Where are we in 2013?

Why is meth so dangerous to our communities? Construction Sites Graveyards Hotels and Motels Rental Houses Apartments Parks and Playgrounds Vehicles

NEXAFED “Battle Congestion. And meth abuse too.”

Meth Abuse Top 3 States in Missouri 2. Tennessee* 3. Indiana

Tennessee Meth Busts, 2010 Top 10 Counties 1. McMinn (161) 2. Monroe (139) 3. Campbell (117)* 4. Hamilton (104) 5. Warren (100) 6. Shelby (98) 7. Coffee & Anderson (88) 8. Franklin (69) 9. Lawrence (63) 10. Rhea & Madison (46)

Tennessee Meth Busts, 2010 Top 5 Judicial Districts th Judicial District (357) pop. 212,573 Bradley, McMinn, Monroe, and Polk Counties th Judicial District (217) pop. 141,789 Bledsoe, Franklin, Grundy, Marion, Rhea, and Sequatchie Counties 3. 8 th Judicial District (153)* pop. 132,225 Campbell, Claiborne, Fentress, Scott, and Union Counties th Judicial District (106) pop. 208,104 Clay, Cumberland, Dekalb, Overton, Pickett, Putnam, and White Counties th Judicial District (104)pop. 336,463 Hamilton County

Taxpayer Cost Hospital 1/3 of patients in burn units are there because of meth; most are uninsured The average treatment costs ~ $6,000 per day The average meth patient’s hospital stay costs $130,000 which is 60% more than that of other burn victims Meth Clean Up TBI averages one meth lab bust per day $5,000 - $25,000 per bust Costs Tennessee taxpayers more than one $1 billion per year

Nexafed: Quick Facts Nasal decongestant FDA approved Commercially available since December 10, 2012 Price and effectiveness comparable to that of Sudafed Produced by Acura Pharmaceuticals Current distributors include: Cardinal Health; AmerisourceBergen; McKesson; Smith Drug Company.; Value Drug Company.; Morris & Dickson Co.; H.D. Smith; N.C. Mutual Drug Co.; Rochester Drug Cooperative, Inc.

Why Nexafed? Crushed pseudoephedrine (PSE) tablets are easily dissolved in water or other liquids, and filtered to obtain purified PSE. Impede technology incorporates a unique polymer matrix of inactive ingredients that form a thick gel that, in independent laboratory tests, has been shown to disrupt the extraction and conversion of PSE into methamphetamine.

Why Nexafed? Three common methods of PSE extraction: Two large-scale methods are used to extract, purify and isolate the PSE from the tablets prior to converting the pure drug into methamphetamine In a third small-scale method, known as the "one-pot" or direct conversion method, the tablets react with other ingredients without first isolating the PSE In the two large-scale extraction methods, no measurable quantity of PSE could be detected using a range of aqueous and organic solvents In the direct conversion or "one-pot" method, Nexafed yields about half the measurable methamphetamine compared to other tablets on the market

Is it safe? Ingredients have been found to not affect the product’s efficacy or safety No side effects are listed that do not already fall under those of Sudafed Reduced dosage for children ages 6-12yrs, similar to Sudafed’s dosage reduction Not recommended for children under 6yrs, unless prescribed by a doctor