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Miami, Florida

The Up Front Lecture Series. Miami, Florida. Hurricane “e” Rave, Club, and Party Drugs Fall 2001 Update. Jim Hall Up Front Drug Information Center Miami, Florida. is many drugs!. Rave and Club Drugs. MDMA (“ecstasy” or “e”) LSD GHB, GBL, and 1,4BDL

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Miami, Florida

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  1. The Up Front • Lecture • Series Miami, Florida

  2. Hurricane “e”Rave, Club, and Party DrugsFall 2001 Update Jim Hall Up Front Drug Information Center Miami, Florida

  3. is many drugs!

  4. Rave and Club Drugs • MDMA (“ecstasy” or “e”) • LSD • GHB, GBL, and 1,4BDL • Rohypnol, Xanax, Clonopin • Ketamine (Special K) • Methamphetamine • Heroin • Alcohol Uppers in Red Downers in Blue

  5. ECSTASY (MDMA) • XTC, X, Rollers, and now “e” • Hallucinogenic stimulant. • Desired Effects--Introspectiony distorti • Adverse Effects--Severe thirst, heat exhaustion, long-term brain disorders, death • Usually tablets or capsules, but reports of injection of X. • PMA; Flatliners:4-MTA; SuperX 33

  6. A Public HealthPerspective on MDMA

  7. A Public HealthPerspective on MDMA 3,4 –Methylenedioxymethamphetamine

  8. What we know II. Challenges and Opportunities I. Advances "e" MDMA ecstasy Turn adversity to advantage Research III. Future Directions Next, please.

  9. Advances: evolution • The of abuse as a Public Health issue MDMA

  10. ecstasy X-T-C ecstasy • The of evolution MDMA Acid "x" rolling "e"

  11. ecstasy "e" X-T-C ecstasy • The of evolution MDMA Acid rolling "x" "e"

  12. Advances evolution • The of abuse as a Public Health issue MDMA

  13. Journal Citations: • Golub, AL and Johnson, BD. Crack's Decline: Some Surprises Across U.S. Cities. NIJ Research in Brief US DOJ: Office of Justice Programs, National Institute of Justice. www.usdoj.nij.gov

  14. Phases of a Drug Epidemic Plateau Decline Expansion Generic Epidemic Model Ugachaka # of Users & Problems Incubation Time

  15. TheUgachakaPhenomena • Epidemic Outbreak • Compulsive “I can’t stop...” • Youthful

  16. History of Cocaine Escalating cocaine use among young adult users of other illicit drugs in the late 1970s and adolescents in the early 1980’s led to the national cocaine epidemic twenty years ago. Quaaludes 714 Pot Ugachaka Purple Micro-dots

  17. CocaineInitiates (1000s) One and a Half Million 1982 1998 1976 1970 Source: 1998 National Household Survey on Drug Abuse

  18. History of Cocaine

  19. Advances: Extended Incubation Period • Before 1996 and • Among distinct groups X-T-C

  20. The Early Years: Designed and Legal by 1980 From MDA to MDMA MDMA

  21. ...Blow your Mind... The Early Years: Europe The Warehouse Parties Acid House Music Acid Acid Blow your Mind...

  22. BUSTED - 1985 Therapy ? Or No Clinical Trails ? Schedule I

  23. It’s Safe, Isn’t it ? ecstasy Crack Summer 1986 Cocaine Repudiated on campus Replaced by MDMA ecstasy

  24. The Club Drugs GHB Ketamine Heroin LSD X-T-C Generation X

  25. The Club Drugs Alcohol alprazolam (XanaX) flunitrazepam (Rohypnol) clonazepam (Klonopin) X-T-C

  26. X-T-C • User Scenes • European Techno-Dance • Gay men Dance & Circuit Parties • The Club Chic • Campus Clubs • Raves

  27. X-T-C • User Scenes • Heterosexual bars and parties • Adolescents • Tourists • Young Adult Professionals

  28. rolling Mid 1990s Years of Deception Rising Interest Fewer Pills More Fakes

  29. MDMA The Expansion Phase "e"

  30. MDMA Expansion Phase It’s Supply Driven • Fueled by dramatic increases in MDMA trafficking, and • Its availability to younger populations

  31. MDMA on the Plane

  32. MDMA on the Plane

  33. MDMA on the Plane

  34. Journal Citations: • Joint Assessment of MDMA Trafficking Trends. US DOJ: National Drug Intelligence Center www.usdoj.ndic.gov

  35. Hurricane “e” e e

  36. Source:US Customs Service

  37. More Pills,More Kids, More Problems!

  38. Disapproval Source: NIDA: Monitoring The Future Study, University of Michigan Availability ecstasy

  39. Teen MDMA Annual Use 1999 to 2000 Source: NIDA: Monitoring The Future Study, University of Michigan

  40. Perceived Risk Use "e"

  41. Availability MDMA Among USA Adolescents Risk Use Disapproval Source: NIDA: Monitoring The Future Study

  42. Mentions of MDMA (“ecstasy”) in National Emergency Room Reports 1992-2000 Source: US Dept HHS: SAMHSA - OAS: DAWN

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