
G ib s o n 0. 9 (U ) Craw fo rd
1. 2 (U ) 1.9 (U ) 9.0
H a r riso n
0 10 20
Pe r ry 4. 1 (U )
Va n d e r W a rric k
Po s e y 3.1 M iles
b u rgh 1.0 (U ) Spencer
0.8 (U ) 8.4 (U )
Data Source: ISDH, ERC Division, DAT

Map Author: ISDH ERC PHG , 2017
Hepatitis C, Acute
The Hepatitis C virus (HCV) is a blood-borne virus primarily transmitted by an HCV-infected person
sharing needles, syringes, or other injection equipment. HCV occurs in the first several months after
infection and results in illness from very mild or no symptoms to a serious acute HCV infection requiring
hospitalization. Many people living with HCV do not have symptoms and do not know they are infected.
Chronic HCV infection results when a person is not able to clear the virus after acute infection.
Data Summary: From 2011 to 2015, the rate of acute hepatitis C virus infection in Indiana increased
from 1.3 (n=84) to 2.1 (n=140) cases per 100,000 population.
ase
Incre
ual
% Ann
10.0
16
S t Jo s e p h La G ra n ge S te u b e n
E lk h ar t
La Po rte 0. 7 (U )
0. 9 (U )
3.2 (U )
La ke Po r te r
0.5 (U ) 0.7 (U ) N o b le D e K alb
Hepatitis C, Starke
M a rsh all
Ko s c iu s ko
Acute
2.8 (U )
W h itle y A lle n
2011 to 2015
P u la s k i 0. 6 (U )
Ja s p e r F u lto n
7. 7 (U )
N e w to n
Incidence Rate W ab as h H u n tin gto n

3.3 (U )
By County of Residence W h ite
Ca s s M ia m i
W e lls Adam s
Be n to n Ca rro ll
16.0 G ra n t
H o w ard 3.2 (U ) Black fo rd Jay
8.4 4.8 12 .8 (U )
5.6 (U )
T ip p e c a n o e
5.7 W arre n 2. 0 (U )
Clin to n T ip to n
3.5 D e law a re
M a d is o n 5.6
R an d o lp h
1.9 Fo u n ta in H a m ilto n
2. 6 (U )
M o n tgo m e r y Boone 0.7 (U )
0.5 5.2 (U )
Suppressed* Henry
4. 5 (U ) W ayn e
Ve rm . 7.1
M a rio n Hancock
Pa rke H e n d r ic k s
(U) on m ap indicates an unstable
1. 0 (U ) 1. 6
county rate (less than 20 cases)
P u tn am Fay e tte
Rush U n io n
16 .0 (U )
*Rates for counties with less than
5 cases are suppressed M o rga n Jo h n s o n S h e lb y
Vigo 3.4 (U ) 2. 1 (U )
F ra n k lin
Data represents confirm ed and 1.5 (U ) Clay
probable case investigations reported Ow en D e c atu r
through the Indiana National
Electronic Disease Surveillance
B ar th o lo m e w
M o n ro e Bro w n 1. 8 (U ) D e a r b o rn
System based on county of 4. 8 (U )
2.8
investigation. Year is determ ined based S u lliv an Rip le y
on first positive laboratory specimen G re e n e Je n n in g s
date. Counts include those who were
5. 0 (U ) O h io
incarcerated in the Indiana Departm ent Ja c ks o n
of Corrections or Federal Bureau of La w re n c e 8.3 (U )
Prison Facilities at the tim e the Sw itze rlan d
5.2 (U ) Je ffe rso n
investigation was closed (Cass, Clark,
Hendricks, Henry, Jefferson, LaPorte, S co tt
Kn ox D av ie s s M a rtin
Madison, Marion, M iam i, Noble, Parke, 7.5 (U )
Perry, Putnam, Sullivan, and Vigo). W a sh in gto n
O ra n ge 6.4 (U )
Cla rk
4. 4
Pike D u b o is F lo y d
G ib s o n Cra w fo rd 2.4 (U )
H a r riso n 0 10 20
b u rgh 2.3 (U ) Pe rr y M iles
Po s e y Spencer
2.1 (U )
Data Source: ISDH, ERC Division

Hepatitis C, Chronic
The Hepatitis C virus (HCV) is transmitted by an HCV-infected person sharing needles, syringes, or other
injection equipment. HCV occurs in the first several months after infection and results in illness from very
mild or no symptoms to a serious acute HCV infection requiring hospitalization. Many people living with
HCV do not have symptoms and do not know they are infected. Chronic HCV infection results when a person
is not able to clear the virus after acute infection.
Data Summary: From 2011 to 2015, the rate of chronic hepatitis C virus infection in Indiana
increased from 84.2 (n=5,486) to 105.8 (n=7,004) occurrences per 100,000 population.
crease
nual In
5.6% An
18
S t Jo s e p h
E lk h ar t 19 .5 31 .0
La Po rte 51 .6
37 .4
10 5 .5
La ke Po rte r
38 .4 N o b le D e K a lb
63 .0
Hepatitis C,
32 .8 41 .5
M a rsh a ll
Sta rke 31 .5 Ko s c iu s ko
Chronic
71 .8
37 .2
W h itle y
23 .4 A lle n
2011 to 2015 Ja s p e r P u las k i F u lto n 57 .8

