Factual overview of current trends in drug consumption, types of drugs and their physical impact Drug Policy Reform - Parliamentary Seminar Paul Griffiths, Scientific Director of the EMCDDA, 28 October 2013 EMCDDA: The EU drug information agency • Collecting and analysing existing data • Structured reporting tools (national reports, structured questionnaires and standard tables) • Network of 30 focal points: 28 MS, Croatia, Turkey • Cooperation with European and international organisations and third countries • Improving data-comparison methods • Guidelines and standards, ad hoc working groups, technical meetings, … • Disseminating data emcdda.europa.eu 2 EMCDDA: Areas of work Drug situation • • Epidemiology (drug situation including five key epidemiological indicators) Supply and market information Trends • • New drugs and polydrug use New threats and developments Responses • • • Prevention, treatment, harm reduction and social reintegration Supply reduction activities Best practice Policies, laws and economic issues emcdda.europa.eu 3 The European drug policy landscape in 2013 After 30+ years with heroin centre stage in Europe — there are now signs of a decline The use of other ‘old drugs’ is overall stable but with some new developments New psychoactive substances are on the increase emcdda.europa.eu 4 Cannabis use in Europe 77 million adults ever used cannabis 15.4 million young adults used last year 3 million daily cannabis users Young males over represented emcdda.europa.eu 6 Cannabis – rising treatment demand Second most frequently reported drug – all treatment clients Cannabis Cannabis emcdda.europa.eu 7 Cannabis market changes: from resin to herb 2001 2011 Herb Resin emcdda.europa.eu 8 Opioids Europe’s biggest drug problem 1.4 million problem opioid users Heroin use – signs of a decline Opioids > Fewer new clients entering treatment Heroin users in treatment Ageing treatment cohort Less heroin injecting emcdda.europa.eu 10 Increasing treatment provision About 50% of problem opioid users (730 000) received substitution treatment in 2011 emcdda.europa.eu 11 Heroin market changes Decreasing seizures Acute shortages in some countries late 2010/early 2011 Replacements: other opioids, amphetamines, synthetic cathinones, benzodiazepines, Fentanyl — a particular concern emcdda.europa.eu 12 Stimulants 2.5 million young Europeans used cocaine in the last year 1.8 million used ecstasy 1.7 million used amphetamines Stimulants: increasingly complex market Stable or declining trends individually but not collectively More innovation in production MDMA bounce back Methamphetamine on the rise emcdda.europa.eu 14 Cocaine decline (high-prevalence countries) Stimulants > • Recent surveys • Treatment presentations • Hospital emergencies • Deaths emcdda.europa.eu 15 Number of cocaine seizures and quantity seized emcdda.europa.eu 16 Number of ecstasy seizures and tablets seized emcdda.europa.eu 17 Signs of more methamphetamine Amphetamine Methamphetamine emcdda.europa.eu 18 Lifetime use of 'legal highs' in the EU 15–24 year olds, percentage by country, n > 12000 In certain countries some new substances that imitate the effects of illicit drugs are being sold as legal substances in the form of - for example - powders, tablets/pills or herbs. Have you ever used such substances? emcdda.europa.eu 19 European Union mechanism on new psychoactive substances Information exchange / Early warning Risk assessment Decision-making on control emcdda.europa.eu 20 Risk assessment of NPS Formalised guidelines Health risks, social risks, organised crime Diffusion potential 4-MA (2012) – 24 deaths Controlled EU - Council Decision March 2013 5-IT (2013) – 21 deaths Controlled EU - Council Decision October 2013 emcdda.europa.eu 21 4 new joints report under preparation • Methoxetamine – a dissociative • AH-7921 – an opioid • 25I-NBOMe – a stimulant • MDPV – a hallucinogen emcdda.europa.eu 22 Factual overview of current trends in drug consumption, types of drugs and their physical impact Drug Policy Reform - Parliamentary Seminar Paul Griffiths, Scientific Director of the EMCDDA, 28 October 2013