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Cocaine use: Will the factors behind its steady decline continue?

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The 2011 National Survey on Drug Use and Health, which is based on representative samples of people 12 and older, gives some indicators of cocaine’s decline:

• In 2011, there were 1.4 million cocaine users, about 0.5 percent of the population – down from 2.4 million (1 percent) in 2006.

• The number who first tried cocaine in the prior year dropped from 1 million in 2002 to 670,000 in 2011.

• The number who abused or were dependent on cocaine declined from 1.7 million in 2006 to 0.8 million in 2011.

The ONDCP also noted these encouraging national statistics in releasing its annual estimate this month:

• A 65 percent drop in the rate of people testing positive for cocaine in the workplace (from 72 out of every 10,000 tested in 2006 to 25 in 2012).

• A 44 percent drop in overdose deaths related to cocaine (from 7,448 in 2006 to 4,183 in 2010).

The National Survey on Drug Use and Health, several experts note, is based on interviews and therefore may understate usage levels. It also doesn’t capture data from homeless or incarcerated people.

However, data collected by ONDCP for the Arrestee Drug Abuse Monitoring program show a significant decline in the percentage of male arrestees found to have cocaine in their systems through drug tests. For instance, half of the arrestees in Chicago had taken cocaine in 2000, but only 19 percent had done so in 2012.

At a recent meeting of epidemiologists who track drug trends in 21 regions across the US for the National Institute on Drug Abuse (NIDA), “most agreed cocaine use is down,” along with related issues such as deaths and addictions, says Jane Maxwell, a senior research scientist at the School of Social Work at the University of Texas, Austin. “But the bottom line is, people are still being hurt by cocaine.”

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