South Florida Drug Trends Update Jim Hall [email protected]1 The South Florida Report September 2013 Community Epidemiology Drug Report James N. Hall NIDA-CEWG Report # 57 Center for Applied Research on Substance Use and Health Disparities Nova Southeastern University 1.8 Million 1.4 Million 2.6 Million 19.3 Million US Census Bureau 2012 Population Estimates Data Sources Fall 2013 • Florida Medical Examiners Commission 2012 interim Report on Drugs Identified In Deceased Persons by Florida Medical Examiners from Florida Department of Law Enforcement • SAMHSA Drug Abuse Warning Network (DAWN) Emergency Department substance specific drug reports 2004-2011 • Florida Department of Children and Families treatment data from all publicly-funded adult and youth treatment programs for Miami- Dade and Broward Counties primary admissions for all treatment modalities January - December 2012. • National Forensic Laboratory Information System (NFLIS), Drug Enforcement Administration (DEA), for January – December 2012 • SAMHSA National Survey on Drug Use and Health Substate Estimates 2008-2010 of Substance Abuse and Mental Disorders • Florida Poison Information Center – Miami Poison Exposure Calls for Emerging Synthetic Drugs January 2011 to April 2013 Fall 2013 South Florida’s Most Recent Indicator Changes • Marijuana: High and Increasing • Cocaine: 5-Year Decline Reversing • Rx Opioids: Deaths Declining 12-% • Benzodiazepines: Deaths Declining 13-% • Ecstasy: Mostly “Mollys” tests as bk-Methylone • Heroin: Epidemic Underway Deaths Up 120 % • Cannabinmimetics: Types & Problems + “Pot Pens” • Methamphetamine: Low but Returning Key Issue for Gay Males and “Heavy Club Druggers” HIGH Moderate Lower Levels of Indicator Intensity: HIGH Moderate Lower Fall 2013 Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2012 NUMBER of COCAINE OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Interim Report Jan-Dec 2012 1,105 1,307 1,614 1,702 1,943 2,052 2,179 1,791 1,462 1,402 1,444 1,318 0 0 0 0 500 1,000 1,500 2,000 2,500 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 State of Florida 149 151 189 160 162 182 281 201 155 198 184 198 94 121 138 120 136 150 157 146 135 127 115 129 0 50 100 150 200 250 300 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Miami-Dade Broward
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The South Florida Report September 2013cdn.trustedpartner.com/docs/library...South Florida Drug Trends Update Jim Hall [email protected] 3 In the first three months of 2013, Florida
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Center for Applied Research on Substance Use and Health Disparities
Nova Southeastern University
Flagler
Highlands
Hardee
Polk
Martin
St. Lucie
Okeechobee
Indian River
PutnamAlachua
Bra
dfor
dUnion
Col
umbia
Gilchrist
Levy
Dixie
Suwannee
Hamilton
St.JohnsClay
Duval
Nas sau
Baker
Pinellas
Pasco
Manatee
Hillsborough
Bre
vard
Osceola
Orange
Seminole
Collier
HendryLee
Glades
De SotoSarasota
Palm Beach
LakeSumter
Hernando
Citrus
Marion
Taylor
Madison
Jeffe
rson
Wakulla
Leon
Franklin
Liberty
Gadsden
Jacks on
Calhoun
Gulf
BayW
ashin
gton
Escambia
Santa
RosaOkaloosa
Walton
Broward
Dade
Holmes
Monroe
Volusia
Lafayette
Charlotte
1.8 Million
1.4 Million
2.6 Million
19.3 Million
US Census Bureau 2012 Population Estimates
Data Sources Fall 2013
• Florida Medical Examiners Commission 2012 interim Report on Drugs Identified In Deceased Persons by Florida Medical Examiners from Florida Department of Law Enforcement
• SAMHSA Drug Abuse Warning Network (DAWN) Emergency Department substance specific drug reports 2004-2011
• Florida Department of Children and Families treatment data from all publicly-funded adult and youth treatment programs for Miami-Dade and Broward Counties primary admissions for all treatment modalities January - December 2012.
