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Broward County ReportSubstance Abuse Issues and Trends Winter 2013

James N. Hall

Jim Hall upfrontin@aol.comDrug Trends Update Winter 2013

Welcome Dr. Michael WolwaDrug Trends Update Winter 2013Jim Hall upfrontin@aol.comBroward County Trends

Decline of Cocaine ConsequencesRx Non-Medical Misuse Stable at Epidemic LevelsHeroin RisingUnderage Drinking Age 12-18MarijuanaFake Drugs: Real PoisonsSynthetic Cannabinmimectics Synthetic StimulantsJim Hall upfrontin@aol.comDrug Trends Update Winter 2013Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2011NUMBER of COCAINE OCCURRENCESIncluding Present &Cause of Death SOURCE: Florida Medical Examiners Commission Report 2011Miami-DadeBrowardNumber of Cocaine Emergency Departments Reports in Broward & Palm Beach Counties, FL: 2008,,2009 & 2010SOURCE: 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 FloridaPercent of All AdmissionsSource: Substance Abuse and Mental Health Services Administrations 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.

CocaineNumber of Primary Cocaine Treatment AdmissionsBroward County, FL: 2009-2012*

# of primary Treatment AdmissionsSOURCE: Florida Department of Children and Families769481Total Cocaine in Red555524* 2012 Admissions based on 2 xs 1st Half 2012 Numbers of Substances Identified among Decedents in Florida: Jan.-Dec. 2011All Rx = 13,045Alcohol +Illicit Drugs = 5,758

Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011Drug Trends Update Winter 20138Jim Hall upfrontin@aol.com5,489 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: 2011Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011Jim Hall upfrontin@aol.com9Drug Trends Update Winter 2013 Number of Oxycodone Reports Detected among Decedents in Florida: 2011Source: FDLE Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 ReportNUMBER of Oxycodone OCCURRENCESIncluding Present &Cause of DeathNumber of Oxycodone Reports Detected among Decedents in South Florida: 2007-2011NUMBER of OxycodoneOCCURRENCESIncluding Present &Cause of Death SOURCE: Florida Medical Examiners Commission Report 2011Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010SOURCE: 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

Broward & Palm BeachUSAPercent of Primary Rx Opioid Addiction Treatment Admissions By Age Groups in Florida: 1998 to 2011

Source: SAMHSA - Treatment Episode Data Sets Submitted by the Florida Dept. of Children and Families as of July 9, 201222%62%Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: State of FloridaPercent of All AdmissionsSource: Substance Abuse and Mental Health Services Administrations 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.

CocaineRx OpioidsHeroinNumber of Primary Rx Opioid Treatment AdmissionsBroward County, FL: 2009-2012*

# of primary Treatment AdmissionsSOURCE: Florida Department of Children and Families* 2012 Admissions based on 2 xs 1st Half 2012

Source: 2011 National Survey on Drug Use and Health

Source: Kurtz, S & Surratt, H: ARSH Nova Southeastern University June 2012 Number of Alprazolam Reports Detected among Decedents in Florida: 2007 2011Source: FDLE Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 ReportNUMBER of Alprazolam OCCURRENCESIncluding Present &Cause of DeathNumber of Alprazolam Reports Detected among Decedents in South Florida: 2007- 2011NUMBER of AlprazolamOCCURRENCESIncluding Present &Cause of Death SOURCE: Florida Medical Examiners Commission Report 2011Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010SOURCE: 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. CocaineNMU BenzodiazepinesNumber of Heroin-related Deaths in Florida: 2000 2011SOURCE: Florida Medical Examiners Commission Reports 2000-201162# Lethal Heroin Deaths1532012 ??Number of Primary Heroin Treatment AdmissionsMiami-Dade and Broward Counties, FL: 2009-2012

# of primary Treatment AdmissionsSOURCE: Florida Department of Children and Families 2009 2010 2011 2012* 2009 2010 2011 2012*Miami-DadeBroward

* 2012 Admissions based on 2 xs 1st Half 2012Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010SOURCE: 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. CocaineMarijuana

