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CEWG January 09 Full Report - National Institute on Drug Abuse

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EpidEmiologic TrEnds in drug AbusE: HigHligHTs And ExEcuTivE summAry<br />

heroin items were highest in Baltimore City (22.4<br />

percent) and Maryland (19.8 percent), compared<br />

with other <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas. Heroin drug items identified<br />

were lowest in Texas (1.7 percent), followed by<br />

Atlanta (1.8 percent) (figure 16; appendix table 2).<br />

Heroin was not ranked as the number <strong>on</strong>e<br />

most frequently identified drug in any of the<br />

<str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas in the first half of 2008 (secti<strong>on</strong> II,<br />

table 1), and it appeared as no higher than third<br />

in the rankings of drug items identified in that<br />

reporting period. However, it ranked third in<br />

all areas within the northeastern, southern, and<br />

midwestern regi<strong>on</strong>s, with the excepti<strong>on</strong> of Atlanta<br />

(where it ranked seventh) and Minneapolis/St.<br />

Paul (where it ranked fifth) in the South and Midwest,<br />

respectively.<br />

Heroin Domestic M<strong>on</strong>itor Program<br />

(HDMP) Price and Purity Data<br />

The map below (figure 17) depicts the most recent<br />

data <strong>on</strong> the average price per milligram pure and<br />

the average percentage of heroin purity across<br />

<str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas, as reported by the DEA’s HDMP<br />

for 2007. Data from the HDMP suggest that for<br />

CY 2007, SA heroin c<strong>on</strong>tinued to be the primary<br />

source of heroin east of the Mississippi River, as<br />

has been the case since the mid-1990s. Mexican<br />

black tar and, to a lesser extent, Mexican brown<br />

powder heroin dominated markets west of the<br />

Mississippi. Data shown here are c<strong>on</strong>fined to<br />

SA and Mexican heroin, since the availability of<br />

Southwest Asian heroin was limited in the <str<strong>on</strong>g>CEWG</str<strong>on</strong>g><br />

areas where it was reported—Atlanta, Baltimore<br />

Figure 16. Heroin Items Identified as a Percentage of Total NFLIS <strong>Drug</strong> Items, 22 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> Areas:<br />

1H 2008<br />

Baltimore City<br />

Maryland<br />

Chicago<br />

Philadelphia<br />

New York City<br />

Bost<strong>on</strong><br />

Washingt<strong>on</strong>, DC<br />

Albuquerque<br />

Detroit<br />

St. Louis<br />

Phoenix<br />

Cincinnati<br />

San Francisco<br />

Seattle<br />

Los Angeles<br />

San Diego<br />

Denver<br />

Minneapolis/St. Paul<br />

Miami<br />

H<strong>on</strong>olulu<br />

Atlanta<br />

Texas<br />

0 5 10 15 20 25<br />

7.4<br />

6.6<br />

6.4<br />

5.7<br />

5.4<br />

5.1<br />

4.1<br />

3.4<br />

3.3<br />

2.4<br />

2.2<br />

2.2<br />

1.8<br />

1.7<br />

10.6<br />

10.6<br />

10.0<br />

8.9<br />

8.7<br />

12.2<br />

19.8<br />

22.4<br />

SOURCE: NFLIS, DEA, received <str<strong>on</strong>g>January</str<strong>on</strong>g> 4, 20<str<strong>on</strong>g>09</str<strong>on</strong>g>; see appendix table 2<br />

80<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>

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