38 .3 39 .8 51 .5
N e w to n
32 .6
Incidence Rate W a b a sh H u n tin gto n
Ca s s M ia m i 61 .2
By County of Residence W h ite 69 .7 11 5 .4
46 .1 W e lls Adam s
33 .5 28 .8 35 .8
Be n to n Ca rro ll
20 .6 (U ) 36 .0 G ra n t
H o w ard 90 .8 Bla ck fo rd
Jay
87 .9 22 6 .4
1550.6 T ip p e c a n o e 15 4 .3
W ar re n
44 .6 Clin to n T ip to n
539.8 69 .4
86 .4 46 .3 D e law a re
259.6 M a d is o n 13 0 .8 Ra n d o lp h
Fo u n ta in 87 .3 11 7 .1
130.9 49 .7 Boone
H a m ilto n
M o n tgo m e r y 21 .1
69.8 10 4 .1 61 .2
Henry
19.5 13 8 .4 W ayn e
Ve rm . H a n c o ck 20 0.0
62 .9 Par ke H e n d r ic k s M a rio n 51 .5
(U) on m ap indicates an unstable 15 50 .6 53 9 .7 86 .4
county rate (less than 20 cases) P u tn am
83 .9
56 .5 259 .5 95 .7
S h e lb y
Data represents confirm ed and 71 .0
probable case investigations reported Vigo 91 .1 43 .9 F ra n k lin
Cla y
through the Indiana National 18 9 .7 73 .2
Electronic Disease Surveillance 50 .1 Ow en D e c atu r
System based on county of 61 .4 61 .0
investigation. Year is determ ined based Bro w n B ar th o lo m e w
M o n ro e 62 .1 D e a r b o rn
on first positive laboratory specimen 54 .6
75 .5 Rip le y 13 9 .7
date. Counts include those who were S u lliv an
incarcerated in the Indiana Departm ent 52 .0 G re e n e 99 .3
of Corrections or Federal Bureau of 80 .6 Je n n in g s
O h io
Prison Facilities at the tim e the Ja c ks o n 14 1 .6
56 .5
investigation was closed (Cass, Clark, 14 4 .1
La w re n c e Sw itze rla n d
Hendricks, Henry, Jefferson, LaPorte, Je ffe rs o n
Madison, Marion, M iam i, Noble, Parke, 98 .1 10 1 .0
11 1.0
Perry, Putnam, Sullivan, and Vigo). Kn o x D av ie s s M a rtin S co tt
62 .5 50 .6 78 .2 40 2 .7
W a sh in gto n
O ra n ge 11 5.4
54 .7 Cla rk
13 6 .0
Pike D u b o is
G ib s o n 63 .1 40 .2 Craw fo rd F lo y d
52 .9 77 .2 95 .4
H a r riso n
10 0 .3 0 10 20
Va n d e r W a rrick Pe r ry
Po s e y b u rgh 64 .0 Spencer M iles
76 .2
46 .9 12 8. 7 48 .0
Data Source: ISDH, ERC Division

Newly Diagnosed HIV/AIDS
The human immunodeficiency virus (HIV) is transmitted by an HIV-infected person having unprotected sex
or by sharing needles, syringes, and other injection equipment. Sharing injecting equipment is considered
high risk for transmitting HIV because the drug materials may have blood in them, which can carry HIV. Use
of drugs can reduce inhibitions and increase sexual risk behaviors, which may result in chlamydia, gonorrhea,
or other STDs. There is no cure for HIV, but treatment with antiviral therapy greatly extends the life
expectancy of people living with HIV.
Data Summary: From 2011 to 2015, the rate of newly diagnosed HIV/AIDS infection in Indiana increased
slightly from 8.0 (n=518) to 9.4 (n=621) cases per 100,000 population.
Increase
3.4% Annual
20
S t Jo s e p h La G ra n ge S te u b e n
E lk h ar t
La Po rte 9. 6
3. 8
6.3
La ke Po rte r
11 .9 4.2 N o b le D e K alb
Newly Diagnosed Starke

M a rsh all
Ko s c iu s ko
HIV/AIDS
1.3 (U )
W h itle y A lle n
2011 to 2015 Ja s p e r 6. 6
P u las k i F u lto n
3. 6 (U )
N e w to n
Incidence Rate W ab as h H u n tin gto n
By County of Residence W h ite Ca s s M ia m i
W e lls Adam s
5.7 (U )
Be n to n Ca rro ll G ra n t
H o w ard 2.3 (U ) Bla ck fo rd
2.7 (U ) Jay
T ip p e c a n o e
135.1 W arre n 4. 5
Clin to n T ip to n
22.9 D e law a re
M a d is o n 5.5
12.0 R an d o lp h
Fo u n ta in 4. 0
H a m ilto n
7.0 M o n tgo m e r y Boone 3.4
3.1 (U )
4.1 Henry
2. 4 (U ) W ayn e
Ve rm . H a n c o ck
1.3 M a rio n
2.9 (U )
Pa rke H e n d r ic k s 2.2 (U )
Suppressed* 6.1 22 .8
P u tn am
4. 8 (U ) Rush Faye tte U n io n
M o rga n Jo h n s o n S h e lb y
(U) on m ap indicates an unstable 3. 3
Vigo 3.2 (U )
county rate (less than 20 cases) F ra n k lin
9.4 Clay
Ow en D e c atu r
*Rates for counties with less than
5 cases are suppressed B ar th o lo m e w
M o n ro e Bro w n 1. 8 (U ) D e a r b o rn
5.2 2. 0 (U )
S u lliv an Rip le y
G re e n e
Je n n in g s
Ja c ks o n O h io
5.1 (U )
La w re n c e Je ffe rs o n Sw itze rlan d
8.0 (U )
Kn ox D av ie s s M a rtin S co tt
W a sh in gto n 13 5 .1
O ra n ge 5.0 (U )
Cla rk
10 .8
Pike D u b o is F lo y d
G ib s o n Cra w fo rd 6.9
H a r riso n 0 10 20
b u rgh 1.6 (U ) Pe r ry M iles
Po s e y Spencer
6.3
Data Source: ISDH, HIV/STD Division

