Ingham County Substance Use Surveillance 2024 Annual Report

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Key Takeaways

• In 2024, total Ingham resident overdose deaths (78) and opioid-specific deaths (48) were less than previous years.
• Naloxone incidents reported by Lansing Fire Department in 2024 (319) were also less than previous years.
  
• Drug-related Emergency Department visits for Ingham residents in 2024 (404) are closer to pre-pandemic levels, after an increase seen from 2020-2023.

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Medical Examiner

Source: Ingham County Medical Examiner

Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

• 81 total drug-related deaths (Table 1 & Fig. 1)
  • 50 opioid-related deaths were reported.
    • 48 opioid-related deaths were reported among Ingham County residents.
      
    • 2 opioid-related deaths were reported among non-county residents.
      
  • 31 non-opioid-related deaths were reported.
    • 30 non-opioid deaths were reported among Ingham County residents.
      
    • 1 non-opioid death was reported among non-county residents.

Table 1: Number of drug-related deaths by related cause of death and county of residence, Ingham County 2024*

Related Cause of Death	Ingham County	Non-Ingham County	Total
Non-Opioid	30	1	31
Opioid	48	2	50
Total	78	3	81

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

Figure 1: Drug-related deaths by related cause of death and county of residence, Ingham County 2024*

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

Figure 2: Number of opioid-related deaths among residents in Ingham County by month, Ingham County 2022-2024*

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

Figure 3: Opioid-related deaths by educational level among Ingham County residents, 2024*

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

Figure 4: Drug-related deaths by selected types of drug among Ingham County residents, Ingham County 2024*

Note: Deaths by type of drug are not mutually exclusive. Often multiple drugs are identified as a related cause of death in a single case.

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

** Morphine, Codeine, Methadone, Oxycodone, Hydrocodone, Hydromorphone, Oxymorphone, Tramadol, and Meperidine

Figure 5: Number of opioid-related deaths among residents in Ingham County by year, 2005-2024**

Sources:

1. Michigan Substance Use Disorder Data Repository based on data from Michigan Death Certificates, Division for Vital Records and Health Statistics/ MDHHS (2004-2013). Retrieved from http://mi-suddr.com/blog/2018/09/26/opioid-heroin-poisonings/ [Accessed 2/25/2020]

2. Ingham County Medical Examiner Records (2005 - 2024)

Table 2: Characteristics of Opioid-related deaths among residents in Ingham County, Ingham County 2024*

Decedent Characteristic	Count	Death Rate†	95% CI for Calculated Rate
Total Deaths	48	16.5	11.9 - 21.2
Sex**
Male	33	23.3	15.4 - 31.3
Female	15	10.1	5.0 - 15.2
Age Group
<15	0
15-24	1
25-34	9
35-44	17	50.1	26.3 - 73.9
45-54	10	33.6	12.8 - 54.5
55-64	8
≥65	3
Race***
Black	12	38.9	16.9 - 60.9
White	36	18.4	12.4 - 24.4
Ethnicity***
Hispanic or Latino	6
Non-Hispanic or Latino	42	15.9	11.1 - 20.7
Other Characteristics
Age (years)
Median	43.7
Mean	45.5
Range	24–81
Manner of Death
Accident	47
Suicide	1
Total	48

† All rates are per 100,000 Ingham County residents as per 2024 ACS 5-year population estimates

* Data are current as of 06/17/2025. All tables and graphs represent cases through Dec 31, 2024

** Sex is classified as assigned sex at birth as reported in the original data source (Ingham County Medical Examiner Records data). ICHD acknowledges that assigning sex at birth as female or male does not capture what is going on in the person’s body, how they feel, or how they identify.

*** Black and white races are reported due to potential identifiability for smaller counts in additional racial groups. While the 2024 data does not have any individuals outside of Black and White, smaller counts would need to be suppressed for privacy. Arab ethnicity is not available in death data and is not reported. ICHD continues to encourage data collection in our community that is representative of our community. Race is a social construct.

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EMS / Fire Department

Source: City of Lansing Fire Department/EMS

Data are current as of 02/28/2025. All tables and graphs represent cases through Dec 31, 2024

• A total of 319 naloxone incidents were reported.
  • 136 incidents had 1 dose administered.
  • 58 incidents had 2 doses administered.
  • 18 incidents had 3 doses administered.
  • 2 incidents had 4 or more doses administered.

