Kansas City, MO-KS

11 14 3 6 2 1 5 4 10 12 9 7 8 15
Deaths reported to DAWN Drug misuse 106 Suicide 15 Metro area population, 2003 1,904,908 Population covered by DAWN 933,360 Percent of population covered by DAWN 49%

68
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 5.8% Suicide 12.4% Overmedication 5.0%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 34 50 11 11 0 Deaths 4 6 4 -0

KANSAS CITY 13

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Franklin County, KS 2. Johnson County, KS 3. Leavenworth County, KS 4. Linn County, KS 5. Miami County, KS 6. Wyandotte County, KS 7. Bates County, MO 8. Caldwell County, MO 9. Cass County, MO 10. Clay County, MO 11. Clinton County, MO 12. Jackson County, MO* 13. Lafayette County, MO 14. Platte County, MO 15. Ray County, MO Drug misuse Deaths Rate1 106 113.6 Suicide Deaths Rate1 15 16.1 Total population 933,360 25,540 486,515 71,546 9,722 29,187 157,091 16,937 9,159 88,834 194,247 20,140 659,723 32,951 79,390 23,926

All other accidental 76.9%

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol Antidepressants Benzodiazepines 46 41 33 26 20 Multi-drug deaths Single-drug deaths

20 81 5

103.0 122.8 63.0

4 11 0
1 Deaths

20.6 16.7 0.0

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 9 5 5 4 Multi-drug deaths Single-drug deaths

Opiates/opioids

Benzodiazepines

Alcohol

Antidepressants

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
250 237.5

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 85 11 85 73 6 17 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 12 0 12 12 ---

Deaths per 1,000,000 population

200 170.6 150 101.1 86.2 60.2 50 14.4 0 Male Female Under 21 21 to 34 35 to 54 55 and over

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

100

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 106 33 41 17 11 0 6 -26 -20 6 46 0 13 34 0 ---4 Singledrug deaths 31 -17 0 -0 5 0 0 0 0 0 -0 --0 -0 0 --

Suicide Deaths 15 5 ---0 -0 4 -5 -9 0 -9 0 0 ---Singledrug deaths ----------------------

Deaths 67 42 20 12 0 7 --

Singledrug deaths 23 17 0 -0 5 0

Death rates by gender and age: Suicide, 2003
250

200

150

0

0

100

50 15.5 0 Male 16.6 Female 7.2 Under 21 10.6 21 to 34

31.9 10.8 35 to 54 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Kansas City, MO-KS

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

69

Louisville, KY-IN
13 1 2 3 8 10 7 11 12 9 4 6
Deaths reported to DAWN Drug misuse 71 Suicide 18 Metro area population, 2003 1,190,154 Population covered by DAWN 699,017 Percent of population covered by DAWN 59%

70
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Overmedication 47.2% Suicide 20.2% Could not be determined 3.4% All other accidental 29.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 13 45 -11 0 Deaths 4 11 --0

LOUISVILLE

5

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Clark County, IN 2. Floyd County, IN 3. Harrison County, IN 4. Washington County, IN 5. Bullitt County, KY 6. Henry County, KY 7. Jefferson County, KY 8. Meade County, KY 9. Nelson County, KY 10. Oldham County, KY 11. Shelby County, KY 12. Spencer County, KY 13. Trimble County, KY Drug misuse Deaths Rate1 71 101.6 Suicide Deaths Rate1 18 25.8 Total population 699,017 99,482 71,148 35,706 27,618 64,909 15,543 699,017 27,619 39,635 50,517 35,900 14,301 8,759

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 53 29 15 14 Alcohol 13 Misc. analgesics/ combinations Multi-drug deaths Single-drug deaths

71

101.6

18

25.8

Opiates/opioids

Antidepressants

Benzodiazepines

Shaded areas did not participate in DAWN this year.

