1.  Rosendo Iñiguez, Outreach Specialist California Health Collaborative, Lock It Up Project Elizabeth Lopez, Student Coordinator Health Promotion & Wellness Services, DAAWG Program

2.  Fresno State is located at the northeast edge of Fresno, California, at the foot of the majestic Sierra Nevada mountain range.  Fresno State is considered as a “commuter campus.”

4.  Drug & Alcohol Awareness & Wellness Guide (DAAWG) Program is a peer education group operating within the Student Health Center at Fresno State. o Initiated in August 2012.  The DAAWG Program strives to promote a campus culture of safe and responsible consumption of alcohol and other drugs to prevent alcohol and other drug related incidents among Fresno State students through: o Information tables o Social Norms Marketing o Stall Seat Journal o Protect Your ‘Dogs Campaign

5.  On August 31 st, 2012, a Fresno State student attended a party at an off-campus fraternity house.  According to Fresno Police, the student was taking part in a hazing ritual that encouraged heavy drinking.  He alone consumed one and a half bottles of hard liquor o Equivalent of 37 shots of alcohol  Soon after he told members he was not feeling well and passed out.  He was carried to the 'drunk room' to sober up.

6.  Three hours later he was unconscious and not breathing.  Pledge brothers called 911 but it was too late.  He died on September 2 nd, 2012 due to acute alcohol poisoning.  Toxicology report indicates that he had a blood alcohol content of.36, over four times the legal limit and enough to establish cause of death.

9.  The Protect Your ‘Dogs Campaign is a comprehensive approach to raise awareness about alcohol poisoning at Fresno State. o Educating the students about the signs of alcohol poisoning o Educating the students about how to handle an emergency involving alcohol poisoning o How to drink responsibly  Call to action that rallies Fresno State students to protect their fellow students from alcohol poisoning.  Ultimately, the purpose of the campaign is to prevent future alcohol poisoning incidents among Fresno State students. o.o.

10.  The chance of surviving an alcohol overdose depends greatly on how fast one receives medical assistance.  Witnesses to an alcohol overdose often hesitate to call for help or simply don’t make the call.  “…It has been estimated that only between 10 percent and 56 percent of individuals who witness a drug overdose call for emergency medical services, with most of those doing so only after other attempts to revive the overdose victim have proved unsuccessful.”  Two common reasons are: 1. The inability to identify the signs of alcohol poisoning. 2. Fear of police involvement and legal prosecution.

11.  Mental Confusion  Unresponsiveness  Snoring or Gasping for Air  Throwing Up  Hypothermia  Erratic Breathing  Loss of Consciousness  Paleness or Blueness of Skin

12.  If someone has ANY warning signs:  Do not wait until all signs of alcohol poisoning are present. o Call University Police: 278-8400 or 911 o Text TipNow™: 664-3204  Stay with the person to: o Monitor respiration rate (breathing) o Monitor pulse (heartbeat)  If vital signs are missing, perform CPR.

14.  Posters were distributed to every building at Fresno State including: o Student Health Center o Student Recreation Center o Henry Madden Library o University Student Union

16.  Magnets were distributed to several departments and organizations at Fresno State including: o Student Recreation Center o International Student Services o College Assistance Migrant Program o Center for Women and Culture

17.  The DAAWG Program established a partnership with four local apartment complexes which houses a large population of Fresno State students. o University Village o Copper Beech o Palazzo o Campus Edge

18.  Throughout the fall 2012 semester, the DAAWG Program provided 10 interactive workshops to academic classes, the majority of which were freshmen heavy classes.  The presentation is included in the Don’t Cancel That Class (DCTC) option.  The interactive workshop includes: o A general overview of alcohol, Interactive activities o the signs of alcohol poisoning o how to handle an emergency involving alcohol poisoning, o and how to drink responsibly.

19.  Underage drinkers or individuals who provide alcohol to minors often avoid calling 911 for fear of arrest or legal prosecution.  Fear of legal prosecution lead to the death of a student at Cal Poly San Luis Obispo in 2008.

20.  On September 17, 2012, Governor Jerry Brown signed the 911 Good Samaritan Law which took effect beginning January 1, 2013.  This law encourages victims and witnesses of a suspected alcohol overdose to call for help without fear of arrest for minor drug law violations. o This policy protects only the caller and overdose victim from arrest and prosecution for simple drug possession, possession of paraphernalia, and/or being under the influence. o This law does not protect people from arrest for other offenses, such as selling or trafficking drugs.  The policy prioritizes saving lives over arrests for  possession.

21.  Look, listen, and feel for breathing.  Normal breathing ranges from 15 to 20 breaths per minute.

22.  Using the first and second fingertips, press firmly but gently on the arteries until you feel a pulse.  Normal pulse ranges from 60 to 100 beats per minute.

23.  Keep track of your drinks. o 1 drink of beer: 12 ounces o 1 drink of wine: 5 ounces o 1 drink of hard liquor (80 proof): 1.5 ounces  Avoid drinking from spiked bowls.  Alternate drinks with non-alcoholic beverages. o Avoid carbonated drinks (soda, champagne)  Eat before and while drinking. o Food slows down the absorption process.  Avoid binge drinking.  Avoid drinking games.

24.  Approximately 400 students participated in the interactive workshops.  Evaluations show that students are receptive to an interactive workshop that utilizes a nonjudgmental approach to the consumption of alcohol and includes an interactive activity in which students are provided with the opportunity become a part of the presentation.  97% of the students reported that the information presented was useful and helpful to them.

25.  Alcohol poisoning can result in death. o Respiratory depression o Inhalation of vomit.  Individuals who survive from alcohol poisoning may suffer irreversible brain damage. o Oxygen deprivation to the brain due to respiratory depression. o Dehydration caused by alcohol (diuretic).

26.  Additional off-campus partnerships o Local bars and restaurants  Video Contest o Funded through the Substance Abuse Prevention Mini-Grants Program  Dog Watch Program o Similar to the Wildcat Watch Program at Chico State

28.  Elizabeth Lopez, Student Coordinator o Student Health Center, Fresno State o elizabeth9526@mail.fresnostate.edu elizabeth9526@mail.fresnostate.edu o (559) 278-6727  Rosendo Iñiguez, Outreach Specialist o Lock It Up Project, California Health Collaborative o riniguez@healthcollaborative.org riniguez@healthcollaborative.org o (559) 244-3618

29.  Tracy, Melissa, et. al. “Circumstances of witnessed drug overdose in New York City: implications for intervention,” Drug and Alcohol Dependence 79 (2005): 181-182.