A R E A S P OT L I G H T S

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

127

Albuquerque, NM: Bernalillo County, NM
Bernalillo County, NM: Deaths and population, 2003
ALBUQUERQUE

59 -4 0 0 --

18 0 -0 0 --

Deaths per 1,000,000 population

128
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 3.9% Suicide 9.0% Overmedication 13.5%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 136 -135 127 21 9

Deaths reported to DAWN Drug misuse ................................................141 Suicide ...........................................................14 Population ............................................ 581,442 Deaths per 1,000,000 population Drug misuse .............................................242.5 Suicide ........................................................24.1

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 31 73 14 23 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 141 49 57 -4 0 0 -13 0 15 -100 39 20 47 ----5 Singledrug deaths 56 -18 0 -0 0 --0 0 0 29 11 5 13 0 0 0 0 0

Deaths 91

Singledrug deaths 32

All other accidental 73.5%

Death rates by gender and age: Drug misuse, 2003
600 400 200 0 363.5 531.6

300.8 127.5 17.3

69.9 21 to 34 35 to 54 55 and over

Male

Female

Under 21

39

11

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Cocaine Alcohol 100 57 49 15 Benzodiazepines 13 Antidepressants Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

Atlanta-Sandy Springs-Marietta, GA: Fulton County, GA
Fulton County, GA: Deaths and population, 2003
ATLANTA

Deaths by case type, 2003
Could not be determined 1.8% Suicide 3.6% Overmedication 0.9%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 106 7 106 75 28 --

Deaths reported to DAWN Drug misuse ................................................108 Suicide .............................................................4 Population ............................................ 818,322 Deaths per 1,000,000 population Drug misuse .............................................132.0 Suicide ..........................................................4.9

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
1

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 32 45 15 15 --

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 84 79 -4 -0 0 Singledrug deaths 36 34 0 -0 0 0 Drug misuse Deaths 108 23 78 -4 -0 0 7 0 18 -53 --50 0 0 -0 -Singledrug deaths 42 0 34 0 -0 0 0 -0 0 0 5 0 0 5 0 0 0 0 0

All other accidental 93.8%

Death rates by gender and age: Drug misuse, 2003
400 300 200 100 0 Male 190.7 76.2 4.2 Female Under 21 21 to 34 35 to 54 55 and over 113.6 77.5 294.7

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Cocaine Opiates/opioids 78 53 23 Alcohol 18 Benzodiazepines Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

7 Antidepressants

129

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

Baltimore-Towson, MD: Baltimore City, MD
Baltimore City, MD: Deaths and population, 2003
BALTIMORE

Deaths per 1,000,000 population

130
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 96.4%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 304 0 304 298 11 --

Deaths reported to DAWN Drug misuse ................................................305 Suicide .............................................................4 Population ............................................ 628,670 Deaths per 1,000,000 population Drug misuse .............................................485.2 Suicide ..........................................................6.4

Place of death, 2003
Suicide 1.3% Drug misuse Health care facility Home Public place Other Not documented Deaths 134 101 5 65 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 305 117 150 0 0 0 0 0 54 14 13 34 277 0 61 242 0 -20 -0 Singledrug deaths 38 0 8 0 0 0 0 0 0 0 0 0 29 0 10 19 0 -0 0 0

All other accidental 2.3%

Deaths 150 150 0 0 0 0 0

Singledrug deaths 8 8 0 0 0 0 0

Death rates by gender and age: Drug misuse, 2003
1,200 1,000 800 600 400 200 0 Male Female 262.5 10.7 Under 21 21 to 34 35 to 54 745.9 487.7 161.6 55 and over 1,195.9

0

0

Top 5 drugs involved: Drug misuse deaths, 2003
300 200 100 0 277 150 Multi-drug deaths Single-drug deaths 117 54 Opiates/opioids Cocaine Alcohol Antidepressants 34 Misc. anxiolytics, sedatives, and hypnotics

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

Baltimore-Towson, MD: Baltimore County, MD
Baltimore County, MD: Deaths and population, 2003
BALTIMORE

Deaths by case type, 2003
Could not be determined 94.3%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 117 0 117 113 6 --

Deaths reported to DAWN Drug misuse ................................................120 Suicide .............................................................3 Population ............................................ 777,184 Deaths per 1,000,000 population Drug misuse .............................................154.4 Suicide ..........................................................3.9

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
1

Place of death, 2003
Suicide 2.4% Drug misuse Health care facility Home Public place Other Not documented Deaths 19 78 -21 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 43 42 0 0 0 0 0 Singledrug deaths -------Drug misuse Deaths 120 51 42 0 0 0 0 0 32 7 8 19 98 -28 82 0 0 16 0 4 Singledrug deaths 16 --0 0 0 0 0 0 0 0 0 9 0 -8 0 0 -0 0

