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The South Florida ReportJanuary 2013National Institute on Drug Abuse

Community EpidemiologyWork GroupJames N. Hall Report # 56Center for Applied Research on Substance Use and Health DisparitiesNova Southeastern University

1Jim Hall upfrontin@aol.comSouth Florida CEWG Report Jan 2013

1.8 Million1.3 Million2.6 MillionUS Census Bureau2008 Population Estimates19 MillionUS Census Bureau2011 Population EstimatesData Sources January 2013Florida Medical Examiners Commission 2011 Report on Drugs Identified In Deceased Persons by Florida Medical Examiners from Florida Department of Law EnforcementEmergency department data 2005-2010 from DAWN (SAMHSA)Florida Department of Children and Families treatment data from all publicly-funded adult and youth treatment programs for Miami-Dade and Broward Counties primary admissions for all treatment modalities January - June 2012.National Forensic Laboratory Information System (NFLIS), Drug Enforcement Administration (DEA), for January June 2012Florida Poison Information Center Miami Poison Exposure Calls for Emerging Synthetic Drugs2012 Florida Youth Substance Abuse Survey for Miami-Dade and Broward Counties, Florida Dept. of Children and FamiliesNational Survey on Drug Use & Health Sub State Data (SAMHSA)

3Jim Hall upfrontin@aol.comSouth Florida CEWG Report Jan 2013South Florida Most Recent ChangesCocaine: Decline continues but slowsHeroin: Increases related to crackdown on Rx OpioidsRx Opioids: Modest Declines Benzodiazepine: Modest DeclinesMethamphetamine: Low and Limited to Gay MalesMarijuana: High and IncreasingCannabinmimetics: Increasing Use, Types & ProblemsEcstasy: Mostly Mollys tests as bk-MethyloneGHB: Low; but back on radar. Is it Diverted Xyrem?

Jim Hall upfrontin@aol.comSouth Florida CEWG Report Jan 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-DadeBrowardSOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates 2004-2010Number of Primary Cocaine Treatment AdmissionsMiami-Dade and Broward Counties, FL: 2009-2012

# of primary Treatment AdmissionsSOURCE: Florida Department of Children and Families1,557769481918Total Cocaine in Red1,052555776524* 2012 Admissions based on 2 xs 1st Half 2012Miami-DadeNumber 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 201220102011% Changed Broward County470431Down 8 %Miami-Dade County359312Down 13 %Palm Beach County365626Up 71 %State of Florida5,6475,489Down 3 %Number of Deaths with One or More Prescription Medications Detected 2010 vs. 2011Source: FDLE Drugs Identified In Deceased Persons by Florida Medical Examiners - 2011 Report 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 2011South Florida CEWG Report Jan 201310Jim 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.com11South Florida CEWG Report Jan 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 BeachUSANumber of Primary Rx Opioid Treatment AdmissionsMiami-Dade and Broward Counties, FL: 2010-2012

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

* 2012 Admissions based on 2 xs 1st Half 2012

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 Primary Treatment Admissions for Juveniles and Adults by Drug in Broward and Miami-Dade Counties: January - June 2012Source: Florida Department of Children and FamiliesNumber of Primary AdmissionsCurrent (past 30-day) Marijuana Use Among Miami-Dade and Broward Counties High School Students 2000-2012Source: Florida Youth Substance Abuse Surveys 2000-2012South Florida CEWG Report Jan 2013Jim Hall upfrontin@aol.comPerceived Attitudes about Marijuana Among Broward County Middle and High School Students 2000-2012Source: Florida Youth Substance Abuse Surveys 2000-2012Fake Drugs; Real PoisonsThe Synthetic DrugsJim Hall upfrontin@aol.comSouth Florida CEWG Report Jan 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 in Florida, Broward, and Miami-Dade Counties - 2012Source: Florida Youth Substance Abuse Survey 2012Number of CannabinmimeticsPoison Control Exposure Calls 2011 and 2012Source: Florida Poison Information Center Miami1-800-222-1222CannabinmimeticsPoison Exposure Calls

# of Poison Exposure Calls Jan-Dec 2011

# of Poison Exposure Calls Jan-Dec 2012

State of Florida517537Broward County3837Miami-Dade County3645Palm Beach County2924 11 Different Cannabinmimetics Jan. July 2012Florida Crime Lab Reports n= 403Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

Mollys

Not Pure MDMA but.

methylone

bk- 3,4 methylenedioxy-methcathinone

96 Crime Lab Cases since March 2012 in Broward County

276 Crime Lab Cases in Miami-Dade County during 2012Top 10 Most Frequently Identified Drugs of Total Analyzed Drug Reports, South FloridaJanuary - June 2012DrugNumber Percent Cocaine6,15348.9%Marijuana/Cannabis2,86422.7%Oxycodone3893.1%Alprazolam3682.9%Heroin3432.7%Hallucinogen2622.1%N-Methyl-3,4-Methylenedioxycathinone (Methylone)1541.2%Caffeine1190.9%Phenylimidothiazole Isomer Undetermined1110.9%AM-2201 (1-(5-Fluoropentyl)-3-(1-Naphthoyl)Indole)860.7%Other1,74113.8%Total12,590100.0%1 Data are for JanuaryJune 2012 and include primary, secondary, and tertiary reports.

Miami- Dade
Broward
Palm Beach

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

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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.

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102.664.6

215.785.3

241.683.6

14271.3

67.971.1

79.272.9

39.847.1

Ft. Laud. Div

USA

Sheet1

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

Sheet1

2002-042004-062006-082008-10

Florida4.825.014.354.22

Broward4.463.823.432.96