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Abuse

Treatment admissions for heroin abuse in the Texas counties of the North Texas HIDTA region increased overall from 2008 to 2009, whereas treatment admissions for all other major drug categories declined during the same period. The increase in the number of heroin-related treatment admissions reflects the rising availability and abuse of the drug. Of interest, more than half of all adult drug-related treatment admissions in the 15 Texas counties located in the North Texas HIDTA region occurred in Dallas and Tarrant Counties each year from 2007 through 2009. (See Table 6.)

Table 6. Adult Drug-Related Treatment Admissions in Texas: North Texas HIDTA Counties and Statewide, by Drug, 2007-2009

  North Texas HIDTA County (Texas) Total for NTX HIDTA Counties in Texas Percent of State Total Texas State Total
Collin Dallas Denton Ellis Henderson Hood Hunt Johnson Kaufman Lubbock Navarro Parker Rockwall Smith Tarrant
Drug Year
Cocaine (crack) 2007 61 1,277 30 37 17 11 26 28 14 249 * * * 61 666 2,477 27 9,197
2008 35 1,104 26 31 * * 26 30 23 216 * 15 * 55 670 2,231 27 8,229
2009 28 739 23 21 * * 12 * 18 125 * * * 37 651 1,654 24 6,976
Cocaine (powder) 2007 44 348 11 41 * * * 18 11 115 * * * 19 233 840 16 5,394
2008 23 283 11 21 * * * * * 86 * 10 * 16 254 704 14 5,046
2009 21 183 * * * * * * * 51 * * * * 166 421 12 3,453
Marijuana/Hashish 2007 100 517 32 96 13 67 27 89 21 157 * 31 * 22 406 1,578 23 6,981
2008 91 474 12 72 * 86 29 111 20 169 * 29 * 30 451 1,574 22 7,202
2009 93 415 14 32 * 78 23 83 25 150 * 29 * 51 472 1,465 19 7,515
Heroin 2007 77 1,686 25 19 * 14 11 11 14 57 * * * * 590 2,504 39 6,501
2008 81 1,713 49 13 * * 14 30 16 50 * * 12 * 719 2,697 38 7,058
2009 121 1,683 49 20 * * * 33 13 48 * 14 17 14 838 2,850 38 7,510
Other Opiates 2007 39 343 18 28 23 11 10 40 24 63 * 17 * 53 271 940 25 3,717
2008 42 343 45 19 21 38 12 46 14 78 * 20 * 65 374 1,117 26 4,318
2009 39 352 26 24 15 27 15 52 19 90 * 19 12 62 321 1,073 23 4,726
Amphetamines/
Methamphetamine
2007 * 653 52 134 23 102 97 207 70 221 * 64 13 50 788 2,474 38 6,513
2008 67 553 39 45 10 97 42 145 55 161 * 59 * 48 737 2,058 42 4,874
2009 61 436 49 36 18 72 28 117 58 160 * 44 * 38 875 1,992 41 4,890

Source: Texas Department of State Health Services.
*Admissions in any drug category with a frequency of less than 10 have been omitted from North Texas HIDTA county totals as a result of Health Insurance Privacy and Accountability Act confidentiality requirements. Therefore, actual totals are slightly higher than those shown here.

Drug-related treatment admissions for the abuse of marijuana, heroin, other opiates, and amphetamine/methamphetamine in the Oklahoma counties of the North Texas HIDTA increased from 2008 to 2009. Treatment admissions for marijuana were highest (1,514), followed by admissions for amphetamine/methamphetamine (1,372). (See Table 7.)

Table 7. Adult Drug-Related Treatment Admissions in Oklahoma: North Texas HIDTA Counties and Statewide, by Drug, 2007-2009

