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NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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NFLIS between October 2003 and September 2004<br />

(exhibit 6).<br />

The most recently available mortality data indicate 149<br />

heroin death mentions in 2002. The number of death<br />

mentions was down from 177 reported in 2001, however,<br />

and 179 reported in 2000. The slight downward<br />

trend in death mentions in 2002 is consistent with recent<br />

patterns in both treatment and ED data.<br />

Heroin purity is still very high, but it decreased<br />

somewhat in 2003 in the Newark PMSA. In 2001,<br />

heroin was 70.5 percent pure, and in 2002, it was<br />

71.4 percent pure. In 2003, however, heroin purity<br />

dropped to 61.3 percent pure. The price per gram<br />

between July and December 2004 was $25–$320<br />

(exhibit 7). In 2003, despite the drop in heroin purity,<br />

the Newark PMSA had the highest heroin purity coupled<br />

with the lowest price among the 21 DAWN cities.<br />

According to the DEA, almost all the heroin sold<br />

in the Newark PMSA is South American.<br />

Opiates Other Than Heroin<br />

In the first half of 2004, primary treatment admissions<br />

for “other opiates or synthetics” in Newark City<br />

totaled six (0.3 percent of the admissions, excluding<br />

alcohol admissions). The number was higher in the<br />

PMSA—86 (1.4 percent of the admissions, excluding<br />

alcohol). In 2003, figures for the city and PMSA,<br />

respectively, were 0.2 and 1.3 percent. In the State as<br />

a whole, primary admissions for other opiates in the<br />

first half of 2004 totaled 679, or 3.4 percent of all<br />

admissions, excluding alcohol. In 2003, the number<br />

of primary admissions for other opiates totaled 1,049,<br />

representing more than double the admissions reported<br />

in 1997 (513). The biggest increase in the<br />

number of other opiate admissions occurred between<br />

2000 (592) and 2002 (1,124). In 2003, the last year of<br />

full data for New Jersey, admissions reporting other<br />

opiates as a primary, secondary, or tertiary drug of<br />

abuse numbered 2,303 and accounted for nearly 6<br />

percent of all drug admissions statewide. In the<br />

TEDS data for 2003, 92 percent of the primary “other<br />

opiate” admissions were White and 6 percent were<br />

Black (exhibit 3). Only 5.5 percent of the primary<br />

“other opiate” admissions were Hispanic. About 63<br />

percent were male.<br />

ED data show 153 reports of narcotic analgesics/combinations<br />

between January and June 2004.<br />

Reports of methadone account for a substantial proportion<br />

of the total reports: 36.7 percent (n=56).<br />

In 2002, there were 151 ME death mentions for narcotic<br />

analgesic/combinations, representing the largest<br />

number of death mentions for any drug. Although the<br />

148<br />

<strong>EPIDEMIOLOGIC</strong> TRENDS IN <strong>DRUG</strong> <strong>ABUSE</strong>—Newark PMSA<br />

number of mentions was down from 190 in 2001, the<br />

number of mentions was more than twice that reported<br />

in 2000 (75) and more than 3 times the number<br />

in 1999 (44).<br />

Marijuana<br />

Primary marijuana treatment admissions represented<br />

7.2 percent of all treatment admissions in Newark<br />

City in the first half of 2004, compared with 9.1 percent<br />

in the Newark PMSA and 12.1 percent in the<br />

State as a whole. As a proportion of illicit drug treatment<br />

admissions, marijuana accounted for 7.9 percent<br />

in Newark City and 11.3 percent in the Newark<br />

PMSA (exhibit 1) in the first half of 2004, both approximately<br />

1 percentage point higher than in 2003<br />

(exhibit 2).<br />

Statewide primary marijuana admissions (excluding<br />

alcohol) were more than twice the proportion of those<br />

in Newark City (16.6 vs. 7.9 percent) and more than<br />

5 percentage points higher than those in the Newark<br />

PMSA (16.6 percent and 11.3 percent, respectively)<br />

(exhibit 1). Statewide TEDS data for 2003 indicate<br />

that 82 percent of primary marijuana admissions were<br />

male, 55 percent were White, and 40 percent were<br />

Black (exhibit 3). About 18 percent of primary marijuana<br />

admissions statewide were Hispanic. Across<br />

the State, approximately 50 percent of primary marijuana<br />

admissions were younger than 21, and about 73<br />

percent were younger than 26.<br />

The number of marijuana ED reports between January<br />

and June 2004 for all causes was 257. Approximately<br />

58 percent of the marijuana reports were<br />

made by individuals younger than 30. The three most<br />

frequent chief complaints when presenting with a<br />

marijuana report were other reasons (38 percent),<br />

psychiatric condition (33 percent), and altered mental<br />

status (21 percent).<br />

Among the 2,760 items analyzed by NFLIS between<br />

October 2003 and September 2004, marijuana accounted<br />

for 10.2 percent (281 items) (exhibit 6).<br />

Between July and December 2004, locally produced<br />

marijuana sold in Newark for $5–$30 per bag (exhibit<br />

7).<br />

Benzodiazepines and Barbiturates<br />

In an analysis run January 13, 2005, the DAWN Live!<br />

system recorded 208 benzodiazepine ED reports for<br />

all causes between January and June 2004 (exhibit 4).<br />

There were also 20 barbiturates ED reports for all<br />

causes.<br />

Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005

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