1 Deaths

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 9 9 7 6 4 Multi-drug deaths Single-drug deaths

Opiates/opioids

Antidepressants

Misc. analgesics/ combinations

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 163.6 Deaths per 1,000,000 population
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Deaths 68 0 67 68 5 -Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 18 0 18 18 0 0

186.6

150 110.7 100 93.2

Drug-related deaths by drug category, 2003
50 10.1 0 Male Female Under 21 21 to 34 35 to 54 55 and over 45.8
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Illicit drugs (all case types) Deaths 13 9 ---0 0 Singledrug deaths --------

Drug misuse Deaths 71 14 9 ---0 0 29 10 15 5 53 0 32 27 0 0 13 -0 Singledrug deaths 7 0 0 0 -0 0 0 0 0 0 0 5 0 --0 0 -0 0

Suicide Deaths 18 6 0 0 0 0 0 0 9 --4 9 0 -7 0 0 7 --Singledrug deaths ----------------------

Death rates by gender and age: Suicide, 2003
200

Deaths per 1,000,000 population

150

100

0

--

50 15.0 0

35.6 0.0 Male Female Under 21

46.7 22.3 32.7

21 to 34

35 to 54

55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Louisville, KY-IN

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

71

Miami-Fort Lauderdale-Miami Beach, FL
3
Deaths reported to DAWN Drug misuse 159 Suicide 19 Metro area population, 2003 5,288,796 Population covered by DAWN 2,341,167 Percent of population covered by DAWN 44%

72
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Deaths by case type, 2003
Suicide 10.7% Could not be determined 0.6% Overmedication 8.4%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 60 57 14 28 0 Deaths 5 11 --0

1
MIAMI

2

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Broward County, FL 2. Miami-Dade County, FL 3. Palm Beach County, FL Drug misuse Deaths Rate1 159 67.9 159 67.9 Suicide Deaths Rate1 19 8.1 19
1 Deaths

8.1

Total population 2,341,167 1,731,347 2,341,167 1,216,282

All other accidental 80.3%

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Cocaine Opiates/opioids Alcohol Benzodiazepines 75 53 41 15 Antidepressants 111 Multi-drug deaths Single-drug deaths

Shaded areas did not participate in DAWN this year.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 Multi-drug deaths Single-drug deaths 8 7 6 4 4

Opiates/opioids

Benzodiazepines

Alcohol

Misc. analgesics/ combinations

Misc. anxiolytics, sedatives, and hypnotics

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
150 125 105.8 100 75 50 32.9 25 0 23.5 28.7 76.9 137.0

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 139 20 139 97 48 20 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 19 0 19 19 0 6

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 130 114 5 6 9 -0 Singledrug deaths 42 39 0 0 0 -0 Drug misuse Deaths 159 53 111 5 5 8 -0 15 -41 8 75 36 8 56 -0 12 0 5 Singledrug deaths 52 8 38 0 0 0 -0 0 0 0 0 4 -0 -0 0 -0 0 Suicide Deaths 19 6 -0 --0 0 4 0 7 4 8 0 -8 0 0 4 0 -Singledrug deaths ----------------------

Male

Female

Under 21

21 to 34

35 to 54

55 and over

Death rates by gender and age: Suicide, 2003
150 125 100 75 50 25 0

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

36

--

9.8 Male

6.6 Female

10.7 0.0 Under 21 21 to 34

11.9 35 to 54

11.5 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Miami-Fort Lauderdale-Miami Beach, FL

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

73

Milwaukee-Waukesha-West Allis, WI
Deaths reported to DAWN Drug misuse 134 Suicide 19

74
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Suicide 12.4% Could not be determined 1.3% Overmedication 11.1%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 20 84 6 24 0 Deaths -12 -4 0

3

2

MILWAUKEE

4

1

Metro area population, 2003 1,514,313 Population covered by DAWN 933,221 Percent of population covered by DAWN 62%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Milwaukee County, WI 2. Ozaukee County, WI 3. Washington County, WI 4. Waukesha County, WI Drug misuse Deaths Rate1 134 143.6 134 143.6 Suicide Deaths Rate1 19 20.4 19 20.4 Total population 933,221 933,221 84,772 122,241 374,079

All other accidental 75.2%

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine Benzodiazepines Alcohol 89 75 Multi-drug deaths Single-drug deaths 39 39

Shaded areas did not participate in DAWN this year.

