Broward Quick Check
March 2012
Drug Abuse Patterns and Trends Update
James N. Hall Report # 54South Florida Drug ObservatoryNova Southeastern University
Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2010
NUMBER of COCAINE
OCCURRENCES
Including “Present” &
“Cause of Death”
SOURCE: Florida Medical Examiners Commission Report 2010
0
1,000
2,000
1,0341,105 1,307
1,6141,7021,9432,0522,1791,791
1,4621,402
State of Florida
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
50
100
150
200
80 94121 138 120 136 150 157 146 135 127
Broward
Number of Other Substances Detected in Cocaine-Related Deaths in Broward County: 2010
Rx Muscle Relax
Rx Opioid
Rx Benzo
Marijuana
Alcohol
0 10 20 30 40 50 60 70 80 90 100
4
86
66
7
42
SOURCE: Analysis of Florida Medical Examiners Commission Data 2009-2010by Center for Study & Prevention of Substance Abuse, Nova Southeastern Univ.
# of Occurrences
Total # Other Drugs = 205
Number of Primary Cocaine Treatment AdmissionsBroward County, FL: 2009-2011
2009 2010 2x 1h 20110
100200300400500600700800900
610424
294
159
57
54
Powder Cocaine Crack Cocaine
# o
f pri
mar
y Tr
eatm
ent
Adm
issi
ons
SOURCE: Florida Department of Children and Families
769
481
Total Cocaine in Red
348
NUMBER OF HEROIN-RELATED DEATHS IN BROWARD COUNTY, FL: 2000 - 2010
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0102030405060
17
53 50 49
35
17 134
178 5
SOURCE: Florida Medical Examiners Commission Reports 2000-2010
# H
eroi
n D
eath
s
NUMBER OF HEROIN-RELATED DEATHS IN FLORIDA: 2000 - 2010
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
050
100150200250300350 Florida
Miami-DadeBroward
SOURCE: Florida Medical Examiners Commission Reports 2000-2010
58# H
eroi
n D
eath
s
265
Number of Other Substances Detected in Heroin-Related Deaths State of Florida: 2010
Other Rx
Rx Opioid
Rx Benzo
Other Illicit
Alcohol
0 10 20 30 40 50 60 70
1
60
39
35
15
SOURCE: Analysis of Florida Medical Examiners Commission Data 2010by Center for Study & Prevention of Substance Abuse, Nova Southeastern Univ.
# of Occurrences
54 of 58 Heroin Deaths with 1 or more other drugs
Number of Primary Heroin Treatment AdmissionsBroward County, FL: 2009-2011
2009 2010 2x1h 20110
20
40
60
80
100
120
140
160
180
105
156
100
# of
prim
ary
Trea
tmen
t Adm
issi
ons
SOURCE: Florida Department of Children and Families
2009 2010 % Changed Broward County 490 470 Down 4 %
Miami-Dade County 239 359 Up 50 %
Palm Beach County 429 365 Down 15 %State of Florida 5,275 5,647 Up 7 %
Number of Deaths with One or More Prescription Medications Detected
2009 vs. 2010
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
SOURCE: Florida Medical Examiners Commission Report 2010
NUMBER of Oxycodone
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 20100
500
1,000
1,500
2,000
2,500
3,000
1,2531,574
1,948
2,384
Number of Oxycodone Reports Detected among Decedents in South Florida: 2007-2010
NUMBER of Oxycodone
OCCURRENCESIncluding
“Present” &“Cause of Death”
SOURCE: Florida Medical Examiners Commission Report 2010
2007 2008 2009 20100
50
100
150
200
250
144 165184 177
119
171
225 236
45 46
66
100
Palm BeachBrowardMiami-Dade
Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2010
