Transcript Broward Quick Check - March 2012

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Broward Quick Check
March 2012
Drug Abuse Patterns and
Trends Update
James N. Hall Report # 54
South Florida Drug Observatory
Nova Southeastern University
Number of Cocaine Reports Detected Among
Decedents in Florida: 2000 - 2010
2,500
2,000
1,500
1,000
500
NUMBER of
0
COCAINE
OCCURRENCES
Including 200
“Present” &
“Cause of
150
Death”
1,105
1,034
1,402
State of Florida
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
100
50
1,307
2,179
1,943 2,052
1,791
1,614 1,702
1,462
80
94
150 157 146
138
136
135 127
121
120
Broward
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
SOURCE: Florida Medical Examiners Commission Report 2010
Number of Other Substances Detected in
Cocaine-Related Deaths in Broward County:
2010
Total # Other Drugs = 205
Alcohol
42
Marijuana
7
Rx Benzo
66
Rx Opioid
86
Rx Muscle
Relax
4
0
20
40
60
80
100
# of Occurrences
SOURCE: Analysis of Florida Medical Examiners Commission Data 2009-2010
by Center for Study & Prevention of Substance Abuse, Nova Southeastern Univ.
# of primary Treatment Admissions
Number of Primary Cocaine Treatment Admissions
Broward County, FL: 2009-2011
900
800
769
700
159
600
Crack Cocaine
Total Cocaine in Red
481
500
57
400
300
Powder Cocaine
54
610
424
200
348
100
294
0
2009
2010
2x 1h 2011
SOURCE: Florida Department of Children and Families
NUMBER OF HEROIN-RELATED DEATHS
IN BROWARD COUNTY, FL: 2000 - 2010
53 50 49
# Heroin Deaths
60
50
35
40
30
20
10
17
17
13
17
4
8
5
0
SOURCE: Florida Medical Examiners Commission Reports 2000-2010
# Heroin Deaths
NUMBER OF HEROIN-RELATED DEATHS
IN FLORIDA: 2000 - 2010
400
350
300
250
200
150
100
50
0
Florida
Miami-Dade
Broward
58
26
5
SOURCE: Florida Medical Examiners Commission Reports 2000-2010
Number of Other Substances Detected in
Heroin-Related Deaths State of Florida: 2010
Alcohol
54 of 58 Heroin Deaths
with 1 or more other drugs
15
Other Illicit
35
Rx Benzo
39
Rx Opioid
60
Other Rx
1
0
10
20
30
40
50
60
70
# of Occurrences
SOURCE: Analysis of Florida Medical Examiners Commission Data 2010
by Center for Study & Prevention of Substance Abuse, Nova Southeastern Univ.
# of primary Treatment Admissions
Number of Primary Heroin Treatment Admissions
Broward County, FL: 2009-2011
180
156
160
140
120
100
105
100
80
60
40
20
0
2009
2010
2x1h 2011
SOURCE: Florida Department of Children and Families
Number of Deaths with One or More
Prescription Medications Detected
2009 vs. 2010
2009
2010
Broward County
490
470
Down 4 %
Miami-Dade County
239
359
Up 50 %
Palm Beach County
429
365
Down 15 %
5,275
5,647
State of Florida
% Changed
Up 7 %
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners
2010 Report
Number of Oxycodone Reports Detected
among Decedents in Florida: Jan 2007 – Dec 2010
3,000
2,384
2,500
NUMBER of
Oxycodone
OCCURRENCES
Including
“Present” &
“Cause of Death”
1,948
2,000
1,500
1,574
1,253
1,000
500
0
2007
2008
2009
2010
SOURCE: Florida Medical Examiners Commission Report 2010
Number of Oxycodone Reports Detected
among Decedents in South Florida: 2007-2010
250
Palm Beach
NUMBER of
Oxycodone
OCCURRENCES
Including
“Present” &
“Cause of Death”
200
225
236
184
177
Broward
Miami-Dade 171
150
144
100
119
165
100
66
50
45
46
2007
2008
0
2009
2010
SOURCE: Florida Medical Examiners Commission Report 2010
Number of Alprazolam Reports Detected
among Decedents in Florida: 2007 – 2010
Alprazolam
2,500
2,000
NUMBER of
Alprazolam
OCCURRENCES
Including
“Present” &
“Cause of Death”
1,500
1,873
1,963
2008
2009
2,193
1,348
1,000
500
0
2007
2010
SOURCE: Florida Medical Examiners Commission Report 2010
Number of Alprazolam Reports Detected
among Decedents in South Florida: 2007- 2010
300
Palm Beach
250
NUMBER of
Alprazolam
OCCURRENCES
Including
“Present” &
“Cause of Death”
200
150
245
Broward
Miami-Dade
133
235
203
176
158
124
124
124
100
101
101
98
2007
2008
2009
50
0
2010
SOURCE: Florida Medical Examiners Commission Report 2010
Holmes
Escambia
Jackson
Okaloosa
Nassau
Gadsden
Calhoun
Bay
Leon
Liberty Wakulla
Gulf
Madison
Hamilton
Duval
Baker
Taylor
Suwannee
Union
Franklin
Dixie
Florida Counties Ranked High in 2010 on
Three or More of the Following Indicators:
• Rate of Rx Opioid Deaths
• Rate of Rx Benzodiazepine Deaths
• Rate of Overdose ED Visits/Hospitalizations
• Pain Clinics per 100,000
• Treatment Admissions for Rx Drugs
Gilchrist Alachua
Clay
St.