HIV/AIDS Prevalence
The human immunodeficiency virus (HIV) is transmitted by an HIV-infected person having unprotected sex
or by sharing needles, syringes, and other injection equipment. Sharing injecting equipment is considered
high risk for transmitting HIV because the drug materials may have blood in them, which can carry HIV. Use
of drugs can reduce inhibitions and increase sexual risk behaviors, which may result in chlamydia, gonorrhea,
or other STDs. There is no cure for HIV, but treatment with antiviral therapy greatly extends the life
expectancy of people living with HIV.
Data Summary: From 2011 to 2015, the number of Hoosiers living with HIV/AIDS increased from 10,225 to
11,698 cases.
crease
ual In
Ann
3.0%
22
S t Jo s e p h
E lk h ar t 30 .9 (U ) 55 .3 (U )
La Po rte 21 7 .6
89 .0
17 3 .2
La ke Po rte r
23 5.7 42 .3 (U )
HIV/AIDS
M a rsh a ll 60 .8
S ta rke 36 .3 (U ) Ko s c iu s ko
34 .8 (U )
Prevalence
42 .0
W h itle y
F u lto n 41 .9 (U ) A lle n
2015 N e w to n
Ja s p e r
65 .7
P u las k i
38 .8 (U )
54 .1
(U )
15 7 .1
78 .5 (U )
W a b a sh H u n tin gto n
Prevalence Rate Ca s s M ia m i 37 .3 (U ) 65 .5 W e lls Adam s
By County of Residence W h ite 68 .5 13 1 .1
28 .6 (U ) 22 .9 (U )
86 .4
Be n to n Ca rro ll G ra n t
H o w ard 10 4. 4 Black fo rd
13 5 .7 Jay
56 .9 (U )
T ip p e c a n o e 52 .1 (U )
648.6 W a rre n
90 .4 Clin to n
60 .5 (U ) T ip to n
254.9 64 .4 D e law a re
M a d is o n 10 5 .3 R an d o lp h
177.1 14 5 .7 91 .4
Fo u n ta in H a m ilto n
M o n tgo m e r y Boone
112.4 70 .4
68 .0 69 .5
64.5 Henry
11 2 .3 W ayn e
22.9 M a rio n
13 1.3
31 .9 Parke H e n d r ic k s 74 .5
Suppressed* (U ) 13 6.1 10 6 .8 51 2 .9
P u tn am
Rush Fay e tte
15 4 .3 U n io n
48 .0 (U ) 46 .9 (U )
S h e lb y
(U) on m ap indicates an unstable 56 .2
Vigo 76 .1 95 .6 F ra n k lin
county rate (less than 20 cases) Cla y
24 3 .8 30 .6 (U )
86 .8 Ow en D e c atu r
*Rates for counties with less than 86 .2 (U ) 75 .4
5 cases are suppressed Bro w n B ar th o lo m e w D e a r b o rn
M o n ro e 72 .7
80 .1 (U ) Rip le y 37 .0
S u lliv a n 14 8 .6
57 .3 (U ) G re e n e 41 .8 (U )
55 .5 (U ) Je n n in g s
32 .3 (U ) O h io
Ja c ks o n
La w re n c e 10 8 .9 Sw itze rla n d
Je ffe rs o n 76 .0 (U )
74 .7
86 .4
Kn o x D av ie s s M a rtin S co tt
81 .7 51 .7 (U ) 78 .2 (U ) 64 8 .6
W a sh in gto n
O ra n ge 86 .2
91 .8 (U ) Cla rk
25 4 .8
Pike D u b o is
G ib s o n 40 .0 (U ) F lo y d
62 .2 Cra w fo rd 17 1 .9
H a r riso n
78 .3 0 10 20
Po s e y Spencer M iles
b u rgh 45 .2 10 3 .4
58 .8 (U ) 17 7. 0 43 .4 (U )

Chlamydia
Chlamydia is a common sexually transmitted disease (STD) that is transmitted to both men and women
through unprotected anal, vaginal, or oral sex. Most of those infected do not show symptoms. The
infection is caused by bacteria that are effectively treated with antibiotics. Untreated chlamydia can
increase your chances of getting or giving HIV.
Data Summary: From 2011 to 2015, the rate of chlamydia infection in Indiana remained relatively
stable, 426.6 (n=27,802) and 436.4 (n=28,886) cases per 100,000 population, respectively.
crease
0.3% Annual In
24
S t Jo s e p h E lk h ar t 17 7 .6
82 .0
La Po rte 36 9 .9 42 7 .5
36 7 .5
La ke Po r te r
23 0 .0 N o b le D e K a lb
52 2.4 21 2 .5
Chlamydia
M a rsh a ll 23 6 .9
S ta rke 12 8 .0 Ko s c iu s ko
10 9.8
2011 to 2015 20 6.9
W h itle y
A lle n
20 0 .8
Ja s p e r P u las k i F u lto n 54 2 .1
12 8 .5 16 3 .3
Incidence Rate N e w to n 19 2 .0
15 9 .0
By County of Residence W a b a sh H u n tin gto n
Ca s s M ia m i 19 1. 7
W h ite 21 3 .2 W e lls Adam s
26 8 .3 22 7 .6
27 5 .5 23 0.9 16 0 .6
Be n to n Ca rro ll
27 1 .7 18 2 .0 G ra n t
1012.6 H o w ard 45 0. 4 Black fo rd
Jay
31 9 .1 23 9.3
576.3 T ip p e c a n o e 24 7. 4
W ar re n
49 2 .6 Clin to n T ip to n
382.2 19 6.1
32 4 .2 11 9 .5 D e law a re
247.5 M a d is o n 57 6 .2 R an d o lp h
Fo u n ta in 36 0 .5 28 4 .9
172.0 27 2 .3 H a m ilto n
M o n tgo m e r y Boone
17 0 .3
30 3 .3 22 0 .1
82.0 Henry
Ve rm . 23 9 .0 W ayn e
17 6.0
H a n c o ck 39 3.5
Parke H e n d r ic k s M a rio n 23 3 .8
46 0.1 20 8 .5 10 1 2 .6
P u tn am
29 7 .8
23 9 .0 241 .0 10 6 .6
S h e lb y
28 7 .5
Vigo 27 5 .0 28 5 .6 F ra n k lin
Cla y
43 7 .2 28 1 .4 12 0 .2
Ow en D e c atu r
22 2 .8 15 8 .5
Bro w n B ar th o lo m e w
M o n ro e 28 8 .5 D e a r b o rn
89 .2 Rip le y
S u lliv an 46 7 .3 19 2 .0
21 1 .8 G re e n e 26 0 .2
23 3 .2 Je n n in g s
O h io
Ja c ks o n 27 4 .7
21 5 .9
La w re n c e 30 2 .4 Sw itze rla n d
Je ffe rs o n 17 5 .3
29 2 .6
34 4.7
42 8.0 29 3 .7 17 1 .9 29 9 .5
W a sh in gto n
O ra n ge 20 9.2
26 1 .5 Cla rk
35 8 .6
Pike D u b o is
G ib s o n 21 9.3 F lo y d
20 5 .3 Craw fo rd
26 6 .5 38 2 .1
18 4.6
H a r riso n
23 8 .2 0 10 20
Va n d e r W a rric k Pe r ry
Po s e y M iles
b u rgh 18 9 .6 Spencer 15 9 .5
19 9 .4 53 7. 5 19 9 .5

