Upload
aiko
View
48
Download
0
Embed Size (px)
DESCRIPTION
Broward County Report. Substance Abuse Issues and Trends – Winter 2013. James N. Hall. Welcome Dr. Michael Wolwa. Broward County Trends. Decline of Cocaine Consequences Rx Non-Medical Misuse Stable at Epidemic Levels Heroin Rising Underage Drinking Age 12-18 Marijuana - PowerPoint PPT Presentation
Citation preview
Broward County Report
Substance Abuse Issues and Trends – Winter 2013
James N. Hall
Welcome Dr. Michael Wolwa
Broward County Trends
• Decline of Cocaine Consequences• Rx Non-Medical Misuse Stable at Epidemic Levels• Heroin Rising• Underage Drinking Age 12-18• Marijuana• Fake Drugs: Real Poisons
– Synthetic Cannabinmimectics – Synthetic Stimulants
Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2011
NUMBER of COCAINE
OCCURRENCESIncluding
“Present” &“Cause of
Death”
SOURCE: Florida Medical Examiners Commission Report 2011
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
5001,0001,5002,0002,500
1,034
1,105 1,3071,614 1,702
1,943 2,052 2,1791,791
1,4621,402 1,444State of Florida
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110
50
100
150
200
250
300
144 149 151189
160 162182
281
201155
198 184
80 94121 138 120 136 150 157 146 135 127 115
Miami-Dade
Broward
Number of Cocaine Emergency Departments Reports in Broward & Palm Beach Counties, FL: 2008,,2009 & 2010
2008 2009 20100
1,000
2,000
3,000
4,000
5,000
6,000 5,560
4,4794,081
# o
f ED
Rep
ort
Esti
mat
es
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.
Note: Cocaine visits had a statistically significant decrease from 2008 to 2009.
Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: State of Florida
2007 2008 2009 2010 201105
101520253035
22.318.4
14.5 11.2
8.5
Series1CocaineSeries3Series4Series5Series6
Perc
ent o
f All
Adm
issio
ns
Source: Substance Abuse and Mental Health Services Administration’s Center for Behavioral Health Statistics and Quality: Treatment Episode Data Set as provided by the Florida Department of Children and Families as of July 9, 2012.
Cocaine
Number of Primary Cocaine Treatment AdmissionsBroward County, FL: 2009-2012*
2009 2010 2011 2012*0
100200300400500600700800900
610424 432 402
159
57 123 122
Powder CocaineCrack Cocaine
# o
f pri
mar
y Tr
eatm
ent
Adm
issi
ons
SOURCE: Florida Department of Children and Families
769
481
Total Cocaine in Red555 524
* 2012 Admissions based on 2 x‘s 1st Half 2012
Numbers of Substances Identified among Decedents in Florida: Jan.-Dec. 2011
Alcoho
l
Cocain
e
Benzo
s
Rx Opio
id
Heroin
Zolpide
m
Muscle
Rela
xant
0
1,000
2,000
3,000
4,000
5,000
6,000
4,252
1,444
5,949 6,333
62 285 478
All Rx = 13,045Alcohol +Illicit Drugs = 5,758
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 Report 2011
5,489 individuals died with one or more prescription drugs in their system. The drugs were at both lethal and non-lethal levels.
Prescription Drug-Related Deaths in Florida: 2011
Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011
Number of Oxycodone Reports Detected among Decedents in Florida: 2011
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Report
NUMBER of Oxycodone
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 2010 20110
500
1,000
1,500
2,000
2,500
3,000
1,2531,574
1,948
2,3842,128
Number of Oxycodone Reports Detected among Decedents in South Florida: 2007-2011
NUMBER of Oxycodone
OCCURRENCESIncluding
“Present” &“Cause of Death”
SOURCE: Florida Medical Examiners Commission Report 2011
2007 2008 2009 2010 20110
50
100
150
200
250
300
144 165 184 177
240
119
171
225 236
174
45 4666
100
75
Palm BeachBrowardMiami-Dade
Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL:
2008,,2009 and 2010
2008 2009 20102,0002,5003,0003,5004,0004,5005,0005,5006,000
5,560
4,4794,081
2,3512,913
3,299
# o
f ED
Rep
ort
Esti
mat
es
Cocaine
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.
Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines.
NMU Rx Opioids
Rates per 100,000 of Oxycodone Nonmedical Use E Emergency Department Reports by Age Groups
DAWN Ft. Lauderdale Division vs. USA: 2010
102.6
215.7241.6
142
67.9 79.2
39.864.6
85.3 83.6 71.3 71.1 72.9 47.1
0
50
100
150
200
250
300
18-20 yrs.21-24 yrs.25-29 yrs.30-34 yrs.35-44 yrs.45-54 yrs.55-64 yrs.
