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Comparison of pharmaceutical, illicit drug, alcohol, nicotine and caffeine levels in wastewater with sale, seizure and consumption data for 8 European cities

Authors: Erika Castrignanò; Stefania Salvatore; Ann Kathrin McCall; Christoph Ort; Sara Castiglioni; Pim de Voogt; Pedram Ramin; +15 Authors

Comparison of pharmaceutical, illicit drug, alcohol, nicotine and caffeine levels in wastewater with sale, seizure and consumption data for 8 European cities

Abstract

Monitoring the scale of pharmaceuticals, illicit and licit drugs consumption is important to assess the needs of law enforcement and public health, and provides more information about the different trends within different countries. Community drug use patterns are usually described by national surveys, sales and seizure data. Wastewater-based epidemiology (WBE) has been shown to be a reliable approach complementing such surveys.This study aims to compare and correlate the consumption estimates of pharmaceuticals, illicit drugs, alcohol, nicotine and caffeine from wastewater analysis and other sources of information. Wastewater samples were collected in 2015 from 8 different European cities over a one week period, representing a population of approximately 5 million people. Published pharmaceutical sale, illicit drug seizure and alcohol, tobacco and caffeine use data were used for the comparison.High agreement was found between wastewater and other data sources for pharmaceuticals and cocaine, whereas amphetamines, alcohol and caffeine showed a moderate correlation. methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) and nicotine did not correlate with other sources of data. Most of the poor correlations were explained as part of the uncertainties related with the use estimates and were improved with other complementary sources of data.This work confirms the promising future of WBE as a complementary approach to obtain a more accurate picture of substance use situation within different communities. Our findings suggest further improvements to reduce the uncertainties associated with both sources of information in order to make the data more comparable.

Countries
Norway, Netherlands, Spain, Spain, Australia, Denmark, Australia, Australia, Belgium, Norway
Keywords

Nicotiana, Drug consumption, Nicotine, sales statistics, Alcohol Drinking, Substance-Related Disorders, N-Methyl-3,4-methylenedioxyamphetamine, 610, Wastewater-based epidemiology, 2739 Public Health, 310, Methamphetamine, Beverages, Tobacco Use, Drug consumption, Correlation, Europe-wide study, Seizures, Sales statistics, Cocaine, Seizures, 615, Caffeine, Humans, Cities, Public, Environmental & Occupational Health, seizures, Ethanol, Illicit Drugs, drug consumption, Environmental and Occupational Health, Amphetamines, Sales statistics, Public Health, Environmental and Occupational Health, Commerce, Correlation, wastewater-based epidemiology, Europe, Substance Abuse Detection, Pharmaceutical Preparations, correlation, Central Nervous System Stimulants, Human medicine, Europe-wide study, Public aspects of medicine, RA1-1270, Research Article

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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