Gonorrhea
Gonorrhea is an STD that is transmitted to both men and women through unprotected anal, vaginal, or oral
sex. Many of those infected do not show symptoms. The infection is caused by bacteria that are effectively
treated with antibiotics. Untreated gonorrhea can increase your chances of getting or giving HIV.
Data Summary: From 2011 to 2015, the rate of gonorrhea infection in Indiana increased slightly from
100.8 (n=6,569) to 118.5 (n=9,545) cases per 100,000 population.
ease
l Incr
Annua
3.0%
26
S t Jo s e p h
E lk h ar t 8.9 (U ) 18 .1
La Po rte 10 4 .3
86 .6
10 1 .0
La ke Po rte r
10 4.4
Gonorrhea
31 .9 28 .7
M a rsh a ll
S ta rke 8.5 Ko s c iu s ko
5.2 (U )
2011 to 2015 40 .8
W h itle y
30 .0 A lle n
P u las k i F u lto n 16 1 .8
Ja s p e r
13 .8 (U ) 16 .5 (U )
10 .2 (U )
Incidence Rate N e w to n
7.1 (U )
By County of Residence W a b a sh H u n tin gto n
Ca s s M ia m i 24 .1
W h ite 21 .2 W e lls Adam s
18 .7 33 .1
18 .8 28 .8 26 .0
342.8 Be n to n Ca rro ll
29 .7 (U ) 10 .0 (U ) G ra n t
176.4 H o w ard 12 0. 9 Black fo rd

Jay
72 .7 30 .5 (U )
95.1 T ip p e c a n o e 20 .7
W a rre n
95 .0 Clin to n T ip to n
51.1 31 .1 (U )
22 .5 16 .7 (U ) D e law a re
23.3 M a d is o n 12 8 .6 R an d o lp h
Fo u n ta in 10 4 .6 37 .5
H a m ilto n
5.2 22 .5 (U ) M o n tgo m e r y Boone
25 .0
48 .6 26 .1
Suppressed* Henry
25 .6 W ay n e
Ve rm . H a n c o ck 14 0.8
15 .1 Parke H e n d r ic k s M a rio n 33 .3
(U ) 70 .1 32 .2 34 2 .8
(U) on m ap indicates an unstable P u tn am U n io n
county rate (less than 20 cases) Rush Fay ette
25 .5 21 .9
15 .3 (U ) 32.8
S h e lb y (U )
*Rates for counties with less than M o rga n Jo h n s o n
5 cases are suppressed 33 .7
Vigo 35 .4 46 .0 F ra n k lin
Cla y
10 3 .7 30 .7 6.1 (U )
Ow en D e c atu r
19 .8 12 .2 (U )
B ar th o lo m e w
M o n ro e Bro w n 51 .0 D e a r b o rn
71 .2 Rip le y 33 .0
S u lliv an
19 .9 G re e n e 21 .0
23 .2 Je n n in g s
O h io
17 .8
Ja c ks o n 26 .6 ( U )
La w re n c e 30 .8 Sw itze rla n d
Je ffe rs o n 21 .0 (U )
26 .2
43 .2
67 .2 33 .3 17 .6 (U ) 31 .0
W a sh in gto n
O ra n ge 26 .5
10 .1 (U ) Cla rk
Pike 83 .4
D u b o is
12 .6 F lo y d
G ib s o n 18 .9 Craw fo rd
(U ) 84 .6
60 .7 9.4 (U )
H a r riso n
24 .9 0 10 20
Po s e y b u rgh 27 .2 Spencer 14 .4 M iles
17 .2 17 6. 3 21 .1 (U )

