FLORIDA DEPARTMENT OF LAW ENFORCEMENT June 2003

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1 FLORIDA DEPARTMENT OF LAW ENFORCEMENT June 2003

2 Data Collection During the 2002 calendar year, there were approximately 168,500 deaths in Florida. Florida s medical examiners accepted jurisdiction of, investigated, and certified 20,858 of these deaths. There were 15,676 deaths in which autopsies were performed and toxicology tests conducted to identify the presence of drugs. The drug-related death information contained within this report was obtained from toxicology reports submitted by Florida s medical examiners for 5,816 cases. The state s medical examiners were asked to distinguish between the drugs being the cause of death or merely present in the body during the death investigations. Data was collected on the following drugs: Ethyl Alcohol, Benzodiazepine, Cannabinoids, Cocaine, GHB, Heroin, Hydrocodone, Oxycodone, Ketamine, Methadone, Methylated Amphetamines, Nitrous Oxide, Phencyclidine (PCP), and Rohypnol. Report Summary This report continues to provide historical data that has been collected since 1987 on cocaine-related deaths, as well as data that has been collected since 1995 on heroin-related deaths. Some general statewide trends for 2002 when compared to 2001 are listed below. Prescription drugs continued to be found more often at lethal levels (60%) than illegal drugs (40%). Methadone continued its increase of being found in autopsied bodies by 56% from 2001 to 2002, although this figure is less than the dramatic increase from 2000 to 2001 of 71%. Districts with the highest number of methadone-related deaths are Palm Beach (81), Jacksonville (59), St. Petersburg (52), Broward (52), and Pensacola (42). Approximately 25% of all methadone-related deaths occurred in South Florida (Palm Beach, Broward, and Miami-Dade counties). The occurrence of hydrocodone increased by 32% in 2002 from last year, while oxycodone had a smaller increase of 10%. Cocaine increased by 18% over last year, placing cocaine at its highest level since it was first tracked in In 2002, Benzodiazepine increased by 18% over last year. Decreases between 2001 and 2002 occurred with five drugs: GHB and methylated amphetamines decreased 32% and 14% respectively, while heroin, cannabinoids, and nitrous oxide showed smaller declines. The occurrence of PCP and rohypnol remained consistent, while ketamine and alcohol occurrences increased slightly MEC Drug Report Page i

3 Table of Contents Table or Chart Page Map of Florida Medical Examiner Districts 1 Summary of Drug-Related Deaths January December Frequency of Occurrence of Drugs in Decedents January December Comparison of 2001 & 2002 Drug-Related Deaths 4 Deaths in Which the Drugs Named Caused Death July 2001 December Oxycodone Deaths 6 Oxycodone Deaths by Age 7 Hydrocodone Deaths 8 Hydrocodone Deaths by Age 9 Methadone Deaths 10 Methadone Deaths by Age 11 Cocaine Deaths 12 Cocaine Deaths by Age 13 Cocaine Deaths Reported by Medical Examiners Cocaine Deaths by Year Heroin Deaths 16 Heroin Deaths by Age 17 Historical View of Heroin Deaths Deaths Caused by Heroin by Year Methylated Amphetamine Deaths 20 Methylated Amphetamine Deaths by Age 21 Type of Methylated Amphetamine Compound Occurrences 22 Drug Detected at Death: Lethal vs. Non-Lethal 23 Ages of Decedents 25 Manners of Death for Cases Reported MEC Drug Report Page ii

4 Medical Examiners Commission Members Stephen J. Nelson, M.A., M.D. Chairman District Ten Medical Examiner (863) Valerie J. Rao, M.D. District Five Medical Examiner Honorable Harrell Reid Sheriff, Hamilton County Mrs. Mariana Caballero Stewart Enterprises Mrs. Robin Giddens-Sheppard Department of Health Honorable Robert H, Dillinger, J.D. Public Defender, Sixth Judicial Circuit Honorable Bruce H. Colton, J.D. State Attorney, Nineteenth Judicial Circuit Robert J. Krauss, J.D. Office of the Attorney General Honorable Lane C. Rees Walton County Commission 2002 MEC Drug Report Page iii