1 Deaths

per 1,000,000 population.

29

Antidepressants

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 9 Multi-drug deaths Single-drug deaths 8 8 6 5

Antidepressants

Misc. analgesics/ combinations

Alcohol

Benzodiazepines

Opiates/opioids

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
400 391.9

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 134 0 134 122 13 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 17 0 17 17 ---

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

300 208.1 200

Drug-related deaths by drug category, 2003
100 84.3 20.8 0 Male Female Under 21 21 to 34 35 to 54 91.7 37.8 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Illicit drugs (all case types) Deaths 88 75 -0 0 0 -Singledrug deaths 21 16 0 0 0 0 --

Drug misuse Deaths 134 39 75 -0 0 0 0 29 9 39 18 89 12 19 73 5 -19 10 4 Singledrug deaths 24 0 16 0 0 0 0 0 0 0 0 0 7 4 0 -0 0 0 0 0

Suicide Deaths 19 8 0 0 0 0 0 -9 4 6 -5 0 0 5 --8 --Singledrug deaths ----------------------

Death rates by gender and age: Suicide, 2003
400

300

200

12

4

100 49.5 20.1 0 Male 20.6 Female 0.0 Under 21 15.3 21 to 34 35 to 54 10.8 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Milwaukee-Waukesha-West Allis, WI

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

75

Minneapolis-St. Paul-Bloomington, MN-WI
6 9 1 11 5
MINNEAPOLIS

76
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

3 10 7 13

Deaths reported to DAWN Drug misuse 94 Suicide 28 Metro area population, 2003 3,083,637 Population covered by DAWN 1,763,421 Percent of population covered by DAWN 57%

Deaths by case type, 2003
Suicide 23.0% Overmedication 30.3%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 17 49 9 19 0 Deaths 6 16 -5 0

2 8 4

12

Could not be determined 6.6%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (6) 1. Anoka County, MN 2. Carver County, MN 3. Chisago County, MN 4. Dakota County, MN 5. Hennepin County, MN* 6. Isanti County, MN 7. Ramsey County, MN 8. Scott County, MN 9. Sherburne County, MN 10. Washington County, MN 11. Wright County, MN 12. Pierce County, WI 13. St. Croix County, WI Drug misuse Deaths Rate1 94 53.3 0 3 15 67 3 6 0.0 65.0 40.2 59.8 84.8 55.3 Suicide Deaths Rate1 28 15.9 1 3 3 19 0 2 12.7 65.0 8.0 16.9 0.0 18.4 Total population 1,763,421 314,074 78,960 46,165 373,311 1,121,035 35,372 506,355 108,578 74,667 213,564 102,529 37,872 71,155

All other accidental 40.2%

Top 5 drugs involved: Drug misuse deaths, 2003
75 59 50 30 25 0 26 16 9 Benzodiazepines Multi-drug deaths Single-drug deaths

Opiates/opioids

Alcohol

Cocaine

Stimulants

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
15 11 10 5 0 8 5 5 5 Multi-drug deaths Single-drug deaths

Alcohol

Antidepressants

Misc. analgesics/ combinations

Opiates/opioids

Benzodiazepines

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
100 80 79.1 69.4 60 99.1

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 85 0 84 77 11 7 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 23 0 23 23 -6

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

40 28.0 20 5.7 0 Male Female Under 21 21 to 34 35 to 54

30.4

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 53 28 10 18 0 0 0 Singledrug deaths 24 13 0 4 0 0 0 Drug misuse Deaths 94 30 26 6 16 0 0 0 7 -9 5 59 9 15 40 0 --0 0 Singledrug deaths 35 0 12 0 4 0 0 0 0 0 0 0 18 7 -8 0 0 0 0 0 Suicide Deaths 28 11 -4 -0 0 0 8 -5 -5 0 0 5 0 -5 0 0 Singledrug deaths 14 --0 0 0 0 0 ----0 0 0 0 0 --0 0

