Cocaine in Wayne County Medical Examiner's Cases

    Volume 35, Issue 3 (May 1990)

    ISSN: 0022-1198

    CODEN: JFSOAD

    Page Count: 10


    Ryan, D
    Department manager and chief toxicologist, Wayne County Medical Examiner's Office, Detroit, MI

    Hood, I
    deputy medical examiner for Philadelphia, Office of the Medical Examiner, Philadelphia, PA

    Monforte, J
    Department manager and chief toxicologist, Wayne County Medical Examiner's Office, Detroit, MI

    Valentour, J
    Director of toxicology, Bureau of Forensic Sciences, Richmond, VA

    (Received 8 May 1989; accepted 30 June 1989)

    Abstract

    We determined the incidence of detection of cocaine or its metabolites in Wayne County (Michigan) Medical Examiner's cases from 1984 to 1987. Over this four-year period there was a significant (P < 0.01) increase each year in evidence of recent cocaine use in this population, reaching 38.3% of all tested cases in 1987. Much of this increase was accounted for by homicide victims, especially those in their third or fourth decade of life, of whom 58.6 and 56.3%, respectively, tested positive in 1987. There was a large increase in recent cocaine use in teenage homicide victims in 1987, having previously changed little from 1984 to 1986.

    In victims of drug abuse, recent cocaine use also increased significantly (P < 0.01) each year, reaching 47.6% in 1987, generally in combination with heroin. Although deaths attributed solely to cocaine were not as common, they also increased significantly each year from 4 in 1984 to 25 in 1987.

    Compared with the general population, those who use cocaine in Wayne County are more likely than those who do not to die prematurely, often as a result of violence.


    Paper ID: JFS12865J

    DOI: 10.1520/JFS12865J

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    Author
    Title Cocaine in Wayne County Medical Examiner's Cases
    Symposium , 0000-00-00
    Committee E30