NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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256 EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Seattle-King County Area Exhibit 10. Syringes Exchanged and Number of Encounters for King County Syringe Exchanges: 2002–2004 2002 2003 2004 Syringes Exchanged 1,801,151 1,969,522 2,183,150 Encounters 1 73,752 65,593 63,898 Avg. Number of Syringes Per Encounter 24 30 34 1 Encounters are duplicated. SOURCE: Public Health – Seattle & King County, HIV/AIDS Program Exhibit 11. Prescription Opiates Sold to Hospitals and Pharmacies, King County Area 1 (Grams of Active Ingredient Per 100,000 Population Per Year): 1997–June 2004 Active Ingredient 1997 1998 1999 2000 2001 2002 2003 1H 2004 Percent Change 2 Codeine 9,311 8,651 8,318 … 7,190 … 6,789 6,384 -31% Oxycodone 3,328 4,662 6,032 7,615 10,012 11,133 13,702 14,237 328% Hydromorphone 179 158 175 … 244 252 322 … 80% Hydrocodone 2,868 3,103 3,542 3,772 4,212 5,127 5,530 5,713 99% Meperidine 2,346 2,214 2,085 … 1,931 … 1,641 1,424 -39% Methadone 561 682 839 … 1,442 1,843 2,575 3,252 480% Morphine 3,071 3,314 3,404 … 4,170 … 5,781 7,022 129% Fentanyl 40 45 48 … 72 … 109 105 162% 1 Data are for Zip Codes 980xx and 981xx, which approximate King County boundaries. Data not adjusted for widely varying potencies (morphine equivalencies) of these substances. 2 1997 through last year of available data. SOURCE: ARCOS/DEA http://www.deadiversion.usdoj.gov/arcos/retail_drug_summary/index.html Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005
EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Seattle-King County Area Exhibit 12. Comparison of HIV and HCV Seroprevalence by Primary Injection Drug and MSM 1 Status in Recently Arrested Male Injectors, Seattle-King County, Kiwi Study: 1998–2002 MSM Status and Primary HIV Hepatitis C Injection Drug N Percent HIV+ N Percent HCV+ Never-MSM heroin injectors 553 2.0 364 78.3 Never-MSM amphetamine 2 injectors 343 1.1 307 38.1 MSM heroin injectors 32 9.7 16 75.0 MSM amphetamine injectors 41 29.3 32 37.5 1 MSM=male-male sex in the past year. 2 ’Amphetamine’ was the term used in some data collection, but it is believed that the findings related directly to methamphetamine specifically. SOURCE: Public Health – Seattle & King County Exhibit 13. Number of Methamphetamine Labs and Dump Sites Reported in King and Neighboring Counties: 1990–2004 Number of Methamphetamine Incidents, Labs, and Dump Sites 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 0 SOURCE: Washington State Department of Ecology 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 King 6 10 2 7 7 10 23 17 48 107 231 271 241 202 199 Kitsap 1 1 2 1 3 1 21 45 54 60 50 44 Pierce 10 18 18 12 17 17 53 42 129 318 545 589 438 466 541 Snohomish 2 2 2 7 6 5 13 37 69 83 98 101 WA State TOTAL 38 43 40 42 36 54 153 203 349 789 1,454 1,890 1,693 1,480 1337 Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 257
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NATIONAL INSTITUTE ON DRUG ABUSE EP
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Foreword This publication includes
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EPIDEMIOLOGIC TRENDS IN DRUG ABUSE
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2 EPIDEMIOLOGIC TRENDS IN DRUG ABUS
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Epidemiology of Drug Abuse: CEWG Ar
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• The city of Atlanta has become
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In the first 6 months of 2004, trea
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eports (exhibit 2), while African-A
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population) than in 2002 (17.2 per
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16 EPIDEMIOLOGIC TRENDS IN DRUG ABU
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data from the Drug Abuse Warning Ne
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than age 18, compared to 4 percent
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More often than not, marijuana use
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Solomon, L.; Flynn, C.; Muck, K.; e
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• Logan International Airport and
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In 2002, heroin/morphine was indica
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The FY 2004 racial distribution for
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• Emergency department (ED) drug
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monly mentioned secondary drug amon
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Between 2001 and 2003, the Illinois
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In the NIHU Study, 20 percent of pa
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Ecstasy remained available in most
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66 and analyzed by the Division of
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ounce in the Denver metropolitan ar
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18 at the time of admission to trea
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Injecting had been the most common
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alcohol; 651 involved alcohol-in-co
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The economy in Hawai'i, after a dec
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Methamphetamine remains the leading
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methamphetamine, representing 76.5
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Of interest in this chart is the ag
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98 weighted DAWN data released by S
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A total of 5,425 cocaine arrests wa
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data, however, rising from 1.5 perc
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According to NDIC, California and M
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and 15 items were identified as pse
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most frequently reported secondary
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esidents are living with advanced H
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112 EPIDEMIOLOGIC TRENDS IN DRUG AB
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(DAWN) that monitors emergency depa
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Beginning in 2003, SAMHSA’s natio
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65 percent were older than 34. The
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the 1,198 drug abuse ED reports in
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“Crystal” or smokeable methamph
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tion was injection (62.9 percent),
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included reports of ED cases involv
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From November 10 to 16, 2004, 18 me
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NFLIS between October 2003 and Sept
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from 12.2 percent in the first half
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156 2003. Anecdotal information on
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Brownsville, and El Paso. African-A
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ground economy, it was estimated th
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According to street interviews, mos
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that crack sells for about $28,000-
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Benloton, X-man, 911, Lean Back, Se
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DAWN ME mentions for marijuana-invo
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ecstasy. MDMA ED mentions may be st
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the deaths, while Whites constitute
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2000 reported that the average hero
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for this drug, making olanzapine th
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ADHS/DBHS reported that more than o
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Marijuana is widely available in Ar
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Page 212 and 213: 206 EPIDEMIOLOGIC TRENDS IN DRUG AB
Page 216 and 217: EPIDEMIOLOGIC TRENDS IN DRUG ABUSE
Page 218 and 219: 212 2004. Data from 2000-2002 DAWN
Page 220 and 221: purity dropped to 14.4 percent in 2
Page 222 and 223: No recent GHB incidents or deaths w
Page 228 and 229: correspond to decreases in total ad
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Page 236 and 237: Marijuana Arrests for marijuana-rel
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Page 244 and 245: were evident. Excluding missing dat
Page 246 and 247: The characteristics of other opiate
Page 248 and 249: June 2004 (exhibit 6c). A minority
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Page 252 and 253: imipramine) are an older class of m
Page 268 and 269: The term “lag” refers to the pe
Page 270 and 271: costs $1,200-$1,500, compared with
Page 272 and 273: ties. In the DFW area, Mexican mari
Page 274 and 275: The 2004 secondary school survey re
Page 276 and 277: nio and two 2-ounce bottles cost $1
Page 278 and 279: age may be partially due to the fac
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Page 298 and 299: In 2003, heroin was the primary sub
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Among GTC patients, marijuana was t
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Others (63.8 percent) were using a
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Panel on Methamphetamine Abuse: NID
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Appendix A New Drug Abuse Warning N
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DAWN LIVE! The new DAWN includes ca
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Participant List National Institute
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Janie B. Dargan, M.S.W. Policy Anal
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Martin P. Paulus, M.D. Associate Pr
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