Johns
Putnam
Flagler
Levy
Marion
Volusia
Citrus
Sumter
Hernando
Lake
Orange
Pasco
Osceola
Hillsborough
Polk
Indian River
Pinellas
Manatee
Hardee
Sarasota De Soto
Charlotte
Number of high indicators:
Seminole
Lee
Highlands
St. Lucie
Martin
Glades
Hendry
Palm Beach
Broward
5
4
3
Collier
Dade
Source: Florida’s State Epidemiology Work Group
Number of Primary Treatment Admissions for
Juveniles and Adults by Drug in Broward
County. FL: January - June 2011
Marijuana
Rx Opioids
Alcohol
Cocaine/Crack
Rx Benzo's
Heroin
Other/Unknown
650
503
455
174
65
50
164
0
100
200
300
400
500
600
700
Number of Primary Admissions
Source: Florida Department of Children and Families
Number of Juvenile (<18) Treatment Clients
by Primary Drug in Broward County, FL:
January – June 2011
399
Marijuana
or 91 % of all
Juvenile admissions
4
Cocaine
Broward n= 437
Alcohol
13
Other Drugs/Unknown
21
0
100 200 300 400 500 600 700 800 900 1000 1100 1200
Number of Juvenile Treatment Clients
Source: Florida Department of Juvenile Justice
Number of Juvenile Arrests for Alcohol & Drug
Charges in Broward County:
July 2010 – June 2011
Broward n= 1,542
1,112
Marijuana = 72 % of all drug charges
Marijuana
96
Cocaine
57
Alcohol
Broward n= 1,542
277
All Other Drug Charges
0
100 200 300 400 500 600 700 800 900 1000 1100 1200
Number of Juvenile Drug Charges
Source: Florida Department of Juvenile Justice
Synthetic Cannabinoids
Ecstasy is
the Enigma
• What is it?
– MDMA or
– Emerging Psychoactive Substances (EPS)?
• Who’s using it?
• From where does it come?
• Detected in 5 Broward Deaths in 2010
Number of Ecstasy-Like Synthetic Drug Poison
Control Exposure Calls in Florida: 2011
Synthetic Drug Category
# of Poison
Exposure Calls
Hallucinogenic Amphetamines
MDPV & Mephedrone (Bath Salts)
Dimethyltryptamine (DMT)
184
152
6
Source: Florida Poison Information Center – Miami
1-800-222-1222
Florida Poison Info
Exposure Calls 2011
6
Exposures
336
Exposures
516
Exposures
Ecstasy: Number of Crime Lab Cases for MDMA,
Piperazines, Tryptamines, Phenethylamines, and
Cathinones in South Florida: January -June 2011
3,4-METHYLENEDIOXYMETHAMPHETAMINE (MDMA)
N-BENZYLPIPERAZINE (BZP)
5-METHOXY-N,N-DIISOPROPYLTRYPTAMINE (5-MeO-DIPT)
METHYLENEDIOXYPYROVALERONE (MDPV)
4-METHYLMETHCATHINONE (4-MMC) (MEPHEDRONE)
N-METHYL-3,4-METHYLENEDIOXYCATHINONE
(METHYLONE)
3,4-METHYLENEDIOXYAMPHETAMINE (MDA)
216
86
12
11
10
2
1
Source: US DEA-National Forensic Laboratory Information System
Emerging Issues
2012
1. New Synthetic Substances
• State EPS Work Group
2. Methamphetamine Resurgence
3. Is Heroin on the Horizon?