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What's New in the Drug World What They're Saying…

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What's New in the Drug World What They're Saying… 10/7/2019 What’s New in the Drug World Erin Foster, CPS Director of Prevention Services Area Substance Abuse Council Electronic Smoking Devices: Trends and Implications of Vaping What They’re Saying… • Kansas sees first vaping‐related lung illness death: 'It is time to stop vaping‘ • CDC says stop vaping as mystery lung condition spreads • Sixth person dies from vaping‐related illness • Liquid used in e‐cigarettes damages cells crucial for a healthy heart • Rutgers Study: Most People Who Smoke E‐ cigarettes Want to Quit – 60% “want to quit” • Teen vapers are using eBay to dodge age restrictions 1 10/7/2019 2018 Iowa Youth Survey Trends Current (past 30 day) use of.. 6th 8th 11th Alcohol3%7%20% Cigarettes1%2%4% Used 1% 3% 11% Marijuana Used Rx 3% 3% 4% Drugs E-cigarettes 2% 8% 23% 2016: 9%, 155% jump “It’s Just Water Vapor!” • It is an aerosol, not a vapor • Aerosol is a mixture of liquid particles suspended in a gas and can contain many chemicals • These chemicals are left behind in the lungs List of Chemicals 2 10/7/2019 Sound Familiar? Well, You’ve Also Seen Them In: • Gasoline • Pesticides • Embalming Fluid • Nail polish • Rubber • Pain thinners • Batteries How much Nicotine? It varies, but usually A LOT Emerging Trend: Dripping • Dropping e-juice directly on to hot coils – Thicker, more “flavorful” aerosol – Exposure to higher levels of nicotine and other toxins – 20% of HS Students who vape have also dripped – New warning: Teens using e‐cigarettes to 'drip' nicotine (2:19) 3 10/7/2019 Youth Impact 4 10/7/2019 Why is the Youth Market Important? • The industry knows customers are getting older and need to be replaced to make more profits – Many e‐cigarette companies owned by major Tobacco companies (IE RJ Reynolds, British American Tobacco) • Customers for life – 80% of adult smokers started before age 18 “mission is preventing the illegal sale of our products to youth” Gateway to Tobacco • Teens who use e-cigarettes are 4x more likely to start using tobacco products than those who don’t 5 10/7/2019 Drug Concerns: E-Cigarette or Drug-Delivery Device? “Versatility” of E-Cigarettes • Nicotine “vapes” may have their cartridges/pods tampered to put in other substances – ie “hacking the juul” • Many vape products sold specifically for THC – Pods could use cartridges from nicotine vapes – “510 cartridge”‐ Used for concentrates THC “Pods” Juul Compatible! 6 10/7/2019 For THC Concentrates How Common are Drug Combinations? • 2018 Study, Major Findings: – 39.5% of those using ESDs reported vaping illicit drugs – Most common • THC 18% • MDMA 11.7% • Cocaine 10.9% • Opioids 14.4% (heroin, RX, fentanyl) Quick Look at Marijuana 7 10/7/2019 Not the same plant THC: Psychoactive Ingredient CBD: NON-Psychoactive Ingredient 0.3 0.3 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.4 0.20.2 0.4 0.5 1.0 1.0 1.5 3.3 3.3 3.5 3.5 3.1 3.1 4.0 4.5 5.2 5.0 4.7 5.4 6.2 7.3 7.2 8.3 8.1 9.1 10.0 10.0 9.9 11.0 11.0 • Source: Mehmedic et al., 2010 Cannabis: % THC Over Time 45 42% 40 THC Nationally 35 30 THC Colorado 25 20 CBD Only 15 % Dry Weight THC: 10 Psychoactive 5 Ingredient 0.2% 0 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 Year Slide use with permission from Sarah Urfer “Concentrates are the Future of Cannabis” Average of plant: • 1960’s was 2-4% • 2017 is 15-20% Current concentrates are 60-90% Industry reached 98% THC “Concentrates are used in probably 95 percent of the branded products” (ie: vape oils, the vape cartridges, the edibles) (aka: Dabs, budder, shatter, wax, oil, BHO) Engadget.com 8 10/7/2019 THC Extraction THC Products THC Products 9 10/7/2019 “Fine edibles” Medical Product TREATMENT FOR • Inflammation • Nausea • Diabetes • Alcoholism • PTSD • Schizophrenia • Rheumatoid Arthritis • Epilepsy • Cardiovascular Disease • Psychosis • Anxiety • Muscle Spasm • Neuropathic Pain • Cancer What Else is Going On? 10 10/7/2019 Newest Form: Liquid Meth Manufacturers of this highly toxic drug are beginning