DIVERSION OF PRESCRIPTION DRUGS

Transcription

1 /8/ DIVERSION OF PRESCRIPTION DRUGS PRESENTED BY CHRIS SMITH AGENT IN CHARGE OKLAHOMA BUREAU OF NARCOTICS DRUG OVERDOSE DEATH YEAR COMPARISON % INCREASE 6 5 Year Deaths PHARMACEUTICAL VS STREET PharmaceuJcal deaths: there are at least one prescripjon drug or over the counter drug involved 6% 7% Street PharmaceuJcal

2 /8/ INVOLVING THE TOP 8 ABUSED DRUGS The majority of all drug overdose deaths are due to a combinajon cocktail of drugs rather than just one specific drug. This chart reflects the total number of deaths each drug was involved in, even though another drug may have been the primary cause of death. 6 Methamphetamine Methadone 66 Alprazolam 6 58 Fentanyl Morphine 9 Hydrocodone 8 Oxycodone 66 Diazepam Heroin Deaths in Oklahoma The CausJc Cocktail Hydrocodone Alprazolam - Carisoprodol PrescripIons 8,7,9 Total Scripts Other 5% The CausJc Cocktail 5%

3 /8/ Number of Deaths DRUGS ABUSED DRUG OVERDOSE DEATH COMPARISON Year Methadone Diazepam Hydrocodone Oxycodone Cocaine Morphine Fentanyl Alprazolam Methamphetamine NUMBER OF DEATHS BY GENDER 5 YEAR COMPARISON MALE FEMALE BY AGE GROUP 5 YEAR COMPARISON & UP AGE GROUP OBN L BAKER 7// SOURCE: STATE ME. Data not complete

4 /8/ BY CAUSE YEAR 9 SUICIDE UNKNOWN/OTHER ACCIDENT SUICIDE UNKNOWN ACCIDENT BY COUNTY COUNTY TOTAL COUNTY TOTAL COUNTY TOTAL COUNTY TOTAL Adair Custer 7 Lincoln 5 Payne 9 Alfalfa Delaware 8 Logan 9 Pigsburg Atoka Ellis Love Pontotoc 8 Beckham 5 Garfield 6 Marshall Pogawatomie Blaine Garvin Mayes 6 Pushmataha Bryan Grady 7 McClain 8 Roger Mills Caddo 6 Grant McCurtain 6 Rogers Canadian Greer McIntosh Seminole 6 Carter Haskell Murray Sequoyah Cherokee Hughes 5 Muskogee 8 Stephens Choctaw Jackson Noble Texas Cimarron Jefferson Nowata Tillman Cleveland Johnston 5 Okfuskee Tulsa Coal Kay 7 Oklahoma Wagoner Comanche 7 Kingfisher Okmulgee Washington 8 Cogon Kiowa 5 Osage 7 Washita Craig LaJmer Ogawa 5 Woods Creek 5 LeFlore Pawnee 6 Woodward 7 NON FATAL DRUG OVERDOSES 8% FAMILY/FRIENDS/STREET/UNKNOWN PRESCRIPTION 5% TOTAL # OF OVERDOSES 65

5 /8/ NON FATAL DRUG OVERDOSES BY COUNTY Majority of the drug overdoses involved pharmaceulcal drugs- with most abused being Opiates such as hydrocodone, oxycodone, morphine, and fentanyl. Some overdoses are cocktails and involve both street drug as well as pharmaceulcals. This year 5 involved marijuana, 7- cocaine, 6- methamphetamine, 7- heroin, - ecstasy and 9- PCP. Oklahoma is averaging 6 non fatal overdoses per day. * Other, - Chautauqua, - Denton, - Gillespie, - Harneg, - Labege, - Monmouth, 8- Montgomery, - Polk, - Rankin, - Saratoga, - St Louis, - Unknown COUNTY TOTA L COUNTY TOTAL Adair 8 McClain Atoka McIntosh Beckham 6 Murray Blaine Muskogee 7 Caddo Noble Canadian 8 Nowata Cherokee Okfuskee 5 Cleveland Oklahoma 7 Craig 9 Okmulgee 6 Creek 6 Osage 9 Custer Pawnee 6 Garfield Payne 96 Garvin 7 Pigsburg 5 Grant Pontotoc Greer Pogawatomie Hughes 6 Rogers 6 Kay Sequoyah Kingfisher Stephens Kiowa 9 Texas 6 LaJmer Tulsa LeFlore Wagoner 77 Lincoln 5 Washington 9 Logan Washita 8 Marshall Other * Mayes 6 Grand Total 65 NON FATAL DRUG OVERDOSES Accidental Suicide Unknown Male 9 Female Total Non Fatal Drug Overdoses : NON FATAL DRUG OVERDOSES 8 By Age Group & above 5

