Broward Quick CheckSeptember 2012
Drug Abuse Patterns and Trends Update
James N. Hall, EpidemiologistCenter for Applied Research on Substance Use and Health DisparitiesNova Southeastern University
Numbers of Substances Identified among Decedents in Florida: Jan-June 2011
Alcoho
l
Cocain
e
Benzo
s
Rx Opio
id
Heroin
Zolpide
m
Muscle
Rela
xant
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
1,982
679
2,774 3,063
20 118 232
All Rx = 6,287Alcohol +Illicit Drugs = 3,190
Fla gler
HighlandsHardee
Polk
Martin
St. Lucie
Indian River
PutnamAlachua
Union
Gilchrist
Levy
Dixie
Suwa nnee
Hamilton
S t.JohnsClay
Duval
Nas sau
Baker
Pinellas
Pasco
Mana tee
Hillsborough Osceola
Orange
Se minole
Collie r
HendryLee
Glade s
De SotoSarasota
Palm Beach
LakeSumterHernando
Citrus
Marion
Taylor
Ma dis on
Wa kulla
Leon
Franklin
Liberty
Gadsden
Ja cks on
Ca lhoun
Gulf
Bay
EscambiaOkaloosa
Broward
Dade
Holmes
Monroe
Volusia
Charlotte
Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Interim Report 2011
Number of Oxycodone Reports Detected among Decedents in Florida: Jan 2007 – Jun 2011
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Interim Report
NUMBER of Oxycodone
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 2010 2x1H 2011
0
500
1,000
1,500
2,000
2,500
3,000
1,253
1,574
1,948
2,3842,116
2x 1,058
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 2010 2X1h 20110
50
100
150
200
250
144 165184 177
112119
171
225 236
164
45 4666
10094
Palm BeachBrowardMiami-Dade
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
5%
10%
15%
20%
25%
30%
2.1%2.6%3.4%4.8%4.8%4.2%5.4%5.4%7.3%8.3%
10.8%
16.1%
23.9%
29.2%
Percent of Primary Addiction Treatment Ad-missions for Rx Opioids among all substances
(including alcohol) in Florida: 1998 to 2011
Rx Opioids as % of All
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
199819992000200120022003200420052006200720082009201020110
10
20
30
40
50
60
70
80
90
100
26 to 30 yrs
21 to 25 yrs
18 to 20 yrs
12 to 17 yrs
Aged 12 to 30 Years
Source: SAMHSA - Treatment Episode Data Sets Submitted by
the Florida Dept. of Children and Families as of April 5, 2012
22%
62%
Number of Primary Treatment Admissions by Drug Broward and Miami-Dade Counties:
Jan –Dec 2011
Source: Florida Department of Children and Families
Rx Benzo's
Rx Opioids
-100 100 300 500 700 900 1100 1300 1500
140
1459
79
302
Miami-Dade Broward
Number of Primary Admissions
Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2010
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Interim Report
NUMBER of Alprazolam
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 2010 2x1H 20110
500
1,000
1,500
2,000
2,500
1,348
1,873 1,9632,193
1,900
Alprazolam
2x 950
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 2010 2X1h 20110
50
100
150
200
250
300
124
176158 124
104
133
203
245 235210
101 101 98124
126
Palm Beach
Broward
Miami-Dade
Percent of High School Students Reporting Having Ever Taken a Rx Drug 1 or More
Times Without a Doctor’s Prescription:2011
USA Florida Palm Beach Broward Miami-Dade0.0%
5.0%
10.0%
15.0%
20.0%
25.0%20.7%
15% 14%13% 11%
% Reporting
Source: Centers for Disease Control and Prevention: Youth Risk Behavior Surveillance
Source: Centers for Disease Control and Prevention: Youth Risk Behavior Surveillance
Percent of High School Students Reporting Any Past 30-Day Marijuana Use USA & Broward County: 1991-2011
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 20110
5
10
15
20
25
30
13.517.9
19.119
20.921.8
17.9 17.3 17
23.7
22.114.7
17.7
25.326.2 26.7
23.922.4
20.2 19.720.8
23.1
Broward USA
Perc
ent R
epor
ting
Cur
rent
Use
USA & Broward Data 1997-2011
Percent of Florida 9th-12th Graders Reporting Having Used Synthetic Marijuana
9th Graders 10th Graders 11th Graders 12th Graders0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
8.4 %10.5 %
12.7 %
16.6%
Source: Florida Youth Substance Abuse Survey 2011
Number of CannabinmimeticsPoison Control Exposure Calls Jan-Dec 2011 and Jan-June 2012
Source: Florida Poison Information Center – Miami1-800-222-1222
CannabinmimeticsPoison Exposure Calls
# of Poison Exposure Calls Jan-Dec 2011
# of Poison Exposure Calls Jan-June 2012
State of Florida 499 274Broward County 38 18Miami-Dade County 35 21
Number of Emerging Psychoactive Substance Drug Poison Control Exposure Calls
in Florida: Jan-Dec 2011 and Jan-April 2012
Source: Florida Poison Information Center – Miami 1-800-222-1222
Synthetic Drug Category
# of Poison Exposure Calls Jan-Dec 2011
# of Poison Exposure Calls Jan-April 2012
Synthetic Cannabinoids 499 269Hallucinogenic Amphetamines
184 64
MDPV & Mephedrone (Bath Salts)
152 28
Other Hallucinogens DMT and 5-MeO-DIPT
6 2
1,204 Exposure calls Jan 2011 to April 2012
Number of Crime Lab Cases for Synthetic Cannabinoids, Piperazines, Tryptamines, Phenethylamines, and
Cathinones in South Florida: Jan -Dec 2011
Source: US DEA-National Forensic Laboratory Information System (NFLIS) for Miami-Dade, Broward and Palm Beach Counties 2011 as of May 8, 2012
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)
27
4-METHYLMETHCATHINONE (4-MMC) (MEPHEDRONE) 123,4-METHYLENEDIOXYAMPHETAMINE (MDA) 1Other 25TOTAL 463
Dangerous, Imitation, Emerging Drugs
(DIED)Fake Drugs; Real Poisons
www.drugfreebroward.org Presentations
Organization of American States15 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