to dissolve meth in water in order to liquefy the drug Made transporting the toxic drug so much easier – Individuals who produce meth will often place this liquid form of the drug into various different types of liquor bottles – Once the liquid meth has passed inspection and been shipped to its destination, individuals will then boil away the water Only the solid form of meth will remain. Newest Form: Liquid Meth • “Better” form of Meth • Stronger than regular Meth • Made from made with substance named Terofun (Pseudoephedrine HCL) • Only take minutes to make & less than 10 minutes to cook • Law Enforcement have found in gas tanks of vehicles – 20 gallons street value is $10 Million Other Trends • “Wasping” – Combination of meth and insecticide • May also be used as a substitute – Uses active components of wasp spray to achieve “high” – Sprayed on to or crystalized with meth – Effects: newer trend but reports of hallucinatory sense of smell, trigger flight or flight, and toxic exposure 11 10/7/2019 Adderall Adderall • Adderall is a combination of amphetamine and dextroamphetamine that is used primarily to treat the symptoms of attention-deficit hyperactivity disorder (ADHD). • It has benefits with sleep disorders and reported, off-label utility in managing some forms of severe depression as well. • Central nervous system stimulant Larger Issue-Mixing with Alcohol • Adderall has the ability to mask certain indicators of intoxication that people would otherwise use to slow or stop their consumption. If these signs go unnoticed, the user is at risk of continued drinking— potentially leading to alcohol poisoning, coma, or death. 12 10/7/2019 Teen Adderall Abuse • According to SAMHSA's National Survey on Drug Use and Health – 425,000 teens and adolescents between the ages of 12 and 17 reported misuse Adderall. – Approximately 2.5 million among young adults age 18 to 25 • Teens who misuse Adderall are also – 3 times as likely to have used marijuana. – 8 times as likely to have used cocaine or prescription tranquilizers like Xanax and Klonopin recreationally. – 5 times more likely to have misused prescription pain relievers. Lean/Purple Drank/Sizzurp/ Dirty Sprite What is it? • A combination of the following: – Prescription‐strength cough medicine. – Soft drinks. – Hard, fruit‐flavored candy • The prescription cough syrups used to make lean drink present the most danger because they often contain codeine, a powerful opioid drug • Another active ingredient in some prescription cough syrups is promethazine, an antihistamine that causes sedative effects and can impair motor functioning 13 10/7/2019 Large in Teen Culture • The U.S. Drug Enforcement Administration’s figures show that one in ten American teens have sipped either over-the-counter or prescription syrup. • Huge in the Hip Hop Culture – Known has “Hip Hop’s Heroin” – Referenced in over 30 percent of rap songs that reached the top ten of Billboard’s Hot 100 in 2017 – 2014 Study found that codeine references more than tripled in rap songs between 2000 and 2007. Marketing and Local impact Tobacco Industry Success Alcohol and marijuana following the same plan??? 14 10/7/2019 Pro-Marijuana Industry Wants to shake the past and gain acceptance 1. Establish a brand/logo 2. Increase favorability – Promote benefits, dismiss negatives, create confusion 3. Increase visibility 4. Develop products Has any of this occurred? Marijuana’s brand? What is this? How many would recognize it? What colors are often paired with it? Celebrity support? TV and Movies? Normalizing through TV “cannabis guest starring more often on television shows as a casual or medicinal product, rather than a taboo” This is tobacco 101: Confuse, normalize, expand, protect Celebrities, music, movies and TV 15 10/7/2019 New Marijuana magazines • Broccoli • Gossamer • Push Mag • Kitchen Toke Hats Socks 16 10/7/2019 Shirts Who is the target? Concealment 17 10/7/2019 Hidden Beverage Fake tampon stashes Paraphernalia Sold 18 10/7/2019 Paraphernalia sold for tobacco use? OK? Questions? Erin Foster [email protected] 319-390-4611 Ext: 193 19.
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