STATE OF OKLAHOMA DRUG OVERDOSE DEATH

10 YEAR COMPARISON

Deaths 527 514 567 565 612 646 814 808 844 795OBNL Baker6/11/2014Source: State ME 2013 Data is not complete.

STATE OF OKLAHOMAPHARMACEUTICAL VS STREET

2013 DRUG OVERDOSE DEATHS

STATE OF OKLAHOMA 2013 DRUG OVERDOSE DEATHS

INVOLVING THE TOP 8 ABUSED DRUGS

The majority of all drug overdose deaths are due to a combination “cocktail” of drugs rather thanjust one specific drug. This chart reflects the total number of deaths each drug was involved in, even though

another drug may have been the primary cause of death.

Methamphetamine

Hydrocodone

Fentanyl

STATE OF OKLAHOMADRUG OVERDOSE DEATHS

BY GENDER5 YEAR COMPARISON

MALE 387 490 462 456 437

FEMALE 259 324 346 388 358OBNL BAKER6/11/2014SOURCE: STATE M.E.2013 Data is not complete

STATE OF OKLAHOMADRUG OVERDOSE DEATHS

BY AGE GROUP5 YEAR COMPARISON

STATE OF OKLAHOMA DRUG OVERDOSE DEATHS

BY CAUSE

YEAR 2009 2010 2011 2012 2013

SUICIDE 61 75 69 57 55

UNKNOWN/OTHER 26 69 80 77 73

ACCIDENT 559 670 659 710 667

OBNL BAKER6/11/2014SOURCE: STATE M.E.2013 Data not complete

STATE OF OKLAHOMA DRUG OVERDOSE DEATHS

BY COUNTY

COUNTY TOTAL

COUNTY TOTAL

COUNTY TOTAL

COUNTY TOTAL

Adair 2 Custer 7 Lincoln 5 Payne 9

Alfalfa 0 Delaware 8 Logan 9 Pittsburg 12

Atoka 1 Ellis 1 Love 3 Pontotoc 8

Beckham 4 Garfield 16 Marshall 3 Pottawatomie 13

Blaine 0 Garvin 11 Mayes 6 Pushmataha 4

Bryan 13 Grady 7 McClain 8 Roger Mills 1

Caddo 6 Grant 1 McCurtain 6 Rogers 12

Canadian 10 Greer 0 McIntosh 3 Seminole 6

Carter 19 Haskel 2 Murray 1 Sequoyah 13

Cherokee 13 Hughes 5 Muskogee 18 Stephens 12

Choctaw 1 Jackson 4 Noble 1 Texas 4

Cimarron 1 Jefferson 3 Nowata 0 Tillman 2

Cleveland 42 Johnston 5 Okfuskee 4 Tulsa 129

Coal 2 Kay 7 Oklahoma 210 Wagoner 14

Comanche 16 Kingfisher 1 Okmulgee 4 Washington 8

Cotton 0 Kiowa 5 Osage 7 Washita 1

Craig 1 Latimer 0 Ottawa 5 Woods 1

Creek 15 LeFlore 11 Pawnee 6 Woodward 7OBNL BAKER6/11/2014Source: State ME office2013 Data not complete.

COUNTYTOTAL COUNTY TOTAL

Adair 8 McClain 10Atoka 1 McIntosh 2Beckham 46 Murray 1Blaine 1 Muskogee 7Caddo 4 Noble 14Canadian 28 Nowata 12Cherokee 31 Okfuskee 5Cleveland 123 Oklahoma 237Craig 39 Okmulgee 6Creek 61 Osage 29Custer 3 Pawnee 16Garfield 32 Payne 196Garvin 7 Pittsburg 5Grant 1 Pontotoc 2Greer 1 Pottawatomie 2Hughes 6 Rogers 26Kay 4 Sequoyah 1Kingfisher 2 Stephens 2Kiowa 9 Texas 6Latimer 10 Tulsa 444LeFlore 2 Wagoner 77Lincoln 5 Washington 109Logan 3 Washita 8Marshall 2 Other * 21Mayes 6 Grand Total 1645

2013NON FATAL DRUG OVERDOSES

BY COUNTY

Majority of the drug overdoses involved pharmaceutical drugs-with most abused being “Opiates” such as hydrocodone,

oxycodone, morphine, and fentanyl.

