NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...
NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...
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