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CEWG January 09 Full Report - National Institute on Drug Abuse

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Secti<strong>on</strong> III. <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> Area Update Briefs and Internati<strong>on</strong>al Presentati<strong>on</strong>s<br />

intenti<strong>on</strong>al, unintenti<strong>on</strong>al, adverse reacti<strong>on</strong>, other,<br />

or unknown. Most of the exposures involve intenti<strong>on</strong>al<br />

abuse/misuse/suspected suicide, but all were<br />

captured in the data set. All exposure cases are for<br />

human cases <strong>on</strong>ly; animal cases were excluded, as<br />

were “c<strong>on</strong>firmed” n<strong>on</strong>exposure cases. <strong>Drug</strong> seizure<br />

data were provided by the Cincinnati Police<br />

Department and the RENU for illicit drugs seized<br />

in Hamilt<strong>on</strong> County. Forensic laboratory data<br />

were provided by the <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> Forensic Laboratory<br />

Informati<strong>on</strong> System for FY 2008. Additi<strong>on</strong>al qualitative<br />

and drug seizure data were provided by the<br />

Greater Warren County <strong>Drug</strong> Task Force. Methamphetamine<br />

clandestine lab data were provided<br />

by the Ohio Bureau of Criminal Identificati<strong>on</strong> and<br />

Investigati<strong>on</strong>.<br />

<strong>Drug</strong> <strong>Abuse</strong> Patterns and Trends in<br />

Colorado and the Denver/Boulder<br />

Metropolitan Area—Update:<br />

<str<strong>on</strong>g>January</str<strong>on</strong>g> 20<str<strong>on</strong>g>09</str<strong>on</strong>g><br />

Bruce Mendels<strong>on</strong>, M.P.A.<br />

For inquiries c<strong>on</strong>cerning this report, please c<strong>on</strong>tact<br />

Bruce Mendels<strong>on</strong>, M.P.A., Senior Data C<strong>on</strong>sultant,<br />

Denver Department of Human Services, Offce of<br />

<strong>Drug</strong> Strategy, 1200 Federal Boulevard, Denver,<br />

CO 80204, Ph<strong>on</strong>e: 720–944–2158, Fax:720–944–<br />

3083, E-mail: bruce.mendels<strong>on</strong>@denvergov.org.<br />

Overview of Findings: With mostly stable<br />

or increasing trends, marijuana c<strong>on</strong>tinued to be a<br />

major drug of abuse in Colorado and the Denver/<br />

Boulder metropolitan area based <strong>on</strong> treatment<br />

admissi<strong>on</strong>s, hospital discharges, law enforcement<br />

drug testing, emergency department (ED)<br />

visits, and adult and juvenile arrests. Likewise,<br />

with mostly stable or increasing trends, cocaine<br />

c<strong>on</strong>tinued to be at or near the top of Colorado<br />

and Denver/Boulder area indicators, including<br />

treatment admissi<strong>on</strong>s, hospital discharges,<br />

ED visits, drug-related mortality, pois<strong>on</strong> center<br />

calls, and law enforcement drug testing. C<strong>on</strong>versely,<br />

am<strong>on</strong>g Colorado and Denver/Boulder<br />

area indicators, methamphetamine presented<br />

more of a mixed picture, with stable or downward<br />

treatment admissi<strong>on</strong>s, declining lab seizures,<br />

and relatively small proporti<strong>on</strong>s of ED visits and<br />

drug-related mortality. Many heroin abuse indicators<br />

decreased over the last several years, while<br />

pois<strong>on</strong> calls remained stable. However, it is likely<br />

that Denver heroin deaths are under-reported.<br />

Statewide and in the Denver/Boulder area, other<br />

opiates were a small but increasing percentage of<br />

treatment admissi<strong>on</strong>s, and were a substantial proporti<strong>on</strong><br />

of ED visits, and drug-related mortality.<br />

Bey<strong>on</strong>d abuse of illicit drugs, alcohol remained<br />

Colorado’s most frequently abused substance and<br />

accounted for the most treatment admissi<strong>on</strong>s, ED<br />

reports, pois<strong>on</strong> center calls, drug-related hospital<br />

discharges, and drug-related mortality.<br />

Updated <strong>Drug</strong> <strong>Abuse</strong> Trends and Emerging<br />

Patterns: Excluding alcohol, marijuana c<strong>on</strong>tinued<br />

to be the primary drug of abuse statewide<br />

and in greater Denver. During the first half of<br />

2008, it represented 37 percent of drug treatment<br />

admissi<strong>on</strong>s in Colorado, an increase from 34 percent<br />

during the first half of 2007. Marijuana accounted<br />

for 38 percent of Denver area admissi<strong>on</strong>s<br />

in the first half of 2008, an increase from 36 percent<br />

in the first half of 2007. In the first half of<br />

2008, there were 1,200 unweighted marijuana<br />

<strong>Drug</strong> <strong>Abuse</strong> Warning Network (DAWN) ED reports<br />

in greater Denver, representing 25.5 percent<br />

of the reports (excluding alcohol) and ranking<br />

third behind cocaine and n<strong>on</strong>heroin opiates.<br />

Marijuana ranked sec<strong>on</strong>d in 2007 Denver County<br />

hospital discharges (N=1,050; rate per<br />

100,000=181), but both the number and rate of<br />

such discharges declined from the 2006 peak<br />

(N=1,188; rate per 100,000=207). Also, cannabis<br />

was the sec<strong>on</strong>d most comm<strong>on</strong> drug submitted for<br />

testing by local law enforcement in the first half of<br />

2008 (<str<strong>on</strong>g>January</str<strong>on</strong>g>–June) in Denver and Arapahoe<br />

Counties, and ranked first in Jeffers<strong>on</strong> County.<br />

Federal drug seizures for marijuana across Colorado,<br />

after being relatively stable from 2003 (444.1<br />

kilograms) to 2006 (656.8 kilograms), nearly doubled<br />

to 1,149.5 kilograms in 2007. Total adult and<br />

juvenile marijuana arrests in Denver (both sales<br />

and possessi<strong>on</strong>) decreased from 3,235 in 2000 to<br />

Proceedings of the Community Epidemiology Work Group, <str<strong>on</strong>g>January</str<strong>on</strong>g> 20<str<strong>on</strong>g>09</str<strong>on</strong>g> 43

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