All other accidental 3.3%

Death rates by gender and age: Drug misuse, 2003
300 200 100 0 71.0 297.2 246.9 233.3

47.2 Under 21 21 to 34 35 to 54

27.5 55 and over

Male

Female

--

--

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Alcohol Cocaine Antidepressants 98 51 42 Multi-drug deaths Single-drug deaths 32

19 Misc. anxiolytics, sedatives, and hypnotics

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

131

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

Boston-Cambridge-Quincy, MA-NH: Essex County, MA
Essex County, MA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................93 Suicide ...........................................................13
BOSTON

Deaths per 1,000,000 population

132
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 84.0%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 91 25 91 79 8 5

Population ............................................ 737,848 Deaths per 1,000,000 population Drug misuse .............................................126.0 Suicide ........................................................17.6 Suicide 12.3% Overmedication 1.9%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 18 58 -10 4

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 93 20 37 -0 0 0 -10 0 14 -62 28 7 31 0 --0 -Singledrug deaths 41 0 14 0 0 0 0 --0 -0 20 13 0 7 0 0 -0 0

All other accidental 1.9%

Deaths 67 42 -0 0 0 --

Singledrug deaths 31 17 0 0 0 0 --

Death rates by gender and age: Drug misuse, 2003
300 200 100 0 206.7 166.6 88.6 23.6 Male Female Under 21 21 to 34 35 to 54 43.0 55 and over 232.0

28

13

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine 62 37 20 Alcohol 14 Benzodiazepines 10 Antidepressants Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

Boston-Cambridge-Quincy, MA-NH: Middlesex County, MA
Middlesex County, MA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................108 Suicide ...........................................................14
BOSTON
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 83.6%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 108 26 108 92 12 7

Population ......................................... 1,471,724 Deaths per 1,000,000 population Drug misuse ...............................................73.4 Suicide ..........................................................9.5

Place of death, 2003
Suicide 11.5% Drug misuse Health care facility Home Public place Other Not documented Deaths 28 52 5 17 6

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 108 18 45 -0 0 0 -4 5 19 -72 24 4 46 0 0 0 -0 Singledrug deaths 54 0 17 0 0 0 0 0 --4 0 30 13 -15 0 0 0 -0

All other accidental 4.9%

Deaths 74 49 -0 0 0 --

Singledrug deaths 32 18 0 0 0 0 --

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 150 108.1 100 50 0 40.8 18.4 Male Female Under 21 21 to 34 35 to 54 19.2 55 and over 113.2 127.7

25

13

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine 72 45 19 Benzodiazepines 18 Alcohol 5 Antipsychotics Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

133

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

Boston-Cambridge-Quincy, MA-NH: Suffolk County, MA
Suffolk County, MA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................132 Suicide ...........................................................14
BOSTON

Deaths per 1,000,000 population

134
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 86.3%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 131 27 131 113 24 14

Population ............................................ 680,705 Deaths per 1,000,000 population Drug misuse .............................................193.9 Suicide ........................................................20.6

Place of death, 2003
Suicide 9.6% Drug misuse Health care facility Home Public place Other Not documented Deaths 24 60 24 21 --

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 132 29 80 -0 -0 0 4 -27 -68 20 0 49 0 0 --0 Singledrug deaths 58 0 30 0 0 0 0 0 0 0 8 0 17 10 0 7 0 0 -0 0

All other accidental 4.1%

Deaths 99 87 -0 -0 0

Singledrug deaths 41 31 0 0 0 0 0

Death rates by gender and age: Drug misuse, 2003
500 400 300 200 100 0 Male 93.4 40.5 Female Under 21 21 to 34 35 to 54 302.5 117.8 497.4

81.1 55 and over

21

10

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Cocaine Opiates/opioids 80 68 29 27 4 Alcohol Benzodiazepines Antidepressants Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

Chicago-Naperville-Joliet, IL-IN-WI: DuPage County, IL
DuPage County, IL: Deaths and population, 2003
CHICAGO

Deaths by case type, 2003
Suicide 19.2% Could not be determined 3.8% Overmedication 19.2%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 57 5 57 57 9 --

Deaths reported to DAWN Drug misuse ..................................................63 Suicide ...........................................................15 Population ............................................ 925,188 Deaths per 1,000,000 population Drug misuse ...............................................68.1 Suicide ........................................................16.2

