Fremont County

Fremont County was 22nd in the state for youth prescription drug misuse rates in 2018.

Percent of students responding "yes" to "During the past 30 days, have you used prescription drugs not prescribed to you?"

Source

The Wyoming Prevention Needs Assessment is a survey conducted every other year in middle and high school across the state. Its purpose is to monitor indicators of health and well-being of students, including substance abuse behaviors and attitudes. Data can be broken down by county, gender, and grade level.

Limitations

• Not every school district in Wyoming participated in the PNA every year, and some districts had low response rates. Full information about participation by school district can be found on the PNA website.
• From the PNA website: “The largest school districts in Fremont county participated consistently across all PNA survey years. The smaller districts varied in their participation but participated in some way in nearly all the surveys years. Overall, these results are considered valid and comparable despite the varying participation by the small school districts in the county.”
• The question “During the past 30 days have you used prescription drugs not prescribed to you?” began to be asked in 2018, preventing an analysis of trends over time. As the survey continues to be administered, we expect to be able to show year-to-year changes.
• Although the Wyoming Prevention Needs Assessment was conducted in 2020, results are unavailable for many counties due to COVID-19 interruptions. 2020 results are excluded here, but can be found on the survey website.

Fremont County was highest in the state for naloxone administration rates from 2016-2020.

Average annual naloxone administration rate per 100,000 people

Source

The Wyoming Ambulance Trip Reporting System (WATRS) is available to all Wyoming emergency medical services (EMS) agencies at no charge. It is an electronic medical records system for transporting, non-transporting and air ambulances used for prehospital care. The use of naloxone (the opioid overdose reversal agent commonly known as Narcan^®), which is an opioid overdose reversal agent, is highlighted here. The rates of naloxone administration are based on county of the incident and census estimates of county populations.

Limitations

• Naloxone administration rates include only those delivered by EMS personnel. Administrations by law enforcement or bystanders are not included.
• Rates are calculated using the number of ambulance trips that administered naloxone, not the number of naloxone doses. Doses were additionally reviewed and they follow similar trends.
• Reports by non-transporting first response agencies may have resulted in some duplicate counts in Laramie, Natrona, and Sweetwater counties.
• Counties with a smaller population are particularly susceptible to year-to-year fluctuations.

Fremont County was 14th in the state for opioid prescription fill rates in 2019.

Retail opioid prescriptions dispensed per 100 persons per year

Source

The CDC releases U.S. prescribing rate maps and data tables, showing annual opioid prescribing rates from 2006 to 2019 by state and county. IQVIA Xponent 2006-2019 is the source of the prescribing data, based on a sample of approximately 49,900 retail (non-hospital) pharmacies, which dispense nearly 92% of all retail prescriptions in the U.S.