Select Maps
| Map 1 | Map 2 | |
|---|---|---|
| Opioid Indicators | ||
| Drug-related Deaths | ||
| Age-adjusted Drug Poisoning Deaths per 100,000 (Modeled) | ||
| Opioid Prescriptions per 100 Persons | ||
| Number of 30 Days Supply of Opioids per Part D Enrollee | ||
| Vulnerable County Rank | ||
| HIV Indicators | ||
| Number of People Living with Diagnosed HIV | ||
| Number or People Living with Diagnosed HIV per 100,000 | ||
| New HIV Diagnoses | ||
| Counties and States included in the Ending the HIV Epidemic Plan | ||
| Services Indicators | ||
| Facilities Providing Substance Abuse Services | ||
| Facilities Providing Some Medication Assisted Treatment | ||
| Facilities Providing All Medication Assisted Treatments | ||
| Providers Licensed to Administer Buprenorphine | ||
| Syringe Exchange Programs | ||
| Distance to Nearest SSP | ||
| Distance to Nearest Substance Abuse Facility providing MAT | ||
| Other Indicators | ||
| Unemployment Rate | ||
| Percent of People without Health Insurance | ||
Alabama Opioid Epidemic
Most Vulnerable Counties
The CDC has identified 220 counties at risk of outbreaks of HIV and/or hepatitis C as a result of the opioid epidemic. These represent only the top 5% of counties in the nation based on 6 factors assessed. Health officials responsible for these counties should be particularly sensitive to ensure targeted, evidence-based interventions and services are available. The article abstract is available here.
- Walker County National Rank: 37
- Marion County National Rank: 100
- Winston County National Rank: 109
- Franklin County National Rank: 206
State Opioid Policies
Several policies can mitigate the impact of increased opioid use. These include legislation permitting the operation of syringe exchange programs, good samaritan laws that provide legal protections to bystanders who call for help in the event of an overdose, and state Medicaid coverage of methadone for the treatment of opioid use disorder. In addition, states experiencing, or at an elevated risk of, experiencing HIV or hepatitis outbreaks may use federal DHHS funds to support syringe service programs. In order to be eligible to do so, state, local, tribal, and territorial health departments must consult with CDC and provide evidence demonstrating risk.
Syringe Exchange Programs are Not Legal (2021)
Good Samaritan Law Does Not Protect from Parole/Probation Violations (2018)
State Medicaid Program does Not Cover Methadone (2017)
State Trends
Federal Funding to Alabama
The Substance Abuse and Mental Health Services Administration (SAMHSA) makes grants to fight the opioid epidemic through several programs. The largest of these are the Opioid State Targeted Response (STR) and State Opioid Response (SOR) grants. Several smaller grant programs are also available.
STR grants: $7,967,870 (2018)
SOR grants: $13,544,900 (2018)
The Centers for Disease Control and Prevention (CDC) provides leadership in improving public health by working with community, state, national, and international partners in surveillance, research, and prevention and evaluation activities. The Division of HIV/AIDS Prevention (DHAP) and the Division of Viral Hepatitis (DVH) are responsible for HIV and viral hepatitis control activities, respectively. The National Center for Injury Prevention and Control (NCIPC) provides grants to states for both illicit and prescription opioid monitoring and research.
HIV/AIDS: $10,842,300 (2022)
Viral Hepatitis: $197,156 (2022)
Injury - Opioids: $3,717,330 (2022)
The Ryan White HIV/AIDS Program provides a comprehensive system of care that includes primary medical care and essential support services for people living with HIV who are uninsured or underinsured. The Program works with cities, states, and local community-based organizations to provide HIV care and treatment services to more than half a million people each year.
Ryan White: $24,546,600 (2016)
The Housing Opportunities for Persons With AIDS (HOPWA) Program is the only Federal program dedicated to the housing needs of people living with HIV/AIDS. Under the HOPWA Program, HUD makes grants to local communities, States, and nonprofit organizations for projects that benefit low-income persons living with HIV/AIDS and their families.