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

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 19 29 4 11 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 63 15 21 -0 -0 -8 -7 12 40 9 8 26 0 -4 --Singledrug deaths 26 -10 0 0 0 0 0 0 0 0 -12 --7 0 0 0 0 0

All other accidental 57.7%

Deaths 32 25 -0 -0 --

Singledrug deaths 16 13 0 0 0 0 0

Death rates by gender and age: Drug misuse, 2003
150 100 50 0 98.3 106.4 118.6

38.5

28.4 0.0 Under 21 21 to 34 35 to 54 55 and over

Male

Female

9

--

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol 40 21 Multi-drug deaths Single-drug deaths 15 12

8

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

Misc. anxiolytics, Antidepressants sedatives, and hypnotics

135

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

Denver-Aurora, CO: Denver County, CO
Denver County, CO: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................123 Suicide ...........................................................12 Population ............................................ 557,478 Deaths per 1,000,000 population Drug misuse .............................................220.6 Suicide ........................................................21.5

Deaths per 1,000,000 population

136
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 6.7% Suicide 8.9% Overmedication 0.7%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 120 -120 112 12 --

DENVER

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 27 77 9 10 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 123 55 58 -11 -0 -7 -13 -79 0 9 72 0 -7 0 4 Singledrug deaths 34 0 15 0 -0 0 -0 0 0 0 12 0 0 12 0 --0 0

Deaths 71 59 -12 -0 --

Singledrug deaths 18 15 0 -0 0 --

All other accidental 83.7%

Death rates by gender and age: Drug misuse, 2003
500 400 300 200 100 0 Male 108.3 6.9 Female Under 21 21 to 34 35 to 54 55 and over 331.6 235.3 158.3 442.1

0

0

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine Alcohol 79 58 55 13 Benzodiazepines Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

11 Stimulants

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

Detroit-Warren-Livonia, MI: Oakland County, MI
Oakland County, MI: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................116 Suicide ...........................................................18
DETROIT

Deaths by case type, 2003
Suicide 13.4%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 108 44 108 63 9 --

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

Population ......................................... 1,207,869 Deaths per 1,000,000 population Drug misuse ...............................................96.0 Suicide ........................................................14.9

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 18 68 4 26 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 116 27 56 27 -0 0 0 22 -37 0 91 4 26 70 --5 -13 Singledrug deaths 22 0 12 0 0 0 0 0 -0 -0 7 --4 0 0 0 0 0

Could not be determined 86.6%

Deaths 79 58 29 -0 0 0

Singledrug deaths 14 12 0 0 0 0 0

Death rates by gender and age: Drug misuse, 2003
300 216.5 200 100 0 108.1 84.4 8.7 Male Female Under 21 21 to 34 35 to 54 74.4

41.9 55 and over

4

--

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine Benzodiazepines 91 56 37 27 Multi-drug deaths Single-drug deaths 27

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

Marijuana

Alcohol

137

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

Detroit-Warren-Livonia, MI: Wayne County, MI
Wayne County, MI: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................339 Suicide ...........................................................24
DETROIT

Deaths per 1,000,000 population

138
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 5.0% Suicide 6.6% Overmedication 1.1%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 339 184 339 132 18 0

Population ......................................... 2,028,778 Deaths per 1,000,000 population Drug misuse .............................................167.1 Suicide ........................................................11.8

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 107 154 7 71 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 339 107 198 0 -0 0 0 71 23 80 76 255 64 39 213 0 0 5 7 16 Singledrug deaths 33 0 25 0 0 0 0 0 0 0 0 0 7 4 0 -0 0 0 0 0

Deaths 240 200 0 -0 0 0

Singledrug deaths 29 25 0 0 0 0 0

All other accidental 87.3%

Death rates by gender and age: Drug misuse, 2003
500 400 300 200 100 0 Male 95.5 6.1 Female Under 21 21 to 34 35 to 54 245.2 112.3 462.7

55.4 55 and over

64

4

Top 5 drugs involved: Drug misuse deaths, 2003
300 240 180 120 60 0 Opiates/opioids Cocaine Alcohol Benzodiazepines 255 198 107 80 Multi-drug deaths Single-drug deaths 76 Misc. anxiolytics, sedatives, and hypnotics

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

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

Houston-Baytown-Sugar Land, TX: Harris County, TX
Harris County, TX: Deaths and population, 2003
HOUSTON

Deaths by case type, 2003
Suicide 24.5% Overmedication 9.1%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 241 0 241 236 6 0

Deaths reported to DAWN Drug misuse ................................................241 Suicide ...........................................................78 Population ......................................... 3,596,086 Deaths per 1,000,000 population Drug misuse ...............................................67.0 Suicide ........................................................21.7

