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Southeaster Florida NDEWS Update
Jim Hall [email protected] 1
Southeastern Florida:Emerging Drug Trends
Opiates and Methamphetamine
James N. Hall, Epidemiologist
Nova Southeastern University
Center for Applied Research on Substance Use
and Health Disparities
208271 250
230
150109
78 93119
9548 57
108
199
447
686
93149 132
10879
56 41 4061
44 35 30 4871
139
291
0
100
200
300
400
500
600
700
800
Number of Heroin Deaths in Florida and Southeastern Florida: 2000 to 2015
Florida SE Florida
Nu
mb
er
of
He
roin
De
ath
s
SOURCE: Florida Medical Examiners Commission Reports 2000-2015
2015 Florida Heroin Cases93 % Cause of Death95 % w/Other Drugs
2015 SE Florida Deaths42 % of State Total
with 30 % of population
Southeaster Florida NDEWS Update
Jim Hall [email protected] 2
Number of Lethal Rx Opioid, Illicitly Manufactured Fentanyl, andHeroin Occurrences Among Deceased Persons in Florida: 2000 to 2015*
* Projected Increase based on 2 X 1st Half of 2015
# “C
ause
of
De
ath
” O
ccu
rre
nce
s
Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Jan 2000 - June 2015 Reports
0
500
1000
1500
2000
2500
3000
3500
4000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2X1H
2015
Heroin
Fentanyl
Morphine
All Other Rx Opioids
3,529
Number of Hospital Cases for Non-Fatal Rx Opioid Poisonings in Florida: 2007-2014
Nu
mb
er
of
Rx
Op
ioid
Po
iso
nin
g P
atie
nts
Source: Analysis of data from the Florida Agency for Health Care Administration
CY2007
CY2008
CY2009
CY2010
CY2011
CY2012
CY2013
CY2014
Emergency Dept 2343 3069 3160 3285 3060 2534 2709 3990
Inpatient 4411 5084 5691 6286 6464 5909 5917 7915
0
2000
4000
6000
8000
10000
12000
14000
Emergency Dept
Inpatient
6,754
8,1538,851
9,571 9,5248,443 8,626
11,905
Southeaster Florida NDEWS Update
Jim Hall [email protected] 3
Number of Hospital Cases forHeroin Overdose Poisonings in Florida: 2014
Hospital Heroin Poisonings
561
1,364
0
500
1000
1500
2000
2500
Heroin
Emergency Dept.
Inpatient
With or Without Abuse Diagnosis
1,368
557
Without Abuse Diagnosis
With Abuse Diagnosis
29%
71 %
1,925
Source: Florida Agency for Health Care Administration
n = 1,925
Sources: Estimates Based on Data from Florida Medical Examiners Commission 2015 InterimReport and Hospital Opiate Overdose Cases from Florida Agency for Health Care Admin.
Nu
mb
er o
f O
pia
te O
verd
ose
s
Estimated Number of Fatal and Non-Fatal
Opiate Overdoses In Southeastern Florida: 2015Total 3,779 Overdoses Including 1,257 Deaths
478 367 412
972
732818
0
200
400
600
800
1000
1200
1400
1600
Miami-Dade Broward Palm Beach
Fatal Opiate OD's
Non-Fatal Opiate OD's
1,450
1,0991,230
Southeaster Florida NDEWS Update
Jim Hall [email protected] 4
Southeastern Florida Total3,779 Opiate OverdosesIncluding 1,257 Deaths
In 2015
Averaging
An Overdose Every 2 Hours 18 Minutes or 10.4 per day
Including
An Opiate Death Every Seven Hours or 3.4 per day
Counterfeit Xanax with
Fentanyl
Real
Fake
9 Deaths in
Florida
Southeaster Florida NDEWS Update
Jim Hall [email protected] 5
Opiate Epidemic of Addiction and DeathsThe Perfect Storm
For Pain
Rx
Or ForPleasure
Pill MillsStreet
ToleranceNeed MoreAddictionDope Sick
Mexican Heroin FentanylAnalogues
el al IM Opiates
Counterfeit Pills
AbstinenceRelapse
Overdose
Polysubstance AbuseAlprazolam
CocaineMarijuana
AlcoholWhatever
Methamphetamine in Florida
Southeaster Florida NDEWS Update
Jim Hall [email protected] 6
0 500 1000 1500 2000 2500
Monroe
Palm Beach
Tallahassee
Elsewhere
Jacksonville
Port St. Lucie
Miami-Dade
Broward
Gainesville
Pensacola
Ft. Myers
Panama City
Orlando
Tampa
2015
1st Half 2016
Source: Analysis of US DEA NFLIS Data Queried July 28, 2016
Number of Methamphetamine Crime Lab Reports
Number of Methamphetamine Crime Lab Exhibits by Areas of Florida: January 2015 – June 2016
5,862 Total MethamphetamineCrime Lab Exhibits
2,121
865
832
371
357
310
219
204
172
145
124
98
42
2
# o
f M
eth
amp
het
amin
e -
Re
late
d D
eat
hs
Source: Florida Medical Examiners Commission 2004-2015 Annual Reports
Number of Methamphetamine-Related Deaths in Florida: 2000-2015
93115 117 107 114
81
132115
146169
217
260
0
50
100
150
200
250
300Methamphetamine Medical Examiner Occurrences
Southeaster Florida NDEWS Update
Jim Hall [email protected] 7
Methamphetamine Primary Treatment Admissions as Percent of all Admissions (including Alcohol)
in Regions of Florida : FY2014-2015
Source: Florida Department of Children and Families July 2014 through June 2015
Region of Florida Methamphetamineas % of All Admissions
Northwest Florida 10.0 %
West Coast Florida 4.5 %
Northeast Florida 2.5 %
Central Florida 1.2 %
Southeast Florida 0.8 %
All Florida 3.5 %
Southeastern Florida:Opiates & Methamphetamine Trends
• Estimated 10.4 Opiate Overdoses Per Day including• Estimated 3.4 Opiate Deaths Per Day• Fueled by Escalating Illicitly Manufactured
Fentanyl and other Opiate Analogues• Counterfeit Pills Expand the Risks
• Methamphetamine highest Crime & Treatment Rates in Northern and Western Florida
• Deaths Increasing Statewide