Broward Quick Check September 2012 Drug Abuse Patterns and Trends Update James N. Hall, Epidemiologist Center for Applied Research on Substance Use and Health Disparities Nova Southeastern University 

Numbers of Substances Identified among Decedents in Florida: Jan-June 2011 All Rx = 6,287 Alcohol + Illicit Drugs = 3,190 Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Interim Report 2011

Number of Oxycodone Reports Detected among Decedents in Florida: Jan 2007 – Jun 2011 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Reports and 2011 Interim Report NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death ” 2x 1,058

Number of Oxycodone Reports Detected among Decedents in South Florida: NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2010

Source: SAMHSA - Treatment Episode Data Sets Submitted by the Florida Dept. of Children and Families as of April 5, 2012

Percent of Primary Rx Opioid Addiction Treatment Admissions By Age Groups (12-30 years) in Florida: 1998 to 2011 Source: SAMHSA - Treatment Episode Data Sets Submitted by the Florida Dept. of Children and Families as of April 5, % 62%

Number of Primary Treatment Admissions by Drug Broward and Miami-Dade Counties: Jan –Dec 2011 Source: Florida Department of Children and Families Number of Primary Admissions

Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2010 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Reports and 2011 Interim Report NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death ” 2x 950

Number of Alprazolam Reports Detected among Decedents in South Florida: NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2010

Percent of High School Students Reporting Having Ever Taken a Rx Drug 1 or More Times Without a Doctor’s Prescription:2011 Source: Centers for Disease Control and Prevention: Youth Risk Behavior Surveillance

Percent of High School Students Reporting Any Past 30-Day Marijuana Use USA & Broward County: Percent Reporting Current Use USA & Broward Data

Percent of Florida 9 th -12 th Graders Reporting Having Used Synthetic Marijuana Source: Florida Youth Substance Abuse Survey 2011

Number of Cannabinmimetics Poison Control Exposure Calls Jan-Dec 2011 and Jan-June 2012 Source: Florida Poison Information Center – Miami Cannabinmimetics Poison Exposure Calls # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-June 2012 State of Florida Broward County 3818 Miami-Dade County 3521

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 Synthetic Drug Category # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-April 2012 Synthetic Cannabinoids Hallucinogenic Amphetamines MDPV & Mephedrone ( Bath Salts ) Other Hallucinogens DMT and 5-MeO-DIPT 62 1,204 Exposure calls Jan 2011 to April 2012

Number of Crime Lab Cases for Synthetic Cannabinoids, Piperazines, Tryptamines, Phenethylamines, and Cathinones in South Florida: Jan -Dec 2011 Source: US DEA-National Forensic Laboratory Information System (NFLIS) for Miami-Dade, Broward and Palm Beach Counties 2011 as of May 8, 2012 Synthetic Cannabinoids including 18 for JWH N-BENZYLPIPERAZINE (BZP) MeO-DIPT (3-TRIFLUOROMETHYLPHENYL)-PIPERAZINE (TFMPP) 83 METHYLENEDIOXYPYROVALERONE (MDPV) 32 N-METHYL-3,4-METHYLENEDIOXYCATHINONE (METHYLONE) 27 4-METHYLMETHCATHINONE (4-MMC) (MEPHEDRONE) 12 3,4-METHYLENEDIOXYAMPHETAMINE (MDA) 1 Other 25 TOTAL 463

(DIED) Fake Drugs; Real Poisons Presentations

Organization of American States 15 Nation Caribbean DEN Drug Epidemiology Network

National CEWG Drug Trends Update June 2012 Cocaine declines reported across all 21 sites Heroin maintains presence, – Expands to new areas including small towns – Fueled by young adult Rx opioid abusers Prescription opioid nonmedical use escalates Emerging synthetic drug consequences most pronounced in the Central US and Florida Marijuana is ubiquitous Methamphetamine rising in the West again