Some overdoses are “cocktails” and involve both street drug as well as

pharmaceuticals. This year 154 involved marijuana, 73-cocaine, 136-

methamphetamine, 47-heroin, 1-ecstasy and 19-PCP.

Oklahoma is averaging 6 non fatal overdoses per day.

OBNL Baker6/11/2014Source: OBN

* Other, 1-Chautauqua, 1-Denton, 1- Gillespie, 1-Harnett, 1-Labette, 1-Monmouth, 8-Montgomery, 1-Polk, 1-Rankin, 1-Saratoga, 1-St Louis, 3-Unknown

STATE OF OKLAHOMANON FATAL DRUG OVERDOSES

2013

FAMILY/FRIENDS/STREET/UNKNOWN

PRESCRIPTION

OBNL Baker6/11/2014Source: OBN

STATE OF OKLAHOMA NON FATAL DRUG OVERDOSES

2013

Total Non Fatal Drug Overdoses 2013: 1645OBNL Baker6/11/2014Source: OBN

STATE OF OKLAHOMA NON FATAL DRUG OVERDOSES

2013By Age Group

OBNL Baker6/11/2014Source: OBN

K-2 SYNTHETIC SMOKE BLENDS

John W. Huffman - mid 1990’s Clemson University

JWH-018

JWH-073

HU-210

HU-211

CP-47,497

Now more than 100 known Synthetic Cannabinoids - dozens found in smokable products FLAME STRAWBERRY FIELDS

Canavalia rosea – a pest vine that grows naturally around the Gulf of Mexico that is also known as Bay Bean or Beach Bean

Clematis vitalba –  a noxious weed known as “Old Man’s Beard” or “Travelers Joy” that officials routinely try to kill off, especially in Washington State

Nelumbo nucifera – also known as “Labrador” or “Indian Lotus” – generally grown in Central India for the seeds which are dried and sold as decorative

VEGETABLE MATERIAL

Pedicularis grandifolia – also known as Elephant’s Head, a natural muscle relaxant and sedative

Heimia Salicifolia – a Chinese shrub that is known to be a mild hallucinogen also known as “Yellow Crest”

Leonurus sibiricus – an Asian herb known as “Honey Weed” and in some cultures called “Marijuanilla”

Ledum palustre – also known as “Marsh Tea” which contains central nervous system poisons known as Terpenes.  In very small doses it is tolerable but in moderate or heavy doses it can make the user very ill.

SYNTHETIC CANNABIS

The packages are labeled “NOT FOR HUMAN CONSUMPTION”; no federal labeling regulations are in place and no ingredient list is required

A newer trend is emerging with individuals manufacturing their own synthetic cannabinoidsand spraying it on incense or herbal substances

Intoxicating Effects• Similar to Marijuana:

lowered blood pressure, impairment of psychomotor coordination, concentration, short-term memory, psychotic episodes.

• Duration: initial effects 20-30 min, high reportedly last 8-12 hours.

• Some of these are 100 to 800 times more potent than THC.

Physical and Mental Effects

• Hallucinations• Cardiac effects• Seizures• Rapid heart rate• Hypertension• Severe agitation• Passing out• Panic attacks

MARIJUANA

– Decreased attention span– Sleepy appearance– Euphoria– Glassy red eyes– Loudly talking– Giddiness– Slow speech– Memory loss– Mood elevation

Signs of Being Under the Influence

• Intoxication clearly reduces one’s judgment and impairs coordination.

Marijuana

• Persons exhibit many outward visible physical/behavioral indicators.

• The following indicators should be viewed in clusters as of systematic behavior when evaluating:

– Noise sensitivity– Poor coordination– Poor concentration– Slow gait– Pain relief– Drowsiness– Time distortion– Muscle relaxation

DABSSolidified Hash oil known as “concentrates”

or “BHO” (Butane Hash Oil) or “Wax”

Popularized on the West Coast about five years ago . . . . .

High quality marijuana “blasted “in butane and oil concentrate extracted from wax buildup.

Cannabis concentrate (THC) approaching 70-90%

$70.00 to $100.00 per gram in Colorado as opposed to “Killer Buds” which run $15.00 to $20.00 per gram.

Problems occur in manufacture and user over-dose.