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Southeaster Florida NDEWS Update Jim Hall [email protected] 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist Nova Southeastern University Center for Applied Research on Substance Use and Health Disparities 208 271 250 230 150 109 78 93 119 95 48 57 108 199 447 686 93 149 132 108 79 56 41 40 61 44 35 30 48 71 139 291 0 100 200 300 400 500 600 700 800 Number of Heroin Deaths in Florida and Southeastern Florida: 2000 to 2015 Florida SE Florida Number of Heroin Deaths SOURCE: Florida Medical Examiners Commission Reports 2000-2015 2015 Florida Heroin Cases 93 % Cause of Death 95 % w/Other Drugs 2015 SE Florida Deaths 42 % of State Total with 30 % of population
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Page 1: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 1

Southeastern Florida:Emerging Drug Trends

Opiates and Methamphetamine

James N. Hall, Epidemiologist

Nova Southeastern University

Center for Applied Research on Substance Use

and Health Disparities

208271 250

230

150109

78 93119

9548 57

108

199

447

686

93149 132

10879

56 41 4061

44 35 30 4871

139

291

0

100

200

300

400

500

600

700

800

Number of Heroin Deaths in Florida and Southeastern Florida: 2000 to 2015

Florida SE Florida

Nu

mb

er

of

He

roin

De

ath

s

SOURCE: Florida Medical Examiners Commission Reports 2000-2015

2015 Florida Heroin Cases93 % Cause of Death95 % w/Other Drugs

2015 SE Florida Deaths42 % of State Total

with 30 % of population

Page 2: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 2

Number of Lethal Rx Opioid, Illicitly Manufactured Fentanyl, andHeroin Occurrences Among Deceased Persons in Florida: 2000 to 2015*

* Projected Increase based on 2 X 1st Half of 2015

# “C

ause

of

De

ath

” O

ccu

rre

nce

s

Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Jan 2000 - June 2015 Reports

0

500

1000

1500

2000

2500

3000

3500

4000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2X1H

2015

Heroin

Fentanyl

Morphine

All Other Rx Opioids

3,529

Number of Hospital Cases for Non-Fatal Rx Opioid Poisonings in Florida: 2007-2014

Nu

mb

er

of

Rx

Op

ioid

Po

iso

nin

g P

atie

nts

Source: Analysis of data from the Florida Agency for Health Care Administration

CY2007

CY2008

CY2009

CY2010

CY2011

CY2012

CY2013

CY2014

Emergency Dept 2343 3069 3160 3285 3060 2534 2709 3990

Inpatient 4411 5084 5691 6286 6464 5909 5917 7915

0

2000

4000

6000

8000

10000

12000

14000

Emergency Dept

Inpatient

6,754

8,1538,851

9,571 9,5248,443 8,626

11,905

Page 3: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 3

Number of Hospital Cases forHeroin Overdose Poisonings in Florida: 2014

Hospital Heroin Poisonings

561

1,364

0

500

1000

1500

2000

2500

Heroin

Emergency Dept.

Inpatient

With or Without Abuse Diagnosis

1,368

557

Without Abuse Diagnosis

With Abuse Diagnosis

29%

71 %

1,925

Source: Florida Agency for Health Care Administration

n = 1,925

Sources: Estimates Based on Data from Florida Medical Examiners Commission 2015 InterimReport and Hospital Opiate Overdose Cases from Florida Agency for Health Care Admin.

Nu

mb

er o

f O

pia

te O

verd

ose

s

Estimated Number of Fatal and Non-Fatal

Opiate Overdoses In Southeastern Florida: 2015Total 3,779 Overdoses Including 1,257 Deaths

478 367 412

972

732818

0

200

400

600

800

1000

1200

1400

1600

Miami-Dade Broward Palm Beach

Fatal Opiate OD's

Non-Fatal Opiate OD's

1,450

1,0991,230

Page 4: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 4

Southeastern Florida Total3,779 Opiate OverdosesIncluding 1,257 Deaths

In 2015

Averaging

An Overdose Every 2 Hours 18 Minutes or 10.4 per day

Including

An Opiate Death Every Seven Hours or 3.4 per day

Counterfeit Xanax with

Fentanyl

Real

Fake

9 Deaths in

Florida

Page 5: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 5

Opiate Epidemic of Addiction and DeathsThe Perfect Storm

For Pain

Rx

Or ForPleasure

Pill MillsStreet

ToleranceNeed MoreAddictionDope Sick

Mexican Heroin FentanylAnalogues

el al IM Opiates

Counterfeit Pills

AbstinenceRelapse

Overdose

Polysubstance AbuseAlprazolam

CocaineMarijuana

AlcoholWhatever

Methamphetamine in Florida

Page 6: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 6

0 500 1000 1500 2000 2500

Monroe

Palm Beach

Tallahassee

Elsewhere

Jacksonville

Port St. Lucie

Miami-Dade

Broward

Gainesville

Pensacola

Ft. Myers

Panama City

Orlando

Tampa

2015

1st Half 2016

Source: Analysis of US DEA NFLIS Data Queried July 28, 2016

Number of Methamphetamine Crime Lab Reports

Number of Methamphetamine Crime Lab Exhibits by Areas of Florida: January 2015 – June 2016

5,862 Total MethamphetamineCrime Lab Exhibits

2,121

865

832

371

357

310

219

204

172

145

124

98

42

2

# o

f M

eth

amp

het

amin

e -

Re

late

d D

eat

hs

Source: Florida Medical Examiners Commission 2004-2015 Annual Reports

Number of Methamphetamine-Related Deaths in Florida: 2000-2015

93115 117 107 114

81

132115

146169

217

260

0

50

100

150

200

250

300Methamphetamine Medical Examiner Occurrences

Page 7: Southeastern Florida: Emerging Drug Trends Opiates and ...Jim Hall upfrontin@aol.com 1 Southeastern Florida: Emerging Drug Trends Opiates and Methamphetamine James N. Hall, Epidemiologist

Southeaster Florida NDEWS Update

Jim Hall [email protected] 7

Methamphetamine Primary Treatment Admissions as Percent of all Admissions (including Alcohol)

in Regions of Florida : FY2014-2015

Source: Florida Department of Children and Families July 2014 through June 2015

Region of Florida Methamphetamineas % of All Admissions

Northwest Florida 10.0 %

West Coast Florida 4.5 %

Northeast Florida 2.5 %

Central Florida 1.2 %

Southeast Florida 0.8 %

All Florida 3.5 %

Southeastern Florida:Opiates & Methamphetamine Trends

• Estimated 10.4 Opiate Overdoses Per Day including• Estimated 3.4 Opiate Deaths Per Day• Fueled by Escalating Illicitly Manufactured

Fentanyl and other Opiate Analogues• Counterfeit Pills Expand the Risks

• Methamphetamine highest Crime & Treatment Rates in Northern and Western Florida

• Deaths Increasing Statewide


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