The Skeeterhawk Experiment was organized in March 2013 to help end the scourge of prescription drug misuse through the testing of innovative prevention, treatment, and overdose rescue strategies in real-life communities, beginning in Northeast Florida. Utilizing data gathered from a multitude of reliable sources, The Skeeterhawk Experiment believes it is possible for every community to devise targeted, data-driven strategies to tackle its unique set of prescription drug misuse problems. This is the organization's Northeast Florida community presentation for 2013.

2. PRESCRIPTION DRUG MISUSE IS NOT JUST
ABOUT PEOPLE TRAPPED IN BOXES OF
ADDICTION. IT IS ABOUT ENTIRE
COMMUNITIES TRAPPED IN THOSE BOXES
RIGHT THERE WITH THEM.
~The Skeeterhawk Experiment

3. Source: FloridaCHARTS.com (provided by the Florida Department of Health, Division of Public Health Statistics & Performance Management, using Data
Source: Florida Department of Health, Bureau of Vital Statistics (ICD-10 Codes(s): X40-X49 for Unintentional Poisoning Rate Calculation- Accessed online
on 5/27/2013 and ICD-10 Code(s): V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1,
V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2 for Motor Vehicle Crashes Rate Calculation-Accessed online on 6/6/2013.))

7. Source: Florida Department of Law Enforcement's 2012 Report, Drugs Identified in Deceased Persons by Florida Medical
Examiners

8. Source: Statewide Task Force on Prescription Drug Abuse & Newborns, February 2013 Final Report. According to this report,
Code 779.5 covers drug withdrawal syndrome in a newborn of a dependent mother (including Rx & illicit opioids), and Code
760.72 covers narcotics impacting fetus or newborn by placenta or breast milk.

9. Source: Florida Youth Substance Abuse Survey, Years 2006, 2008, 2010 & 2012

10. Source: FPIC-JAX Annual Reports; Accessed at http://data.fpicn.org/

11. FLORIDA'S PRIMARY ADDICTION
TREATMENT ADMISSIONS
(2011)
For the first time in Florida’s history, Rx opioids
were the leading category for publicly-funded
primary treatment admissions--212 more
admissions than alcohol
Source: Contents of slide adapted from EPI Center Newsletter - Volume 2, No. 1, dated November 2012, a report from Florida's
Behavioral Health Epidemiology Workgroup

12. WHY?

13. THEY CAME &
WE WEREN’T
READY

14. Rates of prescription painkiller sales, deaths and substance
abuse treatment admissions (1999-2010)
SOURCES: National Vital Statistics System, 1999-2008; Automation of Reports and Consolidated Orders System (ARCOS) of the Drug
Enforcement Administration (DEA), 1999-2010; Treatment Episode Data Set, 1999-2009. This chart is a reproduction of the CDC chart found
at http://www.cdc.gov/vitalsigns/painkilleroverdoses/

15. FDA WAS NOT READY
1996 OXYCONTIN LABEL:
moderate to severe pain lasting more than a few days
2001 OXYCONTIN LABEL:
moderate to severe pain when a continuous around-the-clock
analgesic is needed for an extended period of time
2013 ER/LA OPIOID ANALGESIC LABEL CHANGE:
severe enough to require daily, around-the-clock, long-term
opioid treatment and for which alternative treatment options are
inadequate
Source: GAO Report , GAO-04-110 (1/22/2004); FDA News Release, 9/10/2013, Accessed at http://www.fda.
gov/NewsEvents/Newsroom/PressAnnouncements/ucm367726.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery

16. FLORIDA WAS
NOT READY

17. Amount of prescription painkillers sold by state per 10,000 people (2010)
SOURCE: Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA),
2010, http://www.cdc.gov/vitalsigns/PainkillerOverdoses/index.html (Above chart is reproduction of chart at said website.)

18. DOCTORS WERE
NOT READY

19. WE ARE A NATION IN PAIN AND HAVE
THE RIGHT TO PURSUE HAPPINESS
*As many as 116 million Americans report
experiencing chronic pain
*As many as 90% of U.S. physicians have
no formal training in prescribing controlled
substances such as pain medication.
Sources: "The American Society of Interventional Pain Physicians Fact Sheet", available at www.asipp.org (citing Institute of Medicine);
“Doctors and patients cannot win when it comes to chronic pain”, Kevin Pho, November 7, 2011, available at http://www.kevinmd.
com/blog/2011/11/doctors-patients-win-chronic-pain.html

20. WE HAVE THE PDMP, BUT DUVAL & CLAY
PRESCRIBERS AIN’T USING IT
Number of Prescribers of
Controlled Substances from
8/1/2012-7/31/2013
Number of PDMP Users
(excluding pharmacists) as of
4/30/2013
Duval: 3613
Clay: 431
Duval: 649
Clay: 109
Source: Florida Department of Health

21. PATIENTS,
PARENTS & KIDS
WERE NOT
READY

22. DRUG SOURCE OF PEOPLE 12 AND OLDER WHO
USED PAIN RELIEVERS NONMEDICALLY IN THE
PAST YEAR
Source: Chart is reproduction of chart found in Substance Abuse and Mental Health Services Administration, Results from the 2011 National Survey on Drug
Use and Health: Summary of National Findings, NSDUH Series H-44, HHS Publication No. (SMA) 12-4713. Rockville, MD: Substance Abuse and Mental
Health Services Administration, 2012.

23. Source: 24th annual Partnership Attitude Tracking Study (PATS) of 3,884 teens in grades 9-12 (nationally projectable with a +/- 2.1 % margin of error
for the teen sample) and related infographic. Study conducted for The Partnership at Drugfree.org and MetLife Foundation by GfK Roper Public
Affairs & Corporate Communications.

27. TREAT BETTER
CHRONIC PAIN:
BEYOND THE SCRIPT
SUBSTANCE USE DISORDERS:
WHERE LIFELONG RECOVERY
BEGINS

28. SAVE TOGETHER
OPIOID OVERDOSE PREVENTION
PROJECT

29. CHURCH IS NOT A NOUN.
IT IS A VERB.
~ Will D. Campbell

30. PHOTO CREDIT AND DISCLAIMER
Photos used for the Now You
Know Florida (™) Campaign
are from iStockphoto and the
people depicted in those photos
are models only.