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The Skeeterhawk Experiment was organized in March 2013 to help end the scourge of prescription drug misuse through the testing of innovative prevention, treatment, and overdose rescue strategies in real-life communities, beginning in Northeast Florida. Utilizing data gathered from a multitude of reliable sources, The Skeeterhawk Experiment believes it is possible for every community to devise targeted, data-driven strategies to tackle its unique set of prescription drug misuse problems. This is the organization's Northeast Florida community presentation for 2013.
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PRESCRIPTION DRUG MISUSE IS NOT JUST ABOUT PEOPLE TRAPPED IN BOXES OF
ADDICTION. IT IS ABOUT ENTIRE COMMUNITIES TRAPPED IN THOSE BOXES
RIGHT THERE WITH THEM.~The Skeeterhawk Experiment
Source: FloridaCHARTS.com (provided by the Florida Department of Health, Division of Public Health Statistics & Performance Management, using Data Source: Florida Department of Health, Bureau of Vital Statistics (ICD-10 Codes(s): X40-X49 for Unintentional Poisoning Rate Calculation- Accessed online
on 5/27/2013 and ICD-10 Code(s): V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2 for Motor Vehicle Crashes Rate Calculation-Accessed online on 6/6/2013.))
Source: Florida Department of Law Enforcement's 2012 Report, Drugs Identified in Deceased Persons by Florida Medical Examiners
Source: Statewide Task Force on Prescription Drug Abuse & Newborns, February 2013 Final Report. According to this report, Code 779.5 covers drug withdrawal syndrome in a newborn of a dependent mother (including Rx & illicit opioids), and Code
760.72 covers narcotics impacting fetus or newborn by placenta or breast milk.
Source: Florida Youth Substance Abuse Survey, Years 2006, 2008, 2010 & 2012
FLORIDA'S PRIMARY ADDICTION TREATMENT ADMISSIONS
(2011)
For the first time in Florida’s history, Rx opioids were the leading category for publicly-funded primary treatment admissions--212 more admissions than alcohol
Source: Contents of slide adapted from EPI Center Newsletter - Volume 2, No. 1, dated November 2012, a report from Florida's Behavioral Health Epidemiology Workgroup
WHY?
THEY CAME & WE WEREN’T
READY
SOURCES: National Vital Statistics System, 1999-2008; Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA), 1999-2010; Treatment Episode Data Set, 1999-2009. This chart is a reproduction of the CDC chart found at http://www.cdc.gov/vitalsigns/painkilleroverdoses/
Rates of prescription painkiller sales, deaths and substance abuse treatment admissions (1999-2010)
1996 OXYCONTIN LABEL:moderate to severe pain lasting more than a few days
2001 OXYCONTIN LABEL:moderate to severe pain when a continuous around-the-clock analgesic is needed for an extended period of time
2013 ER/LA OPIOID ANALGESIC LABEL CHANGE:severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate
Source: GAO Report , GAO-04-110 (1/22/2004); FDA News Release, 9/10/2013, Accessed at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm367726.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery
FDA WAS NOT READY
FLORIDA WAS NOT READY
Amount of prescription painkillers sold by state per 10,000 people (2010)
SOURCE: Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA), 2010, http://www.cdc.gov/vitalsigns/PainkillerOverdoses/index.html (Above chart is reproduction of chart at said website.)
DOCTORS WERE NOT READY
WE ARE A NATION IN PAIN AND HAVE THE RIGHT TO PURSUE HAPPINESS
*As many as 116 million Americans report experiencing chronic pain
*As many as 90% of U.S. physicians have no formal training in prescribing controlled substances such as pain medication.
Sources: "The American Society of Interventional Pain Physicians Fact Sheet", available at www.asipp.org (citing Institute of Medicine); “Doctors and patients cannot win when it comes to chronic pain”, Kevin Pho, November 7, 2011, available at http://www.kevinmd.com/blog/2011/11/doctors-patients-win-chronic-pain.html
WE HAVE THE PDMP, BUT DUVAL & CLAY PRESCRIBERS AIN’T USING IT
Source: Florida Department of Health
Number of Prescribers of Controlled Substances from
8/1/2012-7/31/2013
Number of PDMP Users (excluding pharmacists) as of
4/30/2013
Duval: 3613Clay: 431
Duval: 649Clay: 109
PATIENTS, PARENTS & KIDS
WERE NOT READY
Source: Chart is reproduction of chart found in Substance Abuse and Mental Health Services Administration, Results from the 2011 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-44, HHS Publication No. (SMA) 12-4713. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2012.
DRUG SOURCE OF PEOPLE 12 AND OLDER WHO USED PAIN RELIEVERS NONMEDICALLY IN THE
PAST YEAR
Source: 24th annual Partnership Attitude Tracking Study (PATS) of 3,884 teens in grades 9-12 (nationally projectable with a +/- 2.1 % margin of error for the teen sample) and related infographic. Study conducted for The Partnership at Drugfree.org and MetLife Foundation by GfK Roper Public Affairs & Corporate Communications.
TREAT BETTER
CHRONIC PAIN:BEYOND THE SCRIPT
SUBSTANCE USE DISORDERS:WHERE LIFELONG RECOVERY
BEGINS
SAVE TOGETHER
OPIOID OVERDOSE PREVENTION PROJECT
CHURCH IS NOT A NOUN. IT IS A VERB.~ Will D. Campbell
PHOTO CREDIT AND DISCLAIMER
Photos used for the Now You Know Florida (™) Campaign are from iStockphoto and the
people depicted in those photos are models only.