55 and over

Death rates by gender and age: Suicide, 2003
100 80

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

60

9

7

40 26.5 20 18.3 13.5 5.7 0 Male Female Under 21 10.7 20.3

21 to 34

35 to 54

55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Minneapolis-St. Paul-Bloomington, MN-WI

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

77

New Orleans-Metairie-Kenner, LA
7 6 5 1
Deaths reported to DAWN Drug misuse 182 Suicide 18

78
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 26.5% Suicide 9.0% Overmedication 2.0% Homicide by drugs 0.5%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 41 92 13 36 0 Deaths -9 -4 0

2
NEW ORLEANS

4

3

Metro area population, 2003 1,317,541 Population covered by DAWN 966,307 Percent of population covered by DAWN 73%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Jefferson Parish, LA* 2. Orleans Parish, LA* 3. Plaquemines Parish, LA 4. St. Bernard Parish, LA 5. St. Charles Parish, LA 6. St. John Baptist Parish, LA 7. St. Tammany Parish, LA Drug misuse Deaths Rate1 182 188.3 108 238.7 71 151.4 Suicide Deaths Rate1 18 18.6 12 26.5 6 12.8 Total population 966,307 452,459 469,032 28,025 66,113 49,353 44,816 207,743

All other accidental 62.0%

Top 5 drugs involved: Drug misuse deaths, 2003
150 100 50 0 133 82 66 58 36 Multi-drug deaths Single-drug deaths

3

66.9

0
1 Deaths

0.0

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

Opiates/opioids

Cocaine

Benzodiazepines

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

Top 5 drugs involved: Suicide deaths, 2003
15 10 5 0 13 8 8 6 5 Multi-drug deaths Single-drug deaths

Opiates/opioids

Benzodiazepines

Antidepressants

Alcohol

Misc. analgesics/ combinations

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
400 332.0 Deaths per 1,000,000 population 300 293.6
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Deaths 176 56 176 93 96 40 Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 17 -17 12 8 7

367.7

200

Drug-related deaths by drug category, 2003
100 94.1 52.2 10.0 0 Male Female Under 21 21 to 34 35 to 54 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Illicit drugs (all case types) Deaths 109 84 21 12 -0 0 Singledrug deaths 12 10 0 0 -0 0

Drug misuse Deaths 182 58 82 21 10 -0 0 12 0 66 36 133 6 52 105 --13 4 27 Singledrug deaths 24 0 10 0 0 -0 0 0 0 0 0 12 -4 7 0 0 0 0 0

Suicide Deaths 18 6 -0 -0 0 0 8 0 8 -13 0 0 13 0 -5 0 -Singledrug deaths ----------------------

Death rates by gender and age: Suicide, 2003
400

Deaths per 1,000,000 population

300

200

6

--

100 15.3 0 Male 21.6 Female 20.7 21 to 34 28.3 35 to 54 31.3 55 and over

0.0 Under 21

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

New Orleans-Metairie-Kenner, LA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

79

New York-Newark-Edison, NY-NJ-PA
23 17 22 20 1 13 3 16 7 21 2 18 15 12 4 10 19 14 NEW YORK CITY 5 6 11 9 8

80
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 996 Suicide 59 Metro area population, 2003 18,640,775 Population covered by DAWN 10,665,839 Percent of population covered by DAWN 57%

Deaths by case type, 2003
Suicide 5.6% Could not be determined 1.4% Overmedication 2.6% Homicide by drugs 0.4%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 331 520 56 89 0 Deaths 13 43 --0