5 Escambia Map 1 Florida Medical Examiner Districts Santa Rosa 1 14 DISTRICT ONE DISTRICT EIGHT Escambia Alachua Okaloosa Baker Santa Rosa Bradford Walton Gilchrist Levy DISTRICT TWO Union Franklin Gadsden DISTRICT NINE Leon Orange Liberty Osceola DISTRICT SEVENTEEN Jefferson Broward Taylor DISTRICT TEN Wakulla Hardee DISTRICT EIGHTEEN Highlands Brevard DISTRICT THREE Polk Columbia DISTRICT NINETEEN Dixie DISTRICT ELEVEN Indian River Hamilton Dade Martin Lafayette Okeechobee Madison DISTRICT TWELVE St. Lucie Suwannee DeSoto Manatee DISTRICT TWENTY DISTRICT FOUR Sarasota Collier Duval Nassau DISTRICT THIRTEEN DISTRICT TWENTY-ONE Clay Hillsborough Glades Hendry DISTRICT FIVE DISTRICT FOURTEEN Lee Citrus Bay Hernando Calhoun DISTRICT TWENTY-TWO Lake Gulf Charlotte Marion Jackson Sumter Washington DISTRICT TWENTY-THREE Holmes Flagler DISTRICT SIX Putnam Pinellas DISTRICT FIFTEEN St. Johns Pasco Palm Beach DISTRICT TWENTY-FOUR DISTRICT SEVEN DISTRICT SIXTEEN Seminole Volusia Monroe Okaloosa Walton Holmes W ashington Bay Jackson Calhoun Gulf Gadsden Liberty Franklin Leon Wakulla Jefferson Madison Taylor Hamilton Suwanee Layfayette Dixie Gilchrist Columbia Union Baker Bradford Nassau Duval Clay Alachua Putnam 7 Levy Marion 5 Lake Citrus Seminole 24 Hernando 6 9 Orange Pasco Osceola Polk Pinellas Hillsborough Sumter St. Johns Flagler Volusia 12 Manatee Hardee Highlands Desoto Charlotte Glades Lee Hendry Sarasota 20 Collier 16 Monroe Okeechobee Brevard Indian River 19 St. Lucie Martin 15 Palm Beach 17 Broward Dade MEC Drug Report Page 1

6 Table 1 Summary of Drug-Related Deaths January December 2002 January December 2002 Drug Found in Body Total Cause Present Ethyl Alcohol 3, ,013 Benzodiazepine 1, ,279 Cannabinoids Cocaine 1, GHB Heroin Hydrocodone Oxycodone Ketamine Methadone Methylated Amphetamines N2O PCP Rohypnol MEC Drug Report Page 2

7 Chart 1 Frequency of Occurrence of Drugs in Decedents January December 2002 Methylated Amphetamines 1% Ethyl Alcohol 37% Methadone 6% Oxycodone 6% Benzodiazepine 18% Hydrocodone 6% Heroin 4% Cocaine 14% Cannabinoids 8% Note: GHB, Ketamine, N2O, PCP, and Rohypnol constituted less than 0.5% of the drug frequencies MEC Drug Report Page 3

8 Table 2 Comparison of 2001 & 2002 Drug-Related Deaths Drug Found in Body Percentage Change Ethyl Alcohol 3,120 3,319 6% Benzodiazepine 1,378 1,625 18% Cannabinoids % Cocaine 1,105 1,307 18% GHB % Heroin % Hydrocodone % Oxycodone % Ketamine 9 10 * Methadone % Methylated Amphetamines % N2O 4 1 * PCP 1 1 None Rohypnol 1 1 None Note: (*) Due to small sample size, percentage change was not calculated MEC Drug Report Page 4

9 Chart 2 Deaths in Which the Drugs Named Caused Death July 2001 December Benzodiazepine Ethyl Alcohol Cocaine Cannabinoids GHB Heroin Methadone Ketamine Oxycodone Hydrocodone N2O PCP Rohypnol July - December 2001 January - June 2002 July - December 2002 Methylated Ampetamines 2002 MEC Drug Report Page 5

10 Table 3 Oxycodone Deaths January December 2002 Medical Examiner District & Area of Florida Total Deaths with Oxycodone Deaths with Oxycodone Only Deaths with Oxycodone in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 6

11 Table 4 Oxycodone Deaths by Age January December 2002 Medical Examiner District and Area Oxycodone Found at Lethal Levels Oxycodone Present (Non-Lethal) of Florida Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 7

12 Table 5 Hydrocodone Deaths January December 2002 Medical Examiner District & Area of Florida Total Deaths with Hydrocodone Deaths with Hydrocodone Only Deaths with Hydrocodone in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 8

13 Table 6 Hydrocodone Deaths by Age January December 2002 Medical Examiner District and Area Hydrocodone Found at Lethal Levels Hydrocodone Present (Non-Lethal) of Florida Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 9

14 Table 7 Methadone Deaths January December 2002 Medical Examiner District & Area of Florida Total Deaths with Methadone Deaths with Methadone Only Deaths with Methadone in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 10

15 Table 8 Methadone Deaths by Age January December 2002 Medical Examiner District and Area Methadone Found at Lethal Levels Methadone Present (Non-Lethal) of Florida Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 11

16 Table 9 Cocaine Deaths January December 2002 Medical Examiner District & Area of Florida Total Deaths with Cocaine Deaths with Cocaine Only Deaths with Cocaine in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals 1, MEC Drug Report Page 12

17 Table 10 Cocaine Deaths by Age January December 2002 Medical Examiner District and Area Cocaine Found at Lethal Levels Cocaine Present (Non-Lethal) of Florida Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals 1, MEC Drug Report Page 13

18 Table 11 Cocaine Deaths Reported by Medical Examiners (Whether in Lethal or Non-Lethal Amounts) District Area of Florida Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Total 664 1, ,011 1,039 1,128 1,065 1,034 1,105 1, MEC Drug Report Page 14