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
1
2

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 80 124 6 31 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 160 126 18 --4 5 Singledrug deaths 83 75 0 -0 0 -Drug misuse Deaths 241 63 119 15 --4 -23 -47 12 122 25 25 78 0 -4 -35 Singledrug deaths 104 -74 0 -0 0 --0 -0 21 5 7 9 0 --0 0

All other accidental 66.5%

Death rates by gender and age: Drug misuse, 2003
200 150 100 50 0 Male 92.4 42.0 5.8 Female Under 21 21 to 34 35 to 54 55 and over 59.7 37.1 155.9

27

5

Top 5 drugs involved: Drug misuse deaths, 2003
150 125 100 75 50 25 0 122 119 63 Multi-drug deaths Single-drug deaths 47

35 Muscle relaxants

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

Opiates/opioids

Cocaine

Alcohol

Benzodiazepines

139

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

Kansas City, MO-KS: Jackson County, MO
Jackson County, MO: Deaths and population, 2003
KANSAS CITY

Deaths per 1,000,000 population

140
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 5.4% Suicide 12.0% Overmedication 3.3%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 64 9 64 54 5 14

Deaths reported to DAWN Drug misuse ..................................................81 Suicide ...........................................................11 Population ............................................ 659,723 Deaths per 1,000,000 population Drug misuse .............................................122.8 Suicide ........................................................16.7

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 27 35 10 9 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 81 24 33 14 7 0 6 -20 -14 5 35 0 9 27 0 ----Singledrug deaths 24 -14 0 -0 5 0 0 0 0 0 -0 -0 0 -0 0 0

Deaths 52 34 15 7 0 7 --

Singledrug deaths 20 14 0 -0 5 0

All other accidental 79.3%

Death rates by gender and age: Drug misuse, 2003
300 200 100 0 179.5 120.5 70.1 10.1 Male Female Under 21 21 to 34 35 to 54 55 and over 81.6 266.9

0

0

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol Antidepressants Benzodiazepines 35 33 24 20 Multi-drug deaths Single-drug deaths 14

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

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

Minneapolis-St. Paul-Bloomington, MN-WI: Hennepin County, MN
Hennepin County, MN: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................67 Suicide ...........................................................19 Population ......................................... 1,121,035 Deaths per 1,000,000 population Drug misuse ...............................................59.8 Suicide ........................................................16.9 Could not be determined 2.3%
Drug misuse Deaths 67 19 19 0 5 0 0 0 4 -5 4 48 9 11 32 0 0 -0 0 Singledrug deaths 31 0 10 0 -0 0 0 0 0 0 0 17 7 -7 0 0 0 0 0
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
1

Deaths by case type, 2003
Overmedication 37.2%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 67 0 67 63 7 0

Suicide 22.1%

MINNEAPOLIS

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 12 38 6 11 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 31 19 0 5 0 0 0 Singledrug deaths 20 10 0 -0 0 0

All other accidental 38.4%

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 150 116.1 100 50 0 92.4 75.6 28.1 0.0 Male Female Under 21 21 to 34 35 to 54 55 and over 34.5

9

7

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol 19 19 5 Benzodiazepines 5 Stimulants 48 Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

141

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

New Orleans-Metairie-Kenner, LA: Jefferson Parish, LA
Jefferson Parish, LA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................108 Suicide ...........................................................12 Population ............................................ 452,459 Deaths per 1,000,000 population Drug misuse .............................................238.7 Suicide ........................................................26.5

Deaths per 1,000,000 population

142
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 10.0% Suicide 10.0% Overmedication 2.5% Homicide by drugs 0.8%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 103 -103 76 24 16

NEW ORLEANS

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 21 58 8 21 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 108 23 46 13 8 -0 0 5 0 51 21 86 -35 68 0 -6 -16 Singledrug deaths 15 0 5 0 0 -0 0 0 0 0 0 9 0 -7 0 0 0 0 0

Deaths 60 48 13 9 -0 0

Singledrug deaths 6 5 0 0 -0 0

All other accidental 76.7%

Death rates by gender and age: Drug misuse, 2003
500 400 300 200 100 0 Male Female 148.7 74.4 15.0 Under 21 21 to 34 35 to 54 55 and over 336.3 386.3 472.8

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Benzodiazepines Cocaine 51 46 23 Alcohol 21 Misc. anxiolytics, sedatives, and hypnotics 86 Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

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

New Orleans-Metairie-Kenner, LA: Orleans Parish, LA
Orleans Parish, LA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................71 Suicide .............................................................6 Population ............................................ 469,032 Deaths per 1,000,000 population Drug misuse .............................................151.4 Suicide ........................................................12.8 Suicide 7.8%
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
1
2

