00048-Miami ADA
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This special report presents findings based on data submitted by 14 hospitals in the Miami metropolitan area for 2002. ■ Of the 655,000 visits to Mia mi area emergency departments (EDs) in 2002, about 1.4 perc ent (9,213) were related to drug abuse. ■ During 2002, the most common drugs inv olved in these ED visits we re cocaine, alcohol in combinati on with other drugs, marijuana, heroin, and benzodi azepines. ■ Between 1995 and 2002, heroin-r elated ED visits in Miami increased 366 percent (from 18 to 85 mentions per 100,000 population). ■ Among the 21 DA WN areas, Miami ranked in the top 5 in term s of ED visits in volving coc aine and marijuana. D AWN: The Warning Network Local information is essential to support local action, and drugs, drug use, and drug-r elated morbidi ty can differ dramatically across communities. DAWN focuses on metropolitan areas to reveal emerging drug problems before they become widespread. DA WN detects new drugs, new drug combinati ons, new health consequen ces of drug use, and ch anging p atterns inv olving old drugs. Facilities participati ng in DA WN can use thi s information to train sta ff and improve pati ent care. Communities can use this information to p lan, target resourc es, and act more effec tively . T oday, hospitals in Miami and 20 other metropolitan areas serve their communities by participat ing in D A WN. Expansion to other areas is underway. APRIL 2004 DAWN serves a diverse audience. In addition to participating facilities, users include researchers and policy analysts; pharmaceutical firms; State and local substance abuse agencies; community coalitions; and Federal agencies, including the White House Office of National Drug Control Policy, the Food and Drug Administration, and the National Institute on Drug Abuse. For more information, go to http://DAWNinfo.samhsa.gov/. Detroit Buffalo Boston New Y ork Newark Philadelphia Chicago Minneapolis St. Louis Seattle Denver San Francisco Los Angeles Phoenix Dallas Atlanta Washington Baltimore Miami New Orleans San Diego 0 1,000 2,000 3,000 4,000 5,000 6,000 Benzo- diazepines Heroin Marijuana Alcohol-in- combination Cocaine 5,055 2,337 1,029 1,784 N u m b e r o f v i s i t s 3,863 Top 5 drugs in drug abuse-related ED visits in Miami, 2002 Highlights From DAWN: Miami, 2002
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This special report presents findings based on datasubmitted by 14 hospitals in the Miami metropolitanarea for 2002.■ Of the 655,000 visits to Miami area emergency
departments (EDs) in 2002, about 1.4 percent(9,213) were related to drug abuse.
■ During 2002, the most common drugs involvedin these ED visits were cocaine, alcohol incombination with other drugs, marijuana,heroin, and benzodiazepines.
■ Between 1995 and 2002, heroin-related ED visitsin Miami increased 366 percent (from 18 to 85mentions per 100,000 population).
■ Among the 21 DAWN areas, Miami ranked inthe top 5 in terms of ED visits involving cocaineand marijuana.
DAWN: The Warning NetworkLocal information is essential tosupport local action, and drugs, druguse, and drug-related morbidity candiffer dramatically across communities.DAWN focuses on metropolitan areasto reveal emerging drug problemsbefore they become widespread.DAWN detects new drugs, new drugcombinations, new health consequencesof drug use, and changing patterns involvingold drugs. Facilities participating in DAWNcan use this information to train staff andimprove patient care. Communities can use thisinformation to plan, target resources, and act more effectively.Today, hospitals in Miami and 20 other metropolitan areas serve theircommunities by participating in DAWN. Expansion to other areas is underway.
APRIL 2004
DAWN serves a diverse audience. In addition to participating facilities, users include researchers and policy analysts; pharmaceutical firms;State and local substance abuse agencies; community coalitions; and Federal agencies, including the White House Office of National DrugControl Policy, the Food and Drug Administration, and the National Institute on Drug Abuse. For more information, go tohttp://DAWNinfo.samhsa.gov/.
