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Article
October 23, 1991

Monitoring the Impact of Cocaine

Author Affiliations

From the National Institute on Drug Abuse, Rockville, Md. Reprints not available.

From the National Institute on Drug Abuse, Rockville, Md. Reprints not available.

JAMA. 1991;266(16):2273. doi:10.1001/jama.1991.03470160105042
Abstract

POLLOCK and coauthors1 describe apparent discrepancies in two surveillance systems—the Drug Abuse Warning Network (DAWN), a survey of medical examiners and coroners, and the national vital statistics system—that monitor cocaine-related deaths.

Over the years studied, both data systems did an excellent job of recording the dramatic increases in cocaine-related mortality. During the study period, the national vital statistics system reported a fivefold increase in cocaine-related deaths and DAWN reported a sixfold increase. Agreement in trends between these two major data systems confirms increasing cocaine-related mortality during this period of dramatic changes in cocaine use.

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