• National Forensic Laboratory Information System (NFLIS), Drug Enforcement Administration (DEA), for January – December 2012
• SAMHSA National Survey on Drug Use and Health Substate Estimates 2008-2010 of Substance Abuse and Mental Disorders
• Florida Poison Information Center – Miami Poison Exposure Calls for Emerging Synthetic Drugs January 2011 to April 2013
In the first three months of 2013, Florida Department of Law Enforcement heroin-related charges totaled 948, up 23-% from same three-month period last year, that number was 772.
Price and Purity of Heroin in USA Jan 2007 – June 2012
Jan. 2010 vs. June 2012 Price Down 37 % Purity Up 53 %
$695.76
$877.84
32.4 %
36.8 %
Source: USDJ: DEA – STRIDE Data
Oxycodone
Methadone
Hydrocodone
Just 40 more to go
Number of Oxycodone Reports Detected among Decedents in South Florida: 2007-2012
NUMBER of Oxycodone
OCCURRENCES Including
“Present” & “Cause of Death”
SOURCE: Florida Medical Examiners Commission Interim Report 2012
144 165 184 177
240
87 119
171 225 236
174 126
45 46 66
100
75 58
308
382
475 513
489
271
0
100
200
300
400
500
600
2007 2008 2009 2010 2011 2012
Palm Beach
Broward
Miami-Dade
All 3 Counties
Rate of NMU Rx Opioid Emergency Department Reports Per 100,000 Miami-Dade, Broward & Palm
Beach Counties, and USA: 2004-2011
77.9 95.8 107.3
118.7
59 73.6 83
95.1 120.6
135 153.3
156.6
19.7 30.7 27.2 30.7 29.2 33.4
42.4
0
50
100
150
200
2004 2005 2006 2007 2008 2009 2010 2011
Broward & Palm Beach
USA
Miami-Dade
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2004-2011
Rat
e p
er 1
00,0
00 = Significant Difference
with 2011
33.4
Rates per 100,000 of Oxycodone Nonmedical Use
E Emergency Department Reports by Age Groups
DAWN Ft. Lauderdale Division vs. USA: 2011
186.9 184.3
157.5
78.3
14.8
50.965.2
100.4 91.9 88.7
66.8 57.4 50.7
0
20
40
60
80
100
120
140
160
180
200
18-20yrs.
21-24yrs.
25-29yrs.
30-34yrs.
35-44yrs.
45-54yrs.
55-64yrs.
Rate
per
100,0
00
SOURCE: US Dept HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates.
Source: US DEA-National Forensic Laboratory Information System (NFLIS) for Miami-Dade, Broward and Palm Beach Counties 2011 (5/8/12) and 2012 (5/7/13)
OTHER EMERGING PSYCHOACTIVE SUBSTANCES 2011 2012
BZP 130 113
5-MEO-DIPT 133 89
TFMPP 83 86
MDPV 32 58
DMT 6 4
2C-B 2 2 4-METHOXYMETHAMPHETAMINE
2
5-MEO-MIPT 2
ALPHA-PVP 2
MMDA 1 ALPHA-METHYLTRYPTAMINE 1 TRYPTAMINE 1
TOTAL 386 361
Rate of Illicit Stimulant Emergency Department Reports Per 100,000 Miami-Dade, Broward & Palm
Beach Counties, and USA: 2004-2011
5.2 6.2
7.1 8
55.5 46.6
36.1 28.2 30.2 30.5
44.8 51.3
7.1 10.9 6.7 6.4 5.9 6.3
5.6
10.6
0
10
20
30
40
50
60
70
80
2004 2005 2006 2007 2008 2009 2010 2011
Broward & Palm Beach
USA
Miami-Dade
SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2004-2011
Rat
e p
er 1
00,0
00
Price and Purity of Methamphetamine in USA Jan 2007 – June 2012
July 2007 vs. June 2012 Price Down 72 % Purity up 128 %
$158.96
$81.28
59.4 %
92.9 %
Source: USDJ: DEA – STRIDE Data
South Florida Key Findings June 2013
• # 1 key change is that heroin overdose deaths increased 89-percent in Florida between 2011
and 2012 while deaths related to nonmedical misuse of prescription opioids declined 12-pecent
June 2013
• # 2 key issue is the increase in injecting drug use among new, young adult cohort of prescription opioid injectors, heroin initiates, and methamphetamine users. A public health threat of increased HIV and Hepatitis C transmission is already occurring.