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Rosendo Iiguez, Outreach Specialist California Health Collaborative, Lock It Up Project Elizabeth Lopez, Student Coordinator Health Promotion & Wellness Services, DAAWG Program

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Fresno State is located at the northeast edge of Fresno, California, at the foot of the majestic Sierra Nevada mountain range. Fresno State is considered as a commuter campus.

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Drug & Alcohol Awareness & Wellness Guide (DAAWG) Program is a peer education group operating within the Student Health Center at Fresno State. o Initiated in August 2012. The DAAWG Program strives to promote a campus culture of safe and responsible consumption of alcohol and other drugs to prevent alcohol and other drug related incidents among Fresno State students through: o Information tables o Social Norms Marketing o Stall Seat Journal o Protect Your Dogs Campaign

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On August 31 st, 2012, a Fresno State student attended a party at an off-campus fraternity house. According to Fresno Police, the student was taking part in a hazing ritual that encouraged heavy drinking. He alone consumed one and a half bottles of hard liquor o Equivalent of 37 shots of alcohol Soon after he told members he was not feeling well and passed out. He was carried to the 'drunk room' to sober up.

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Three hours later he was unconscious and not breathing. Pledge brothers called 911 but it was too late. He died on September 2 nd, 2012 due to acute alcohol poisoning. Toxicology report indicates that he had a blood alcohol content of.36, over four times the legal limit and enough to establish cause of death.

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The Protect Your Dogs Campaign is a comprehensive approach to raise awareness about alcohol poisoning at Fresno State. o Educating the students about the signs of alcohol poisoning o Educating the students about how to handle an emergency involving alcohol poisoning o How to drink responsibly Call to action that rallies Fresno State students to protect their fellow students from alcohol poisoning. Ultimately, the purpose of the campaign is to prevent future alcohol poisoning incidents among Fresno State students. o.o.

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The chance of surviving an alcohol overdose depends greatly on how fast one receives medical assistance. Witnesses to an alcohol overdose often hesitate to call for help or simply dont make the call. It has been estimated that only between 10 percent and 56 percent of individuals who witness a drug overdose call for emergency medical services, with most of those doing so only after other attempts to revive the overdose victim have proved unsuccessful. Two common reasons are: 1. The inability to identify the signs of alcohol poisoning. 2. Fear of police involvement and legal prosecution.

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Mental Confusion Unresponsiveness Snoring or Gasping for Air Throwing Up Hypothermia Erratic Breathing Loss of Consciousness Paleness or Blueness of Skin

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If someone has ANY warning signs: Do not wait until all signs of alcohol poisoning are present. o Call University Police: 278-8400 or 911 o Text TipNow: 664-3204 Stay with the person to: o Monitor respiration rate (breathing) o Monitor pulse (heartbeat) If vital signs are missing, perform CPR.

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Posters were distributed to every building at Fresno State including: o Student Health Center o Student Recreation Center o Henry Madden Library o University Student Union

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Magnets were distributed to several departments and organizations at Fresno State including: o Student Recreation Center o International Student Services o College Assistance Migrant Program o Center for Women and Culture

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The DAAWG Program established a partnership with four local apartment complexes which houses a large population of Fresno State students. o University Village o Copper Beech o Palazzo o Campus Edge

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Throughout the fall 2012 semester, the DAAWG Program provided 10 interactive workshops to academic classes, the majority of which were freshmen heavy classes. The presentation is included in the Dont Cancel That Class (DCTC) option. The interactive workshop includes: o A general overview of alcohol, Interactive activities o the signs of alcohol poisoning o how to handle an emergency involving alcohol poisoning, o and how to drink responsibly.

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Underage drinkers or individuals who provide alcohol to minors often avoid calling 911 for fear of arrest or legal prosecution. Fear of legal prosecution lead to the death of a student at Cal Poly San Luis Obispo in 2008.

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On September 17, 2012, Governor Jerry Brown signed the 911 Good Samaritan Law which took effect beginning January 1, 2013. This law encourages victims and witnesses of a suspected alcohol overdose to call for help without fear of arrest for minor drug law violations. o This policy protects only the caller and overdose victim from arrest and prosecution for simple drug possession, possession of paraphernalia, and/or being under the influence. o This law does not protect people from arrest for other offenses, such as selling or trafficking drugs. The policy prioritizes saving lives over arrests for possession.

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Look, listen, and feel for breathing. Normal breathing ranges from 15 to 20 breaths per minute.

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Using the first and second fingertips, press firmly but gently on the arteries until you feel a pulse. Normal pulse ranges from 60 to 100 beats per minute.

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Keep track of your drinks. o 1 drink of beer: 12 ounces o 1 drink of wine: 5 ounces o 1 drink of hard liquor (80 proof): 1.5 ounces Avoid drinking from spiked bowls. Alternate drinks with non-alcoholic beverages. o Avoid carbonated drinks (soda, champagne) Eat before and while drinking. o Food slows down the absorption process. Avoid binge drinking. Avoid drinking games.

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Approximately 400 students participated in the interactive workshops. Evaluations show that students are receptive to an interactive workshop that utilizes a nonjudgmental approach to the consumption of alcohol and includes an interactive activity in which students are provided with the opportunity become a part of the presentation. 97% of the students reported that the information presented was useful and helpful to them.

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Alcohol poisoning can result in death. o Respiratory depression o Inhalation of vomit. Individuals who survive from alcohol poisoning may suffer irreversible brain damage. o Oxygen deprivation to the brain due to respiratory depression. o Dehydration caused by alcohol (diuretic).

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Additional off-campus partnerships o Local bars and restaurants Video Contest o Funded through the Substance Abuse Prevention Mini-Grants Program Dog Watch Program o Similar to the Wildcat Watch Program at Chico State

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Elizabeth Lopez, Student Coordinator o Student Health Center, Fresno State o elizabeth9526@mail.fresnostate.edu elizabeth9526@mail.fresnostate.edu o (559) 278-6727 Rosendo Iiguez, Outreach Specialist o Lock It Up Project, California Health Collaborative o riniguez@healthcollaborative.org riniguez@healthcollaborative.org o (559) 244-3618

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Tracy, Melissa, et. al. Circumstances of witnessed drug overdose in New York City: implications for intervention, Drug and Alcohol Dependence 79 (2005): 181-182.