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Cocaine, amphetamine, and methamphetamine, in measurable concentrations, were found in a total of half of the locations. When a person consumes a drug it is excreted through the digestive system, either unchanged or as metabolites through the body and ends up in the wastewater. Through taking a sample of water in treatment plants and measuring the levels of drugs can provide a snapshot of the drug usage in a particular city. The method has been used before, both in Sweden and abroad, and is a complement to other methods to estimate drug use in society. In addition, we have developed a faster and more cost-effective measurement to conduct this type of research. The measurements were performed on one day in January The concentrations were generally low when compared with similar studies from other European countries. Since we measure using a chemical scale, it is no problem to distinguish methamphetamine from amphetamine. The research team found the remains of a total of 13 different narcotic substances in the incoming wastewater of the investigated Swedish treatment plants. The most common substances were used as medicine: oxazepam anti-anxiety , codeine painkiller , morphine pain reliever and tramadol analgesic. These substances were found in all treatment plants in the study. Of the illicit non-prescription drugs included in the study, the following were detected in the sewage water samples: cocaine 12 locations , amphetamines 13 locations , and methamphetamine 16 locations. Heroin, ecstasy or LSD could not be detected. The highest level of cocaine and amphetamine were found in Gothenburg, the largest city in the study. The researches then detected a different pattern. Methamphetamine content seemed not to be correlated to the size of the city in any way. The smaller municipalities of Bollebygd and Lycksele generally had fewer detected drugs and in lower concentrations compared to other cities. For example, we might see if a new drug arrived in a city. The study is published in the journal Science of the Total Environment. Published: Investigated substances and sampling sites in the study: The following narcotic substances were included in the study: alprazolam, flunitrazepam, midazolam, oxazepam, LSD, ketamine, amphetamine, khat, cocaine, MDA, MDMA, MDEA, MBDB, Mephedrone, methampfetamine, methylphenidate, buprenorphine, codeine, fentanyl, heroin, methadone, morphine, oxycodone, tramadol and zolpidem.

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