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (9) 1. Bergen County, NJ 2. Essex County, NJ 3. Hudson County, NJ 4. Hunterdon County, NJ 5. Middlesex County, NJ 6. Monmouth County, NJ 7. Morris County, NJ 8. Ocean County, NJ 9. Passaic County, NJ 10. Somerset County, NJ 11. Sussex County, NJ 12. Union County, NJ 13. Bronx County, NY* 14. Kings County, NY* 15. Nassau County, NY 16. New York County, NY* 17. Putnam County, NY 18. Queens County, NY* 19. Richmond County, NY 20. Rockland County, NY 21. Suffolk County, NY* 22. Westchester County, NY 23. Pike County, PA Drug misuse Deaths Rate1 996 93.4 Suicide Deaths Rate1 59 5.5 Total population 10,665,839 897,569 796,313 607,419 128,265 780,995 632,274 483,150 546,081 498,357 311,600 151,146 529,360 1,363,198 2,472,523 1,339,463 1,564,798 99,550 2,225,486 459,737 292,989 1,468,037 940,302 52,163

All other accidental 90.0%

Top 5 drugs involved: Drug misuse deaths, 2003
800 600 400 200 0 Opiates/opioids Cocaine Alcohol 732 520 353 210 201 Multi-drug deaths Single-drug deaths

30

62.1

2

4.1

47 181 226 220 5 148 15 124

88.8 132.8 91.4 140.6 50.2 66.5 32.6 84.5

4 7 8 13 3 6 2 14

7.6 5.1 3.2 8.3 30.1 2.7 4.4 9.5

Antidepressants

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
30 20 10 0 29 21 19 Multi-drug deaths Single-drug deaths 18 15

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

Antidepressants

Opiates/opioids

Misc. anxiolytics, sedatives, and hypnotics

Alcohol

Benzodiazepines

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
250 214.0 Deaths per 1,000,000 population 200 145.3
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 987 163 980 826 148 12 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 55 -55 54 6 4

150

100 46.2 7.6 0 Male Female Under 21

81.8 49.5

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 628 527 54 9 10 13 21 Singledrug deaths 108 92 0 -0 -0 Drug misuse Deaths 996 353 520 53 7 10 12 18 210 55 201 113 732 104 250 532 -12 85 19 18 Singledrug deaths 166 0 92 0 -0 -0 --0 -64 14 15 35 0 0 -0 0 Suicide Deaths 59 18 7 --0 --29 6 15 19 21 0 -19 -5 14 4 5 Singledrug deaths 6 0 0 0 0 0 0 0 --0 --0 -0 0 0 -0 0

50

21 to 34

35 to 54

55 and over

Death rates by gender and age: Suicide, 2003
250

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths per 1,000,000 population

200

150

104

14

100

50 5.7 0 Male 5.4 Female 0.7 Under 21 6.0 21 to 34 7.3 35 to 54 9.3 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

New York-Newark-Edison, NY-NJ-PA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

81

Ogden-Clearfield, UT
Deaths reported to DAWN Drug misuse 43 Suicide 3
OGDEN 3

82
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 87.0%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 15 22 ---Deaths ---0 0

1

2

Metro area population, 2003 468,942 Population covered by DAWN 468,942 Percent of population covered by DAWN 100%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Davis County, UT 2. Morgan County, UT 3. Weber County, UT Drug misuse Deaths Rate1 43 91.7 21 82.2 1 133.0 21 102.0 Suicide Deaths Rate1 3 6.4 1 3.9 0 0.0 2 9.7
1 Deaths

All other accidental 6.5%

Suicide 6.5%

Total population 468,942 255,597 7,518 205,827

Top 5 drugs involved: Drug misuse deaths, 2003
40 30 20 10 0 Opiates/opioids Misc. anxiolytics, sedatives, and hypnotics Benzodiazepines Stimulants Alcohol 32 Multi-drug deaths Single-drug deaths

per 1,000,000 population.

