1. “Heroin Addiction in Kentucky” Mark Fisher,M.S., SOTA Kentucky

2. HB1 and KASPER Kentucky’s PDMP Implemented in October 15, 2015 Implemented in October 15, 2015 Reformulation of Opana in 2011 Hydrocodone dispensed, -16.4% Oxycodone, -15.9% Oxymorphone ( Opana), -45% Alprazolam, ( Xanax), -19%

3. 40 million prescriptions in 1991, up to 180 million in 2007. 40 million prescriptions in 1991, up to 180 million in 2007. US receives 99% of world’s supply of Hydrocodone. US receives 99% of world’s supply of Hydrocodone. US receives 71% of world’s Oxycodone. US receives 71% of world’s Oxycodone. Lot of access to opiates for all ages!!

5. Where are our Overdoses?

6. Overdose Deaths Top 6 counties for 2013 by overdose deaths were: 1) Bell County- 93.2 per 100,000 2) Clinton- 49.3 per 100,000 3) Breathitt- 44.3 per 100,00 4) Floyd- 43.9 per 100,000 5) Perry- 42.8 per 100,00 6) Harlan- 42.1 per 100,000 Fayette county was 27.9 per 100,000

7. Guess Whose Back????? Heroin Use Increasing Across Ohio By Join Together Staff | March 28, 2012 | Heroin use has increased so much in Ohio that users say it is “falling out of the sky,” according to a new report by state health officials. Children as young as 13 are starting to use the drug, they said. Many heroin users responding to a state survey said increased demand for the drug was due to the reformulation of OxyContin, which makes it more difficult to abuse.

8. Heroin Use on the Rise “Heroin Use Increasingly Seen in Suburbs Across the Country”-Join Together-April 16 th, 2013

9. “Latest cycle of heroin abuse hitting Lexingtonians of all demographics while officials try to track the drug's source” Fayette County experienced 86 overdose fatalities in 2013, up from 74 in 2012. 44 of those were specifically related to Heroin. Clay Mason, who oversees police, fire and emergency management departments in Lexington as the city’s public safety commissioner, told Pure Politics that those who have overdosed cut across all demographics, ranging in their 20s to their 50s and coming from all income levels. (Jacqueline Pitts, CN/2). 1,007 overdose fatalities in 2013 statewide, compared to 1,004 in 2012. (2013 Overdose Fatality Report)

10. Prevelance Seizures of heroin are up 6,688 percent LMPD blames 80 percent of burglaries and thefts on opioid dependent persons. Heroin arrests have increased 2,334 percent from 32 in 2008 to 779 in 2012 in Louisville – LMPD Kentucky State Police -heroin submissions; in 2010 were 451, in 2012 they were 1074 in 2010 were 451, in 2012 they were 1074

11. Kentucky SnortingSmoking IV Use Adolescents-“Slamming, Buttons” Potency ranges from 10% Heroin up to 60-70% now. Dose depends greatly on the purity of the heroin and level of tolerance. Common IV doses generally fall between 1 and 2gm; smoked heroin doses may range from 15 to 25 mg. Heroin users typically use small quantities of new material to determine potency and reduce the risk of overdose.

12. Kentucky House Bill 79 -Now allows Doctors to prescribe Naloxone to someone they believe could administer it, such as a relative of a Heroin addict. -Now allows Doctors to prescribe Naloxone to someone they believe could administer it, such as a relative of a Heroin addict. -Neither the Doctor not the person administering it would be subject to disciplinary action. -Neither the Doctor not the person administering it would be subject to disciplinary action.

13. Naloxone Overdose Kits Now Available!!!! (Pharmacist Sam Colletta, Avenue Pharmacy-Dayton, KY

14. Senate Bill 192 (3/25/2015) Increase penalties of over 100 grams or more will be a Class B felony Approval of needle exchange programs in local health departments. Good Samaritan Clause. Extended use of NARCAN ( naloxone kits) $10 million for treatment the 1 st year, 24 each of the following years.

15. OTP expansion Increase since 2011 of 11 clinics to 20 as of September 2014 Increase admission from 2906 in 20122 to 4600+ as of 3/25/2015 OBOT’s prescribed 13 million doses of Buprenorphine in 2013.

16. Thank You!! Mark A. Fisher, M.S., SOTA - KY 275 E. Main St 4 W-G Frankfort, KY 40621 Mark.Fisher@ky.gov502-782-6162