Endocarditis
Endocarditis, which is inflammation of the inner part of the heart, can be caused by bacteria that travel
to the heart. One of the ways a person develops endocarditis is by injecting drugs using a needle
contaminated with bacteria. Endocarditis might develop slowly over time, but a person can be treated
once the infection is identified. The infection can cause tissue damage and make a person more likely to
develop endocarditis again.
Data Summary: From 2011 to 2015, the rate of emergency department visits in Indiana due to
endocarditis increased slightly from 7.4 (n=484) to 11.7 (n=776) cases per 100,000 population.
rease
nnual Inc
7.7% A
28
La G ran ge Ste u b e n
St Jo sep h
E lk h ar t 7.4 (U ) 25 .7
La Po rte 6.8
6.3
11 .5
La ke Porter
16 .5 N ob le D eK a lb
3.5 7.5 (U )
ED Visits Due
M a rsh a ll 9.7
Sta rke 42 .5 Kosc iu sko
To Endocarditis
32 .0
6.2
W h itle y
Fu lto n 9.0 (U ) A llen
P u lask i 4.8
2011 to 2015
Ja sp e r 14 .6
10 .8 (U ) 30 .6 (U )
Ne w to n
Incidence Rate W a b a sh H u n tin gton
Ca ss M ia m i 29 .7 9.2
By County of Residence W h ite 9.4 (U ) 29 .3 (U ) W ells Adam s
10 .6 (U ) 12 .2 (U ) 26 .0
Be n ton Ca rro ll
363.7 25 .1 (U ) 9.0 (U ) Gra n t
H ow ard 36 3.7 Bla ck ford
Jay
88.6 5.3 9.6 (U )
T ip p ec a n o e 27 .3
W ar ren
47.3 6.1 Clin ton
88 .5 T ipto n
4.9 (U ) D elaw a re
16.9 R an d o lp h
M a d ison 6.3
8.5 Fou n ta in 35 .6 13 .3 (U )
87 .6 H a m ilto n
M on tgom er y B oo n e
3.6
2.0 8.4 (U ) 2.0 (U )
Henry
Suppressed 6.9 (U ) W ayn e
13 .8 6.5
Parke H e n d r ic k s M a rion 5.0 (U )
(U ) 9.3 (U ) 2.2 (U ) 6.5
P u tn am
R u sh Fay ette
12 .2 U n ion
(U) on m ap indicates an unstable 10 .6 (U ) 16.8
county rate (less than 20 cases) Sh e lb y
M orga n Joh n so n
14 .8
Vigo 8.3 8.0
*Rates for counties with less than 5.9
Cla y Fran k lin
5 cases are suppressed 47 .2 O w en D ec atu r
4.7 (U ) 6.1 (U )
Emergency Departm ent visits B ar th o lo m e w
with ICD-9-CM Diagnostic Code:
M on roe B row n 5.8 D ea r b o rn
Su lliv an 2.5 (U ) Rip ley 5.6 (U )
421.0, 421.9, 424.90, 424.91,
25 .5 4.9 (U )
424.99. Diagnostic Code: I33; G re en e Jen n in g s
I33.9; I38; I39 (for Q4 2015 only). O h io
6.4 (U )
Ja c kso n 16 .6 (U )
La w ren c e 5.1 (U )
Jeffe rson Sw it ze rla nd
16 .1
9.3 (U )
Kn ox Sco tt
Dav ies s M a rt in
5.3 (U ) 59 .6
W a sh in gto n
O ra n ge 26 .5
10 .1 (U ) Cla rk
12 .9
Pike Du b ois Floy d
G ib so n Craw ford 7.6
H a r riso n
3.0 (U ) 0 10 20
Va n d er
Posey b u rgh
W a rrick Perry M iles
Spe nc e r
4.7 (U ) 4.2
Data Source: ISDH, Trauma and Injury Prevention Division

Map Author: ISDH ERC PHG, 2017
County-specific Charts and Resources
Interactive statistics and resources available at http://in.gov/isdh/26680.htm
Adams Allen Bartholomew Benton Blackford
Boone Brown Carroll Cass Clark
Clay Clinton Crawford Daviess Dearborn
Decatur DeKalb Delaware Dubois Elkhart
Fayette Floyd Fountain Franklin Fulton
Gibson Grant Greene Hamilton Hancock
Harrison Hendricks Henry Howard Huntington
Jackson Jasper Jay Jefferson Jennings
Johnson Knox Kosciusko LaGrange Lake
LaPorte Lawrence Madison Marion Marshall
Martin Miami Monroe Montgomery Morgan
Newton Noble Ohio Orange Owen
Parke Perry Pike Porter Posey
Pulaski Putnam Randolph Ripley Rush
St. Joseph Scott Shelby Spencer Starke
Steuben Sullivan Switzerland Tippecanoe Tipton
Union Vanderburgh Vermillion Vigo Wabash
Warren Warrick Washington Wayne Wells
White Whitley
30
Adams County Resources
Location Services
Positive Resource Connection Care Coordination
525 Oxford St HIV Prevention Services including: Counseling, Testing and
Fort Wayne, IN 46806 Referral Services (CTR)
260-744-1144 Or 1-800-417-3085
Open Door Health Services Family Planning Clinic STD Services

905 S Walnut St
Muncie, IN 47302
765-281-4263
Fort Wayne/Allen County Department of Health STD Services

4813 New Haven Ave HIV Prevention Services including: Counseling, Testing and
Ft Wayne, IN 46803 Referral Services (CTR); Comprehensive Risk Counseling and
260-449-7084 Services (CRCS)
Allen County Resources
Location Services
260-744-1144 Or 1-800-417-3085

Batholomew County Resources
Location Services
Positive Link - IU Health Care Coordination
333 E Miller Dr HIV Prevention Services including: Counseling, Testing and
Bloomington, IN 47401 Referral Services (CTR); Comprehensive Risk Counseling and
812-353-3241 Or 1-800-313-4645 Services (CRCS); Special Populations Support Program (SPSP)
Monroe County HD Futures Family Planning Clinic STD Services

119 W 7th St, Lower Level
Bloomington, IN 47404
812-349-7343
Bartholomew County HD Nursing Division HIV Prevention Services

