European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)

Availability remains high across the main drugs used in Europe, evidenced by the large and in some cases increasing quantities that continue to be seized in the European Union. In addition, the market for illicit drugs is characterised by the diversification of consumer products and the widespread availability of a broader range of drugs, including new psychoactive substances, often of high potency or purity. Specialised equipment may be required to meet the detection and monitoring challenges posed by this diversification.

The recent emergence of highly potent opioids, particularly benzimidazoles (nitazenes), poses a particularly complex threat to public health due to their increased risk of life-threatening poisoning. The potential emergence of new patterns of consumption in Europe is also a key threat, due to the availability of cheap and highly potent or pure drugs. This is particularly the case for cocaine, which has seen unprecedented levels of availability

European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), 2024. 39p.

By R. Santamarina  D. Caldicott , J. Fitzgerald , J.L. Schumann 

Background : Illicit drug use is overrepresented in music festival attendees compared with the general population. Drug use often involves a wide range of substances with the potential to cause drug toxicity. Law enforcement-centred strategies intended to deter drug use and supply at these mass gatherings have been implemented throughout Australia. However, many have been criticised for their lack of effectiveness, with evidence suggesting that they can inadvertently increase the risk of drug harm. Drug deaths are often multifactorial, providing added challenges in the development of prevention strategies. This study aimed to determine the frequency of deaths involving alcohol and other drugs at music festivals in Australia and to identify potential risk factors that may inform future harm reduction strategies.

Methods : A descriptive case series study was conducted using the National Coronial Information System (NCIS) to investigate drug-related deaths at music festivals throughout Australia between 1 July 2000 (Queensland from 1 January 2001) and 31 December 2019, using a list of keywords comprising music festival names and terms.

Results : There were 64 deaths, of which most involved males (73.4%) aged in their mid-20s (range 15-50 years). Drug toxicity was the most common primary cause of death (46.9%) followed by external injuries (37.5%). The drug most commonly detected or reported as being used was MDMA (65.6%), followed by alcohol (46.9%) and cannabis (17.2%), with most cases reporting the use of two or more drugs (including alcohol) and 36% reporting a history of drug misuse in the coroner's findings. Most deaths were unintentional, with less than a fifth of cases (17.2%) involving intentional self-harm. Clinical intervention was involved in 64.1% of cases and most festivals occurred in inner city locations (59.4%).

Conclusions : The findings suggest that drug-related deaths at music festivals in Australia typically involve young people using multiple illicit substances in combination with alcohol. Most are unintentional and could potentially be prevented through the implementation of a range of harm reduction strategies, including mobile medical care, drug checking services, and increased consumer education and awareness.

International Journal of Drug Policy Volume 123, January 2024, 104274

By Kunal Madan  , Samantha Schmidt  , Raeiti Fouladi Chami  , Raymond Ho , Justin C. Lewis  , Dorie E. Apollonio

Background: As of June 2023, a majority of states had legalized the sale of cannabis, which past research has found to be associated with increased exposures. In 2018, a change in federal policy increased access to cannabidiol (CBD) and derived psychoactive cannabis products, but there has been limited study of reported exposures following this change. Methods: This observational retrospective study analyzed exposures involving synthetic cannabinoid receptor agonists (SCRAs) and derived cannabis products, including CBD, reported to the California Poison Control System (CPCS) from 2010 to 2022. We focused primarily on potential shifts in reported exposures before and after the implementation of the 2018 Farm Bill, which removed products derived from hemp from the Controlled Substances Act. We reviewed and hand-coded individual call records to assess reported exposures over time and their characteristics, and conducted interrupted time series analysis to assess whether exposure counts changed after policy interventions. Results: Reported CBD exposures significantly increased following the federal reclassification of hemp products. Exposure reports were most common among young children and for edibles. Exposure reports provided limited information about derived psychoactive cannabis products. Conclusions: Our findings suggest a need for improved data collection regarding derived psychoactive cannabis products, as well as potential public health value in modifying packaging regulations and in providing additional guidance to parents to help prevent CBD exposures.

International Journal of Drug Policy Volume 124, February 2024, 104313

By Astrid De Schutter and Nils Duquet

This report discusses the connection between drug trafficking and firearms trafficking, focusing on systemic drug-related gun violence. It also examines the societal impact of this violence within the EU. For those interested in understanding the complex nexus between firearms trafficking, drug trafficking, and the resulting violence, this report provides valuable insights and analysis.

The analysis responds to a need for further research into the issue, at a time of rising drug-related violence in Europe. On average, over a quarter (28%) of the firearms seizures in Europe are estimated to have occurred in the context of drug trafficking, with this figure close to a half (44%) in some EU Member States (UNODC). The UN Commission on Narcotic Drugs has emphasised the need to address the links between the illicit trafficking in drugs and firearms. In Resolution 65/2, it encouraged states to take appropriate measures to prevent and combat these links, by enhancing border control management, information exchange and international operational cooperation.