Rat
e pe
r 100
,000
SOURCE: US Dept HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates.
Broward & Palm Beach
USA
Percent of Primary Rx Opioid Addiction Treatment Admissions By Age Groups 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 July 9, 2012
22%
62%
Percent of Primary Addiction Treatment Admissions by Substance 2007-2011:
State of Florida
2007 2008 2009 2010 201105
101520253035
22.318.4
14.511.2
8.48.3
10.8
16.1
23.9
27.5
2.7 2.5 2.2 2.2 2.2
Series1CocaineSeries3Rx OpioidsHeroinSeries6
Perc
ent o
f All
Adm
issio
ns
Source: Substance Abuse and Mental Health Services Administration’s Center for Behavioral Health Statistics and Quality: Treatment Episode Data Set as provided by the Florida Department of Children and Families as of July 9, 2012.
Cocaine
Rx Opioids
Heroin
Number of Primary Rx Opioid Treatment AdmissionsBroward County, FL: 2009-2012*
2009 2010 2011 2012*0
200
400
600
800
1000
1200
1400
1600
336
1,118
1,4591,242
Rx Opioids
# o
f pri
mar
y Tr
eatm
ent
Adm
issi
ons
SOURCE: Florida Department of Children and Families* 2012 Admissions based on 2 x‘s 1st Half 2012
Source: 2011 National Survey on Drug Use and Health
Percent of Persons Aged 12 and Above Reporting Nonmedical Use of Rx Pain Relievers in the Past Year:
2002-2008
4.82 5.014.35
4.224.463.82
3.43 2.96
0
1
2
3
4
5
6
2002-04 2004-06 2006-08 2008-10
Florida
Broward
SOURCE: SAMHSA-CBHSQ(2012): Substate Estimates from the 2002-2010National Surveys on Drug Use and Health
Percent Reporting
Past Year Use
Dealer
Sharin
g/Trading
Legitimate M
edical P
ractice
Illegiti
mate Medica
l Practi
ceTheft
0%
10%
20%
30%
40%
50%
60%
70% 66.6%54.6%
13.8% 12.5% 11.1%
Diversion Sources: Primary Opioid
Source: Kurtz, S & Surratt, H: ARSH Nova Southeastern University June 2012
Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2011
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Report
NUMBER of Alprazolam
OCCURRENCESIncluding
“Present” &“Cause of Death”
2007 2008 2009 2010 20110
500
1,000
1,500
2,000
2,500
1,348
1,873 1,9632,193
1,879
Alprazolam
Number of Alprazolam Reports Detected among Decedents in South Florida: 2007- 2011
NUMBER of Alprazolam
OCCURRENCESIncluding
“Present” &“Cause of Death”
SOURCE: Florida Medical Examiners Commission Report 2011
2007 2008 2009 2010 20110
50
100
150
200
250
300
124
176158 124
216
133
203
245 235
199
101 101 98124 114
Palm Beach
Broward
Miami-Dade
Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL:
2008,,2009 and 2010
2008 2009 20102,0002,5003,0003,5004,0004,5005,0005,5006,000
5,560
4,4794,081
2,3512,913
3,299
2,274
2,900 3,110
# o
f ED
Rep
ort
Esti
mat
es
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.
Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines.
Cocaine
NMU Benzodiazepines
NUMBER OF HEROIN-RELATED DEATHS IN FLORIDA: 2000 –2011
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
050
100150200250300350 Florida
Miami-DadeBroward
SOURCE: Florida Medical Examiners Commission Reports 2000-2011
62
# L
etha
l Her
oin
Dea
ths
153
2012 ??
Number of Primary Heroin Treatment AdmissionsMiami-Dade and Broward Counties, FL: 2009-2012
1 2 3 4 5 6 7 80
50
100
150
200
250
300
350
150183
227
308
105156 169
316
# of
prim
ary
Trea
tmen
t Adm
issio
ns
SOURCE: Florida Department of Children and Families
2009 2010 2011 2012* 2009 2010 2011 2012*
Miami-Dade Broward
* 2012 Admissions based on 2 x‘s 1st Half 2012
Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL:
2008,,2009 and 2010
2008 2009 20102,0002,5003,0003,5004,0004,5005,0005,5006,000
5,560
4,4794,081
2,928
2,870
3,249
2,3512,913
3,299
# o
f ED
Rep
ort
Esti
mat
es
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.
Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana.