Just Released January 4, 2013Current (past 30-day) Alcohol Use Among Broward County Middle and High School Students 2000-2012Source: Florida Youth Substance Abuse Surveys 2000-2012Drug Trends Update Winter 2013Jim Hall (786) 242-8222 Upfrontin@aol.comCurrent (past 30-day) Binge Drinking Among Broward County Middle & High School Students 2000-20012Source: Florida Youth Substance Abuse Surveys 2000-2012Drug Trends Update Winter 2013Jim Hall (786) 242-8222 Upfrontin@aol.comCurrent (past 30-day) Marijuana Use Among Broward County Middle and High School Students 2000-2012Source: Florida Youth Substance Abuse Surveys 2000-2012Drug Trends Update Winter 2013Jim Hall (786) 242-8222 Upfrontin@aol.comPerceived Attitudes about Marijuana Among Broward County Middle and High School Students 2000-2012Source: Florida Youth Substance Abuse Surveys 2000-2012

Source: 2011 National Survey on Drug Use and HealthNumber of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010SOURCE: 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. CocaineMarijuanaNumber of Primary Treatment Admissions for Juveniles and Adults by Drug in Broward and Miami-Dade Counties: Jan - Dec 2011Source: Florida Department of Children and FamiliesNumber of Primary AdmissionsFake Drugs; Real PoisonsThe Synthetic DrugsJim Hall upfrontin@aol.comDrug Trends Update Winter 2013Percent of Florida 9th-12th Graders Reporting Having Used Synthetic Marijuana in their LifetimeSource: Florida Youth Substance Abuse Survey 2012

Percent of High School Males Reporting Having Used Synthetic Marijuana Florida and Broward County - 2012Source: Florida Youth Substance Abuse Survey 2012Percent of High School Females Reporting Having Used Synthetic Marijuana Florida and Broward County - 2012Source: Florida Youth Substance Abuse Survey 2012Number of CannabinmimeticsPoison Control Exposure Calls Jan-Dec 2011 and Jan-June 2012Source: Florida Poison Information Center Miami1-800-222-1222CannabinmimeticsPoison Exposure Calls

# of Poison Exposure Calls Jan-Dec 2011

# of Poison Exposure Calls Jan-June 2012

State of Florida517377Broward County3825Miami-Dade County3636Palm Beach County2920 11 Different Cannabinmimetics Jan. July 2012Florida Crime Lab Reports n= 403Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

White lighteningZoomCloud 9Cloud 10Red DoveBlue silkMoon dustNRG (4-MEC)Head tripRadianceIvory WavePower surgeSextasyVanilla SkyBath 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 1-800-222-1222Synthetic Drug Category

# of Poison Exposure Calls Jan-Dec 2011

# of Poison Exposure Calls Jan-April 2012

Synthetic Cannabinoids517269Hallucinogenic Amphetamines18464MDPV & Mephedrone (Bath Salts)15228Other Hallucinogens DMT and 5-MeO-DIPT 621,222 Exposure calls Jan 2011 to April 2012Mollys

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= 76Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

A-PVP4-MEC

Born 1952-1956

45%20%Broward County ReportSubstance Abuse Issues and Trends Winter 2013

Jim Hall upfrontin@aol.comDrug Trends Update Winter 2013

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Escambia
Santa Rosa
Okaloosa
Walton
Broward
Dade
Holmes
Monroe
Volusia
Lafayette
Charlotte

Rates per 100,000 of Oxycodone Nonmedical Use E Emergency Department Reports by Age Groups DAWN Ft. Lauderdale Division vs. USA: 2010
Rate per 100,000
SOURCE: US Dept HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates.

Chart1

102.664.6

215.785.3

241.683.6

14271.3

67.971.1

79.272.9

39.847.1

Ft. Laud. Div

USA

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18-20 yrs.21-24 yrs.25-29 yrs.30-34 yrs.35-44 yrs.45-54 yrs.55-64 yrs.

Ft. Laud. Div102.6215.7241.614267.979.239.8

USA64.685.383.671.371.172.947.1

Percent of Persons Aged 12 and Above Reporting Nonmedical Use of Rx Pain Relievers in the Past Year: 2002-2008
SOURCE: SAMHSA-CBHSQ(2012): Substate Estimates from the 2002-2010 National Surveys on Drug Use and Health
Percent Reporting Past Year Use

Chart1

4.822002-044.462002-04

5.012004-063.822004-06

4.352006-083.432006-08

4.222008-102.962008-10

Florida

Broward

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2002-042004-062006-082008-10

Florida4.825.014.354.22

Broward4.463.823.432.96