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National Institute on Drug Abuse Community Epidemiology Work Group (CEWG). Established 1976. United States Drug Observatories. Albuquerque. Goals: To Characterize Changes in Drug Use To Provide Early Identification of New Patterns and Emerging Drug Abuse issues. Key Findings - PowerPoint PPT Presentation
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2
National Institute on Drug Abuse Community Epidemiology
Work Group (CEWG)
Established 1976
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
3
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
4
Goals:• To Characterize Changes in Drug Use
• To Provide Early Identification of New Patterns and Emerging Drug Abuse issues
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
1. Outbreaks of New Heroin Epidemics among White, young adults (aged 18-30) Rx Opioid Abusers and Addicts
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
2. Cocaine still a major problem but with declining consequences in all areas
Jan-M
ar07
Apr-Ju
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Jul-S
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Oct-Dec
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Apr-Ju
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$0
$50
$100
$150
$200
$250
0.00
20.00
40.00
60.00
80.00
100.00
$97.64
$117.63$128.10
$114.87$122.72$123.91
$181.04
$197.02
$172.66
$173.97$174.49
$191.95
$191.35
$194.45
$174.71
$173.87
$185.57$175.87
$164.86
$166.24
$168.90$175.16
67.1
59.256.8
60.957.3 57.2
46.2 44.547.9 48.3
45.4 45.6 44.6 44.8 45.948.3 48.4 49.1 48.5 49.9 49.6 48.1
Pric
e Pe
r Pur
e G
ram
Purit
y in
Per
cent
67.1 %
All Cocaine Purchases Domestic STRIDE Data
January 2007 – June 2012
* * STRIDE is a database of drug exhibits sent to DEA laboratories from the DEA, FBI, CBP, ICE, USCG, and Washington MPD. STRIDE is not a representative sample of drugs available in the United States, but reflects all evidence submitted to DEA laboratories for analysis. STRIDE data are not collected to reflect national market trends. Nonetheless, STRIDE data reflect the best information currently available on changes in cocaine price and purity.
From January 2007 through June 2012, the price per pure gram of Cocaine increased 79.4%, from $97.64 to $175.16 while the purity decreased 28.3%, from 67.1% to 48.1%.
*During 2nd Qtr. 2012, the number of cocaine samples analyzed for the STRIDE dataset decreased significantly as compared to 1st Qtr. 2012 due to resource limitations.
8
48.1 %
$ 175.16
$ 97.64
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
3. Most drug deaths involve a combination of benzodiazepine (depressant) with opioid (narcotic pain reliever)
Percent of Other Drugs Detected in the 1,185 Lethal Oxycodone Deaths in Florida: 2009
Benzo-di-
azepine
Another Opioid
Carisoprodal Other Drugs No Other Drug0%
10%
20%
30%
40%
50%
60%
70%
80%72%
42%
12% 9% 7%
Source: Analysis of 2009 Florida Medical Examiner Commission Complete Electronic Database by Nova Southeastern University Center for Study & Prevention of Substance Abuse
% D
etec
ted
49.2 46.7 41.5 13.6* 28.7*
22.5 35.1
27.7
41.8
42.9* 0.0*39.2
135.68.0*
17.7*22.221.8
62.2
14.8* 104.237.0
63.9
103.2
144.0
76.395.380.137.9
69.160.4
75.4
14.9
14.8*
14.9
13.7*
19.4
16.8*
63.322.7*
11.5 46.5
11.3*
4.5*
0.0*
118.2
9.0*
24.5
38.215.5*
11.4
17.8*
13.2
42.9
26.8
12.09.5 13.7
10.5*
5.8*
33.1
9.1*
25.5
18.2
15.1
49.2 46.7 41.5 13.6* 28.7*
22.5 35.1
27.7
41.8
42.9* 0.0*39.2
135.68.0*
17.7*22.221.8
62.2
14.8* 104.237.0
63.9
103.2
144.0
76.395.380.137.9
69.160.4
75.4
14.9
*
* Bernalillo County1,521 enrollees96 OD Reversals77 Heroin Deaths
Rio Arriba County279 enrollees166 OD Reversals12 Heroin Deaths
Santa Fe County50 enrollees12 OD Reversals19 Heroin Deaths
Enrollees elsewhere: 79OD Reversals elsewhere: 4Heroin Deaths elsewhere: 55
Top Counties with Opiate Drug Overdose Deaths and DOH Harm Reduction (Naloxone) Efforts, 2010-2011
Source: OMI and DOH Harm Reduction Program.
