emcdda update on recent activitiesfour new perspectives on drugs (pods) 6 opiate trafficking routes...
TRANSCRIPT
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EMCDDA – update on recent
activities
João Matias
EGHI meeting
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Data collection, methods…
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Data collection
National focal points and expert groups in each MS
Annual reporting to EMCDDA using common reporting
tools
Methods
Annual expert groups – nominated by focal points
Smaller ad-hoc working groups for indicator development
Emphasis on encouraging adoption of common methods
Emphasis on providing European level added value
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The 5 key epidemiological indicators
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Drug use = General
population survey
(GPS)
Problem drug use
(PDU)
Drug related
infectious diseases
(DRID)
Drug related deaths
and mortality (DRD) Treatment demand
(TDI)
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European Drug Report (EDR) package
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Country overviews
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Four new Perspectives on drugs (PODs)
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Opiate trafficking routes
from Asia to Europe
Misuse of benzodiazepines
by opioid users
Drug consumption rooms
Psychosocial interventions
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Recent publications
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Treatment of cannabis-related disorders in
Europe
Preventing fatal overdoses: a systematic review
of the effectiveness of take-home naloxone
Mortality among drug users in Europe: new and
old challenges for public health
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Setting the scene: a turbulent 20 years
Main trends 1995–2015:
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Heroin use, injection and HIV decline
Nationally differentiated stimulants markets develop
New synthetic products and medicines misused
NPS emerge
Treatment expansion
Cannabis
market
changes
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Cannabis: Europe’s most commonly used drug
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A quarter of EU adults (79 million) aged 15–64 have used cannabis
15 million young adults (15–34) used in the last year
Almost 1 % of adults daily users
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Cannabis: divergent national trends
Increasing trends — France, Bulgaria and Nordic countries
But some high
prevalence countries —
decreasing or stable
trends (DE,ES,UK)
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02
46
81
01
21
41
61
82
0
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014Years
Denmark Norway
Sweden B Finland
Bulgaria
LYP Cannabis 15-34
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Cannabis related harms — new data
sizeable share of drug-related emergencies in
some countries
16 % of presentations (Euro-DEN)
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Increasing evidence
of health problems
associated with
cannabis products
(high-potency)
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Treatment for cannabis problems
Most frequently reported drug
by new treatment entrants
1/3 previously treated
1/4 referred by the criminal
justice system
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Heroin: decline in treatment demand
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New heroin clients more than
halved 2007 to 2013
In 2013, only 18 % of new
clients had heroin problems
Over 10 % of opioid clients
treated for other opioids
(11 countries)
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HIV diagnoses fall after outbreaks
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1458 new cases
among PWID in 2013
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Overdose deaths
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Over 6 100 deaths in 2013
Wide variation in national mortality rates
Recent increases a concern
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Conclusions
Use and harms
Overall decline evident in heroin
problems and related harms
Injection declining but some
concern around combined sex/drug
risk taking behaviour
Continued uncertainty about NPS
use and harms
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Conclusions
Responses
Responses to NPS tend to mirror
interventions for the ‘traditional’
drugs
Older clients — new service
challenges
Cannabis — growing importance in
treatment systems — main focus
for supply reduction activities
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youtube.com/emcddatube
Thank you
@JPCIMatias