2675 Foxpointe Dr, Suite B
Columbus, IN 47203
812-379-1555 Option 1
All Years Suppressed

Benton County Resources
Location Services
Aspire Indiana - West Care Coordination
601 N 4th St HIV Prevention Services including: Special Populations
Lafeyette, IN 47901 Support Program (SPSP)
765-742-4481
Tippecanoe County Health Department STD Services

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Blackford County Resources
Location Services
Meridian Health Services Care Coordination
240 N Tillotson
Muncie, IN 47304
765-254-5324

905 S Walnut St
Muncie, IN 47302
765-281-4263
Open Door HIV Prevention Services

805 S Walnut St
Muncie, IN 47302
765-748-8274
Open Door Main Office HIV Prevention Services including: Comprehensive Risk
333 S Madison Counseling and Services (CRCS)
Muncie, IN 47302
765-266-7000
Wayne County Health Department HIV Prevention Services including: Counseling, Testing and
203 E Main St Referral Services (CTR)
Richmond, IN 47374
765-973-9294
Heartland Community Services HIV Prevention Services including: Counseling, Testing and
Muncie, IN 47305
765-702-9724
Boone County Resources
Location Services
Concord Center Care Coordination
1310 S Meridian St
Indianapolis, IN 46225
317-637-4376
Damien Center Care Coordination

26 N Arsenal Ave HIV Prevention Services including: Counseling, Testing and
Indianapolis, IN 46201 Referral Services (CTR); Comprehensive Risk Counseling and
317-632-0123 ext 231 Services (CRCS)
Brothers United Satellite 317-931-0292
Riley Hospital
Satellite Satellite 317-944-7260
317-944-7260
Eskenazi Health Infectious Disease Clinic Care Coordination
720 Eskenazi Ave Or Fifth Third Bank Office Building, Floor 2
317-880-3502
LifeCare-IU Health Care Coordination
1633 N Capitol Ave, Suite 300
317-962-2700
Step-Up Care Coordination

850 N Meridian St HIV Prevention Services including: Popular Opinion Leader
Indianapolis, IN 46204 (POL)
317-259-7013 Ext. 16
Bell Flower STD Clinic STD Services

640 Eskenazi Ave Or Fifth Third Bank Building, 1st Floor
317-221-8300
Brothers United HIV Prevention Services including: Counseling, Testing and

3737 N Meridian St Referral Services (CTR); Comprehensive Risk Counseling and
Indianapolis, IN 46208 Services (CRCS); The behavioral intervention Many Men, Many
317-931-0292 Voices (3MV)
Boone County Health Department HIV Prevention Services

116 W Washington St, B201
Lebanon, IN 46052
765-482-3942
Hamilton County Health Department HIV Prevention Services

18030 Foundation Dr
Noblesville, IN 46060
317-776-8500
Brown County Resources
Location Services

812-349-7343

Columbus, IN 47203
812-379-1555 Or option 1
Carroll County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Cass County Resources
Location Services
Aspired Indiana - Central Care Coordination
2009 Brown St
Anderson, IN 46016
765-641-8326
Northern Indiana Maternal Child Health Olive Street Health STD Services
Clinic
244 S Olive St
South Bend, IN 46619
574-282-3230
AIDS Ministries/AIDS Assist Care Coordination
201 S William St HIV Prevention Services including: Counseling, Testing and
South Bend, IN 46601 Referral Services (CTR); Special Populations Support Program
574-234-2870 (SPSP)

616 S Main St HIV Prevention Services including: Counseling, Testing and
Elkhart, IN 46516 Referral Services (CTR); Special Populations Support Program
574-293-9743 (SPSP)
Imani Unidad HIV Prevention Services including: Comprehensive Risk

9141 Lincolway West Counseling and Services (CRCS)
574-288-2887
Clark County Resources
Location Services
Clark County Health Department Care Coordination
1301 Akers Ave
Jeffersonville, IN 47130
812-288-2706 Or 1-800-828-5624
Clark County Health Department Affiliated With Hoosier Hills STD Services
AIDS Coalition HIV Prevention Services including: Counseling, Testing and
1301 Akers Ave Referral Services (CTR); Special Populations Support Program
Jeffersonville, IN 47130 (SPSP)
812-288-2706 Or 1-800-828-5624
Clay County Resources
Location Services
1102 S 13th St
Terre Haute, IN 47802

812-349-7343
Clinton County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Crawford County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Daviess County Resources
Location Services
AIDS Resource Group of Evansville Care Coordination
201 NW 4th St, Suite B7 HIV Prevention Services including: Counseling, Testing and
Evansville, IN 47708 Referral Services (CTR); Comprehensive Risk Counseling and
Vanderburgh County Health Department STD Services

420 Mulberry St
Evansville, IN 47713
Dearborn County Resources
Location Services
Aspire Indiana - Southwest Care Coordination
604 N B St
Richmond, IN 47374
765-962-8742
812-288-2706 Or 1-800-828-5624
Decatur County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742
812-288-2706 Or 1-800-828-5624
805 S Walnut St
Muncie, IN 47302
765-748-8274
333 S Madison Counseling and Services (CRCS);
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Dekalb County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230
Delaware County Resources
Location Services
240 N Tillotson
Muncie, IN 47304
765-254-5324

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
2012 to 2015 Suppressed
Dubois County Resources
Location Services
201 NW 4th St,Suite B7 HIV Prevention Services including: Counseling, Testing and

420 Mulberry St
Elkhart County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)
Elkhart County Health Department STD Services

608 Oakland Ave
Elkhart, IN
574-523-2125 Or 1-877-523-2283

574-288-2887
Fayette County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Floyd County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Fountain County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Franklin County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742
812-288-2706 Or 1-800-828-5624
805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Fulton County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)
Clinic
244 S Olive St
574-282-3230
574-288-2887
Gibson County Resources
Location Services