14

13

13

12

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 185.4 151.4

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 43 -43 41 5 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths -0 --0 0

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

150 110.8 100 72.6 50 11.0 0 Male Female Under 21 21 to 34

70.9

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category Deaths 23 8 -13 -0 -Singledrug deaths -------Drug misuse Deaths 43 12 8 -13 -0 -10 0 13 14 32 -11 24 0 -6 -7 Singledrug deaths ---------------------Suicide Deaths ---------------------Singledrug deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

35 to 54

55 and over

Death rates by gender and age: Suicide, 2003
200

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

150

100

--

--

50 12.8 0 0.0 Male Female 0.0 Under 21 21 to 34 20.6 8.4 35 to 54

0.0 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Ogden-Clearfield, UT

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

83

Oklahoma City, OK
5 1 7 4
Deaths reported to DAWN Drug misuse 62 Suicide 15 Metro area population, 2003 1,132,652 Population covered by DAWN 676,066 Percent of population covered by DAWN 60%

84
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 2.6% Suicide 19.5%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 5 38 16 --Deaths -8 --0

OKLAHOMA CITY

2 3 6

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Canadian County, OK 2. Cleveland County, OK 3. Grady County, OK 4. Lincoln County, OK 5. Logan County, OK 6. McClain County, OK 7. Oklahoma County, OK Drug misuse Deaths Rate1 62 91.7 Suicide Deaths Rate1 15 22.2 Total population 676,066 92,904 219,966 47,439 32,262 35,420 28,595 676,066

All other accidental 77.9%

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine 19 11 11 10 40 Multi-drug deaths Single-drug deaths

62

91.7

15
1 Deaths

22.2

Shaded areas did not participate in DAWN this year.

per 1,000,000 population.

Antidepressants

Alcohol

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
10 8 Multi-drug deaths Single-drug deaths 4 4

5

0

Opiates/opioids

Antidepressants

Alcohol

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 196.4

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 61 18 61 42 -44 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 15 0 15 15 0 11

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

150 116.1 100 68.8 50 4.9 0 Male Female Under 21 21 to 34 35 to 54 55 and over 36.6 121.0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 62 11 19 0 8 0 0 -11 -10 4 40 -8 32 0 0 5 0 7 Singledrug deaths 22 0 6 0 -0 0 -0 0 0 0 10 0 -7 0 0 -0 0

Suicide Deaths 15 4 -0 0 0 0 0 4 0 --8 0 -7 0 0 ---Singledrug deaths ----------------------

Deaths 32 22 0 8 0 0 --

Singledrug deaths 11 6 0 -0 0 --

Death rates by gender and age: Suicide, 2003
200

150

100

--

0

50 21.4 0 Male 22.9 14.6 0.0 Female Under 21 21 to 34

46.5 22.0 35 to 54 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Oklahoma City, OK

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

85

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
10 8 9 6 7
Deaths reported to DAWN Drug misuse 292 Suicide 79 Metro area population, 2003 5,772,947 Population covered by DAWN 2,811,906 Percent of population covered by DAWN 49%

86
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 10.5% Suicide 21.3% Overmedication 5.7%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 69 152 17 54 0 Deaths 7 56 11 5 0

2

11 PHILADELPHIA 3 5 4

1

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (6) 1. New Castle County, DE 2. Cecil County, MD 3. Burlington County, NJ 4. Camden County, NJ 5. Gloucester County, NJ 6. Salem County, NJ 7. Bucks County, PA 8. Chester County, PA 9. Delaware County, PA* 10. Montgomery County, PA* 11. Philadelphia County, PA Drug misuse Deaths Rate1 292 103.8 10 62 28 57 69 66 107.8 120.6 104.9 93.0 124.5 85.6 Suicide Deaths Rate1 79 28.1 1 9 2 21 16 30
1 Deaths

Total population 2,811,906 515,074 92,746 444,381 513,909 266,962 64,854 613,110 457,393 554,432 770,747 1,479,339

All other accidental 62.5%

Top 5 drugs involved: Drug misuse deaths, 2003
250 200 150 100 50 0 Opiates/opioids Cocaine Benzodiazepines Alcohol 121 100 94 46 Antidepressants 212 Multi-drug deaths Single-drug deaths

10.8 17.5 7.5 34.3 28.9 38.9

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
40 30 20 10 0 Opiates/opioids Benzodiazepines Antidepressants Misc. anxiolytics, sedatives, and hypnotics 34 27 27 22 17 Multi-drug deaths Single-drug deaths

