June 24, 2022: The Centers for Disease Control and Prevention has listed Fairfield, Hartford, New London, Middlesex, Tolland, and Windham Counties in Low/Green the as part of its COVID-19 Community Levels Map. Only Litchfield, Middlesex and New Haven County are listed in the Medium/Yellow category. Residents who live in the Medium /Yellow counties who are at a high risk for severe illness, should talk to their health care provider about whether to wear a mask and take other precautions. These residents should stay up to date with their COVID-19 vaccines and get tested if they have symptoms. Visit the CDC COVID-19 Community Levels Map for updates.

Opioids and Prescription Drug Overdose Prevention

Background | NORAOverdose Data | Change the Script 
Common Risk Factors | Signs of an Overdose  | Resources

Background and Overview:

The misuse of prescription medication and opioid-based drugs has increased significantly over the years to become a public health concern in Connecticut. This misuse or abuse includes taking these medications in higher doses than prescribed, for a purpose other than that for which it was prescribed, or taking a medication that was prescribed for another person or obtained off the streets. Opioid overdose is often characterized by a decrease in breathing rate which if not quickly addressed leads to death.

Naloxone + Opioid Response App (NORA)

The Naloxone + Opioid Response App (NORA) is a free interactive educational tool that will expand the understanding of what naloxone is and reinforce initial training given when a person fills their prescription for it. The vital role naloxone plays in reversing an opioid overdose has been cited by the Surgeon General's office.


The app will:

  • provide resources for people interested in learning about opioids,

  • recognize the signs of an opioid overdose and how to respond,

  • explain the protections offered by the Good Samaritan Law,

  • provide information on proper storage and disposal,

  • connect people with other resources to prevent overdose and

  • to find treatment and recovery supports.

Updates will be ongoing with input from users of the app, with the intent that local coalitions and support staff at hospitals will share the app with family, friends and persons at risk of overdose. A train-the-trainer sheet is available to help integrate the app into other educational programs.


You can access the app at www.norasaves.com. Contact our program for more information.



Fentanyl Test Strips and Counterfeit Pills

Fentanyl test strips are a tool that can be used to prevent an opioid overdose. Many illicit drugs contain fentanyl, which can be lethal. If they test positive, the person can then think about changing the way they are taking the drug (using less or going slow), making sure they don't use alone, or choosing not to use it.  Watch the fentanyl test strip video to learn the proper steps to test for fentanyl. Contact your local SSP or local health department for more information about where to get the strips.



Fentanyl Testing to Prevent Overdose Information for Healthcare Providers and People Who Use Drugs: https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/AIDS--Chronic-Diseases/Prevention/DPH_FentanylTestStrips.pdf?la=en



"Fake pills", also known as counterfeit pills, are often being sold through the illicit drug market. These pills can be laced with other drugs (like fentanyl) that can be deadly. They are produced without safety controls in substandard conditions, labeled incorrectly, and have many unknown substances. It is important to be aware that a number of these drugs are being sold through social media and online, not just on the street. Pills marked as Adderall, Xanax, and Oxycodone can be pressed by illegal drug mills to resemble these prescription drugs. Over 25% of these pills tested positive with a lethal dose of fentanyl. The DEA has stated that the best way to avoid counterfeit medication is to take only medications prescribed by a licensed medical professional and dispensed by a registered pharmacist.  


Overdose Data

In Connecticut, residents are more likely to die from unintentional drug overdose than a motor vehicle accident. The majority of these deaths are linked to overdose of prescription opioid painkillers and illicit opioids. According to the CDC, the 2016 Connecticut age-adjusted rate for drug-induced mortality is 25.1 per 100,000 population compared to the 2016 national rate of 17.1.

The Connecticut Department of Public Health presents an interactive dashboard with drug overdose data to increase public awareness about the impact of the opioid crisis in Connecticut. In this dashboard, demographic, geographic, and type of drug-related overdose information can be visualized through the years from 2015 to 2021.

To navigate the dashboard, hover over maps and charts to get more details. To view the dashboard for selected years, time periods, demographics, or types of drugs involved, single click on these sections. Click again to go back to the original view or click the reset button on the bottom right of the screen.