HOPWA: $4,364,200 (2021)
| * Small values are suppressed to preserve confidentiality. State-level data include the suppressed estimates so county rows will not sum to state totals. |
Data Explorer
County | Number of People Living with Diagnosed HIV (2021) | New HIV Diagnoses per 100,000 (2023) | Number or People Living with Diagnosed HIV per 100,000 (2021) | Estimated Acute Hepatitis C Cases per 100,000 (2017) |
|---|---|---|---|---|
| United States | 1,071,000 | * | 382 | 1.60 |
| Alabama | 14,436 | * | 340 | 2.20 |
| Autauga County | 108 | 0 | 218 | Data not reported to CDC |
| Baldwin County | 356 | 0 | 174 | Data not reported to CDC |
| Barbour County | 110 | 0 | 514 | Data not reported to CDC |
| Bibb County | 52 | 0 | 269 | Data not reported to CDC |
| Blount County | 40 | 0 | 81 | Data not reported to CDC |
| Bullock County | 54 | 0 | 616 | Data not reported to CDC |
| Butler County | 60 | 0 | 377 | Data not reported to CDC |
| Calhoun County | 251 | 0 | 255 | Data not reported to CDC |
| Chambers County | 106 | 0 | 360 | Data not reported to CDC |
| Cherokee County | 29 | 0 | 133 | Data not reported to CDC |
| Chilton County | 64 | 0 | 169 | Data not reported to CDC |
| Choctaw County | 30 | 0 | 279 | Data not reported to CDC |
| Clarke County | 39 | 0 | 202 | Data not reported to CDC |
| Clay County | 21 | 0 | 173 | Data not reported to CDC |
| Cleburne County | 11 | 0 | 87 | Data not reported to CDC |
| Coffee County | 81 | 0 | 180 | Data not reported to CDC |
| Colbert County | 67 | 0 | 137 | Data not reported to CDC |
| Conecuh County | 29 | 0 | 299 | Data not reported to CDC |
| Coosa County | 19 | 0 | 205 | Data not reported to CDC |
| Covington County | 52 | 0 | 164 | Data not reported to CDC |
| Crenshaw County | 27 | 0 | 246 | Data not reported to CDC |
| Cullman County | 82 | 0 | 109 | Data not reported to CDC |
| Dale County | 137 | 0 | 334 | Data not reported to CDC |
| Dallas County | 131 | 0 | 415 | Data not reported to CDC |
| DeKalb County | 66 | 0 | 110 | Data not reported to CDC |
| Elmore County | 212 | 0 | 280 | Data not reported to CDC |
| Escambia County | 71 | 0 | 230 | Data not reported to CDC |
| Etowah County | 194 | 0 | 222 | Data not reported to CDC |
| Fayette County | 13 | 0 | 95 | Data not reported to CDC |
| Franklin County | 23 | 0 | 87 | Data not reported to CDC |
| Geneva County | 39 | 0 | 172 | Data not reported to CDC |
| Greene County | 31 | 0 | 480 | Data not reported to CDC |
| Hale County | 65 | 0 | 531 | Data not reported to CDC |
| Henry County | 43 | 0 | 287 | Data not reported to CDC |
| Houston County | 377 | 0 | 418 | Data not reported to CDC |
| Jackson County | 46 | 0 | 102 | Data not reported to CDC |
| Jefferson County | 3,790 | 0 | 679 | Data not reported to CDC |
| Lamar County | 24 | 0 | 206 | Data not reported to CDC |
| Lauderdale County | 100 | 0 | 123 | Data not reported to CDC |
| Lawrence County | 25 | 0 | 89 | Data not reported to CDC |
| Lee County | 330 | 0 | 219 | Data not reported to CDC |
| Limestone County | 132 | 0 | 145 | Data not reported to CDC |
| Lowndes County | 46 | 0 | 549 | Data not reported to CDC |
| Macon County | 105 | 0 | 633 | Data not reported to CDC |
| Madison County | 864 | 0 | 258 | Data not reported to CDC |
| Marengo County | 31 | 0 | 194 | Data not reported to CDC |
| Marion County | 39 | 0 | 156 | Data not reported to CDC |
| Marshall County | 127 | 0 | 158 | Data not reported to CDC |
| Mobile County | 1,939 | 0 | 563 | Data not reported to CDC |
| Monroe County | 35 | 0 | 208 | Data not reported to CDC |
| Montgomery County | 1,559 | 0 | 827 | Data not reported to CDC |
| Morgan County | 154 | 0 | 149 | Data not reported to CDC |
| Perry County | 30 | 0 | 419 | Data not reported to CDC |
| Pickens County | 56 | 0 | 344 | Data not reported to CDC |
| Pike County | 115 | 0 | 405 | Data not reported to CDC |
| Randolph County | 19 | 0 | 102 | Data not reported to CDC |
| Russell County | 203 | 0 | 420 | Data not reported to CDC |
| Shelby County | 346 | 0 | 181 | Data not reported to CDC |
| St. Clair County | 131 | 0 | 168 | Data not reported to CDC |
| Sumter County | 37 | 0 | 355 | Data not reported to CDC |
| Talladega County | 180 | 0 | 258 | Data not reported to CDC |
| Tallapoosa County | 76 | 0 | 216 | Data not reported to CDC |
| Tuscaloosa County | 566 | 0 | 294 | Data not reported to CDC |
| Walker County | 83 | 0 | 153 | Data not reported to CDC |
| Washington County | 15 | 0 | 116 | Data not reported to CDC |
| Wilcox County | 21 | 0 | 240 | Data not reported to CDC |
| Winston County | 12 | 0 | 59 | Data not reported to CDC |
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