The report identifies the Balkan route as a key transit route for firearms and drugs into the EU. Weapons and drugs are often smuggled along this route as part of multi-commodity transfers, or hidden in vehicles. The Western Balkans are an important source region of firearms trafficking into the EU. The arms moved from this region are often 'conflict legacy weapons' (e.g. from conflicts in the former Yugoslavia and the Albanian civil war). Firearms are often smuggled together with drugs by the same criminal networks or, at least, along well-established drug-trafficking routes.

The analysis shows how firearm traffickers have significantly exploited legal loopholes over the past 20 years to legally acquire weapons unable to fire live ammunition (e,g. alarm weapons, deactivated acoustic expansion weapons, small-calibre firearms) and convert them into live-firing weapons. The ease with which these weapons can be legally purchased and converted has strongly impacted the criminal availability of firearms in several EU countries. In various Member States, a higher availability of trafficked firearms on the illicit market has triggered drug-related gun violence.

In 2019, the EMCDDA and Europol noted that the criminal use of firearms by organised crime groups (OCGs) involved in European drug markets appeared to be increasing. Europol found that the use of drug-related violence has escalated in recent years, particularly linked to the cannabis and cocaine trade (SOCTA, 2021).

The report takes an in-depth look at the use of gun violence at the wholesale level of the drug distribution chain and the local consumer market. Violence appears generally less evident at the production and wholesale level than the consumer level of the drug market. Most of the drug-related gun violence at wholesale level in Europe is connected to cocaine. The recent shift from a few large networks dominating the cocaine market to a larger number of smaller competing networks may explain the upsurge in violence.

The local consumer market accounts for most of the visible drug-related gun violence. Many actors involved in this violence are young adults using guns as a means to advance their criminal career. Open drug markets — where buyers can purchase products without prior introduction to the seller — are more prone to violence than closed markets, which are built on relationships of trust between buyer and seller.

Finally, the report looks at the broader impact of firearms trafficking and associated violence in the drug trade on society as a whole. Residents or individuals working in the community may be threatened or extorted. Drug criminals may target innocent victims through cases of mistaken identity. And there may be spill-over effects, when violence moves beyond the criminal milieu (e.g. to Ministers, journalists).

The report underlines the need for sound intelligence on these security phenomena, including better ballistics data, law enforcement information and intelligence on firearms trafficking and criminal shootings. Such data and information are crucial to adequately inform evidence-based initiatives, support targeted law enforcement actions and evaluate policies. The study contributes towards a better understanding of drug-related gun violence in the EU and supports appropriate policy responses to prevent this type of violence.

Lisbon: European Monitoring Centre for Drugs and Drug Addiction. 2023. 57p.

By Maximilian Meyer, Jean N. Westenberg , Kerry L. Jang , Fiona Choi , Stefanie Schreiter , Nickie Mathew , Conor King, Undine. Lang , Marc Vogel and R. Michael Krausz

Understanding drug market dynamics and their underlying driving factors is paramount to developing effective responses to the overdose crisis in North America. This paper summarises the distinct drug market trends observed locally and internationally over the past decade to extrapolate future drug market trajectories. The emergence of fentanyl on North American street markets from 2014 onwards led to a shift of street drug use patterns. Previously perceived as contaminants, novel synthetic opioids became the drugs of choice and a trend towards higher potency was observed across various substance classes. The diversification of distribution strategies as well as the regionalisation and industrialisation of production followed basic economic principles that were heavily influenced by prosecution and policy makers. Particularly, the trend towards higher potency is likely most indicative of what to expect from future illicit drug market developments. Nitazenes and fentanyl-analogues, several times more potent than fentanyl itself, are increasingly detected in toxicological testing and have the potential of becoming the drugs of choice in the future. The dynamic of drug import and local production is less clear and influenced by a multitude of factors like precursor availability, know-how, infrastructure, and the success of local drug enforcement strategies. Drug market dynamics and the current trajectory towards ultrapotent opioids need to be recognised by legislation, enforcement, and the health care system to prepare effective responses. Without significant improvements in treatment access, the implementation of preventative approaches and early warning systems, the mortality rate will continue to increase. Furthermore, there is no mechanism in place preventing the currently North American focused overdose crisis to spread to other parts of the globe, particularly Europe. A system of oversight, research, and treatment is needed to address mortality rates of historic proportions and prevent further harm.