Deaths by case type, 2003
Could not be determined 53.2%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 70 54 70 15 70 23

NEW ORLEANS

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 19 33 5 14 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 47 35 8 -0 0 0 Singledrug deaths 6 5 0 0 0 0 0 Drug misuse Deaths 71 32 35 8 -0 0 0 6 0 15 14 45 5 17 35 -0 6 -10 Singledrug deaths 9 0 5 0 0 0 0 0 0 0 0 0 ---0 0 0 0 0 0

All other accidental 39.0%

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 300 200 100 0 266.4 279.4 295.8

51.7 6.7 Male Female Under 21 21 to 34 35 to 54

33.1 55 and over

5

--

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics 45 35 32 15 Multi-drug deaths Single-drug deaths 14

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

143

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

New York-Newark-Edison, NY-NJ-PA: Bronx County, NY
Bronx County, NY: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................181 Suicide .............................................................7
NEW YORK CITY

Deaths per 1,000,000 population

144
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 0.5% Suicide 3.7% Homicide by drugs 0.5%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 180 54 178 135 42 --

Population ......................................... 1,363,198 Deaths per 1,000,000 population Drug misuse .............................................132.8 Suicide ..........................................................5.1

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 73 92 7 9 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 181 61 96 10 -0 --31 8 25 22 135 -60 104 0 -10 --Singledrug deaths 33 0 18 0 0 0 0 0 -0 0 0 14 0 -12 0 0 0 0 0

All other accidental 95.2%

Deaths 104 98 10 -0 ---

Singledrug deaths 18 18 0 0 0 0 0

Death rates by gender and age: Drug misuse, 2003
400 300 200 100 0 Male 197.4 77.5 8.4 Female Under 21 21 to 34 35 to 54 55 and over 99.0 72.1 362.5

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
150 125 100 75 50 25 0 135 96 61 31 Opiates/opioids Cocaine Alcohol Antidepressants 25 Benzodiazepines Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

New York-Newark-Edison, NY-NJ-PA: Kings County, NY
Kings County, NY: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................226 Suicide .............................................................8
NEW YORK CITY

Deaths by case type, 2003
Could not be determined 0.9% Suicide 3.4% Homicide by drugs 0.4%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 225 38 224 189 26 --

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
1
2

Population ......................................... 2,472,523 Deaths per 1,000,000 population Drug misuse ...............................................91.4 Suicide ..........................................................3.2

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 78 116 9 23 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 137 132 10 0 --7 Singledrug deaths 25 25 0 0 0 0 0 Drug misuse Deaths 226 76 132 10 0 --6 49 11 45 34 166 -70 126 -4 18 5 4 Singledrug deaths 36 0 25 0 0 0 0 0 0 0 0 -10 0 -8 0 0 0 0 0

All other accidental 95.3%

Death rates by gender and age: Drug misuse, 2003
300 230.0 200 140.9 100 0 47.9 3.9 Male Female Under 21 21 to 34 35 to 54 55 and over 81.5 48.0

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
200 150 100 50 0 Opiates/opioids Cocaine Alcohol 166 132 76 49 Multi-drug deaths Single-drug deaths

45 Benzodiazepines

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

Antidepressants

145

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

New York-Newark-Edison, NY-NJ-PA: New York County, NY
New York County, NY: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................220 Suicide ...........................................................13
NEW YORK CITY

Deaths per 1,000,000 population

146
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 0.9% Suicide 5.6% Homicide by drugs 0.9%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 220 25 217 191 28 --

Population ......................................... 1,564,798 Deaths per 1,000,000 population Drug misuse .............................................140.6 Suicide ..........................................................8.3

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 80 108 12 20 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 220 74 113 7 --6 5 52 12 42 20 166 22 56 115 0 -13 --Singledrug deaths 44 0 20 0 -0 -0 -0 0 0 20 5 6 9 0 0 -0 0

Deaths 139 113 8 --6 6

Singledrug deaths 27 20 0 -0 -0

All other accidental 92.7%

Death rates by gender and age: Drug misuse, 2003
300 226.9 200 100 0 86.8 9.6 Male Female Under 21 21 to 34 35 to 54 55 and over 100.8 297.1

63.1

22

5

Top 5 drugs involved: Drug misuse deaths, 2003
200 150 100 50 0 Opiates/opioids Cocaine Alcohol 166 113 74 52 Multi-drug deaths Single-drug deaths

