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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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Broward County Report Substance Abuse Issues and Trends – Winter 2013 James N. Hall
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
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
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.
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.
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
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
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
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
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
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.
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
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.
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
Source: Kurtz, S & Surratt, H: ARSH Nova Southeastern University June 2012
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
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
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.
Number of Heroin-related Deaths in Florida: 2000 –2011 2012 ?? # Lethal Heroin Deaths 62 15 3 SOURCE: Florida Medical Examiners Commission Reports 2000-2011
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
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.
Current (past 30-day) Alcohol Use Among Broward CountyMiddle andHighSchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012
Current (past 30-day) Binge Drinking Among Broward CountyMiddle &HighSchoolStudents 2000-20012 Source: Florida Youth Substance Abuse Surveys 2000-2012
Current (past 30-day) Marijuana Use Among Broward CountyMiddle andHighSchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012
Perceived Attitudes about Marijuana Among Broward CountyMiddle and High SchoolStudents 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012
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.
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
Fake Drugs; Real Poisons The Synthetic Drugs
Percent of Florida 9th-12th Graders Reporting Having Used Synthetic Marijuana in their Lifetime Source: Florida Youth Substance Abuse Survey 2012
Percent of High School Males Reporting Having Used Synthetic Marijuana Floridaand Broward County - 2012 Source: Florida Youth Substance Abuse Survey 2012
Percent of High School Females Reporting Having Used Synthetic Marijuana Floridaand Broward County - 2012 Source: Florida Youth Substance Abuse Survey 2012
Number of CannabinmimeticsPoison Control Exposure CallsJan-Dec 2011 and Jan-June 2012 Source: Florida Poison Information Center – Miami 1-800-222-1222
11 Different Cannabinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 403 Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012
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)
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
Molly’s Methylone 3,4 methylenedioxy-methcathinone 96 Crime Lab Cases since March 2012 in Broward County
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
20% 45%
Broward County Report Substance Abuse Issues and Trends – Winter 2013