Ohio Early Warning Network - Alerts

Drugs and medications are the cause of poisoning

 

AN EPIDEMIC IN OHIO:

For the first time on record, in 2006, unintentional poisoning primarily due to an increase in drug/medicationrelated poisoning exceeded motor vehicle traffic as the leading cause of unintentional injury in Ohio. This trend continued in 2007.

Nearly all (96 percent) unintentional poisoning deaths in Ohio from 2003‐2006 were due to drugs/medication.

  • Almost 9 out of 10 (88.3 percent) poisoning hospitalizations in Ohio are due to drugs and medications.
  • Produced by the Injury Prevention Program, Ohio Department of Health. For more information contact Christy Beeghly, MPH, Program Administrator, Injury Prevention Program at 6147284116 or Christy.beeghly@odh.ohio.gov

Meth Alert in Ohio

A first-ever statewide study about methamphetamine abuse confirms that it has spread throughout Ohio. Results of the non-scientific survey show a marked increase in the number of clandestine methamphetamine laboratories discovered in Ohio over the past three years.  Conducted by the Bureau of Criminal Identification and Investigation (BCI), the survey includes responses from 572 police departments and sheriff's offices across the state.  Law enforcement agencies were asked to respond to a series of questions about methamphetamine, a highly toxic, powerful central nervous system stimulant.

Dust Off Inhalants

Inhalant abuse among youth is a problem due to misinformation, cheap, legal, easily concealed and easily accessible products. Hundreds, even thousands of legal household products have the potential to be abused if used inappropriately. Recently, there has been concern for compressed gas products used for cleaning computer and other equipment. Deaths have occurred as a result of using this product. These products have the additional potential for misjudgment of their extreme toxicity. Comments such as "It is just air" can mislead impressionable teens or pre-teens.  This misinformation can mislead teens into believing this is actually a safe method of abusing inhalants. They are deadly wrong! Actually the dichlorofluoromethane or freon-like propellant is the deadly component involved in this kind of abuse.   IT IS NOT JUST AIR!!!!! Besides being deadly, use sometimes, even leads to immediate frostbite and possible liver or kidney toxicity, according to Earl Siegel, Pharm.D. Cincinnati Drug & Poison Information Center. Falcon, the maker of Dust-Off, a computer cleaning product, is aware its product is abused in this fashion. It has posted information about inhalant abuse on its web site, and cans of Dust Off bear a label cautioning users against misuse of the product and carry this warning in large red block letters: "Inhalant abuse is illegal and can cause permanent injury or be fatal. Please use our product responsibly." Again, this is just one line of products that can be used; awareness needs to be heightened concerning inhalant abuse of all potentially hazardous products.  Educating parents, as well as children, of the dangers involving inhalant use of these products is essential in preventing potentially deadly results.

Flavored Meth in Ohio

As professionals in the prevention and education fields you may have received, or will possibly receive, an email containing information on flavored crystal meth being made accessible to school children.

This office has researched the authenticity and accuracy of the information, and through contacting the Special Agent from the U.S. Department of Homeland Security, the supposed originator of the information, has determined the information to be false and inaccurate. This advisory is sent to you in our continuing effort to bring to you the most current and accurate information to assist you in performing your duties in your respected fields. Although this particular information is erroneous, we encourage you to continue your efforts in educating others in the abuse of this and other drugs. Thank you for all your efforts.

Youth Taking Ritalin in conjunction with Correctional Fluid (White out)

Numerous national studies have found that inhalant use is widespread among teens. The nationwide Youth Risk Behavior Survey of 2001, the most recent available, found that 14.7 percent of students in high school had abused inhalants at least once. That study did not rank states, but the 1999 survey listed Ohio as having the fifth-highest percentage of inhalant abuse, at 17.1 percent. According to the Partnership for a Drug-Free America, the use of inhalants by eighth-graders rose in 2003 after a seven-year decline. Inhalants are the most commonly abused substances among 12- and 13-year-old children. In addition, in the past 5 years, lifetime use of inhalants has more than doubled among 12­to 17-year-olds, from 4.8 percent in 1998 to 10.5 percent in 2002, according to SAMHSA's 2002 National Survey on Drug Use and Health. A recent PRIDE survey indicated that 7.9% of Ohio fourth graders had experimented with this form of substance abuse within the last year. A national survey by the University of Michigan found that approximately 15-20% of our8th-12th graders across the country have experimented with inhalants.