42 Benzodiazepines

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

Antidepressants

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

New York-Newark-Edison, NY-NJ-PA: Queens County, NY
Queens County, NY: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................148 Suicide .............................................................6
NEW YORK CITY

Deaths by case type, 2003
Could not be determined 0.6% Suicide 3.9% Overmedication 0.6%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 148 21 148 126 19 --

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
1
2

Population ......................................... 2,225,486 Deaths per 1,000,000 population Drug misuse ...............................................66.5 Suicide ..........................................................2.7

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 41 87 11 9 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 83 69 -0 --6 Singledrug deaths 20 18 0 0 0 0 0 Drug misuse Deaths 148 53 68 -0 --6 31 7 35 21 91 9 28 69 0 -17 5 0 Singledrug deaths 30 0 18 0 0 0 0 0 0 -0 0 11 -4 5 0 0 0 0 0

All other accidental 94.8%

Death rates by gender and age: Drug misuse, 2003
200 150 100 50 0 Male 106.4 31.6 3.4 Female Under 21 21 to 34 35 to 54 55 and over 38.2 171.8

29.5

9

--

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Opiates/opioids Cocaine Alcohol Benzodiazepines 91 68 53 35 31 Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

Antidepressants

147

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

New York-Newark-Edison, NY-NJ-PA: Suffolk County, NY
Suffolk County, NY: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................124 Suicide ...........................................................14
NEW YORK CITY

Deaths per 1,000,000 population

148
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 10.1% Could not be determined 0.7% Overmedication 16.7%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 123 4 122 113 17 --

Population ......................................... 1,468,037 Deaths per 1,000,000 population Drug misuse ...............................................84.5 Suicide ..........................................................9.5

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 35 73 5 11 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 124 50 63 21 4 --0 30 15 39 13 96 43 25 62 0 -7 0 10 Singledrug deaths 12 0 5 0 0 0 0 0 0 -0 -4 --0 0 0 -0 0

Deaths 94 65 21 4 --0

Singledrug deaths 8 5 0 0 0 0 0

All other accidental 72.5%

Death rates by gender and age: Drug misuse, 2003
200 150 100 50 0 Male 45.4 11.5 Female Under 21 21 to 34 35 to 54 29.6 55 and over 125.1 123.2 166.1

43

--

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Cocaine Alcohol Benzodiazepines 96 63 50 Multi-drug deaths Single-drug deaths 39 30 Antidepressants

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

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

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD: Delaware County, PA
Delaware County, PA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................69 Suicide ...........................................................16 Population ............................................ 554,432 Deaths per 1,000,000 population Drug misuse .............................................124.5 Suicide ........................................................28.9
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
1
2

Deaths by case type, 2003
Suicide 18.8% Could not be determined 20.0%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 66 0 66 62 6 --

PHILADELPHIA

Overmedication 14.1%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 23 35 -9 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 38 34 --0 4 -Singledrug deaths 6 5 0 0 0 0 0 Drug misuse Deaths 69 19 30 --0 4 -17 4 23 5 49 -13 36 0 -5 --Singledrug deaths 13 -5 0 0 0 0 0 0 0 0 0 7 ---0 0 0 0 0

All other accidental 47.1%

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 300 200 100 0 174.2 79.2 18.8 Male Female Under 21 21 to 34 35 to 54 15.2 55 and over 169.6 283.9

--

--

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 49 30 23 19 Multi-drug deaths Single-drug deaths

17 Antidepressants

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

Opiates/opioids

Cocaine

Benzodiazepines

Alcohol

149

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

Philadelphia-Camden-Wilmington, PA-NJ-DE-MD: Montgomery County, PA
Montgomery County, PA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................66 Suicide ...........................................................30 Population ............................................ 770,747 Deaths per 1,000,000 population Drug misuse ...............................................85.6 Suicide ........................................................38.9

Deaths per 1,000,000 population

150
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 31.3% Could not be determined 3.1%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 50 -48 47 6 16

PHILADELPHIA

Overmedication 3.1%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 23 31 7 5 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 66 18 26 14 4 0 0 0 10 -24 5 35 -4 30 0 -4 -4 Singledrug deaths 10 0 6 -0 0 0 0 0 0 0 0 -0 0 -0 0 0 -0

Deaths 48 28 17 6 -0 0

Singledrug deaths 8 6 -0 0 0 0

All other accidental 62.5%

Death rates by gender and age: Drug misuse, 2003
200 150 100 50 0 Male 47.8 47.2 16.6 Female Under 21 21 to 34 35 to 54 55 and over 126.0 164.6 126.7

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Benzodiazepines Alcohol Marijuana 35 26 24 18 Multi-drug deaths Single-drug deaths 14

