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These datasets underpin the analysis presented in the agency's work. Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More events. More news. We are your source of drug-related expertise in Europe. We prepare and share independent, scientifically validated knowledge, alerts and recommendations. About the EUDA. Despite a continued decline in injecting drug use over the past decade in the European Union, this behaviour is still responsible for a disproportionate level of both acute and chronic health harms associated with the consumption of illicit drugs. On this page, you can find the latest analysis of injecting drug use in Europe, including key data on prevalence at national level and among clients entering specialist treatment, as well as insights from studies on syringe residue analysis and more. European Drug Report — home. The drug situation in Europe up to Drug supply, production and precursors. Synthetic stimulants. Heroin and other opioids. Other drugs. New psychoactive substances. Injecting drug use in Europe. Drug-related infectious diseases. Drug-induced deaths. Opioid agonist treatment. Harm reduction. Half a million Europeans are estimated to have injected an illicit drug in the last year. This underlines the scale of the ongoing challenges in this area and the fact that reducing the harm associated with injecting drug use remains an important public health priority. People who inject drugs are at greater risk of contracting blood-borne infections or dying from a drug overdose. Injecting can also exacerbate other pre-existing health problems or be a cause of abscesses, septicaemia and nerve damage. Historically, heroin has been the main drug associated with injecting in Europe, but this has been changing in recent years. Increasingly today, other drugs, including amphetamines, cocaine, synthetic cathinones, opioid agonist medications and other medicines and various new psychoactive substances, are also injected, either alone or in combination. While it is known that there is considerable variation in injecting between countries, recent studies of syringe residues also reveal that there can also be considerable variation in the drugs injected between different sites within a country. Multiple substances are commonly detected in syringe residues, often including both stimulant and opioid drugs, and polydrug use can increase the risk of a drug overdose. Recognising the complexity of injecting drug use in Europe and the significance of polydrug use in this context is therefore likely to have important implications both for understanding the harms associated with this mode of administration and for designing interventions to reduce them. Injecting stimulant drugs such as cocaine and synthetic cathinones tends to be more associated with high-frequency injecting patterns of use, and has been associated with local HIV outbreaks in the last decade in Europe. Methamphetamine injecting carries similar risks. This is a concern, as there are a number of signals that stimulant injecting is becoming a more common behaviour among people who inject drugs. In addition, people who inject drugs may use stimulants as replacement substances, when opioids such as heroin are scarce. There are multiple long-term risks linked to injecting dissolved medicine tablets and capsules, and also crack cocaine, including vascular damage and infective endocarditis and other bacterial infections. An additional concern is raised by the availability of highly potent synthetic opioids, such as fentanyl and its derivatives, which can cause rapid onset of life-threatening respiratory depression leading to fatal overdoses, and these risks are likely to be elevated when such substances are injected. The highly potent benzimidazole opioids nitazenes , which can be more potent than fentanyl, were involved in three localised poisoning outbreaks in France 1 and Ireland 2 in , where consumption of nitazenes mis-sold as heroin resulted in multiple overdoses see also New psychoactive substances — the current situation in Europe. In addition to the provision of drug treatment, harm reduction interventions, such as the provision of sterile injecting equipment, remain among the most common public health measures targeting the risks associated with injecting drugs. Although, by international standards, such interventions are relatively well developed in Europe, it is also clear that some EU Member States face challenges in providing sufficient coverage and access to harm reduction and drug treatment interventions for people who inject drugs. For example, the coverage of needle and syringe programmes is low in Bulgaria, Italy, Cyprus, Hungary and Romania in comparison with other EU Member States with comparable estimates of injecting drug use. Moreover, historically the need to reduce the risk of acquiring blood-borne infectious diseases has been a primary focus of many interventions in this area. This concern remains important, but there is now greater recognition that more also needs to be done to reduce overdose deaths and the broader range of health harms associated with injecting drug use. Forensic and toxicological analysis of drug batches suspected of containing highly potent substances e. Other interventions targeting these outcomes, including take-home naloxone and drug consumption rooms, are generally less well developed, and therefore this remains an important area for investment and service development. Changing patterns of drug injecting, an increasing diversity of substances and the adequacy of the type and level of existing responses remain key issues for both frontline responders and policymakers in the European Union. As the subgroups of people who inject drugs change, now encompassing primarily opioid and stimulant-based open drug scenes involving marginalised people who inject drugs, as well the use of substances such as methamphetamine and cathinones in some settings and subgroups, responding effectively to the risk posed by drug injecting has become a more urgent and complex challenge. Trends in injecting among first-time treatment entrants are based on 22 countries with data for at least 5 of the 6 years missing values were interpolated from adjacent years , and one country for which the final 2 years were extrapolated. Show source tables. The complete set of source data for the European Drug Report including metadata and methodological notes is available in our data catalogue. A subset of this data, used to generate infographics, charts and similar elements on this page, may be found below. Homepage Quick links Quick links. GO Results hosted on duckduckgo. Main navigation Data Open related submenu Data. Latest data Prevalence of drug use Drug-induced deaths Infectious diseases Problem drug use Treatment demand Seizures of drugs Price, purity and potency. Drug use and prison Drug law offences Health and social responses Drug checking Hospital emergencies data Syringe residues data Wastewater analysis Data catalogue. Selected topics Alternatives to coercive sanctions Cannabis Cannabis policy Cocaine Darknet markets Drug checking Drug consumption facilities Drug markets Drug-related deaths Drug-related infectious diseases. Recently published Findings from a scoping literature…. Penalties at a glance. Frequently asked questions FAQ : drug…. FAQ: therapeutic use of psychedelic…. Viral hepatitis elimination barometer…. EU Drug Market: New psychoactive…. EU Drug Market: Drivers and facilitators. Statistical Bulletin home. Recent events EUDA webinar: Preventing substance-related crime in the community — how can we provide safer and healthier environments? Recent news How do economic recessions influence illicit drug use? Quick links Search news Subscribe newsletter for recent news Subscribe to news releases. This make take up to a minute. Once the PDF is ready it will appear in this tab. Sorry, the download of the PDF failed. Table of contents Search within the book. Search within the book Operator Any match. Exact term match only. Download all files zip. Main subject. Target audience. Publication type. European Drug Report main page. On this page.
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