Detroit
BuffaloBoston
New York
Newark
Philadelphia
Chicago
Minneapolis
St. Louis
Seattle
DenverSan Francisco
Los AngelesPhoenix Dallas
Atlanta
WashingtonBaltimore
Miami
NewOrleans
SanDiego
0
1,000
2,000
3,000
4,000
5,000
6,000
Benzo-diazepines
HeroinMarijuanaAlcohol-in-combination
Cocaine
5,055
2,337
1,029
1,784 N u m
b e r o
f v i s i t s 3,863
Top 5 drugs in drug abuse-relatedED visits in Miami, 2002
Highlights From DAWN: Miami, 2002
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Trends in Top 4 Drugs, 1995-2002
2 H I G H L I G H T S F R OM DAWN : MI A M I 2 0 02
Heroin
Cocaine
Marijuana
Benzodiazepines
■ In 2002, Miami had 240 cocaine-related ED visitsper 100,000 population, an increase of 43 percent
since 1995. By contrast, the rate for the U.S. was78 per 100,000 in 2002.■ Nearly three-quarters (74%) of cocaine-related ED
visits in Miami also involved other drugs.■ More than one-third (37%) of cocaine-related ED
visits in Miami were attributed to "crack."
■ From 1995 to 2002, marijuana-related ED visits inMiami grew 111 percent (from 53 to 111 visits per100,000 population). In percentage terms, thegrowth in the national rate was similar (139%),but the national level (47 visits per 100,000)remained less than half that in Miami.
■ Marijuana was reported in 25 percent of all drugabuse-related ED visits in Miami, and most of these visits (76%) involved other drugs as well.
■
From 1995 to 2002, mentions of benzodiazepinesin drug abuse-related ED visits in Miamiincreased 21 percent (from 41 to 49 mentionsper 100,000 population). The increase nationally was 25 percent.
■ Alprazolam was the most frequently namedbenzodiazepine in drug-related ED visits in Miamiin 2002. Alprazolam accounted for 40 percent of benzodiazepine mentions in Miami.
■ Heroin-related ED visits in Miami increased more
than four-fold between 1995 and 2002 (from 18 to85 visits per 100,000 population). Over the sameperiod, the national rate increased only 22 percent(from 30 to 36 visits per 100,000).
■ By 2002, heroin-related ED visits in Miami weremore than double the national rate.
■ More than 60 percent of heroin-related ED visitsin Miami also involved other drugs.
0
100
200
300
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H I G HL I GHT S F R OM DAWN : M I AM I 2 0 0 2 3
Comparisons Across 21 Metropolitan Areas
The following figures show Miami in relation to the Nation and 20 other metropolitan areas represented in DAWNfor selected drugs in 2002. Comparisons across areas are possible because the number of visits for each drug isrepresented in terms of a rate per 100,000 population. Not all differences in rates are statistically significant.
0 160
Dallas
Denver
San Francisco
Phoenix
San Diego
Minneapolis
New York
Newark
Washington, DC
Buffalo
Los Angeles
Seattle
New Orleans
Chicago
Baltimore
Atlanta
Miami
Boston
St. Louis
Detroit
Philadelphia
Total U.S.
Marijuana visitsRate per 100,000 population, 2002
47
150
146
124
119
111
96
88
78
27
72
65
64
56
55
54
47
47
46
46
39
38
0 300
San Diego
Dallas
Minneapolis
Phoenix
Washington, DC
Denver
Los Angeles
New Orleans
San Francisco
St. Louis
Boston
Seattle
New York
Buffalo
Detroit
Newark
Atlanta
Miami
Baltimore
Philadelphia
Chicago
Total U.S.
Cocaine visitsRate per 100,000 population, 2002
78
275
274
257
240
239
186
182
171
32
166
164
156
153
150
145
108
82
71
59
55
46
0 130
Washington, DC
New York
Denver
Minneapolis
Los Angeles
Dallas
Atlanta
Buffalo
San Francisco
San DiegoChicago
Miami
Seattle
Phoenix
Newark
Baltimore
Detroit
St. Louis
New Orleans
Philadelphia
Boston
Total U.S. 41
102
95
82
78
69
60
57
53
21
50
49
4745
42
35
34
30
28
26
26
22
Benzodiazepines visitsRate per 100,000 population, 2002
0 225
Dallas
Minneapolis
Atlanta
Phoenix
San Diego
Los Angeles
Washington, DC
Denver
St. Louis
New OrleansMiami
Detroit
Buffalo
Philadelphia
Boston
New York
Seattle
San Francisco
Baltimore
Newark
Chicago
Total U.S.
Heroin visitsRate per 100,000 population, 2002
36
220
214
203
171
128
123
111
109
10
93
93
8553
51
43
38
29
28
23
20
16
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