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

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

Portland-Vancouver-Beaverton, OR-WA: Multnomah County, OR
Multnomah County, OR: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................119 Suicide ...........................................................17 Population ............................................ 677,813 Deaths per 1,000,000 population Drug misuse .............................................175.6 Suicide ........................................................25.1
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
1

Deaths by case type, 2003
Could not be determined 15.4% Suicide 12.5%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 118 9 115 87 7 0

PORTLAND

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 16 73 16 12 --

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 88 45 14 21 0 0 -Singledrug deaths 5 5 0 0 0 0 0 Drug misuse Deaths 119 43 45 13 19 0 0 -33 6 26 7 95 32 22 71 0 ---4 Singledrug deaths 13 0 5 0 0 0 0 0 -0 0 0 5 0 0 5 0 0 -0 0

All other accidental 72.1%

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 400 300 200 100 0 Male 99.1 11.2 Female Under 21 21 to 34 35 to 54 55 and over 254.0 198.9 79.8 352.8

32

0

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Cocaine Alcohol Antidepressants 45 43 33 26 Benzodiazepines 95 Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

151

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

Salt Lake City, UT: Salt Lake County, UT
Salt Lake County, UT: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................175 Suicide ...........................................................30 Population ............................................ 924,247 Deaths per 1,000,000 population Drug misuse .............................................189.3 Suicide ........................................................32.5 Suicide 14.6%
Drug misuse Deaths 175 31 63 7 34 -0 -63 8 35 41 140 22 46 94 -0 18 11 23 Singledrug deaths 10 0 -0 0 0 0 0 0 0 0 -7 4 --0 0 -0 0

Deaths per 1,000,000 population

152
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 72.7%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 174 7 174 170 25 --

SALT LAKE CITY

Place of death, 2003
Overmedication 1.5% Drug misuse Health care facility Home Public place Other Not documented Deaths 53 101 8 13 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Deaths 104 67 7 38 -0 --

Singledrug deaths 6 -0 0 0 0 0

All other accidental 11.2%

Death rates by gender and age: Drug misuse, 2003
500 400 300 200 100 0 Male Female 215.7 261.2 162.8 27.1 Under 21 21 to 34 35 to 54 45.1 55 and over 424.1

22

4

Top 5 drugs involved: Drug misuse deaths, 2003
150 125 100 75 50 25 0 140 Multi-drug deaths Single-drug deaths 63 63 41 35

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.
2

Opiates/opioids

Antidepressants

Cocaine

Misc. anxiolytics, Benzodiazepines 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).

Seattle-Tacoma-Bellevue, WA: King County, WA
King County, WA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ................................................154 Suicide ...........................................................28 Population ......................................... 1,761,411 Deaths per 1,000,000 population Drug misuse ...............................................87.4 Suicide ........................................................15.9
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
1
2

Deaths by case type, 2003
Could not be determined 13.2% Suicide 15.4%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 153 0 153 153 6 --

SEATTLE

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 20 102 9 23 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 74 48 0 16 -0 0 Singledrug deaths 16 6 0 6 -0 0 Drug misuse Deaths 154 33 46 0 16 -0 0 62 7 28 29 114 18 44 67 --5 15 10 Singledrug deaths 34 0 6 0 6 -0 0 --0 -14 -5 6 0 0 0 0 0

All other accidental 71.4%

Death rates by gender and age: Drug misuse, 2003
Deaths per 1,000,000 population 200 150 100 50 8.6 0 Male Female Under 21 21 to 34 35 to 54 55 and over 105.1 70.0 93.8 43.4 170.3

19

--

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75 50 25 0 Opiates/opioids Antidepressants Cocaine Alcohol 62 46 114 Multi-drug deaths Single-drug deaths 33

29 Misc. anxiolytics, sedatives, and hypnotics

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

153

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

Seattle-Tacoma-Bellevue, WA: Snohomish County, WA
Snohomish County, WA: Deaths and population, 2003
Deaths reported to DAWN Drug misuse ..................................................65 Suicide ...........................................................15 Population ............................................ 639,409 Deaths per 1,000,000 population Drug misuse .............................................101.7 Suicide ........................................................23.5

Deaths per 1,000,000 population

154
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 8.8% Suicide 18.8% Overmedication 3.8%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 64 0 64 64 -0

SEATTLE

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 7 41 -14 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 65 15 19 0 10 -0 -24 -24 9 51 -23 32 -0 -7 4 Singledrug deaths 10 0 -0 -0 0 -0 0 0 0 -0 --0 0 -0 0

