Transcript Broward Quick Check - Jim Hall


Broward Quick Check
September 2012
Drug Abuse Patterns and
Trends Update
James N. Hall, Epidemiologist
Center for Applied Research on
Substance Use and Health Disparities
Nova Southeastern University
Jackson
lum
bia
Hamilton
Union
Duval
S t.
Clay Johns
Bra
ye
tte
Dixie
Baker
rd
Madison
Suwannee
Taylor Lafa
d fo
ffer
so
Je
Leon
Liberty Wakulla
Gulf Franklin
Nas sau
n
Gadsden
Calhoun
Bay
Co
hin
gto
W
as
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alto
W
Holmes
Okaloosa
n
Santa
Rosa
Escambia
Numbers of Substances Identified among
Decedents in Florida: Jan-June 2011
Gilchrist Alachua
Putnam
Flagler
Levy
Marion
Volusia
Citrus
Sumter
Hernando
Lake
Seminole
Orange
va rd
Osceola
Bre
Pasco
Hillsborough
Polk
Indian River
Pinellas
St. Lucie
be
e
Lee
Highlands
ho
Charlotte
ec
Hardee
Sarasota De Soto
4,000
O ke
Manatee
Martin
Glades
Hendry
Palm Beach
Broward
Collier
Dade
Monroe
3,500
2,774
3,000
3,063
All Rx
= 6,287
Alcohol +
Illicit Drugs = 3,190
2,500
2,000
1,982
1,500
1,000
500
0
679
20
118
Source: Florida Department of Law Enforcement:
Florida Medical Examiners Commission Interim Report 2011
232
Number of Oxycodone Reports Detected
among Decedents in Florida: Jan 2007 – Jun 2011
3,000
2,384
2,500
NUMBER of
Oxycodone
OCCURRENCES
Including
“Present” &
“Cause of Death”
2,000
1,500
2,116
1,948
1,574
1,253
1,000
500
2x 1,058
0
2007
2008
2009
2010
2x1H
2011
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners
2007 - 2010 Reports and 2011 Interim Report
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
150
100
225
236
184
177
Broward
Miami-Dade171
144
165
100
119
164
112
94
66
50
45
46
0
2007
2008
2009
2010
2X1h 2011
SOURCE: Florida Medical Examiners Commission Report 2010
30%
Percent of Primary Addiction Treatment
Admissions for Rx Opioids among all substances
(including alcohol) in Florida: 1998 to 2011 29.2%
Rx Opioids as % of All
23.9%
25%
20%
15%
10%
5%
16.1%
10.8%
7.3%8.3%
4.8%4.8%4.2%5.4%5.4%
3.4%
2.1%2.6%
0%
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Source: SAMHSA - Treatment Episode Data Sets Submitted by
the Florida Dept. of Children and Families as of April 5, 2012
Percent of Primary Rx Opioid Addiction Treatment
Admissions By Age Groups (12-30 years) in Florida:
1998 to 2011
100
90
80
70
60
50
40
30
20
10
0
Aged 12 to 30 Years
62%
26 to 30 yrs
22%
21 to 25 yrs
18 to 20 yrs
12 to 17 yrs
Source: SAMHSA - Treatment Episode Data Sets Submitted by
the Florida Dept. of Children and Families as of April 5, 2012
Number of Primary Treatment Admissions
by Drug Broward and Miami-Dade Counties:
Jan –Dec 2011
Miami-Dade
Broward
302
Rx Opioids
1,459
79
140
Rx Benzo's
0
500
1000
1500
Number of Primary Admissions
Source: Florida Department of Children and Families
Number of Alprazolam Reports Detected
among Decedents in Florida: 2007 – 2010
Alprazolam
2,500
1,873
2,000
NUMBER of
Alprazolam
OCCURRENCES
Including
“Present” &
“Cause of Death”
1,500
1,963
2,193
1,900
1,348
1,000
500
2x 950
0
2007
2008
2009
2010
2x1H 2011
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners
2007 - 2010 Reports and 2011 Interim Report
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