  North Texas HIDTA County (Oklahoma) Total for North Texas HIDTA
Counties in Oklahoma
Percent of State Total Oklahoma State Total
Cleveland Comanche Muskogee Oklahoma Sequoyah Tulsa
Drug Year
Cocaine (crack) 2007 33 102 48 546 2 213 944 76 1,249
2008 31 73 45 486 1 169 805 75 1,068
2009 25 69 30 352 0 144 620 81 768
Cocaine (powder) 2007 33 21 12 167 0 74 307 65 471
2008 18 13 17 165 3 71 287 65 443
2009 13 16 8 117 1 52 207 69 301
Marijuana/Hashish 2007 109 76 81 655 12 283 1,216 48 2,522
2008 98 77 85 745 19 310 1,334 49 2,728
2009 98 109 66 689 21 531 1,514 53 2,848
Heroin 2007 10 2 1 58 1 16 88 76 116
2008 16 3 4 97 0 28 148 75 197
2009 27 4 4 88 1 50 174 70 247
Other Opiates 2007 53 30 25 336 14 177 635 57 1,120
2008 85 36 31 372 9 233 766 54 1,413
2009 107 43 28 376 8 256 818 55 1,485
Amphetamines/
Methamphetamine
2007 141 74 135 675 55 328 1,408 42 3,353
2008 125 69 104 598 23 228 1,147 43 2,686
2009 106 149 127 570 57 363 1,372 48 2,871

Source: Oklahoma Department of Mental Health and Substance Abuse Services.

CPD abuse is a significant and growing problem in the six Oklahoma counties in the HIDTA region, as indicated by a rising number of treatment admissions and overdose deaths associated particularly with abuse of opioid pain medications. (See Table 7 and Table 8.) Of particular note is the high percentage of drug-related deaths attributed to the abuse of CPDs. Of the 304 drug-related deaths that occurred in these six counties in 2009, almost 82 percent (248 deaths) involved CPDs. According to the Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBNDDC), hydrocodone products (such as Lortab and Vicodin) and oxycodone products (such as OxyContin) accounted for the greatest number of CPD-related deaths in Oklahoma.

Table 8. Illicit and Controlled Prescription Drug-Related Deaths in Oklahoma: North Texas HIDTA Counties and Statewide, 2009*

  North Texas HIDTA County (Oklahoma) Total for North Texas HIDTA Counties in Oklahoma Percent of State Total Oklahoma State Total
Cleveland Comanche Muskogee Oklahoma Sequoyah Tulsa
Drug Type
Illicit 1 1 2 12 2 38 56 61 92
Controlled Prescription Drugs 27 10 9 83 7 112 248 55 447
Totals 28 11 11 95 9 150 304 56 539

Source: Oklahoma Bureau of Narcotics and Dangerous Drugs Control.
*Death statistics as reported through third quarter 2009, as of March 29, 2010, are the latest data available.

Drug-related deaths attributed to the abuse of methamphetamine also increased in Oklahoma in 2009. OBNDDC reports that at least 51 people died from methamphetamine overdoses in 2009--an almost 89 percent increase from the 27 methamphetamine-related deaths that occurred in 2008.

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Illicit Finance

Millions of dollars in illicit drug proceeds are smuggled in bulk to Mexico from the HIDTA region for eventual laundering or repatriation. Drug traffickers routinely use the region, particularly the Dallas/Fort Worth area, as a staging location for bulk cash and monetary instruments that they generate through their illicit activities. Internal Revenue Service authorities indicate that some drug traffickers have used color coding to mark packages in bulk currency shipments to identify from where the proceeds have come or to which criminal groups the proceeds should be delivered.

Traffickers in the Dallas and Oklahoma City areas are also being seen in possession of stored value cards, such as gift cards. Traffickers are transporting the stored value cards to Brownsville or other Southwest Border locations. There the transporter withdraws the money from the cards and wires the funds to a recipient in Mexico or another foreign location. (See text box.)

Stored Value Cards

Stored value cards are prepaid debit cards that use magnetic stripe technology to store information about funds that have been prepaid to the card. Payroll cards, government benefit cards, gift cards, and telephone cards are examples of stored value cards. These virtual money cards can be accessed through the Internet and often allow holders to transfer money values anonymously without being subject to the same controls required of institutions that deal with credit and debit cards. Legitimate and criminal users of these virtual money cards store funds on the cards in amounts not exceeding the dollar limit set by the issuing authority; however, a complicit issuing authority can waive the dollar limit, making these cards attractive to money launderers. In addition, the owner of a stored value card can authorize another individual to withdraw funds without requiring any type of identification at the time of the transaction.

Source: Financial Crimes Enforcement Network.

Money launderers also use wire transfer services to move illicit drug proceeds from the Dallas/Fort Worth area to banks and other financial transaction points in Mexico. Money launderers are facilitating wire transfers by using "straw men" to conceal the identity of the transferring party. Also in the Dallas/Fort Worth area, members of Mexican drug trafficking cells are buying properties, renovating them, and then selling them legitimately and sending the profits to Mexico.


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