NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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296 EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Washington, DC Exhibit 1a. Data Completeness for Washington, DC, Metropolitan Area DAWN Emergency Departments (n=30), 1 by Month: 2004 Data Number of EDs by Month Completeness Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Basically Complete 1 9 11 11 12 10 11 13 8 8 9 9 7 Partially Complete 2 4 2 2 1 3 2 2 5 3 3 3 2 Incomplete 3 0 0 1 0 0 1 0 2 0 2 1 4 No Data Reported 17 17 16 17 17 16 15 15 19 16 17 17 Total EDs in Sample 4 30 30 30 30 30 30 30 30 30 30 30 30 1 Total eligible hospitals in area = 34; Hospitals in DAWN sample = 29; Hospitals not in DAWN Sample = 5. Tables reflect cases that have been received by DAWN as of 1/18/05, 1:13 P.M. ET. 2 3 4 5 90%+ Complete; 50% to 89% Complete; Less than 50% Complete; Some hospitals in the DAWN sample have more than one emergency department. All DAWN cases are reviewed for quality control. Based on this review, cases may be corrected or deleted. Therefore, these data are subject to change. SOURCE: DAWN Live!, OAS, SAMHSA, updated 1/18/2005 Exhibit 1b. Major Substances of Abuse in ED Reports in the Washington, DC, Metropolitan Area, by Substance (Unweighted 1 ): 2004 Cocaine Alcohol Heroin Marijuana PCP Stimulants MDMA Inhalants Misc. Halludinogens Combinations NTA LSD GHB Ketamine 18 14 8 7 1 82 55 104 275 1 The unweighted data are from 11 to 15 Washington, DC, EDs reporting to DAWN. All DAWN cases are reviewed for quality control. Based on this review, cases may be corrected or deleted and, therefore, are subject to change. SOURCE: DAWN Live!, OAS, SAMHSA, updated 1/18/2005, 1:13 pm ET. 1,210 1,442 2,438 2,728 Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005
EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Washington, DC Exhibit 2. Drug-Related Deaths in Washington, DC: 1997–2002 Drug 1997 1998 1999 2000 2001 2002 Single- Drug Deaths, 2002 Alcohol-in-Combination 29 44 37 26 17 37 N/A Cocaine 33 63 64 54 42 58 27 Heroin/Morphine 41 53 41 36 15 20 4 Marijuana – – – 1 1 _ _ Amphetamines – – – 1 – 1 _ Methamphetamine – 1 – 1 – 1 _ Club Drugs 1 – – – – – _ _ Hallucinogens 2 1 – 2 1 3 8 2 Inhalants – – – – – _ _ Narcotic Analgesics 3 6 22 15 20 6 26 6 Other Analgesics 2 3 3 2 1 1 1 Benzodiazepines 13 13 11 10 1 4 _ Antidepressants 4 14 11 4 1 _ _ All Other 3 7 30 18 10 1 5 1 Total Drug Deaths 79 145 121 100 53 91 41 Total Drug Mentions 136 243 202 166 88 161 41 Total Deaths Certified 1,414 1,607 1,763 1,751 1,582 1,754 N/A 1 Includes ecstasy (MDMA), ketamine, GHB-GBL, and Rohypnol. 2 Includes PCP, LSD, and miscellaneous hallucinogens. 3 Not tabulated above. SOURCES: DAWN 2002 9/2003 Update, OAS, SAMHSA Exhibit 3a. Percentages of Treatment Admissions in Washington, DC, by Year: 2000–2003 Drug 2000 2001 2002 2003 Total Admissions (N) (6,025) (5,755) (5,659) (4,832) Powder Cocaine 7.4 8.2 12.7 9.6 Crack Cocaine 27.0 25.2 20.7 18.9 Heroin 35.2 37.9 39.2 41.9 Other Opiates 0.2 0.4 0.3 0.3 Marijuana 8.0 6.4 4.8 7.0 PCP 0.7 1.8 3.6 3.9 Alcohol 21.1 19.3 18.4 18.2 Amphetamines (includes methamphetamine) 0.2 0.6 0.3 0.2 SOURCE: TEDS, SAMHSA Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 297
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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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212 2004. Data from 2000-2002 DAWN
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purity dropped to 14.4 percent in 2
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No recent GHB incidents or deaths w
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correspond to decreases in total ad
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228 reports in drug-related visits;
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Marijuana Arrests for marijuana-rel
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positivity. UHS staff believe, on t
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236 are not estimates for the repor
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were evident. Excluding missing dat
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The characteristics of other opiate
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June 2004 (exhibit 6c). A minority
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Deaths involving depressants were a
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Page 266 and 267: EPIDEMIOLOGIC TRENDS IN DRUG ABUSE
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
Page 296 and 297: York and Miami (Pach et al. 2002).
Page 298 and 299: In 2003, heroin was the primary sub
Page 300 and 301: opolitan Police Department report t
Page 309: International Report
Page 312 and 313: Among GTC patients, marijuana was t
Page 314 and 315: Others (63.8 percent) were using a
Page 323: Panel on Methamphetamine Abuse: NID
Page 333: Appendix A New Drug Abuse Warning N
Page 336 and 337: DAWN LIVE! The new DAWN includes ca
Page 339 and 340: Participant List National Institute
Page 341 and 342: Janie B. Dargan, M.S.W. Policy Anal
Page 343: Martin P. Paulus, M.D. Associate Pr
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