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Substance Abuse Issues and Trends – Winter 2013

Broward County Report. Substance Abuse Issues and Trends – Winter 2013. James N. Hall. Welcome Dr. Michael Wolwa. Broward County Trends. Decline of Cocaine Consequences Rx Non-Medical Misuse Stable at Epidemic Levels Heroin Rising Underage Drinking Age 12-18 Marijuana

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Substance Abuse Issues and Trends – Winter 2013

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  1. Broward County Report Substance Abuse Issues and Trends – Winter 2013 James N. Hall

  2. Welcome Dr. Michael Wolwa

  3. Broward County Trends • Decline of Cocaine Consequences • Rx Non-Medical Misuse Stable at Epidemic Levels • Heroin Rising • Underage Drinking Age 12-18 • Marijuana • Fake Drugs: Real Poisons • Synthetic Cannabinmimectics • Synthetic Stimulants

  4. Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2011 NUMBER of COCAINE OCCURRENCES Including “Present” & “Cause of Death” Miami-Dade Broward SOURCE: Florida Medical Examiners Commission Report 2011

  5. Number of Cocaine Emergency Departments Reports inBroward & Palm Beach Counties, FL: 2008,,2009 & 2010 Note: Cocaine visits had a statistically significant decrease from 2008 to 2009. SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.

  6. Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: State of Florida Cocaine Percent of All Admissions Source: Substance Abuse and Mental Health Services Administration’s 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.

  7. Number of Primary Cocaine Treatment AdmissionsBroward County, FL: 2009-2012* 769 Total Cocaine in Red 555 524 481 # of primary Treatment Admissions *2012 Admissions based on 2 x‘s 1st Half 2012 SOURCE: Florida Department of Children and Families

  8. Numbers of Substances Identified among Decedents in Florida: Jan.-Dec. 2011 All Rx = 13,045 Alcohol + Illicit Drugs = 5,758 Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011

  9. Prescription Drug-Related Deaths in Florida: 2011 5,489individuals died with one or more prescription drugs in their system. The drugs were at both lethal and non-lethal levels. Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011

  10. Number of Oxycodone Reports Detected among Decedents in Florida: 2011 NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death” Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Report

  11. Number of Oxycodone Reports Detected among Decedents in South Florida: 2007-2011 NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

  12. Number of Emergency Departments Reports by Drug inBroward & Palm Beach Counties, FL: 2008,,2009 and 2010 NMU Rx Opioids 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. SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.

  13. Broward & Palm Beach USA

  14. Percent of Primary Rx Opioid Addiction Treatment Admissions By Age Groups in Florida: 1998 to 2011 62% 22% Source: SAMHSA - Treatment Episode Data Sets Submitted by the Florida Dept. of Children and Families as of July 9, 2012

  15. Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: State of Florida Cocaine Rx Opioids Percent of All Admissions Heroin Source: Substance Abuse and Mental Health Services Administration’s 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.

  16. Number of Primary Rx Opioid Treatment AdmissionsBroward County, FL: 2009-2012* # of primary Treatment Admissions *2012 Admissions based on 2 x‘s 1st Half 2012 SOURCE: Florida Department of Children and Families

  17. Source: 2011 National Survey on Drug Use and Health

  18. Source: Kurtz, S & Surratt, H: ARSH Nova Southeastern University June 2012

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

  20. Number of Alprazolam Reports Detected among Decedents in South Florida: 2007- 2011 NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

  21. Number of Emergency Departments Reports by Drug inBroward & Palm Beach Counties, FL: 2008,,2009 and 2010 • Cocaine • NMU Benzodiazepines 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. SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.

  22. Number of Heroin-related Deaths in Florida: 2000 –2011 2012 ?? # Lethal Heroin Deaths 62 15 3 SOURCE: Florida Medical Examiners Commission Reports 2000-2011

  23. Number of Primary Heroin Treatment AdmissionsMiami-DadeandBrowardCounties, FL: 2009-2012 Broward Miami-Dade # of primary Treatment Admissions 2009 2010 2011 2012* 2009 2010 2011 2012* *2012 Admissions based on 2 x‘s 1st Half 2012 SOURCE: Florida Department of Children and Families

  24. Number of Emergency Departments Reports by Drug inBroward & Palm Beach Counties, FL: 2008,,2009 and 2010 Cocaine Marijuana 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. SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.

  25. Just Released January 4, 2013

  26. Current (past 30-day) Alcohol Use Among Broward CountyMiddle andHighSchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

  27. Current (past 30-day) Binge Drinking Among Broward CountyMiddle &HighSchoolStudents 2000-20012 Source: Florida Youth Substance Abuse Surveys 2000-2012

  28. Current (past 30-day) Marijuana Use Among Broward CountyMiddle andHighSchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

  29. Perceived Attitudes about Marijuana Among Broward CountyMiddle and High SchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

  30. Source: 2011 National Survey on Drug Use and Health

  31. Number of Emergency Departments Reports by Drug inBroward & Palm Beach Counties, FL: 2008,,2009 and 2010 Cocaine Marijuana 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. SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2008-2009.

  32. Number of Primary Treatment Admissions for Juveniles and Adults by Drug in BrowardandMiami-DadeCounties:Jan - Dec 2011 Number of Primary Admissions Source: Florida Department of Children and Families

  33. Fake Drugs; Real Poisons The Synthetic Drugs

  34. Percent of Florida 9th-12th Graders Reporting Having Used Synthetic Marijuana in their Lifetime Source: Florida Youth Substance Abuse Survey 2012

  35. Percent of High School Males Reporting Having Used Synthetic Marijuana Floridaand Broward County - 2012 Source: Florida Youth Substance Abuse Survey 2012

  36. Percent of High School Females Reporting Having Used Synthetic Marijuana Floridaand Broward County - 2012 Source: Florida Youth Substance Abuse Survey 2012

  37. Number of CannabinmimeticsPoison Control Exposure CallsJan-Dec 2011 and Jan-June 2012 Source: Florida Poison Information Center – Miami 1-800-222-1222

  38. 11 Different Cannabinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 403 Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

  39. Bath salts Stimulants often have trendy names and slick packaging • Head trip • Radiance • Ivory Wave • Power surge • Sextasy • Vanilla Sky • White lightening • Zoom • Cloud 9 • Cloud 10 • Red Dove • Blue silk • Moon dust • NRG (4-MEC)

  40. Number of Emerging Psychoactive Substance Drug Poison Control Exposure Callsin Florida: Jan-Dec 2011 and Jan-April 2012 1,222 Exposure calls Jan 2011 to April 2012 Source: Florida Poison Information Center – Miami 1-800-222-1222

  41. Molly’s Methylone 3,4 methylenedioxy-methcathinone 96 Crime Lab Cases since March 2012 in Broward County

  42. 8 Different Cathinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 76 4-MEC A-PVP Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

  43. Born 1952-1956

  44. 20% 45%

  45. Broward County Report Substance Abuse Issues and Trends – Winter 2013

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