SOURCE: Florida Medical Examiners Commission Report 2010
NUMBER of Alprazolam
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 20100
500
1,000
1,500
2,000
2,500
1,348
1,873 1,9632,193
Alprazolam
Number of Alprazolam Reports Detected among Decedents in South Florida: 2007- 2010
NUMBER of Alprazolam
OCCURRENCESIncluding
“Present” &“Cause of Death”
SOURCE: Florida Medical Examiners Commission Report 2010
2007 2008 2009 20100
50
100
150
200
250
300
124
176158 124133
203
245 235
101 101 98
124
Palm Beach
Broward
Miami-Dade
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
Number of high indicators:
543
Flagler
HighlandsHardee
Polk
Martin
St. Lucie
Okeee
echobee
Indian River
PutnamAlachua
Bradfor
dUnionColu
mbia
Gilchrist
Levy
Dixie
Suwannee
Hamilton
St.JohnsClay
Duval
Nassau
Baker
Pinellas
Pasco
Manatee
Hillsborough
Brevard
Osceola
Orange
Seminole
Collier
HendryLee
Glades
De SotoSarasota
Palm Beach
LakeSumterHernando
Citrus
Marion
Taylor
Madison
Jeffe
rson
Wakulla
Leon
Franklin
Liberty
Gadsden
Jackson
Calhoun
Gulf
BayWas
hingto
n
Escambia
Santa Rosa
Okaloosa
Walton
Broward
Dade
Holmes
Monroe
Volusia
Lafayette
Charlotte
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
Source: Florida Department of Children and Families
Other/UnknownHeroin
Rx Benzo'sCocaine/Crack
AlcoholRx OpioidsMarijuana
0 100 200 300 400 500 600 700164
50
65174
455503
650
Number of Primary Admissions
Number of Juvenile (<18) Treatment Clients by Primary Drug in Broward County, FL:
January – June 2011
Source: Florida Department of Juvenile Justice
Other Drugs/Unknown
Alcohol
Cocaine
Marijuana
0 100 200 300 400 500 600 700 800 900 1000 1100 1200
21
13
4
399
Broward n= 437
Number of Juvenile Treatment Clients
or 91 % of all Juvenile admissions
Number of Juvenile Arrests for Alcohol & Drug Charges in Broward County:
July 2010 – June 2011
Source: Florida Department of Juvenile Justice
All Other Drug Charges
Alcohol
Cocaine
Marijuana
0 100 200 300 400 500 600 700 800 900 1000 1100 1200
277
57
96
1112
Broward n= 1,542
Broward n= 1,542
Number of Juvenile Drug Charges
Marijuana = 72 % of all drug charges
Synthetic Cannabinoids
• 5 Illegal as July 2011
• Others Now Reported
• Motivation:
“Beat the Drug Test”
• 516 Poison Center
Exposure Calls in
Florida during 2011
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 184MDPV & Mephedrone (Bath Salts) 152Dimethyltryptamine (DMT) 6
Source: Florida Poison Information Center – Miami1-800-222-1222
336Exposures
6Exposures
516 Exposures
Florida Poison InfoExposure Calls 2011
Ecstasy: Number of Crime Lab Cases for MDMA, Piperazines, Tryptamines, Phenethylamines, and Cathinones in South Florida: January -June 2011
Source: US DEA-National Forensic Laboratory Information System
3,4-METHYLENEDIOXYMETHAMPHETAMINE (MDMA) 216N-BENZYLPIPERAZINE (BZP) 865-METHOXY-N,N-DIISOPROPYLTRYPTAMINE (5-MeO-DIPT) 12METHYLENEDIOXYPYROVALERONE (MDPV) 114-METHYLMETHCATHINONE (4-MMC) (MEPHEDRONE) 10N-METHYL-3,4-METHYLENEDIOXYCATHINONE (METHYLONE) 23,4-METHYLENEDIOXYAMPHETAMINE (MDA) 1
1. New Synthetic Substances• State EPS Work Group
2. Methamphetamine Resurgence3. Is Heroin on the Horizon?
Emerging Issues 2012