Secti<strong>on</strong> IV. Across <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> Areas: Treatment Admissi<strong>on</strong>s, Forensic Laboratory Analysis Data, and Average <strong>Drug</strong> Price and Purity Data Figure 18. Methamphetamine 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: 1H 2008 0 5 10 15 20 25 30 35 40 45 H<strong>on</strong>olulu Minneapolis/St. Paul Phoenix San Diego Albuquerque Atlanta Los Angeles San Francisco Denver Texas Seattle St. Louis Washingt<strong>on</strong>, DC Detroit Chicago New York City Miami Cincinnati Bost<strong>on</strong> Philadelphia Maryland Baltimore City 4.2 2.5 1.8 1.1 0.6 0.6 0.6 0.4 0.2 0.1 0.1 22.6 20.4 20.3 17.5 17.1 15.7 13.6 12.5 11.9 26.9 42.5 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 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> 91
EpidEmiologic TrEnds in drug AbusE: HigHligHTs And ExEcuTivE summAry Marijuana/Cannabis • Percentages of primary marijuana treatment admissi<strong>on</strong>s, including primary alcohol admissi<strong>on</strong>s, were highest in the first half of 2008 in Cincinnati (30.2 percent), followed by Miami/Dade County (26.9 percent), and Denver (24.3 percent). The lowest proporti<strong>on</strong>s of such admissi<strong>on</strong>s were in Bost<strong>on</strong> (3.1 percent) (table 11; appendix table 1). • Marijuana did not rank first as the primary drug problem in total drug admissi<strong>on</strong>s (including alcohol admissi<strong>on</strong>s) in any <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> area; however, marijuana ranked sec<strong>on</strong>d in 8 of 21 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas, covering all four regi<strong>on</strong>s (secti<strong>on</strong> II, table 2). • Cannabis/marijuana ranked first in frequency in the proporti<strong>on</strong> of drug items identified in forensic laboratories in the first half of 2008 in 8 of 22 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas. These areas are Bost<strong>on</strong>, Chicago, Cincinnati, Detroit, St. Louis, Phoenix, San Diego, and Maryland (table 1). The highest proporti<strong>on</strong>s of marijuana items identified were in Chicago, San Diego, and St. Louis, at approximately 56, 51, and 50 percent, respectively (figure 19; appendix table 2). Treatment Admissi<strong>on</strong> Data <strong>on</strong> Marijuana In the first half of 2008 reporting period, marijuana/cannabis did not rank as the most frequently reported drug by primary treatment admissi<strong>on</strong>s in any <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> area, when primary alcohol admissi<strong>on</strong>s were included in the total (secti<strong>on</strong> II, table 2). However, marijuana ranked sec<strong>on</strong>d am<strong>on</strong>g primary drugs of admissi<strong>on</strong> in Miami/Dade County, Philadelphia, Cincinnati, Minneapolis/St. Paul, St. Louis, Denver, and the States of Colorado and Texas (secti<strong>on</strong> II, table 2). As shown in table 11, Cincinnati had the highest percentage of primary marijuana treatment admissi<strong>on</strong>s, including primary alcohol admissi<strong>on</strong>s, at 30.2 percent. In all, three other <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas, besides Cincinnati, had percentages of marijuana treatment admissi<strong>on</strong>s close to <strong>on</strong>e-quarter: Miami/Dade County (26.9 percent), Denver (24.3 percent), and Philadelphia (23.7 percent). The lowest proporti<strong>on</strong>s of marijuana treatment admissi<strong>on</strong>s was reported in Bost<strong>on</strong>, at 3.1 percent. Forensic Laboratory Data <strong>on</strong> Marijuana Chicago had the highest percentage of marijuana identified by NFLIS laboratories in the first half of 2008 (55.9 percent), followed by San Diego (50.6 percent) (figure 19 and appendix table 2). The proporti<strong>on</strong>s of cannabis drug items identified in the other 20 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas were highest in St. Louis (49.9 percent), Detroit (46.0 percent), Cincinnati (44.7 percent), Bost<strong>on</strong> (43.4 percent), and Phoenix (40.3 percent). The remaining <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> sites had percentages ranging from 1.5 percent (Atlanta) 8 to 37.9 percent (Maryland) for cannabis drug items identified (figure 19). Cannabis ranked in either first or sec<strong>on</strong>d place am<strong>on</strong>g drug items most frequently identified in all <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas, with the excepti<strong>on</strong> of Atlanta, in the first half of 2008. Cannabis ranked in first place am<strong>on</strong>g identified drugs in 8 of 22 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas in the period: Maryland, Bost<strong>on</strong>, Detroit, Chicago, St. Louis, Cincinnati, San Diego, and Phoenix. It was the sec<strong>on</strong>d most frequently identified drug item in the first half of 2008 NFLIS data in another 13 <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas (secti<strong>on</strong> II, table 1). This represents a change for Atlanta and Minneapolis/ 8 In 2004, Georgia initiated a statewide administrative policy that when cannabis is seized by law enforcement offcers, laboratory testing is not required. This results in artificially low numbers of such drug items identified in this <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> area relative to other <str<strong>on</strong>g>CEWG</str<strong>on</strong>g> areas. 92 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>