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National Institute on Drug Abuse Community Epidemiology Work Group (CEWG)

National Institute on Drug Abuse Community Epidemiology Work Group (CEWG). Established 1976. United States Drug Observatories. Albuquerque. Goals: To Characterize Changes in Drug Use To Provide Early Identification of New Patterns and Emerging Drug Abuse issues. Key Findings

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National Institute on Drug Abuse Community Epidemiology Work Group (CEWG)

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  1. NationalInstitute on Drug AbuseCommunity Epidemiology Work Group (CEWG) Established 1976

  2. United States Drug Observatories Albuquerque

  3. Goals: • To Characterize Changes in Drug Use • To Provide Early Identification of New • Patterns and Emerging Drug Abuse issues

  4. Key Findings January 2013

  5. Key Findings January 2013 Outbreaks of New Heroin Epidemics among White, young adults (aged 18-30) Rx Opioid Abusers and Addicts

  6. Key Findings January 2013 Cocaine still a major problem but with declining consequences in all areas

  7. * * STRIDE is a database of drug exhibits sent to DEA laboratories from the DEA, FBI, CBP, ICE, USCG, and Washington MPD. STRIDE is not a representative sample of drugs available in the United States, but reflects all evidence submitted to DEA laboratories for analysis. STRIDE data are not collected to reflect national market trends. Nonetheless, STRIDE data reflect the best information currently available on changes in cocaine price and purity. All Cocaine Purchases Domestic STRIDE DataJanuary 2007 – June 2012 $ 175.16 48.1 % $ 97.64 From January 2007 through June 2012, the price per pure gram of Cocaine increased 79.4%, from $97.64 to $175.16 while the purity decreased 28.3%, from 67.1% to 48.1%. *During 2nd Qtr. 2012, the number of cocaine samples analyzed for the STRIDE dataset decreased significantly as compared to 1st Qtr. 2012 due to resource limitations.

  8. Key Findings January 2013 3. Most drug deaths involve a combination of benzodiazepine (depressant) with opioid (narcotic pain reliever)

  9. Percent of Other Drugs Detected in the 1,185 Lethal Oxycodone Deaths in Florida: 2009 % Detected Source: Analysis of 2009 Florida Medical Examiner Commission Complete Electronic Database by Nova Southeastern University Center for Study & Prevention of Substance Abuse

  10. 33.1 16.8* 46.7 46.7 41.5 41.5 13.6* 13.6* 25.5 13.2 49.2 49.2 28.7* 28.7* 26.8 42.9* 42.9* 27.7 27.7 9.0* 15.5* 0.0* 0.0* 0.0* 38.2 9.5 22.5 22.5 35.1 35.1 39.2 39.2 13.7 12.0 41.8 41.8 14.9 17.8* 135.6 135.6 14.9 14.9 19.4 62.2 62.2 8.0* 8.0* 4.5* 9.1* 21.8 21.8 18.2 22.2 22.2 63.3 103.2 103.2 22.7* 17.7* 17.7* 14.8* 5.8* 42.9 104.2 104.2 144.0 144.0 14.8* 14.8* 13.7* 37.0 37.0 15.1 63.9 63.9 69.1 69.1 10.5* 11.3* 60.4 60.4 118.2 76.3 76.3 11.4 80.1 80.1 46.5 11.5 37.9 37.9 95.3 95.3 75.4 75.4 24.5 Top Counties with Opiate Drug Overdose Deaths and DOH Harm Reduction (Naloxone) Efforts, 2010-2011 Rio Arriba County 279 enrollees 166 OD Reversals 12 Heroin Deaths Santa Fe County 50 enrollees 12 OD Reversals 19 Heroin Deaths NOTE: Clients have the opportunity to enroll in the Naloxone Program at state-funded syringe exchange sites and some public health offices. * Bernalillo County 1,521 enrollees 96 OD Reversals 77 Heroin Deaths 391 Reversals Enrollees elsewhere: 79 OD Reversals elsewhere: 4 Heroin Deaths elsewhere: 55 * Source: OMI and DOH Harm Reduction Program.

  11. Key Findings January 2013 4. Marijuana is ubiquitous! # 1 for rise in “drugged driving”

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

  13. Percent of high school students having riddenordrivenin the past 30 days with or as driver having used marijuanaor alcohol RODE with Driver who had used marijuana or alcohol DROVE after using marijuana or drinking alcohol % Reporting % Reporting Source: FL-DCF - 2012 Florida Youth Substance Abuse Survey

  14. Key Findings January 2013 5. Emerging synthetic drugs such as fake marijuana and stimulants may have peaked in mid 2012 with less retail access but more illicit street sales

  15. Molly Methylone is beta-ketone MDMA

  16. Molly’s Not Pure MDMA but…. methylone bk- 3,4 methylenedioxy-methcathinone 96 Crime Lab Cases March – October 2012 in Broward County 276 Crime Lab Cases in Miami-Dade County during 2012

  17. Key Findings January 2013 6. Methamphetamine consequences are stable (low where they have been low and high where they have been high). ? d or l

  18. Taos Alive Improving a Community in Pain By Julie Martinez CPS

  19. DEA Take Back • April 28, 2012 – 20 kg Collected • Taos Police • Tribal Police • Taos County Sherriff • September 29, 2012 - • Taos Police • Tribal Police • State Police • Taos County Sherriff • Questa Police • Colorado State Troopers • April 27, 2013 Next one.

  20. Permanent Drop Box

  21. Brochure for Prescriptions Lockyouremeds.org

  22. Environmental Strategies • Prescriber Training • Hospital Opiate Prescribing Guidelines • Non-DEA Take Back

  23. Holy Cross Hospital ER Opiate Prescribing Guidelines

  24. Narcan Project Modeled on Project Lazarus. to reverse OD and keeping people alive until they can seek treatment. • Also help prevent accidental OD for children or adults taking sedative combinations.

  25. Safecommunity.net Improve Poisoning Interventions Reduce Access To Drugs Reduce Inappropriate Rx Use Substance Abuse Prevention Integrate Mental Health Care Early Intervention. Drug Treatment. And Recovery

  26. Patient Education for Narcan Kit

  27. Prescription Drug Abuse Initiative of Taos Alive • Increase use of PDMP by local providers • Presentations to High Schools and Senior Centers

  28. What is Project ECHO? • Extension forCommunityHealthcareOutcomes • Initial focus on expanding access to hepatitis C treatment • Goal: Help Primary Care Practitioners in underserved areas to deliver treatment that has previously been provided only by specialists

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