420 Mulberry St
Grant County Resources
Location Services
240 N Tillotson
Muncie, IN 47304
765-254-5324

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Greene County Resources
Location Services

812-349-7343
Hamilton County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326

317-221-8300
Riley Hospital Satellite 317-944-7260
Satellite
Step-Up 317-944-7260 Care Coordination
317-259-7013 Ext. 16

317-931-0292 Voices (3MV)

116 W Washington St Or B201B201
Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Hancock County Health Department HIV Prevention Services

111 American Legion Place 3, Suite 150
Greenfield, IN 46140
317-477-1125
Hancock County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326

640 Eskenazi Ave, Fifth Third Bank Building
Third Bank Building, 1st Floor
317-221-8300
317-259-7013 Ext. 16
317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Hancock County Health Department HIV Prevention Services

111 American Legion Place 3 Or Suite 150Suite 150
Greenfield, IN 46140
317-477-1125
Harrison County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Hendricks County Resources
Location Services
1310 S Meridian St
317-637-4376

720 Eskenazi Ave, Fifth Third Bank Office Building, Floor 2
317-880-3502
1633 N Capitol Ave Or Suite 300Suite 300
317-962-2700

317-259-7013 Ext. 16

640 Eskenazi Ave, Fifth Third Bank Building, 1st Floor
317-221-8300

317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Henry County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Howard County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326

6290 N 6th St
Lafayette, IN 47901
765-423-9222

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Huntington County Resources
Location Services
260-744-1144 Or 1-800-417-3085

905 S Walnut St
Muncie, IN 47302
765-281-4263

Jackson County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624

2675 Foxpointe Dr , Suite B
Columbus, IN 47203
812-379-1555, Option 1
Jasper County Resources
Location Services
765-742-4481
STD/HIV Clinic Gary City Health Department STD Services

1145 W 5th Ave
Gary, IN 46402
219-882-5565
Services are provided at no cost
Aliveness Project of Northwest Indiana Care Coordination
5490 Broadway Or Suite L3Suite L3 HIV Prevention Services including: Counseling, Testing and
Merrillville, IN 46410 Referral Services (CTR); Comprehensive Risk Counseling and
219-985-6170 Services (CRCS); Special Populations Support Program (SPSP)
Tammy Morris
Jay County Resources
Location Services
240 N Tillotson
Muncie, IN 47304
765-254-5324

905 S Walnut St
Muncie, IN 47302
765-281-4263

260-744-1144 Or 1-800-417-3085

Jefferson County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Jennings County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624

Columbus, IN 47203
812-379-1555, Option 1
Johnson County Resources
Location Services
1310 S Meridian St
317-637-4376

720 Eskenazi Ave Or Fifth Third Bank Office Building, Floor 2
317-880-3502

317-962-2700

317-259-7013 Ext. 16

317-221-8300

317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Knox County Resources
Location Services
AIDS Resource Group of Evansville 201 NW 4th Care Coordination
St, Suite B7 Evansville, IN 47708 HIV Prevention Services including: Counseling, Testing and
812-421-0059 Or 1-800-423-6256 Referral Services (CTR); Comprehensive Risk Counseling and
Services (CRCS); Special Populations Support Program (SPSP)

420 Mulberry St
Kosciusko County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230
LaGrange County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230
Lake County Resources
Location Services
5490 Broadway, Suite L3 HIV Prevention Services including: Counseling, Testing and
Tammy Morris
301 E 8th St
Michigan City, IN 46360
219-873-1250 Or 1-800-290-2293
Mike Hughes
1145 W 5th Ave
Gary, IN 46402
219-882-5565
LaPorte County Resources
Location Services
Tammy Morris
301 E 8th St
219-873-1250 Or 1-800-290-2293
Mike Hughes
1145 W 5th Ave
Gary, IN 46402
219-882-5565
574-234-2870 (SPSP)

574-293-9743 (SPSP)

574-288-2887
Lawrence County Resources
Location Services

812-349-7343

Columbus, IN 47203
812-379-1555, Option 1
Madison County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Marion County Resources
Location Services
1310 S Meridian St
317-637-4376

317-880-3502
317-962-2700

317-259-7013 Ext. 16

317-221-8300

317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Marshall County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)
Clinic
244 S Olive St
574-282-3230
574-288-2887
Martin County Resources
Location Services

420 Mulberry St
Miami County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326
Clinic
244 S Olive St
574-282-3230
574-234-2870 (SPSP)

574-293-9743 (SPSP)

574-288-2887
Monroe County Resources
Location Services

119 W 7th St Or Lower LevelLower Level
812-349-7343

2675 Foxpointe, Or Suite B
Columbus, IN 47203
812-379-1555 Option 1
Montgomery County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Morgan County Resources
Location Services
1310 S Meridian St
317-637-4376

317-880-3502
317-962-2700

317-259-7013 Ext. 16

317-221-8300

317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Newton County Resources
Location Services
765-742-4481

1145 W 5th Ave
Gary, IN 46402
219-882-5565
Tammy Morris
Noble County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230
Ohio County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742
812-288-2706 Or 1-800-828-5624
Orange County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Owen County Resources
Location Services

812-349-7343
Parke County Resources
Location Services
1102 S 13th St

812-349-7343
Perry County Resources
Location Services

420 Mulberry St
Pike County Resources
Location Services

420 Mulberry St
Porter County Resources
Location Services
Tammy Morris
301 E 8th St
219-873-1250 Or 1-800-290-2293
Mike Hughes
1145 W 5th Ave
Gary, IN 46402
219-882-5565
Posey County Resources
Location Services

420 Mulberry St
Pulaski County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)

1145 W 5th Ave
Gary, IN 46402
219-882-5565
574-288-2887
Putnam County Resources
Location Services
1102 S 13th St

812-349-7343
Randolph County Resources
Location Services
240 N Tillotson
Muncie, IN 47304
765-254-5324

