A National Challenge with a Community Solution. Officer Al Fear Eastern Iowa Heroin Initiative

Transcription

1 A National Challenge with a Community Solution Officer Al Fear Eastern Iowa Heroin Initiative

2 Midwest High Intensity Drug Trafficking Area Kevin W. Techau United States Attorney Northern District Of Iowa Chief Wayne Jerman Cedar Rapids Police Department

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4 HEROIN INITIATIVE Prescription Pain Killer and Heroin awareness program Community Action Organizational Efforts First Responder Training Investigative case development to target sources of supply for federal prosecution TOWN HALL MEETINGS Public Awareness Campaigns Work closely with substance abuse & health care providers State Legislation

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7 Opioid Pain Killers & the Heroin Epidemic Heroin/Opioid Addiction does not discriminate -All Ages -All Races -All Economic Classes

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9 155A.21 UNLAWFUL POSSESSION OF PRESCRIPTION DRUG OR DEVICE -- PENALTY. 1. A person found in possession of a drug or device limited to dispensation by prescription, unless the drug or device was so lawfully dispensed, commits a serious misdemeanor. 2. Subsection 1 does not apply to a licensed pharmacy, licensed wholesaler, physician, veterinarian, dentist, podiatric physician, therapeutically certified optometrist, advanced registered nurse practitioner, physician assistant, a nurse acting under the direction of a physician, or the board of pharmacy, its officers, agents, inspectors, and representatives, or to a common carrier, manufacturer's representative, or messenger when transporting the drug or device in the same unbroken package in which the drug or device was delivered to that person for transportation.

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12 Legitimate Injury Neck pain Broken bone Sore back etc. Prescription of Opioid Painkillers Hydrocodone Oxycodone Oxycontin Vicodin

13 PAIN KILLERS TO HEROIN -THE LINK- The body becomes addicted to opioids Prescription runs out HEROIN is cheap HEROIN is readily available on the street HEROIN more potent, better High

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15 What is Heroin? Heroin is 3 times more potent than morphine A Depressant Can be snorted, injected or smoked

16 Beans Buttons H Horse Brown Sugar Junk Nod Smack Boy

17 The Effects of Heroin Once heroin enters the brain, it binds rapidly to the opioid receptors and releases dopamine. warm flushing of the skin dry mouth heavy feeling in the extremities nausea, vomiting, and severe itching. After the initial effects will be drowsy for several hours mental function is clouded heart function slows breathing is also severely slowed, sometimes enough to be life-threatening. Slowed breathing can also lead to coma and permanent brain damage.

18 Heroin/ Opioid Withdrawal Sweats Chills Diarrhea Vomiting Insomnia Restlessness Tremors Bone pain Seizures

19 Effects of heroin and other opioids on driving. There is no safe level of opioid use. Slow reaction time Reduced coordination Reduced ability to think clearly Blurred vision Drowsiness or starting to 'nod off' Nausea and vomiting

20 Method of Delivery Snorting or smoking heroin 10 to 15 minutes for the drug s full effect Injecting heroin is a much faster Injection into muscle 5-8 Minutes Injection into vein takes 7 to 8 seconds to take effect.

21 NATIONAL HEROIN DEATHS BY RACE & AGE

22 NATIONAL HEROIN DEATHS BY REGION

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26 In Iowa, since 2000, overdose deaths related to opioids and heroin have increased by 1000%

27 2015 Statistics on Heroin CEDAR RAPIDS METRO AREA Heroin overdoses - Police Response 61 Overdose Calls involving Heroin 20 Deaths - Heroin Heroin overdoses - Hospital Response 330..Heroin/Opioid Hospital Admissions

28 Cedar Rapids Statistics 150% increase in 5 years

29 ASAC Prescription Pill Statistics Patient initial consultation: Rank the substance you are abusing 2007 Primary Secondary Third Total Primary Secondary Third Total In 7 years there has been a 300% increase in prescription pills

30 1.Usage Increase 2. Change in Personality 3. Social Withdrawal 4. Ongoing Use 5. Time Spent on Obtaining Prescriptions

31 6. Change in Daily Habits and Appearance 7. Neglects Responsibilities 8. Increased Sensitivity 9. Blackouts and Forgetfulness 10. Defensiveness

32 Opioid Painkillers work by binding to opioid receptors in the brain. They reduce the sending of pain messages to the brain and reduce feelings of pain

33 Pharm Parties Teenage parties involving prescription medications Pharm Party Pill Party Skittle Parties Everyone brings medications from home and place them into a bowl. The bowl gets passed around for everyone to use.

34 Accessibility Issue If someone came to your home, how easy would be it be to grab one or a few out of the bottle? Would you notice that there is medication missing?

35 FENTANYL In early 2015, Cedar Rapids first started seeing heroin laced with Fentanyl, followed by Fentanyl being sold as heroin Fentanyl is an opiate that is 100 times more powerful than morphine, and 30 to 50 times more potent than heroin When prescribed by a physician, fentanyl is often administered via injection, transdermal patch, or in lozenge form. However, the type of fentanyl associated with recent overdoses was produced in clandestine laboratories and mixed with (or substituted for) heroin in a powder form. Mixing fentanyl with street-sold heroin markedly amplifies their potency and potential dangers.

36 1986 OPIATES ARE NOT ADDICTIVE 1998 PAIN AS THE 5 TH VITAL SIGN 2000 S PHYSCIANS RATED ON PATIENTS HAVING NO PAIN PRESENT OPIOID ADDICTION & HEROIN EPIDEMIC

37 New problem in 2015

38 Medical Staff Training Physician Challenge Over prescribing practices?? Alternatives to Opioids??? Use of the State Prescription Monitoring Program (PMP) Doctor Shopping Currently 44% of Doctors use PMP

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42 The Cost of Addiction Heroin typically costs about $20-$30 per.1 gram. A daily user will use at least.2 to.4 gram of heroin ($50 to $100) per day and sometimes up to $150 to $200 per day, This will depend on the purity of the heroin purchased (lower purity, may need to use/spend more for the same effect) Withdrawals may occur every 6-8 hours, which may necessitate multiple purchases in a day Dealer availability impacts ability to purchase SO $100 to $200 per day habit = $700 to $1400 spent per week just on heroin Over $36,000 (upwards of $70,000) spent per year to feed the addiction

43 Where Does the Money Come From? Oftentimes, the user will have a regular job with a paycheck (helps to hide addiction) Once the addiction progresses to daily use, maintaining a regular job becomes more difficult Heroin addiction does not care when bank accounts are depleted Beg, borrow money and items pawn shops Property crimes Theft Forgery Burglary Robbery Other crimes Financial fraud EBT/food stamps fraud Pseudoephedrine smurfing Drug crimes (middling deals for other users, recruiting other users, giving dealers rides) Sexual exploitation

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45 Get rid of all unwanted prescription medications!

46 PUBLIC SERVICE ANNOUNCEMENTS MARKETING and Community Outreach

47 We are not here to arrest our way through the problem We are here to help those who are suffering from substance abuse find the road to recovery. FACEBOOK Eastern Iowa Heroin Initiative RECOVERY IS POSSIBLE

48 Get rid of your unused prescription medications! Identify people in need and encourage treatment Share information with law enforcement relating to drug dealing in your community Be suspicious, spot check The Eastern Iowa Heroin Initiative on FACEBOOK

49 Officer Al Fear Cedar Rapids Police Department United States Attorney s Office NDIA Midwest HIDTA Heroin Initiative a.fear@cedar-rapids.org