The challenge of new party drugs –

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Presentation transcript:

The challenge of new party drugs – New Psychoactive Substances SSAI/SFAI 2017

NPS - Legal drugs on the Internet Sales mostly online from different web shops Clear web: Legal internet shops (2013 EMDCCA indentified 651 web sales in Europe) Cryptomarket - DeepWeb: The Onion Router (TOR)/Dark web: SilkRoad, Cloud 9, Hydra and others Openings/closures 2014: 43 opened, 46 closed Sales are not for human consumption Research chemicals - Incense – Spice – Bad salts – Plant nutrition Age limit On sale before classification Discrete delivery Ignorance Irresponsibility

New Psychoactive Substances Phone inquiries to Swedish Poisons Information Centre – 2010-2016 Unknown/unclassified Opioids Numbers Others Year

Deaths come in clusters year 2009-2015 – seven clusters identified (77 fatalities) Krypton 5-IT AH-7921 MT-45 PMMA Acetylfentanyl Spice N= 9 (11) N= 13 N= 7 N= 15 (18) N= 5 (6) N= 21 N= 7 (12) 2009 2010 2011 2012 2013 2014 2015

NPS - Conclusions Extent of real consumption is unknown In recent years a decline in classification of new drugs Most NPS sold today are already classified In recent years a decline in phone inquiries to poisons information centres Poisonings with NPS still a significant clinical problem 388 deaths between 2007-2015 in Sweden Extended chemical screening is necessary (get to know where, who and how) Deaths come in clusters Different fentanyls are on their way…