Cocaine
Marijuana
Just Released January 4, 2013
Current (past 30-day) Alcohol 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 201205
101520253035404550
4439.9
36 34.1 37.334.1
31.319.8 20.1
2418.7 16.8 14.8
11.2High School Middle School
% R
epor
ting
Cur
rent
Use
Current (past 30-day) Binge Drinking Among Broward County Middle & High School Students
2000-20012
Source: Florida Youth Substance Abuse Surveys 2000-2012
2000 2002 2004 2006 2008 2010 20120
5
10
15
20
25 22.8
20.3 17.2 1718.8
16.8 16.8
8.96.9
8.85.6 5 4.4 4.4
High SchoolMiddle School
% R
epor
ting
Cur
rent
Use
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
Perceived Attitudes about Marijuana Among
Broward County Middle and High School Students 2000-2012
Source: Florida Youth Substance Abuse Surveys 2000-2012
2000 2002 2004 2006 2008 2010 20120
102030405060708090
100
80.5 81 81.3 84.5 80.9 80.374.4
58 58.2 61.4 65.158.9 54.8
48
10.5 12.4 10.9 9.8 11.3 14.9 15.7
29.9 29.4 33.3 36.1 31.4 30.625.7
Wrong to Smoke Marijuana Regular Use HarmfulSeen as Cool to Use Trying Marijuana Harmful
% R
epor
ting
Cur
rent
Use
Source: 2011 National Survey on Drug Use and Health
Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL:
2008,,2009 and 2010
2008 2009 20102,0002,5003,0003,5004,0004,5005,0005,5006,000
5,560
4,4794,081
2,928
2,870
3,249
2,3512,913
3,299
# o
f ED
Rep
ort
Esti
mat
es
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.
Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana.
Cocaine
Marijuana
Number of Primary Treatment Admissions for Juveniles and Adults by Drug in Broward and
Miami-Dade Counties: Jan - Dec 2011
Source: Florida Department of Children and Families
Other/UnknownHeroin
Rx Benzo'sCocaine/Crack
AlcoholRx OpioidsMarijuana
-300 200 700 1200 1700 2200397
169
140
555
1302
14591949
321227
791052
1406
302
2008
Miami-Dade Broward
Number of Primary Admissions
Fake Drugs; Real Poisons
The Synthetic Drugs
Percent of Florida 9th-12th Graders Reporting Having Used Synthetic Marijuana
in their Lifetime
9th Graders 10th Graders 11th Graders 12th Graders0%2%4%6%8%
10%12%14%16%18%20%
9.7 %11.8 %
14.8 %16.7%
Source: Florida Youth Substance Abuse Survey 2012
Percent of High School Males Reporting Having Used Synthetic Marijuana Florida and
Broward County - 2012
Florida Lifetime
Broward Lifetime
Florida Past 30 Days
Broward Past 30 Days
0%2%4%6%8%
10%12%14%16%18%20%
15.1 %12.4 %
5.3 % 3.9%
Source: Florida Youth Substance Abuse Survey 2012
Percent of High School Females Reporting Having Used Synthetic Marijuana Florida and
Broward County - 2012
Florida Lifetime
Broward Lifetime
Florida Past 30 Days
Broward Past 30 Days
0%2%4%6%8%
10%12%14%16%18%20%
10.9 %
6.0 %
2.2 % 3.3%
Source: Florida Youth Substance Abuse Survey 2012
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 517 377Broward County 38 25Miami-Dade County 36 36Palm Beach County 29 20
11 Different Cannabinmimetics Jan. – July 2012Florida Crime Lab Reports n= 403
Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012
1 11 24 4816
32
58
AM2233JWH-073JWH-203RCS-4UR-144JWH-250JWH-081JWH-018JWH-122JWH-210AM2201
n=276
68 %
White lighteningZoomCloud 9Cloud 10Red DoveBlue silkMoon dustNRG (4-MEC)
Head tripRadianceIvory WavePower surgeSextasyVanilla Sky
Bath salts Stimulants often have trendy names and slick packaging
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 517 269Hallucinogenic Amphetamines
184 64
MDPV & Mephedrone (Bath Salts)
152 28
Other Hallucinogens DMT and 5-MeO-DIPT
6 2
1,222 Exposure calls Jan 2011 to April 2012
Molly’s
Methylone
3,4 methylenedioxy-methcathinone
96 Crime Lab Cases since March 2012 in Broward County
8 Different Cathinmimetics Jan. – July 2012Florida Crime Lab Reports n= 76
Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012
1 133
4
9
22
33
Fluorometh-cathinone
Alpha-PBP
3,4-DMMC
Pentylone
Ethylone
Pentedrone
A-PVP
4-MECA-PVP
4-MEC
Born 1952-1956
45%
20%
Broward County Report
Substance Abuse Issues and Trends – Winter 2013