Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments

Missouri completed jurisdiction-level vulnerability assessments that identify counties at high risk for 1) opioid overdoses and 2) bloodborne infections (i.e., HIV, hepatitis C, hepatitis B) associated with nonsterile drug injection.

• The initial project published in 2020 was completed using Opioid Crisis Supplemental Funding (under CDC-RFA-TP18-1802) from the Centers for Disease Control and Prevention’s (CDC’s) National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).
  • Full Report: Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments 2020
• The 2022 update is funded through the Overdose Data to Action grant from the CDC.
  • Full Report: Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments 2022

DHSS, in partnership with a facilitation team from the University of Missouri – Columbia’s Disaster and Community Crisis Center, held a series of six stakeholder meetings in 2020 to gather feedback on the vulnerability assessments. Additional meetings are being planned in 2022 to gather feedback on the update.

• Stakeholder meeting handout
• Stakeholder meeting slides

Stakeholders also requested that data utilized in the vulnerability assessments be made available in a sortable format.

2022 Vulnerability Assessment Data

2020 Vulnerability Assessment Data

Missouri’s work builds upon a prior national vulnerability assessment completed by the CDC, which identified 13 Missouri counties among the top vulnerable counties in the nation. Information about the 2016 national vulnerability assessment project is available at https://www.cdc.gov/pwid/vulnerable-counties-data.html

Missouri's Plan

Under the Opioid Crisis Supplemental Funding, Missouri was also tasked with developing a plan to strategically allocate prevention and intervention services and distribute findings to key stakeholders in forms that support action.

• Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments Plan – 2020

Fact Sheets

Stakeholders who contributed to this project expressed the need for easily accessible data and information on resources related to overdoses and bloodborne infections. Fact sheets for the 28 most vulnerable counties in 2022, as well as supplementary data for the 30 most vulnerable counties in 2020 can be found below.

For more information on the topics included in the Missouri vulnerability assessments, visit:

• Drug Overdose Dashboard
• Viral Hepatitis
• HIV/AIDS Disease Surveillance