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82 EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Denver and Colorado Exhibit 11. Colorado Cumulative AIDS Cases by Gender and Exposure Category Through September 30, 2004 Gender/Exposure Category AIDS Cases Number Percent of Total Individuals with HIV Who Have Not Progressed to AIDS Number Percent of Total Total Cases (N) Gender 8,270 100 3,772 100 Male 7,618 92.1 3,403 90.2 Female Exposure Category 652 7.9 369 9.8 Men/sex/men 5,558 67.2 2,402 63.7 Injecting drug user (IDU) 768 9.3 405 10.7 MSM and IDU 900 10.9 357 9.5 Heterosexual contact 497 6.0 317 8.4 Other 186 2.2 50 1.3 Risk not identified 361 4.4 241 6.4 SOURCE: CDPHE Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005
EPIDEMIOLOGIC TRENDS IN DRUG ABUSE—Honolulu, Hawai'i Illicit Drug Use in Honolulu and the State of Hawai'i D. William Wood, M.P.H., Ph.D. 1 ABSTRACT Methamphetamine abuse indicators were variable in 2004. Numbers of deaths were higher, treatment admissions were down a little, and police cases were also slightly lower. This period also saw variation for the indicators of cocaine use. The numbers of deaths and treatment admissions were down, while police cases increased slightly. Heroin use was down across all indicators, with the number of deaths and treatment admissions lower. Marijuana use was also down across all indicators. Oxycodone use appeared to have increased, with deaths up dramatically and drug seizures totaling an increase from previous periods. Oxycodone treatment admissions are now being reported and are thought to be higher than during previous periods. The Medical Examiner’s office reported 25 decedents with positive methadone toxicology in 2004. INTRODUCTION This report presents current information on illicit drug use in Hawai'i, based on the Honolulu Community Epidemiology Work Group (CEWG), described later in this section. Area Description Hawai'i, the Aloha State, had a population of 1,211,537 as of April 1, 2000, and by July 1, 2003, the population was estimated to be 3.8 percent higher, at 1,257,608. Kaua’i County City and County of Honolulu State of Hawai’i Maui County Hawai’i County 1 The author is affiliated with the Department of Sociology, University of Hawai'i at Manoa, Honolulu, Hawai'i. The State’s population is differentially distributed across the seven major islands of the Hawaiian chain, shown in the figure above. There are 26 islands within the State’s boundaries, which extend from South Point on the Big Island of Hawai'i (the most southerly point in the United States) to Kure atoll, near Midway Island. The chain spans a total of 1,200 miles from one end to the other. The City and County of Honolulu has 72.3 percent of the State population. Hawai'i, the Big Island, has 12.3 percent of the population, followed by Maui County (10.6 percent) and Kaua'i County (4.4 percent). The landmass of the State is 6,423 square miles, with a population density of 188.6 persons per square mile. The age and gender makeup of the State are shown in the following population pyramid, which reflects that males and females are about equally represented (sex ratio [males/100 females] = 100.96) and the median age is 36.2. While there is some variation by county, it is not significant. The dependency ratio (the number of other persons people of employment age must support) is 0.51, meaning that for every 10 persons of working age in Hawai'i (15–64 years of age), they must support, in addition to themselves, 5.1 other people. State of Hawaii, State of Hawai’i Population Pyramid (Percents), Population Pyramid 2000 (Percents): Census 2000 Census 90-94 Females Males 10.0 8.0 6.0 4.0 2.0 0.0 2.0 4.0 6.0 8.0 10.0 Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 83 Age Group 100+ 80-84 70-74 60-64 50-54 40-44 30-34 20-24 10-14 0-4 Percent
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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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Page 38 and 39: 32 EPIDEMIOLOGIC TRENDS IN DRUG ABU
Page 44 and 45: • Logan International Airport and
Page 46 and 47: In 2002, heroin/morphine was indica
Page 48 and 49: The FY 2004 racial distribution for
Page 58 and 59: • Emergency department (ED) drug
Page 60 and 61: monly mentioned secondary drug amon
Page 62 and 63: Between 2001 and 2003, the Illinois
Page 64 and 65: In the NIHU Study, 20 percent of pa
Page 66 and 67: Ecstasy remained available in most
Page 70 and 71: EPIDEMIOLOGIC TRENDS IN DRUG ABUSE
Page 72 and 73: 66 and analyzed by the Division of
Page 74 and 75: ounce in the Denver metropolitan ar
Page 76 and 77: 18 at the time of admission to trea
Page 78 and 79: Injecting had been the most common
Page 80 and 81: alcohol; 651 involved alcohol-in-co
Page 90 and 91: The economy in Hawai'i, after a dec
Page 92 and 93: Methamphetamine remains the leading
Page 94 and 95: methamphetamine, representing 76.5
Page 96 and 97: Of interest in this chart is the ag
Page 102 and 103: EPIDEMIOLOGIC TRENDS IN DRUG ABUSE
Page 104 and 105: 98 weighted DAWN data released by S
Page 106 and 107: A total of 5,425 cocaine arrests wa
Page 108 and 109: data, however, rising from 1.5 perc
Page 110 and 111: According to NDIC, California and M
Page 112 and 113: and 15 items were identified as pse
Page 114 and 115: most frequently reported secondary
Page 116 and 117: esidents are living with advanced H
Page 118 and 119: 112 EPIDEMIOLOGIC TRENDS IN DRUG AB
Page 128 and 129: (DAWN) that monitors emergency depa
Page 130 and 131: Beginning in 2003, SAMHSA’s natio
Page 132 and 133: 65 percent were older than 34. The
Page 134 and 135: the 1,198 drug abuse ED reports in
Page 136 and 137: “Crystal” or smokeable methamph
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132 EPIDEMIOLOGIC TRENDS IN DRUG AB
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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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imipramine) are an older class of m
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The term “lag” refers to the pe
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costs $1,200-$1,500, compared with
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ties. In the DFW area, Mexican mari
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The 2004 secondary school survey re
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nio and two 2-ounce bottles cost $1
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age may be partially due to the fac
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York and Miami (Pach et al. 2002).
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In 2003, heroin was the primary sub
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opolitan Police Department report t
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International Report
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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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