NOTE: Clients have the opportunity to enroll in the Naloxone Program at state-funded syringe exchange sites and some public health offices. 391 Reversals
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
4. Marijuana is ubiquitous! # 1 for rise in “drugged driving”
Current (past 30-day) Marijuana Use Among Broward County Middle and High School Students
2000-2012
Source: Florida Youth Substance Abuse Surveys 2000-2012
2000 2002 2004 2006 2008 2010 201202468
101214161820
17.2
13.9 14.511.4
14 15.3
19
4.5 5.2 5
2.5 3.5 4.3
3.7
High School Middle School
% R
epor
ting
Cur
rent
Use
Percent of high school students having ridden or driven in the past 30 days with or as driver
having used marijuana or alcoholRODE with Driver who had used
marijuana or alcohol
Florida Miami-Dade Broward0
5
10
15
20
25
30
25.4 24.527.0
21.4 20.518.4
Marijuana Alcohol
DROVE after using marijuana or drinking alcohol
Florida Miami-Dade Broward0
5
10
15
20
25
30
11.2 10.8 10.98.1 9
7% R
epor
ting
% R
epor
ting
Source: FL-DCF - 2012 Florida Youth Substance Abuse Survey
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
5. Emerging synthetic drugs such as fake marijuana and stimulants may have peaked in mid 2012 with less retail access but more illicit street sales
Methylone isbeta-ketone MDMA
Molly
Molly’sNot Pure MDMA but….
methylone
bk- 3,4 methylenedioxy-methcathinone
96 Crime Lab Cases March – October 2012 in Broward County
276 Crime Lab Cases in Miami-Dade County during 2012
2
NIDA Community Epidemiology Work Group
Texas
Cincinnati
Atlanta
Ft. Lauderdale/Miami
St. Louis
ChicagoDetroit
Minneapolis/St. Paul
BostonNew York
PhiladelphiaWashington D.C.
Phoenix
Denver
Seattle
Los Angeles
San Diego
San Francisco
Honolulu
Maine
United States Drug Observatories
Albuquerque
Key FindingsJanuary 2013
6. Methamphetamine consequences are stable (low where they have been low and high where they have been high). ? d or l
Taos AliveImproving a Community in Pain By Julie Martinez CPS
DEA Take Back
April 28, 2012 – 20 kg Collected• Taos Police• Tribal Police • Taos County SherriffSeptember 29, 2012 - • Taos Police• Tribal Police• State Police • Taos County Sherriff• Questa Police • Colorado State TroopersApril 27, 2013 Next one.
Permanent Drop Box
Brochure for Prescriptions
Lockyouremeds.org
Environmental Strategies
Prescriber TrainingHospital Opiate Prescribing GuidelinesNon-DEA Take Back
Holy Cross Hospital ER Opiate Prescribing Guidelines
Narcan Project
Modeled on Project Lazarus. to reverse OD and keeping people alive until they can seek treatment.
Also help prevent accidental OD for children or adults taking sedative combinations.
Safecommunity.
net
Substance Abuse Prevention
Integrate Mental Health Care Early Intervention.
Drug Treatment.And Recovery
Reduce AccessTo Drugs
Reduce Inappropriate Rx Use
Improve Poisoning
Interventions
Patient Education
for Narcan
Kit
Prescription Drug Abuse Initiative of Taos Alive
Increase use of PDMP by local
providers
Presentations to High Schools and Senior Centers
What is Project ECHO?
Extension for Community Healthcare OutcomesInitial focus on expanding access to hepatitis C treatmentGoal: Help Primary Care Practitioners in underserved areas to deliver treatment that has previously been provided only by specialists