Alcohol

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 191.4 180.9

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 272 7 270 258 19 21 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 55 -55 44 5 44

Deaths per 1,000,000 population

150

151.5

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

100 59.2 50 30.6 21.0
Drug category

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Deaths 194 134 40 14 4 10 -Singledrug deaths 21 16 -0 0 0 0 Drug misuse Deaths 292 94 121 32 11 -10 -46 12 100 25 212 44 40 154 0 5 26 10 11 Singledrug deaths 39 -16 -0 0 0 0 0 0 0 0 18 -5 10 0 0 --0 Suicide Deaths 79 22 13 8 --0 -27 4 27 17 34 -4 30 --12 -4 Singledrug deaths 9 0 0 0 0 0 0 0 -0 ---0 0 -0 0 0 0 0

0

Male

Female

Under 21

21 to 34

35 to 54

55 and over

Death rates by gender and age: Suicide, 2003
200

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

150

100

47

--

50

40.4 16.5 6.1 Under 21

43.2

42.7 24.3

0

Male

Female

21 to 34

35 to 54

55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

87

Phoenix-Mesa-Scottsdale, AZ
Deaths reported to DAWN Drug misuse 389 Suicide 102
PHOENIX

88
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 7.9% Suicide 20.8% Overmedication 3.5%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 102 166 58 51 12 Deaths 29 57 7 7 --

1

2

Metro area population, 2003 3,593,408 Population covered by DAWN 3,389,260 Percent of population covered by DAWN 94%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. Maricopa County, AZ 2. Pinal County, AZ Drug misuse Deaths Rate1 389 114.8 389 114.8 Suicide Deaths Rate1 102 30.1 102 30.1
1 Deaths

All other accidental 67.8%

Total population 3,389,260 3,389,260 204,148

Top 5 drugs involved: Drug misuse deaths, 2003
250 200 150 100 50 0 Opiates/opioids Cocaine Alcohol Stimulants 130 110 104 54 227 Multi-drug deaths Single-drug deaths

Shaded areas did not participate in DAWN this year.

per 1,000,000 population.

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
40 30 20 10 0 Opiates/opioids Alcohol Benzodiazepines Stimulants Misc. analgesics/ combinations 35 31 20 18 Multi-drug deaths Single-drug deaths

14

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
300 250 200 150 100 50 0 52.4 25.3 Male Female Under 21 21 to 34 35 to 54 55 and over 95.2 56.4 177.5

Causes of death, 2003
Drug misuse Deaths 346 121 343 295 38 72 Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 72 5 72 69 7 63

269.4

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 389 110 130 0 104 0 --25 5 54 22 227 13 52 181 0 -6 4 10 Singledrug deaths 104 10 30 0 23 0 0 0 0 -0 -37 4 7 26 0 0 --0

Suicide Deaths 102 31 14 0 18 -0 0 10 -20 11 35 0 -32 0 4 14 4 -Singledrug deaths 31 -4 0 -0 0 0 ----8 0 0 8 0 ---0

Deaths 256 144 0 122 ----

Singledrug deaths 63 34 0 25 0 0 0

Death rates by gender and age: Suicide, 2003
300 250 200 150 100 50 0 37.3 43.5 23.0 Female 4.7 Under 21 21 to 34 35 to 54 55.8 19.8 55 and over

13

4

Male

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Phoenix-Mesa-Scottsdale, AZ

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

89

Portland-Vancouver-Beaverton, OR-WA
2 7 6 4 5
PORTLAND 3

90
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 146 Suicide 27 Metro area population, 2003 2,040,258 Population covered by DAWN 1,514,744 Percent of population covered by DAWN 74%

Deaths by case type, 2003
Could not be determined 13.9% Suicide 15.6% Overmedication 1.7%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 17 94 18 13 4 Deaths -19 --0