19 Chart 3 Cocaine Deaths by Year (Whether Contributory to Death or Merely Present) ,307 Number of Deaths , ,011 1,039 1,128 1,065 1,034 1, Year 2002 MEC Drug Report Page 15

20 Table 12 Heroin Deaths January December 2002 Medical Examiner District & Area of Florida Total Deaths with Heroin Deaths with Heroin Only Deaths with Heroin in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 16

21 Table 13 Heroin Deaths by Age January December 2002 Medical Examiner District and Area Heroin Found at Lethal Levels Heroin Present (Non-Lethal) of Florida Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 17

22 Table 14 Historical View of Heroin Deaths (Lethal Amounts) District Area of Florida 1995 * Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Total *Only limited partial data available for MEC Drug Report Page 18

23 Chart 4 Deaths Caused by Heroin by Year Number of Deaths * Year * Only limited partial data available for MEC Drug Report Page 19

24 Table 15 Medical Examiner District & Area of Florida Methylated Amphetamine Deaths January December 2002 Total Deaths with Methylated Amphetamines Deaths with Methylated Amphetamines Only Deaths with Methylated Amphetamines in Combination with Other Drugs District Area of Florida Total Cause Present Total Cause Present Total Cause Present 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 20

25 Table 16 Methylated Amphetamine Deaths by Age January December 2002 Medical Examiner District and Area of Florida Methylated Amphetamines Found at Lethal Levels Methylated Amphetamines Present (Non- Lethal) Age of Decedent Age of Decedent District Area of Florida Total Total < >50 Total < >50 1 Pensacola Tallahassee Live Oak Jacksonville Leesburg St. Petersburg Daytona Beach Gainesville Orlando Lakeland Miami Sarasota Tampa Panama City West Palm Bch Florida Keys Ft. Lauderdale Melbourne Ft. Pierce Naples Ft. Myers Port Charlotte St. Augustine Sanford Statewide Totals MEC Drug Report Page 21

26 Table 17 Type of Methylated Amphetamine Compound Occurrences January December 2002 Number of Deaths Methylated Amphetamine Present (Lethal and Non-Lethal) 28 3,4-methylenedioxymethamphetamine (MDMA) 1 3,4-methylenedioxymethamphetamine (MDMA) + d-methamphetamine + l-methamphetamine 22 3,4-methylenedioxymethamphetamine (MDMA) + 3,4-methylenedioxyamphetamine 26 d-methamphetamine + l-methamphetamine 10 d-methamphetamine 4 l-methamphetamine 5 4-bromo-2,5-dimethoxyphenethylamine + 2,5-dimethoxyamphetamine 1 d-desoxyephedrine 1 3,4-methylenedioxymethamphetamine (MDMA) + d-methamphetamine 1 3,4-methylenedioxymethamphetamine (MDMA) + N-hydroxy-3,4-methylenedioxyamphetamine 1 N-hydroxy-3,4-methylenedioxyamphetamine + 3,4-methylenedioxyamphetamine + d-methamphetamine 26 Not Determined 126 Total 2002 MEC Drug Report Page 22

27 Chart 5 Drug Detected at Death: Lethal vs. Non-Lethal Oxycodone Deaths Hydrocodone Deaths Present 57% Cause 43% Present 70% Cause 30% Methadone Deaths Present 45% Cause 55% 2002 MEC Drug Report Page 23

28 Chart 5 Drug Detected at Death: Lethal vs. Non-Lethal Cocaine Deaths Heroin Deaths Present 67% Cause 33% Present 23% Cause 77% Methylated Amphetamine Deaths Present 81% Cause 19% 2002 MEC Drug Report Page 24

29 Chart 6 Ages of Decedents Oxycodone Deaths Hydrocodone Deaths % > 50 25% % < 18 1% % % > 50 30% % % < 18 1% Methadone Deaths > 50 15% % % % < 18 2% 2002 MEC Drug Report Page 25

30 Chart 6 Ages of Decedents % Cocaine Deaths % > 50 11% < 18 2% % >50 9% < 18 1% Heroin Deaths % % % Methylated Amphetamine Deaths > 50 5% % < 18 6% % % 2002 MEC Drug Report Page 26

31 Chart 7 Manners of Death for Cases Reported Oxycodone Deaths Hydrocodone Deaths Unknown 4% Suicide 20% Accident 60% Natural 14% Homicide 2% Unknown 3% Suicide 20% Natural 18% Accident 56% Homicide 3% Methadone Deaths Unknown 4% Accident 75% Suicide 9% Natural 12% 2002 MEC Drug Report Page 27

32 Chart 7 Manners of Death for Cases Reported Unknown 2% Cocaine Deaths Heroin Deaths Suicide 14% Accident 62% Unknown 1% Accident 90% Natural 8% Homicide 14% Suicide 6% Natural 2% Homicide 1% Methylated Amphetamine Deaths Natural 4% Suicide 16% Homicide 14% Accident 66% 2002 MEC Drug Report Page 28

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