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NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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DAWN ME mentions for marijuana-involved deaths in<br />

the New York City metropolitan area numbered 55 in<br />

2002, which was the second highest among CEWG areas.<br />

This number represents an increase of 189 percent<br />

since 1999.<br />

Adult male arrestees in the ADAM samples for 2003<br />

were much more likely to test positive for marijuana<br />

than for any of the other drugs, including cocaine—a<br />

change from previous years. Approximately 43.1 percent<br />

of male arrestees tested positive for marijuana. Female<br />

arrestees were more likely to test positive for marijuana<br />

than for opiates, with 36.7 percent of females testing<br />

positive for marijuana.<br />

According to National Forensic Laboratory Information<br />

System data, 20 percent of the cases for New York City<br />

in 2003 (13,266) were related to cannabis.<br />

According to the DEA, marijuana prices can range from<br />

$1,000 to $2,000 per pound wholesale and from $3,000<br />

to $5,000 per pound for hydroponic marijuana.<br />

In spite of decriminalizing possession of small amounts<br />

of marijuana, the NYPD continues to make a large number<br />

of marijuana-related arrests in New York City. The<br />

number of arrests has stabilized, however (exhibit 5).<br />

Cannabis-involved arrests had reached a low of 4,762 in<br />

1991, but they increased more than 12 times in the next 9<br />

years to 60,455 in 2000. Arrests for 2002 (47,250) were<br />

at the same level as in 2001, which was the second largest<br />

yearly total. For arrests in 2002, approximately 98<br />

percent were for misdemeanors, and 32 percent involved<br />

persons age 20 or younger. Moreover, cannabis arrests<br />

accounted for 48 percent of all drug arrests in New York<br />

City in 2002, a dramatic change from earlier years and a<br />

continuation of the trend seen in the last 5 years.<br />

Stimulants<br />

Although methamphetamine is popular in other parts of<br />

the Nation, there were relatively few arrests, ED mentions,<br />

deaths, ADAM arrestee positives, or treatment<br />

admissions related to the drug in New York City. For<br />

example, in 2000, only three methamphetamine deaths<br />

were reported in the five boroughs of New York City.<br />

No adult arrestees in the 2003 ADAM sample tested<br />

positive for the drug. According to a November 2003<br />

report by the Drug Enforcement Administration, New<br />

York Field Division, “While methamphetamine trafficking<br />

and abuse are at relatively low levels in New York<br />

State and City when compared to cocaine and heroin,<br />

there are indications of increasing availability and use.”<br />

For example, while the total number of methamphetamine<br />

ED mentions in 2002 was small (63), it reflected a<br />

172<br />

<strong>EPIDEMIOLOGIC</strong> TRENDS IN <strong>DRUG</strong> <strong>ABUSE</strong>—New York City<br />

174-percent increase from 1995 (23 mentions). Similarly,<br />

although methamphetamine treatment admissions<br />

have typically represented less than 0.2 percent of all<br />

admissions to treatment in New York State, they increased<br />

from 336 statewide in 1995 to 807 in 2003.<br />

Moreover, the New York State Police reported an increase<br />

in clandestine lab incidents in the State, from 2<br />

in 1999 to 73 in 2003. Interestingly, an analysis of lab<br />

seizures and treatment admissions shows that there<br />

appears to be a strong relationship between methamphetamine<br />

treatment admissions and counties where the<br />

State Police have shut down methamphetamine labs.<br />

According to the SSU, numerous sources in the gay<br />

community are concerned that the use of this drug is<br />

spreading among young gay males who frequent clubs<br />

and that the drug facilitates the spread of HIV. A number<br />

of gay male users have reported experiencing<br />

crystal methamphetamine binges during which they<br />

have engaged in unsafe sexual activity. There are also<br />

indications that the use of methamphetamine has spread<br />

and is increasing among the “non gay” club-going<br />

crowd and college students. Methamphetamine is also<br />

known as Crystal, Tina, Christina, Crank, Ice, speed,<br />

and chalk.<br />

Depressants<br />

While some indicators of the nonmedical use of psychoactive<br />

prescription drugs (e.g., hospital<br />

emergencies, deaths, and treatment admissions) have<br />

not been increasing, the SSU continues to report a variety<br />

of drugs readily available on the street for $1 or<br />

more per pill.<br />

Alprazolam (Xanax) and clonazepam (Klonopin) ED<br />

mentions have been increasing since the mid-1990s,<br />

while diazepam (Valium) mentions have been declining.<br />

Alprazolam mentions increased 92 percent, from<br />

333 in 1995 to 638 in 2002. Clonazepam mentions increased<br />

182 percent, from 117 in 1995 to 330 in 2002.<br />

Moreover, clonazepam mentions increased 48 percent<br />

from 2000 to 2002 (from 223 to 330). Conversely, diazepam<br />

mentions decreased 58 percent, from 450 in<br />

1995 to 189 in 2002. Diazepam mentions also exhibited<br />

recent declines, falling 43 percent between 2000 and<br />

2002 and 32 percent between 2001 and 2002. Lorazepam<br />

mentions remained stable, with 143 mentions in<br />

2002. In addition to these specific benzodiazepines,<br />

mentions of benzodiazepines not otherwise specified<br />

(NOS) increased 620 percent from 73 in 1995 to 526 in<br />

2002. There continue to be few (about 1 percent) treatment<br />

admissions with a psychoactive prescription drug<br />

as a primary drug of abuse.<br />

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

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