The DPH uses syndromic surveillance system data from the EpiCenter system to provide near real-time estimates of emergency department (ED) utilization for suspected drug overdoses in order to quickly detect and respond to changes in patterns of both fatal and nonfatal opioid overdoses. Please see the following links for preliminary data maps on ED utilization for suspected overdoses due to all drugs (including all opioids, stimulants, benzodiazepines), all opioids (including prescription painkillers and fentanyl/analogs), and heroin overdoses:



  Emergency Department Utilization for:



  Monthly Drug Overdose Death Reports:

Drug Overdose Death Fact Sheets:

For additional data reports on drug and opioid overdoses, please see the following links:

Statewide Overdose Reporting Directive (SWORD)
SWORD is a real-time reporting mechanism for Opioid Overdoses in the State through Emergency Medical Services (EMS).  All Connecticut certified and licensed EMS organizations and providers are now reporting to the Connecticut Poison Control Center (CPCC) after any call where the patient is suspected of opioid use causing decreased responsiveness, respiratory depression, or death, whether or not naloxone was administered." For more details on the SWORD program, please click on the following link: https://portal.ct.gov/DPH/Emergency-Medical-Services/EMS/OEMS---SWORD


Change the Script

'Change the Script' is a statewide public awareness campaign to help communities address the prescription drug and opioid misuse crisis. In collaboration with the Connecticut Department of Mental Health and Addiction Services (DMHAS), Department of Consumer Protection (DCP), and Department of Children and Families (DCF), DPH has launched an educational campaign for state residents that helps to increase awareness of the dangers of opioid and prescription drug misuse while focusing on decreasing the stigma of addiction and promoting life-saving measures such as naloxone and treatment. The campaign materials available for use include social media messages, PSAs (radio and TV), billboards, posters, and brochures.


"Change the Script" is a toolkit that contains creative materials such as advertisements, posters, billboards, direct-distribution pieces, radio scripts, and other materials that can be co-branded and used locally. Ready-to-use materials that do not require customization are also available for distribution and use at the state level.   

Change the Script badge

"Change the Script RX" is a targeted campaign to prescribers to increase awareness and utilization of the CT Prescription Monitoring and Reporting System (CPMRS). It utilizes digital ads, direct mail, social media, posters, flyers, and journal advertising to reach prescribers and pharmacists.

Change the Script logo

Common Risk Factors for Opioid Overdose:

  • Mixing opioids with other drugs, particularly alcohol or sedatives.
  • Resumption of use after a period of abstinence from opioid use, such as recent release from a rehabilitation center or from incarceration.
  • Elderly persons may forget that they have already taken their medication and accidentally re-take the same medication.
  • Younger age, specifically the teens or early 20s exposed to peer pressure or a social environment where there is drug use.

Signs of an opioid overdose:

  • Face is extremely pale and/or clammy to the touch.
  • Body is limp.
  • Fingernails or lips have a blue or purple cast.
  • Vomiting or making gurgling noises.
  • Cannot be awakened from sleep or is unable to speak.
  • Breathing is very slow or stopped.
  • Heartbeat is very slow or stopped.

 What should I do if I see an overdose?

  • Call 911 immediately!
  • Support the person’s breathing.
  • Administer naloxone (Narcan) if you have it.
  • Lay the person on their side once they have resumed breathing.
  • Stay with the overdosed person until the ambulance arrives.  

Overdose Data to Action 

This is a CDC program that helps states combat the ongoing drug overdose epidemic. The purpose of Overdose Data to Action (OD2A) is to support jurisdictions in collecting high-quality, comprehensive, and timely data on nonfatal and fatal overdoses and in using those data to inform prevention and response efforts. To learn more about OD2A, click here.


Alcohol and Drug Policy Council (ADPC)


Prescription Drug Overdose and the Role of Health Care Providers


Prescription Drug Overdose in Teens and Young Adults




Voluntary Opioid Opt-Out Form:

A person who does not wish to be issued a prescription or medication order for an opioid drug may file this Form with their healthcare provider. Upon receipt of the Form from the patients, a healthcare practitioner shall document receipt of the Form in the patient's medical record.

Using Naloxone to Reverse an Opioid Overdose: https://www.ctvideo.ct.gov/dmhas/naloxoneTraining.wmv


Opioid Family Stories 

For further information, please visit the Department of Mental Health and Addiction Services website.


For more information, please call

The Office of Injury and Violence Prevention 

(860) 509-8251