• Naloxone was administered to individuals across a wide age range:
  • Ages ranged from 18.4 to 84.5 years.
  • The average age was 45.2 years.
  • The median age was 41.3 years.

Figure 6: Number of Naloxone incidents by month in the City of Lansing, 2022 - 2024*

* Data are current as of 02/21/2025. All tables and graphs represent cases through Dec 31, 2024

Table 3: Naloxone incidents by demographic characteristics, City of Lansing, 2024*

Category	Count	Percent
Sex**
Male	208	65.2
Female	111	34.8
Total	319	100.0
Age Group
Missing	17	5.3
<15	0	0.0
15-24	7	2.2
25-34	71	22.3
35-44	98	30.7
45-54	53	16.6
55-64	36	11.3
≥65	37	11.6
Total	319	100.0

* Data are current as of 02/21/2025. All tables and graphs represent cases through Dec 31, 2024

** Sex is classified as assigned sex at birth as reported in the original data source (City of Lansing Fire Department/EMS data). ICHD continues to encourage updated reporting that captures the non-binary identities that exist outside of assigned sex.

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Emergency Department Visit Data

Source: Michigan Syndromic Surveillance System

Data are current as of 02/28/2025. All tables and graphs represent cases through Dec 31, 2024

• There were a total of 404 drug-related emergency department visits.
  • Average age: 41.6 years
    
  • Median age: 39 years
    
• 0 methadone-related visits were for prescription refills.

Figure 7: Number of Drug-related Emergency Department Visits by Month, Ingham County 2024*

Source: Michigan Syndromic Surveillance System

Note: Emergency Room Visits by type of drug are not mutually exclusive, meaning an individual may have visited due to multiple substances

* Data are current as of 02/28/2025. All tables and graphs represent cases through Dec 31, 2024

** “Methadone” includes Methadone, Buprenorphine, and Suboxone.

*** “Oxycodone” includes Oxycodone (Oxycontin) and Oxymorphone.

Note: Numbers are based on emergency department visit (chief complaints) and before any confirmed diagnoses are made.

Figure 8: Number of Drug-related Emergency Department Visits by Year, Ingham County 2022 - 2024*

Source: Michigan Syndromic Surveillance System

* Data are current as of 02/28/2025. All tables and graphs represent cases through Dec 31, 2024

** “Methadone” includes Methadone, Buprenorphine, and Suboxone.

*** “Oxycodone” includes Oxycodone (Oxycontin) and Oxymorphone.

^ “Polysubstance” includes visits with multiple opiates or opiates with cocaine.

Note: Numbers are based on emergency department visit (chief complaints) and before any confirmed diagnoses are made. As of Q2 of 2023, there has been some revisions to emergency room data to include relevant ICD-10 codes.

Figure 9: Number of Overdose-related Emergency Department Visits Ingham County, 2009-2024

Source: Michigan Syndromic Surveillance System

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Ingham County Department of Health and Human Services (DHHS)

Source: Michigan Department of Health and Human Services (DHHS)

• A total of 103 households had reported child removal(s) incidents.
  • 71 household removals involved substance use.
  • 11 household removals involved opioid use.

On average, 5.9 removals per month involved substance use, and 0.9 involved opioid use.

Table 6: Number of Households with a Child Removal Incident, Ingham County 2024*

Category	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec	Total Removals
Involving Substances	4	5	6	14	5	8	4	6	6	6	2	5	71
Involving Opioids	0	0	0	3	1	2	0	1	1	2	0	1	11
Involving Non-Opioids	4	5	6	11	4	6	4	5	5	4	2	4	60
No Substance Use	2	2	4	4	3	1	2	3	2	3	2	4	32

Figure 10: Total Number of Households with a Child Removal Incident by Substance Use, Ingham County 2024*

Source: Ingham County Department of Health and Human Services (DHHS)

*Data are current as of 07/31/2025. All tables and graphs represent cases through Dec 31, 2024.

Important Note: Counts reported in this document do not represent final numbers. They are subject to change after cases are updated by the data source.