100
Broward
245
235
210
203
Miami-Dade
133
176
158
124
124
126
124
101
101
98
2007
2008
2009
104
50
0
2010
2X1h 2011
SOURCE: Florida Medical Examiners Commission Report 2010
Percent of High School Students Reporting
Having Ever Taken a Rx Drug 1 or More Times
Without a Doctor’s Prescription:2011
% Reporting
25.0%
20.0%
20.7%
15%
15.0%
14%
12.80%
10.0%
10.70%
5.0%
0.0%
USA
Florida
Palm Beach
Broward
Miami-Dade
Source: Centers for Disease Control and Prevention: Youth Risk Behavior Surveillance
Percent Reporting Current Use
Percent of High School Students Reporting Any Past 30-Day
Marijuana Use USA & Broward County: 1991-2011
USA & Broward Data 1997-2011
30
25.3
25
17.7 19.1
20
17.9
13.5
15 14.7
10
26.2
26.7
23.9
20.9
21.8
19
23.7 23.1
22.4
20.2 19.7
17.9 17.3
20.8
22.1
17
Broward
USA
5
0
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011
Source: Centers for Disease Control and Prevention: Youth Risk Behavior Surveillance
Percent of Florida 9th-12th Graders Reporting
Having Used Synthetic Marijuana
18%
16.6%
16%
12.7 %
14%
10.5 %
12%
10%
8.4 %
8%
6%
4%
2%
0%
9th Graders 10th Graders 11th Graders 12th Graders
Source: Florida Youth Substance Abuse Survey 2011
Number of Cannabinmimetics
Poison Control Exposure Calls
Jan-Dec 2011 and Jan-June 2012
Cannabinmimetics
Poison Exposure Calls
State of Florida
Broward County
Miami-Dade County
# of Poison
Exposure Calls
Jan-Dec 2011
499
38
35
# of Poison
Exposure Calls
Jan-June 2012
274
18
21
Source: Florida Poison Information Center – Miami
1-800-222-1222
Number of Emerging Psychoactive
Substance Drug Poison Control Exposure Calls
in Florida: Jan-Dec 2011 and Jan-April 2012
# of Poison
# of Poison
Synthetic Drug
Exposure Calls
Exposure Calls
Category
Jan-Dec 2011
Jan-April 2012
Synthetic Cannabinoids
Hallucinogenic
Amphetamines
MDPV & Mephedrone
(Bath Salts)
Other Hallucinogens
DMT and 5-MeO-DIPT
499
184
269
64
152
28
6
2
Source:
Florida Poison Information Center – Miami 1-800-222-1222
Number of Crime Lab Cases for Synthetic Cannabinoids,
Piperazines, Tryptamines, Phenethylamines, and
Cathinones in South Florida: Jan -Dec 2011
Synthetic Cannabinoids including 18 for JWH-018
20
N-BENZYLPIPERAZINE (BZP)
130
5-MeO-DIPT
133
1-(3-TRIFLUOROMETHYLPHENYL)-PIPERAZINE (TFMPP)
83
METHYLENEDIOXYPYROVALERONE (MDPV)
32
N-METHYL-3,4-METHYLENEDIOXYCATHINONE
(METHYLONE)
4-METHYLMETHCATHINONE (4-MMC) (MEPHEDRONE)
27
3,4-METHYLENEDIOXYAMPHETAMINE (MDA)
1
Other
25
TOTAL
463
12
Source: US DEA-National Forensic Laboratory Information System (NFLIS) for
Miami-Dade, Broward and Palm Beach Counties 2011 as of May 8, 2012
(DIED)
Fake Drugs; Real Poisons
www.drugfreebroward.org
Presentations
Organization of American States
15 Nation Caribbean DEN
Drug Epidemiology Network
National CEWG Drug Trends Update June 2012
• Cocaine declines reported across all 21 sites
• Heroin maintains presence,
– Expands to new areas including small towns
– Fueled by young adult Rx opioid abusers
• Prescription opioid nonmedical use escalates
• Emerging synthetic drug consequences most
pronounced in the Central US and Florida
• Marijuana is ubiquitous
• Methamphetamine rising in the West again