Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm7102a1
Personal Author:
Jilani, Shahla M. ; West, Kristina ; Jacobus-Kantor, Laura ; Ali, Mir M. ; Nyakeriga, Alice ; ... More +
Jilani, Shahla M. ; West, Kristina ; Jacobus-Kantor, Laura ; Ali, Mir M. ; Nyakeriga, Alice ; Lake-Burger, Heather ; Robinson, Meagan ; Barnes, A. Elise ; Jewell, Tracey ; Gallaway, Shayne Less -
Description:
Opioid use disorder (OUD) is a significant public health problem in the United States, which affects children as well as adults. During 2010-2017, maternal opioid-related diagnoses increased approximately 130%, from 3.5 to 8.2 per 1,000 hospital deliveries, and neonatal abstinence syndrome (NAS) increased 83%, from 4.0 to 7.3 per 1,000 hospital deliveries (1). NAS, a withdrawal syndrome, can occur among infants following in utero exposure to opioids and other psychotropic substances (2). In 2018, a study of six states with mandated NAS case reporting for public health surveillance (2013-2017) found that mandated reporting helped quantify NAS incidence and guide programs and services (3). To review surveillance features and programmatic development in the same six states, a questionnaire and interview with state health department officials on postimplementation efforts were developed and implemented in 2021. All states reported ongoing challenges with initial case reporting, limited capacity to track social and developmental outcomes, and no requirement for long-term follow-up in state-mandated case reporting; only one state instituted health-related outcomes monitoring. The primary surveillance barrier beyond initial case reporting was lack of infrastructure. To serve identified needs of opioid- or other substance-exposed mother-infant dyads, state health departments reported programmatic successes expanding education and access to maternal medication for opioid use disorder (MOUD), community and provider education or support services, and partnerships with perinatal quality collaboratives. Development of additional infrastructure is needed for states aiming to advance NAS surveillance beyond initial case reporting.
Subject:
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Analgesics, Opioid
Follow-Up Studies
Humans
Mandatory Reporting
Neonatal Abstinence Syndrome
Program Evaluation
Public Health Surveillance
Qualitative Research
State Government

Source:
MMWR Morb Mortal Wkly Rep. 71(2):37-42
Pubmed ID:
35025857
Pubmed Central ID:
PMC8757621
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:60726204e3dbc9f2b4cb07c271fadb5e4c1cccd6db62f5046a2c7fe0f8fe534d
File Type:

Supporting Files

• mm7102a1.nxml

  xml

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