Mayor Jacobs Prescription Drug Task Force

Update

Presentation toBoard of County Commissioners

September 23, 2014

Presentation Outline

Recap of the Prescription Drug Problem

Progress of State and Local Efforts Education and Awareness

Initiatives Drug Trends Summary

The Prescription Drug Problem

An Epidemic……

2010 - 7M people took prescription drugs non-

medically

Of those 12 and older, 70% obtain pain relievers for

free, bought or took from friends or family

Florida had 90 of the top 100 Prescribing Physicians dispensing the most

Oxycodone in a given year

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

40,000,000

45,000,000

California Maryland Georgia Ohio Florida

Oxycodone Purchases by State Medical Practitioners

Source: DEA January 2010- June 2010

41.3M

2010 - Florida had over 920 Registered Pain Management Clinics

2010 - Florida was one of eight states that did not

have an operational Prescription Drug

Monitoring Program

2010 - 22,000 deaths due to Prescription Drugs

Neonatal Abstinence Syndrome number treated

for drug withdrawal in Florida increased 173% between

2006-2009

In 2010 – Over 60 Registered Pain

Management Clinics in Orange

County

Orange County Pain Management Clinics

8% of Orange County High School students report using prescription pain

relievers

2010 - Orange County had 147 Prescription Drug-

Related Deaths

Presentation Outline

Recap of the Prescription Drug Problem

Progress of State and Local Efforts Education and Awareness

Initiatives Drug Trends Summary

2011- Comprehensive Legislation

Banned dispensing of Schedule II and Schedule III controlled substances

Required physicians to either electronically prescribe or use counterfeit-proof prescriptions

Added criminal violations to support enforcement

Implemented the Prescription Drug Monitoring Program & improved reporting requirements for dispensing physicians and pharmacists from 15 days to 7 days

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

40,000,000

45,000,000

California Maryland Georgia Ohio Florida

Oxycodone Purchases by State Medical Practitioners

Source: DEA January 2013- June 2013

41.3M

2013 – 182,903 Oxycodone Purchases

Florida’s Drug Enforcement Strike Forces

Seven Drug Enforcement Strike Forces were created by the Governor and Attorney General reduce the supply of diverted prescription drugs

FL Pain Management Clinics

19Source: Dr. John Armstrong, FL Surgeon General – Orange County Prescription Drug Abuse Summit

Prescription Overdose Deaths in Florida Plunge After Tougher

Measures, Report Says – July 1, 2014

“This tells us that policies and enforcement work,” Dr. Frieden said. “This is an epidemic that was caused largely by inappropriate prescribing,

and it can be fixed to a significant extent by improving prescribing.”

Progress of Local Efforts

Mayor Jacobs Prescription Drug Task Force•Extent of the Problem •Collaborative, Multi-Jurisdictional Approaches •Provide Viable Solutions

June 2012 - Board of County Commissioners passed zoning regulations and conditions for new Pain Management Clinics

Orange County Pain Management Clinics

2014 – 21 Registered Pain

Management Clinics in Orange

County

Pain Management Clinics

Decrease in Pain Management ClinicsIllegal Pain Clinics & Rogue Pharmacies Investigated & ProsecutedVoluntary RelinquishDisciplinary RelinquishDenied DisciplinaryAdministratively RevokedAppeal in ProcessClosedExpiredWithdrew

Progress of Local Efforts

Cities enacted ordinances on pain management clinics

Emergency Departments implement chronic pain management plan

Promote and support DEA Prescription Take Back Days

Progress of Local Efforts

Increased education and awareness on dangers of misuse/abuse of prescription drugs

Oxycodone harder to come by and more expensive

Central Florida physicians are prescribing less oxycodone than in past

Prescription Drug-Related Deaths have decreased by 30%

Presentation Outline

Overview of Prescription Drug Overview of Prescription Drug ProblemProblem

State and Local Efforts to Address State and Local Efforts to Address the Problemthe Problem

Legislative UpdateLegislative Update Education and Awareness

Initiatives SummarySummary

Education & Awareness Initiatives

Held first Orange County Prescription Drug Abuse Summit - focus on Neonatal Abstinence Syndrome

Increase training for law enforcement, drug retail industry & prevention providers

Lock Your Meds Campaign – Informed Families worked with Publix Pharmacy Stores to promote awareness campaign

Walgreens promotion of DEA Prescription Drug Take Back Day

Education & Awareness Initiatives

Public Education Campaign – Securing Your Medications

Campaign/Outreach Number Reached

Theatre/Radio/Internet Streaming Ads

2.5 Million Impressions

Department Motor Vehicles

1.1 Million Impressions

High Schools (11)Lock Your Meds Campaign

15,000 Students

Lock Your Meds Pledge Cards

1,650 Students/1,750 Parents

Community Meetings/Trainings/Events

154 Trainings/Events

DEA Prescription Take Back Day

Orange County collected over 3.4 tons of unwanted & expired medications

Education & Awareness Initiatives

Thirteen Permanent Prescription Drug Disposal Containers

Locations open Monday –Friday•Orange County Sheriff’s Office

Headquarters and Substations 1-4•Orlando Police Department•Winter Park Police Department•Ocoee Police Department•Belle Isle Police Department•Windermere Police Department•Winter Garden Police Department•UCF Police Department & UCF Health

Services

Education & Awareness Initiatives

DEA Secure & Responsible Drug Disposal Act (2010)

Allow transfer unwanted & unused controlled medications to authorized collectors for disposal

Authorized Collectors – retail pharmacies, hospital/clinic with on-site pharmacy, authorized manufacturers, narcotic treatment programs & distributors

Only Law Enforcement can conduct take-back events

Education & Awareness Initiatives

DEA Secure & Responsible Drug Disposal Act (2010)

Long-term facilities can dispose of controlled medications for residents

Expands public opportunity for safe disposal

Effective Date of DEA Act – October 9, 2014

Presentation Outline

Recap of the Prescription Drug Problem

Progress of State and Local Efforts Education and Awareness

Initiatives Drug Trends Summary

Responsible Manufacturing

34

Source: Dr. John Armstrong, FL Surgeon General – Orange County Prescription Drug Abuse Summit

Drug Trends

Law Enforcement has seen increase in abuse of other prescription drugs• Hydrocodone• Dilaudid• Methadone and Xanax (Parachuting)• Promethazine with Codeine (Lean)• Tramadol

Drug Trends

Law Enforcement has seen increase in abuse of heroin

88% increase in total drug deaths involving heroin• 2012 26 deaths• 2013 49 deaths(Orange and Osceola Counties)

Presentation Outline

Recap of the Prescription Drug Problem

Progress of State and Local Efforts Education and Awareness

Initiatives Drug Trends Summary

Summary

Decrease in number of pain management clinics

Decrease in the number of prescription drug-related deaths

Continue to engage and collaborate with partners in public and private sectors

Advance our education and awareness campaign with youth, parents, older adults and community partners

Promote permanent prescription drug disposal containers

Prescription Drug Take Back Day September 27th 10am-2pm

Mayor Jacobs Prescription Drug Task Force

Update

Presentation toBoard of County Commissioners

September 23, 2014