Wet Water - Fried or Wets

It goes by many names: fry, wet, wet sticks, amps, sherms, happy sticks, fried, dust, and illy to name a few. (In rough inner cities and upscale suburbs, dealers pitch in as the new drug –a potent combination of embalming fluid, tobacco, marijuana and mint leaves.) Occasionally the joints are laced with PCP (Phencyclidine) as well. Users often drift in and out of “highs” (usually last between 30-60 minutes, but there have been reports of “trips” that have lasted up to 5 hours) from frenzied fits of anger to a catatonic state. Doctors say a troop of security guards is often needed to subdue those in “illy rage” --yelling, paranoia and hallucinating users who vehemently fight off any attempts to diagnose, treat or reason with them. Experts say PCP interferes with the mechanism in the brain that otherwise keeps a person from going beyond his or her breaking point, and that regular use can lead to chronic schizophrenia. Whatever they are taught during long stints in rehabilitation centers, however long they’re technically “straight,” many users find it difficult to resist the temptation to start smoking up again once they return home. The scary thing with the use of “wets” is that users usually don’t know exactly what they are consuming. This may account for a variety of unanticipated or unusual symptoms experienced when using “wets.”

Spykes - Kid-Friendly Mix of Alcohol Energy Drinks

The recent controversy about Anheuser-Busch's "Spykes" energy drinks has prompted grassroots advocacy as well as broader concerns about mixing alcohol and energy drinks. Sold in pocket-sized bottles and containing 12 percent alcohol, Spykesis being marketed as an additive for soda, juices, beer and other alcoholic beverages. "Spykes is a great alternative to hard liquor shots," according to the Anheuser-Busch product website for Spykes. "A Spykes pour takes beer up a notch by adding a caffeinated rush and a sweet taste that finishes hot ... Spykes gives your beer a kick, adds flavor to your drink, and is perfect for a shot." Recently several articles have been written about Spykes.  Spykes are a malt beverage manufactured and distributed by Anheuser Busch.  They contain about 12% alcohol by volume and are intended to add flavor to your beer, spyke your drink, or as a shooter.  They are sold in 1.7 ounce glass bottles or 2 ounce plastic bottles.  The bottles are sold in cases of 24.  Spykes cost about 75¢ each.

Prescription Drug Abuse in Ohio

Prescription drug abuse and pharmaceutical diversion continues to be a significant problem throughout Ohio . Prescription drugs are readily obtained illegally in most areas of Ohio . Some of the brand names of commonly diverted prescription drugs include Oxycontin ® , Vicodin ® , Percocet ® , Tylenol with Codeine No. 3, Valium ® , and Xanax ® . Oxycontin ® is particularly popular in southern Ohio where authorities believe it's been responsible for at least 15 deaths since 1999. Since this April, Cincinnati Drug and Poison Information Center has received over 180 calls related to the release of generic Oxycontin ® 80mg tablets.

Morning Glory Seeds

You may have heard of teens sniffing glue, using prescription drugs or even drinking cough syrup to get high. But do you also know that some teens in Ohio are reportedly experimenting with “Morning Glory Seeds.” With our continuing commitment to educate concerned Ohioans about emerging drug trends and use, we issue this alert to raise awareness and prevention efforts.

Moonflower Seeds

The Cincinnati Drug and Poison Information Center has recorded 7 cases of suspected “Moonflower” seed ingestion with abuse intent since October 11, 2002.  Five of the cases were reported by area hospitals in the Akron and Cleveland areas where patients 12-19 years-of-age were treated at the emergency room as a result of adverse symptoms associated with ingestion of the seeds.  The plants associated with Moonflower seed ingestion appear to be one of two species, Datura inoxia or Ipomoea muricata.  Mature seeds from both plants have been associated with hallucinations.

Heroin and Fentanyl

Very recently in multiple spots around the country including Ohio heroin tainted with fentanyl and/or methylfentanyl has been identified. These contaminants may be hundreds of times more potent than morphine.   This represents an extreme risk of overdose and/or death.  

Chicago Sun Times report: Many of the dozen deaths have been ruled accidental, but until toxicological tests are complete, authorities won't know definitively what killed the users. "Dealers in Chicago were giving the Heroin away free which caused frenzy, and as a result many users were hospitalized and others died of an extreme overdose. It seems to be killing them within minutes. 

Heroin Alert Supplement

In late April, 2006, the Cincinnati Drug and Poison Information Center was alerted to details involving an increased number of reported heroin overdoses in South New Jersey. Two deaths were reported at the time along with 30 additional cases. Many of those seeking treatment required higher than normal amounts of the antidote naloxone (Narcan®) to be administered.

Suck and Blow - Gelatin Shots

It is called Suck and Blow and the website is http://www.suckandblow.com/. (You might have to cut and paste.) The website calls the product the “Next Generation of Shots”  and that it’s “Fun and EXTREMELY interactive…Suck and Blow is a gelatin shooter encased in a patented plastic tube and in order to enjoy this flirtatious shot, you’ll need a partner’ one person to “SUCK” and another to help force out the shot with a little “BLOW”.