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Ripley County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742
812-288-2706 Or 1-800-828-5624
Rush County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
333 S Madison Counseling and Services (CRCS
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
StJoseph County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)
Clinic
244 S Olive St
574-282-3230
574-288-2887
Scott County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Shelby County Resources
Location Services
1310 S Meridian St
317-637-4376

317-880-3502
317-962-2700

317-259-7013 Ext. 16

317-221-8300

317-931-0292 Voices (3MV)

Lebanon, IN 46052
765-482-3942

18030 Foundation Dr
317-776-8500
Spencer County Resources
Location Services

420 Mulberry St
Starke County Resources
Location Services
574-234-2870 (SPSP)

574-293-9743 (SPSP)

1145 W 5th Ave
Gary, IN 46402
219-882-5565
574-288-2887
Steuben County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230
Sullivan County Resources
Location Services
1102 S 13th St

812-349-7343
Switzerland County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Tippecanoe County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Tipton County Resources
Location Services
2009 Brown St
Anderson, IN 46016
765-641-8326

6290 N 6th St
Lafayette, IN 47901
765-423-9222

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Union County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Vanderburgh County Resources
Location Services

420 Mulberry St
Vermillion County Resources
Location Services
1102 S 13th St

812-349-7343
Vigo County Resources
Location Services
1102 S 13th St

812-349-7343
Wabash County Resources
Location Services
260-744-1144 Or 1-800-417-3085

905 S Walnut St
Muncie, IN 47302
765-281-4263

Warren County Resources
Location Services
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Warrick County Resources
Location Services

420 Mulberry St
Washington County Resources
Location Services
1301 Akers Ave
812-288-2706 Or 1-800-828-5624
812-288-2706 Or 1-800-828-5624
Wayne County Resources
Location Services
604 N B St
Richmond, IN 47374
765-962-8742

905 S Walnut St
Muncie, IN 47302
765-281-4263

805 S Walnut St
Muncie, IN 47302
765-748-8274
Muncie, IN 47302
765-266-7000
Richmond, IN 47374
765-973-9294
Muncie, IN 47305
765-702-9724
Wells County Resources
Location Services
260-744-1144 Or 1-800-417-3085

905 S Walnut St
Muncie, IN 47302
765-281-4263

White County Resources
Location Services
Lafeyette, IN 47901 Support Program (SPSP);
765-742-4481

6290 N 6th St
Lafayette, IN 47901
765-423-9222
Whitley County Resources
Location Services
260-744-1144 Or 1-800-417-3085
Clinic
244 S Olive St
574-282-3230

County Profiles of Opioid Use 2017

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County Profiles of Opioid Use 2017

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County Profiles of Opioid Use

And Related Outcomes

Epidemiology Resource Center (http://www.in.gov/isdh/25154.htm)

Statewide Indiana Maps and Charts.................................................................................................... 9

Deaths from Drug Poisonings Opioids...................................................................................... 14

Newly Diagnosed HIV/AIDS......................................................................................................... 20

County-specific Charts and Resources................................................................................................ 30

What Local Health Departments Can Do

A solid blue line (anchored by circles)

A thin dashed line indicates trend of

A dotted red line (anchored by triangles)

A gray bar indicates an unstable

A blue bar indicates a stable

The vertical error line indicates the

A horizontal dashed red line indicates

Counties of similiar rates are grouped

Dark blue indicates highest county rates.

Counties depicted by a gray screen

60.7 77.8 32.1 Delaware

Data Source: ISDH, Trauma and Injury Prevention Division

Soft Tissue Infections

M a d ison 1.9( U) Ra n d olph

Deaths From Drug

2011 to 2015 P u las k i F u lto n 2. 1

Data Source: ISDH, ERC Division, DAT

Incidence Rate W ab as h H u n tin gto n

Data Source: ISDH, ERC Division

2011 to 2015 Ja s p e r P u las k i F u lto n 57 .8

Data Source: ISDH, ERC Division

Newly Diagnosed Starke

Data Source: ISDH, HIV/STD Division

Data Source: ISDH, HIV/STD Division

Data Source: ISDH, HIV/STD Division

176.4 H o w ard 12 0. 9 Black fo rd

Data Source: ISDH, HIV/STD Division

Data Source: ISDH, Trauma and Injury Prevention Division

Adams Allen Bartholomew Benton Blackford

Boone Brown Carroll Cass Clark

Clay Clinton Crawford Daviess Dearborn

Decatur DeKalb Delaware Dubois Elkhart

Fayette Floyd Fountain Franklin Fulton

Gibson Grant Greene Hamilton Hancock

Harrison Hendricks Henry Howard Huntington

Jackson Jasper Jay Jefferson Jennings

Johnson Knox Kosciusko LaGrange Lake

LaPorte Lawrence Madison Marion Marshall

Martin Miami Monroe Montgomery Morgan

Newton Noble Ohio Orange Owen

Parke Perry Pike Porter Posey

Pulaski Putnam Randolph Ripley Rush

St. Joseph Scott Shelby Spencer Starke

Steuben Sullivan Switzerland Tippecanoe Tipton

Union Vanderburgh Vermillion Vigo Wabash

Warren Warrick Washington Wayne Wells

Open Door Health Services Family Planning Clinic STD Services

Fort Wayne/Allen County Department of Health STD Services

Fort Wayne/Allen County Department of Health STD Services

Monroe County HD Futures Family Planning Clinic STD Services

Bartholomew County HD Nursing Division HIV Prevention Services

All Years Suppressed

Tippecanoe County Health Department STD Services

Open Door Health Services Family Planning Clinic STD Services

Open Door HIV Prevention Services

Damien Center Care Coordination