6 /8/ 5 Non Fatal Overdoses Nov, - Dec, Nov- Dec Jan- Dec Jan- Dec Jan- Dec PRESCRIPTION DRUG ABUSE IN OKLAHOMA A Center for Disease Control (CDC) report release in June, ranked Oklahoma #5 in the najon for the number of painkillers prescribed. A CDC report in ranked Oklahoma 9 th in the najon for accidental prescripjon drug overdose deaths D.C.- based non- profit group, Trust For American Health, ranked Oklahoma #5 in O.D. deaths from deaths per, people Recent Federal Survey ranked Oklahoma #8 in non- medical use of prescripjon painkillers. An esjmated 6, Oklahomans are addicted to prescripjon painkillers. DIVERSION OF PRESCRIPTION DRUGS Majority of diversion driven by addicjon AddicJon creates a huge black market for prescripjon controlled substances Greed driven diversion Street prices for prescripjon pain killers = $ per milligram One ounce of prescripjon opiates = $8, OxyconJn 8 milligram - $6 - $8 tablets X $8 = $, 6

7 /8/ PROFILE OF A DRUG SEEKER Crosses all socio- economic lines, gender, age, and race May have legijmate medical reason for pain or anj- anxiety drugs Possibly bring medical records to office visit Oten has a medical problem that oten lack empirical evidence Relies on pajent complaint and descripjon Lower back or neck pain, joint pain, migraine headaches PRESCRIPTION MONITORING PROGRAM Began CollecJon of Schedule II data in 989 Began CollecJon of Schedule II V in 6 Web Portal Launched in July 6 IniJal funding provided by federal grants System Enhanced in 7, 9,, and. PRESCRIPTION MONITORING PROGRAM Reduce doctor shopping/drug seeking and other diversion Provide CriJcal Public health informajon on prescripjon trends and pagerns Facilitate the idenjficajon and treatment of addicjon and abuse Provide stajsjcal informajon used in research and educajon 7

8 /8/ PRESCRIPTION MONITORING PROGRAM Within days of gaining access to the PMP, a large clinic idenjfied 7 pajents who had been lying to their doctor for years! The PMP system idenjfied a doctor shopper who had seen nearly prescribers and over pharmacies in one year. A number of physicians were able to idenjfy employees who were using the doctor s script pad At a major conference, a PMP registered doctor proclaimed that the PMP as the Best tool for doctor s that I have ever used. SAFE TRIPS FOR SCRIPTS SAFE TRIPS FOR SCRIPTS 6 lbs. of prescripjon drugs have been destroyed 8 lbs. destroyed since Take Box located at the Tishomingo Police Department 8