1

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Clackamas County, OR 2. Columbia County, OR 3. Multnomah County, OR* 4. Washington County, OR 5. Yamhill County, OR 6. Clark County, WA 7. Skamania County, WA Drug misuse Deaths Rate1 146 96.4 14 39.2 119 13 175.6 27.1 Suicide Deaths Rate1 27 17.8 7 19.6 17 3 25.1 6.3 Total population 1,514,744 357,435 46,261 677,813 479,496 89,384 379,577 10,292

All other accidental 68.8%

Top 5 drugs involved: Drug misuse deaths, 2003
150 125 100 75 50 25 0 Opiates/opioids Cocaine Alcohol Antidepressants 50 49 40 120 Multi-drug deaths Single-drug deaths

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

31

Benzodiazepines

Top 5 drugs involved: Suicide deaths, 2003
15 10 5

14

14 9 6

Multi-drug deaths Single-drug deaths

5

0

Antidepressants

Alcohol

Opiates/opioids

Benzodiazepines

Misc. anxiolytics, sedatives, and hypnotics

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 191.9

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 145 14 142 110 8 0 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 27 0 27 27 ---

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

150

134.7 112.5

100 58.8 50 6.9 0 Male Female Under 21 21 to 34 35 to 54 55 and over

Drug-related deaths by drug category, 2003
51.3
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 146 49 50 13 21 0 0 -40 6 31 12 120 39 31 82 0 --4 4 Singledrug deaths 20 0 5 0 0 0 0 0 -0 0 0 12 4 -7 0 0 -0 0

Suicide Deaths 27 14 0 --0 0 0 14 4 6 5 9 0 -7 0 0 -0 -Singledrug deaths 4 0 0 0 0 0 0 0 -0 0 -0 0 0 0 0 0 -0 --

Deaths 100 50 15 24 0 0 --

Singledrug deaths 9 5 0 0 0 0 0

Death rates by gender and age: Suicide, 2003
200

150

100

39

4

50 22.7 0 13.1 Female 2.3 Under 21 12.2 21 to 34

35.5 18.3 35 to 54 55 and over

Male

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Portland-Vancouver-Beaverton, OR-WA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

91

Portland-South Portland, ME
2 1
PORTLAND

92
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 49 Suicide 9 Metro area population, 2003 505,404 Population covered by DAWN 505,404 Percent of population covered by DAWN 100%

Deaths by case type, 2003
Suicide 15.5%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 13 28 0 8 0 Deaths -6 0 -0

3

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Cumberland County, ME 2. Sagadahoc County, ME 3. York County, ME Drug misuse Deaths Rate1 49 97.0 35 129.2 0 0.0 14 70.7 Suicide Deaths Rate1 9 17.8 6 22.1 1 27.4 2 10.1
1 Deaths

All other accidental 84.5%

Total population 505,404 270,923 36,455 198,026

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Alcohol 13 11 45 Multi-drug deaths Single-drug deaths

per 1,000,000 population.

7 Benzodiazepines

4 Misc. analgesics/ combinations

Antidepressants

Top 5 drugs involved: Suicide deaths, 2003
10 Multi-drug deaths Single-drug deaths 5 4 4

5

0

Opiates/opioids

Benzodiazepines

Alcohol

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
250 205.8 Deaths per 1,000,000 population 200 167.1 150 138.5
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 45 0 45 44 9 0 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 9 0 9 9 0 0

100 57.7 50 7.2 0 Male Female Under 21 21 to 34 35 to 54 17.9 55 and over

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 49 13 4 0 -0 0 0 11 -7 0 45 -23 28 0 0 4 -0 Singledrug deaths 16 0 0 0 0 0 0 0 0 0 0 0 15 0 9 6 0 0 0 0 0

Suicide Deaths 9 4 0 0 0 0 0 0 --4 -5 0 -4 -----Singledrug deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Deaths 6 4 0 -0 0 0

Singledrug deaths 0 0 0 0 0 0 0

Death rates by gender and age: Suicide, 2003
250

Deaths per 1,000,000 population

200

150

--

0

100

50 8.1 0 Male

26.9 0.0 Female Under 21

22.9 21 to 34

29.8

17.9 55 and over

35 to 54

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Portland-South Portland, ME

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

93