Florida Drug Trends Update December 2014

Transcription

1 Florida Behavioral Health Advisory Work Group Florida Drug Trends Update December 2014 James N. Hall, Epidemiologist Center for Applied Research on Substance Use and Health Disparities Nova Southeastern University

2 High School Only Source: 2014 FYSAS

3 Source: 2014 FYSAS

4 Source: 2014 FYSAS

5 Percent of Florida Students Reporting No Alcohol, Tobacco, or Other Drug Use in the Past 30 Days Percent of Students Reporting No Use Middle School High School Source: FL. Dept. of Children & Families 2014 Florida Youth Substance Abuse Survey

6 Current (past 30-day) Cigarette Use Among Middle and High School Students State of Florida % Reporting Current Use Source: Florida Youth Substance Abuse Surveys

7 % Reporting Current Use Current (past 30-day) Alcohol Use Among Middle and High School Students State of Florida Source: Florida Youth Substance Abuse Surveys

8 Source: 2014 FYSAS

9 Percent of All Admissions Percent of Primary Addiction Treatment Admissions by Substance : State of Florida Alcohol All Other Heroin Alcohol Cocaine Marijuana Rx Opioids Heroin All Other 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 May 8, 2014.

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13 Number of Cocaine Reports Detected Among Decedents in Florida: NUMBER of COCAINE OCCURRENCES Including Present & Cause of Death 2,500 2,000 1,500 1,000 1,105 1,307 1,614 2,052 2,179 1,943 1,702 1,791 State of Florida 1,462 1,444 1,402 1,318 1, In 2013, 607 Deaths Caused by Cocaine SOURCE: Florida Medical Examiners Commission Annual Report Jan Dec 2013

14 Cocaine Trends Related Deaths State of Florida Primary Treatment State of Florida So FL Crime Labs 3 SE FL Counties Δ 2012 vs ,318 1,337 Up 1 % vs % 8.2 % Down 4 % vs ,411 10,147 Down 11 %

15 Responding to an Epidemic Rx Nonmedical Use in Florida

16 Florida s Response July 2010 Senate Bill 2272 Legal authority to close Pill Mills and limited practitioner dispensing of CS Schedule II to 3 day supply August 2010 Tamper resistant OxyContin. March 2011 Law Enforcement Strike Force July 2011 House Bill 7095 Comprehensive law bans practitioner dispensing of CS II and new regulations. Permits PDMP to operate.

17 Number of Selected Lethal Rx Opioid Occurrences Among Deceased Persons in Florida 2008 to 2013 # Cause of Death Occurrences CS II Dispensing Limits & OxyContin Tamper Resistant Strike Force House Bill Takes effect Oxycodone Methadone Morphine Hydrocodone Source: FDLE Drugs Identified In Deceased Persons by Florida Medical Examiners Jan 2008 Dec 2013 Reports

18 Number of Nonmedical Rx Opioids and Benzodiazepine Reports Detected among Decedents in Florida # of Drugs Detected Among Decedents 7,000 6,000 5,000 4,000 3,000 2,000 1,000 Opioids Benzodiazepines 5,059 4,035 4,416 2,608 2,973 5,454 3,339 4,167 6,006 4,340 CS II Dispensing Limits and OxyContin Tamper Resistant 6,608 6,333 6,188 5,947 5,489 5,184 Strike Force Source: FDLE Drugs Identified In Deceased Persons by Florida Medical Examiners Jan 2005 Dec 2013 Reports 5,085 4,304 House Bill 7095 Takes effect

19 Hydromorphone (e.g.., Dilaudid ) 2013 ARCOS Grams Sold Per 100/Population STATE TOTAL GRAMS GRAMS/ 100K POP 1 FLORIDA 270, , DELAWARE 10, , VERMONT 6, CONNECTICUT 34, VIRGINIA 67, MONTANA 8, NEW 7 HAMPSHIRE 10, MARYLAND 43, WASHINGTON 48, OREGON 27, Source: US DEA ARCOS 3 Report 4 March 5, 2014 # of Deaths Hydromorphone Related Deaths in Florida Source: Florida Medical Examiners Commission

20 Number of Unique Patients Identified By Threshold Levels Number of Prescribers and Number of Pharmacies by Quarter ,000 5 Prescribers & 2,864 5 Pharmacies 51 % Decrease Level ,097 Level 6 1,415 Level Source: Annual Report Florida s Prescription Drug Monitoring Program (PDMP) Levels 9, Level 8 178

21 Number of Heroin Deaths in Florida: Florida # Heroin Deaths Miami Dade SOURCE: Florida Medical Examiners Commission Reports

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24 Heroin Trends Related Deaths State of Florida Primary Treatment State of Florida So FL Crime Labs 3 SE FL Counties Δ 2012 vs Up 70 % vs % 3.2 % Up 45 % vs Up 33 %

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26 Methylone is beta ketone MDMA Molly

27 Emerging Psychoactive Substances Synthetic Cannabinoids Synthetic Cathinones Other Emerging Synthetics Number of Different Drugs South Florida Crime Labs Reports Synthetic Cannabinoids Synthetic Cathinones Other Emerging Synthetics SOURCE: US DEA: National Forensic Laboratory Information System DQS on May 9, 2014

28 Emerging 169 Synthetic Drug Deaths in Florida 2023 # of Drug Occurrences Present Cause of Death Cannabinoids Cathinones Other Synthetics Source: FDLE Florida Medical Examiners Commission, November 2014

29 Flakka Flaca Skinny Flaka Beautiful, elegant woman who charms all Waka Flakka Hip Hop DJ Elsewhere called Gravel alpha PVP a pyrrolidinovalerophenone

30 South Florida Crime a PVP Lab Cases: Toxic Effects: Tachycardia, Agitation, Psychosis, Violent behavior, Excited Delirium Hyperthermia Kidney failure Death

31 NDEWS

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34 Percent of Emerging Synthetic Cathinones ( bath salts ) Detected in Deceased Person in Miami Dade County, FL: Source: Miami Dade County Medical Examiner s Office

35 2C Phenethylamines 2C B 2C I N BOMe

36 % Reporting Current Use Current (past 30-day) Marijuana Use Among Middle and High School Students State of Florida Source: Florida Youth Substance Abuse Surveys

37 Source: 2014 FYSAS

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39 Budder Beware: Dangers of Marijuana Wax Marijuana Wax Budder, or Butane hash oil, or even ear wax hash Produced by soaking marijuana plant material in a solvent such as butane which extracts various cannabinoids of the plant.

40 Marijuana Trends Detected in ME Decedents State of Florida Primary Treatment State of Florida So FL Crime Labs 3 SE FL Counties Δ 2012 vs Up 11 % vs % 23 % Down 8 % vs ,388 5,276 Down 2 %

41 Kratom: To Ban or Not to Ban? Photo Source: FoxNews.com

42 Large tree indigenous to Thailand and Malaysia Leaves are usually chewed but it can be found in a dried form to create powder, tinctures and resins and is sold in the US as a powder, or in capsules, and as liquid.

43 Mitragynine news/investigations/kratom craze what lab tests revealabout the controversial plant

44 Kratom Commercial Packaging

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49 Methamphetamine Trends Related Deaths State of Florida Primary Treatment State of Florida So FL Crime Labs 3 SE FL Counties Δ 2012 vs Up 16 % vs % 2 % Up 25 % vs Up 24 %

50 Screening, Brief Intervention, Referral to Treatment