International Journal of Mental Health Systems (2023) 17:36

Edited by Tzanetakis, Meropi and South, Nigel

The ebook edition of this title is Open Access and freely available to read online. Transnational illicit markets have been transformed by the digital revolution. They take advantage of encryption technologies, smartphones, social media applications and cryptocurrencies that protect the digital traces of buyers and sellers, posing new challenges to drug control policies and public health alike. Digital Transformations of Illicit Drug Markets: Reconfiguration and Continuity considers how the digital revolution has changed the selling and buying of illicit substances through increased convenience and anonymisation. Providing a uniquely interdisciplinary perspective, chapters show how the digital transformation of illicit drug markets combines a reconfiguration of how sellers and buyers interact in new markets. Emphasising that illicit digital markets are embedded in societal structures and power relations in general, contributors also recognise the importance of critical perspectives on inequalities between the Global North and South as well as issues of gender. Digital Transformations of Illicit Drug Markets: Reconfiguration and Continuity challenges the field of criminology to recognise the limits of its traditional knowledge and move beyond the preoccupations that restrict crime to certain fixed spaces in order to develop new explanations.

Bingley: Emerald, 2023. 198p.

Leonardo Castro-Gonzalez

The County Lines Model (CLM) is a relatively new illicit drugs distribution method found in Great Britain. The CLM has brought modern slavery and public health issues, while challenging the law-enforcement capacity to act, as coordination between different local police forces is necessary. Our objective is to understand the territorial logic behind the line operators when establishing a connection between two places. We use three different spatial models (gravity, radiation and retail models), as each one of them understands flow from place i to j in a different way. Using public data from the Metropolitan Police of London, we train and cross-validate the models to understand which of the different physical and socio-demographic variables are considered when establishing a connection. We analyse hospital admissions by drugs, disposable household income, police presence and knife crime events, in addition to the population of a particular place and the distance and travel times between two different locations. Our results show that knife crime events and hospital admissions by misuse of drugs are the most important variables. We also find that London operators distribute to the territory known as the ‘south’ of England, as negligible presence of them is observed outside of it.

 Soc. Open Sci.10: (3) 2023

By Simone Haysom

The heroin economy has shaped the growth of coastal villages, border towns and megacities across East and Southern Africa.

The trafficking of heroin is a crucial component of urban politics and development in East and Southern Africa. The heroin economy has shaped the growth of small coastal villages, border towns and megacities along the Southern Route – a network moving Afghan drugs south across the Indian Ocean and onward through Tanzania, Kenya and Mozambique to South Africa. Rapid and dysfunctional urbanisation, the migration of low-skilled youth throughout the region, unemployment and the inability of local governments to cope with service delivery needs have contributed to the spread of the drug, building fortunes for a few ‘big fish’ and promoting corruption among police and politicians.

ENACT (Africa) 2020. 60p..

By Daniel Mejía Pascual Restrepo

This paper proposes a new identification strategy to estimate the causal impact of illicit drug markets on violence using a panel of Colombian municipalities covering the period 1994-2008. Using a UNODC survey of Colombian rural households involved in coca cultivation, we estimate the determinants of land suitability for coca cultivation. With these results we create a suitability index that depends on the altitude, erosion, soil aptitude, and precipitation of a municipality. Our exogenous suitability index predicts the presence of coca crops cross sectionally and its expansion between 1994-2000. We show that following an increase in the demand for Colombian cocaine, coca cultivation increases disproportionately in municipalities with a high suitability index. This provides an exogenous source of variation in the extent of coca cultivation within municipalities that we use as an instrument to uncover the causal effect of illegal cocaine markets on violence. We find that a 10% increase in the value of coca cultivation in a municipality increases homicides by about 1.25%, forced displacement by about 3%, attacks by insurgent groups by about 2%, and incidents involving the explosion of land mines by about 1%. Our evidence is consistent with the view suggesting that prohibition creates rents for suppliers in illegal markets, and these rents cause violence as different armed groups fight each other, the government and the civil population for their control and extraction.

Bogotá, Colombia: Universidad de los Andes–Facultad de Economía–CEDE , 2012. 56p.

By Philip Keefer, Norman V. Loayza, and Rodrigo R. Soares

This paper reviews the unintended consequences of the war on drugs, particularly for developing countries, and weighs them against the evidence regarding the efficacy of prohibition to curb drug use and trade. It reviews the available evidence and presents new results that indicate that prohibition has limited effects on drug prevalence and prices, most likely indicating a combination of inelastic drug demand (due to its addictive properties) and elastic supply responses (due to black markets). This should turn the focus to the unintended consequences of drug prohibition. First, the large demand for drugs, particularly in developed countries, generates the possibility of massive profits to potential drug providers. This leads to the formation of organized crime groups, which use violence and corruption as their means of survival and expansion and which, in severe cases, challenge the state and seriously compromise public stability and safety. Second, prohibition and its derived illegal market impose greater costs on farmers than on drug traffickers. In many instances, this entails the transfer of wealth from poor peasants to rich (and ruthless) traders. Third, criminalization can exacerbate the net health effects of drug use. These consequences are so pernicious that they call for a fundamental review of drug policy around the world.

Washington, DC: The World Bank, 2008. 36p.