Deaths 33 20 0 13 -0 --

Singledrug deaths 5 -0 -0 0 --

All other accidental 68.8%

Death rates by gender and age: Drug misuse, 2003
300 214.6 200 135.0 100 0 68.5 5.0 Male Female Under 21 21 to 34 35 to 54 28.4 55 and over 130.6

--

0

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 51 24 24 19 Multi-drug deaths Single-drug deaths

15 Alcohol

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

Opiates/opioids

Benzodiazepines

Antidepressants

Cocaine

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

St. Louis, MO-IL: St. Louis City, MO
St. Louis City, MO: Deaths and population, 2003
ST. LOUIS

Deaths by case type, 2003
Could not be determined 2.9% Suicide 13.7% Overmedication 2.9%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 86 0 86 56 33 5

Deaths reported to DAWN Drug misuse ..................................................88 Suicide ...........................................................14 Population ............................................ 332,223 Deaths per 1,000,000 population Drug misuse .............................................264.9 Suicide ........................................................42.1

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
1

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 45 24 -17 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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 Deaths 64 44 5 -0 0 0 Singledrug deaths 36 29 0 0 0 0 0 Drug misuse Deaths 88 23 43 5 -0 0 0 4 -8 0 42 21 6 21 0 0 8 -0 Singledrug deaths 47 -29 0 0 0 0 0 -0 0 0 11 7 --0 0 -0 0

All other accidental 80.4%

Death rates by gender and age: Drug misuse, 2003
800 625.9 600 400 200 0 Male 417.6 130.3 Female 179.9 59.7 Under 21 21 to 34 35 to 54 55 and over 175.4

21

7

Top 5 drugs involved: Drug misuse deaths, 2003
75 50 25 0 43 42 23 8 Cocaine Opiates/opioids Alcohol Misc. analgesics/ combinations 8 Benzodiazepines Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

155

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

St. Louis, MO-IL: St. Louis County, MO
St. Louis County, MO: Deaths and population, 2003
ST. LOUIS

Deaths per 1,000,000 population

156
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 34.0% Overmedication 10.6% Could not be determined 5.3% Homicide by drugs 1.1%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 55 -54 49 7 6

Deaths reported to DAWN Drug misuse ..................................................62 Suicide ...........................................................32 Population ......................................... 1,013,123 Deaths per 1,000,000 population Drug misuse ...............................................61.2 Suicide ........................................................31.6

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 22 22 6 12 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 62 15 24 0 -0 -0 --4 -39 13 11 17 0 --0 -Singledrug deaths 32 -9 0 -0 -0 0 0 0 0 19 6 6 7 0 0 0 0 0

Deaths 40 27 0 -0 -0

Singledrug deaths 22 12 0 -0 -0

All other accidental 48.9%

Death rates by gender and age: Drug misuse, 2003
200 150 100 50 0 Male 93.6 31.9 Female 125.6 111.2

13.6 Under 21 21 to 34 35 to 54

4.4 55 and over

13

6

Top 5 drugs involved: Drug misuse deaths, 2003
50 40 30 20 10 0 Opiates/opioids Cocaine Alcohol 39 24 15 4 Benzodiazepines Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

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

Washington-Arlington-Alexandria, DC-VA-MD-WV: District of Columbia
District of Columbia: Deaths and population, 2003
WASHINGTON, DC

Deaths by case type, 2003
Suicide 5.2% Overmedication 1.9%

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 146 -146 139 7 4

Deaths reported to DAWN Drug misuse ................................................147 Suicide .............................................................8 Population ............................................ 563,384 Deaths per 1,000,000 population Drug misuse .............................................260.9 Suicide ........................................................14.2

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

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 72 60 10 5 0

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol1 Cocaine Marijuana Stimulants Club drugs2 Hallucinogens3 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
1

Drug misuse Deaths 147 51 87 --0 4 0 8 -5 -81 5 20 63 0 -0 0 0 Singledrug deaths 53 -37 0 0 0 0 0 0 0 0 0 13 0 5 8 0 -0 0 0

Deaths 92 87 --0 5 0

Singledrug deaths 38 37 0 0 0 -0

All other accidental 92.9%

Death rates by gender and age: Drug misuse, 2003
800 600 400 200 0 Male 364.1 170.2 29.1 Female Under 21 63.9 21 to 34 35 to 54 108.6 55 and over 713.2

5

0

Top 5 drugs involved: Drug misuse deaths, 2003
100 75 50 25 0 Cocaine Opiates/opioids Alcohol 51 87 81 Multi-drug deaths Single-drug deaths

Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 2 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 3 Includes PCP, LSD, and miscellaneous hallucinogens.

8 Antidepressants

5 Benzodiazepines

157

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

158

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