9 W A S H I N G T O N /8/ 5 Safe Trip for Scripts Drug PrevenJon Program Drugs Dropped into RX Disposal Boxes by Weight 5 LBS Mar- Dec Jan- Dec Jan- Dec Jan- Jun SAFE TRIP FOR SCRIPTS TAKE-BACK CONTAINER LOCATIONS Ottawa Cimarron Texas Beaver Harper Woods Alfalfa Grant Kay Nowata Craig Osage Woodward Noble Rogers Garfield Delaware Oklahoma City District Tulsa District 5 Ellis Major Pawnee Mayes Bethany PD Adair Co SO Blackwell PD Bartlesville PD Payne Blaine CO SO Bixby PD Dewey Blaine Creek Tulsa Kingfisher Wagoner Cherokee Blanchard PD Bristow PD Logan Lincoln Canadian Co SO Broken Arrow PD Roger Mills Adair Choctaw PD Custer Catoosa PD OkmulgeeMuskogee Canadian Cleveland Co SO-Norman Chelsea PD Oklahoma Okfuskee Sequoyah Cleveland Co SO-Norman Cherokee Co SO Cleveland Beckham Washita McIntosh Cushing PD Claremore PD Dell City PD Collinsville PD 6 Seminole Caddo Haskell Edmond PD Coweta PD Greer Kiowa McClain Hughes Enid PD Craig Co SO Pittsburg Latimer Garfield Co SO Ft Gibson PD Grady Le Flore Garvin Co SO Har mon Garvin Pontotoc Glenpool PD Jackson Comanche Geary PD Grove PD Coal Grant Co SO Hulbert PD Stephens Murray Guthrie PD Inola PD Tillman Cotton Carter Johnston Atoka Pushmataha Harrah PD Jay PD Kay Co SO Jenks PD Jefferson Marshall McCurtain Kingfisher Co SO Mannford PD Love Bryan Choctaw Lexington PD Mayes Co SO Lawton District Lincoln Co SO Miami PD Caddo Co SO Lindsay PD Mounds PD Carnegie PD Logan Co SO Muldrow PD Woodward District Comanche Co SO McClain Co SO Muskogee Co SO Cotton Co SO Alfalfa Co SO McAlester District Midwest City PD Muskogee PD Duncan PD Beaver Co SO Ardmore District Ada PD Moore PD Nowata Co SO Frederick PD Beckham Co SO Arkoma PD Atoka Co SO Mustang PD Okfuskee Co SO Grady Co SO Cimarron Co SO Checotah PD Bryan Co SO Newcastle PD Osage Co SO Greer Co SO Dewey Co SO Choctaw Co SO Calera PD Nicoma Park PD Ottawa Co SO Harmon Co SO Elk City PD Haskell Co SO Carter Co SO Noble Co SO Owasso PD Hinton PD Ellis Co So Henryetta PD Choctaw Nation Public Safety Noble PD Pawnee Co SO Jackson Co SO Guymon PD Holdenville PD Coal Co SO Norman PD Rogers Co SO Jefferson Co SO Harper Co SO Konawa PD Durant PD OBN-HQ Sand Springs PD Marlow PD Keyes PD Latimer Co SO Healdton PD OKSO-OKC Sapulpa PD Kiowa Co SO Major Co SO LeFlore Co SO Kingston PD OKSO-Edmond Sequoyah Co SO Lawton PD Roger Mills Co SO McAlester PD Love Co SO OKSO-MWC Skitook PD Stephens Co SO Seiling PD McCurtain Co SO Marshall Co SO Payne Co SO Tahlequah PD Tillman Co SO Texas Co SO McIntosh Co SO Murray Co SO Perkins PD Tulsa Co SO Tipton PD Washita Co SO Okmulgee Co SO Tishomingo PD Piedmont PD Tulsa PD-East Weatherford PD Pittsburg Co SO Ponca City PD Tulsa PD-Southwest Woods Co SO Pontotoc Co SO Pottawatomie Co SO Tulsa PD-North Woodward Co SO Poteau PD Prague PD VA (Jack C Montogomery) Woodward PD Pushmataha Co SO Shawnee PD Wagoner Co SO Seminole Co SO Stillwater PD Wagoner PD Seminole PD Tecumseh PD The Village PD Warr Acres PD Yukon PD QUESTIONS? Chris Smith Agent In Charge Oklahoma Bureau of NarcoJcs Work: 8/5-65 Cell: 58/ csmith@obn.state.ok.us 9