Fentanyl Patch Abuse

Fentanyl is a highly potent opioid prescribed by doctors to reduce pain. It is a synthetic opiate much more powerful than morphine. Fentanyl patches are normally used to administer the drug through the skin (transmucosal absorption). Incidents of people stealing and then eating these patches in order to alter moods are being reported.

Emergence of KHAT

Introduction Catha edulis Forsk, popularly known as Khat, is a plant used in parts of Africa and the Arab Peninsula. Its fresh leaves and tops are chewed or, less frequently, dried and consumed as tea, in order to achieve a state of euphoria and stimulation. Due to rapid air transportation capabilities, the drug has been reported in London, Rome, Amsterdam, Canada and the U.S. The public has become more aware of this exotic drug through media reports pertaining to the United Nations mission in Somalia, where khat use is endemic, and its role in the Persian Gulf. The khat plant is known by a variety of names, such as qat in Yemen; tschat in Ethiopia, and miraa in Kenya. In 1980 the World Health Organization classified khat as a drug of abuse that can produce mild to moderate psychic dependence.

Coricidin® HBP™ for Cough and Cold: An Alarming Drug Trend

Some teenagers and young adults, 13-19 -years-of-age, are deliberately ingesting large amounts of Coricidin HBP for cough and Cold; as many as 15 tablets at one time, and they get the stuff right off the shelf at the neighborhood supermarket or drugstore. Authorities say a growing number of teenagers are using over-the-counter cold medicines and cough syrup in excessive doses as recreational drugs --seeking what they describe as an LSD-like "high" from dextromethorphan, a non-prescription cough suppressant, an active ingredient of such products as Robitussin D and Coricidin D.

Getting High Off Cold Medication

Dextromethorphan (cough syrup) abuse is well documented. Teens are often looking for new ways to get high, and are now turning to over-the-counter cold remedies, such as Robitussin to get a buzz, the Associated Press reported earlier this week. In fact, police in New Hampshire have called the problem a "mini epidemic" in their state. Fourteen people died last year in the United States by overdosing on cold medicine. Experts say the most dangerous cold medicine abused by teens goes by the brand name Coricidin "Cold and Cough"; abusers call it "Triple C's" or "Candy."

Choking Game

The “choking game” is a game played by teenagers, typically between the ages of 9 and 15, to create a rush or high without using drugs.  These teens attempt to temporarily cut off the oxygen supply until they pass out.

Recent news reports suggest that though this game is not new, it has become more of a problem in recent weeks as teens in Ohio, Idaho, California, and North Carolina have died playing this game.  It is difficult to determine the extent to which students are participating or the rate of death as it can easily be mislabeled as a suicide.  The game, though always deadly, is particularly deadly when the child tries to create the high when they are alone.  It is estimated that 400-500 children die yearly from this risk behavior in the US.  This figure does not include those participants injured or not injured

AWOL, Alcohol WithOut Liquid

AWOL, Alcohol WithOut Liquid, is a new concept that has recently reached the United States in which users get intoxicated through inhaling an alcoholic mist.  The inhalation device has been termed AWOL, a play on the military term for Absent Without Leave. It originally appeared in Europe and Asia. The product is marketed by Spirit Partners, Inc. and was introduced to the United States in August 2004, at the Trust Lounge in New York City's Meat-Packing District.

Alcohol in Disguise

An Ohio-based company is manufacturing a new product that has the visual look (multi-colored) and shape of gelatin cups (8 packs). Each gelatin cup contains 12% alcohol (24 proof) 50ml and has been classified as a mixed beverage. We are concerned about the availability and accessibility of this product to children. We have discovered that it is on the shelves across Ohio and that since the packaging and product appear non-alcoholic, may lead purchasers and sellers for example: A college student from the University of Cincinnati purchased the product that was displayed near the check out line. She was not carded nor was the check out person alerted that the product sold contained alcohol. Persons investigating the availability of this product in Ohio cities report they are on the shelves in "in and out" convenient type stores and large grocery outlets. The following cities have reported having this product on sale: Toledo, Cincinnati, Athens and Columbus. Youngstown, Cleveland and the Putnam County area have reported that at this time the product is not on store shelves.

Alcoholic Energy Drinks

Miller Brewing Company and Anheuser-Busch – the two largest U.S. brewers - are the leading producers of a new alcoholic beverage product capitalizing on the popularity of energy drinks marketed to young people.

Teenagers and young adults are the core consumer groups for energy drinks, and the similarities in containers among the alcoholic and non-alcoholic energy drinks suggest that alcohol producers are marketing alcoholic energy drinks to young people.