Law Enforcement and Treatment Indicators of Heroin Use in the US, 2013

"Other Highlights – Younger Heroin Users:
"• Eight CEWG area representatives noted either increases in primary heroin treatment admissions for young adults (age 18–25) or high proportions of admissions for this age group compared with other age groups. A younger heroin user population was reported in treatment data in Denver and Colorado, Detroit and Michigan, Los Angeles, Minneapolis/St. Paul, St. Louis, San Diego (based on 2012 treatment data), Seattle, and Texas. The area representative from Chicago reported an increase in heroin use by young suburbanites as a key finding for 2013.
"Other Highlights – Cross-Area Data Sources
"Treatment Admissions:
"• Primary heroin treatment admissions ranked first in proportions of total treatment admissions in 2013 in 6 of 17 CEWG reporting areas—Baltimore City, Boston, Detroit, Maryland, St. Louis, and San Francisco—and they ranked second in 2 areas: Cincinnati and Seattle (table 1). Boston (56.6 percent) and Baltimore City (49.5 percent) had the highest proportions of primary heroin treatment admissions in 2013; Atlanta had the lowest, at 6.1 percent (table 8; figure 5).
"• Injection was the most frequently reported mode of heroin administration in 12 of 16 reporting CEWG areas in 2013. Proportions of heroin admissions injecting the drug ranged from 15.0 percent in Atlanta to 87.1 percent in South Florida/Broward County (table 9). Inhalation or intranasal use was the most frequent mode of heroin administration reported by heroin admissions in 2 of 17 areas: Baltimore City, at 57.0 percent, and Detroit, at 59.8 percent. However, this mode was relatively rarely reported among treatment admissions in Phoenix and Denver (at 3.8 and 4.3 percent, respectively). Smoking was reported by less than 2.0 percent of the heroin admissions in 9 of 16 CEWG areas reporting. Phoenix had the highest proportion of heroin treatment admissions whose primary mode of administration was smoking, at 28.1 percent (table 9)."


"Epidemiologic Trends in Drug Abuse: Proceedings of the Community Epidemiology Work Group, Highlights and Executive Summary, June 2014" (Bethesda, MD: National Institute on Drug Abuse, September 2014), p. 21.