PMID- 27716139 OWN - NLM STAT- MEDLINE DCOM- 20170731 LR - 20231213 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 16 IP - 1 DP - 2016 Oct 1 TI - Comparison of pharmaceutical, illicit drug, alcohol, nicotine and caffeine levels in wastewater with sale, seizure and consumption data for 8 European cities. PG - 1035 LID - 1035 AB - BACKGROUND: Monitoring the scale of pharmaceuticals, illicit and licit drugs consumption is important to assess the needs of law enforcement and public health, and provides more information about the different trends within different countries. Community drug use patterns are usually described by national surveys, sales and seizure data. Wastewater-based epidemiology (WBE) has been shown to be a reliable approach complementing such surveys. METHOD: This study aims to compare and correlate the consumption estimates of pharmaceuticals, illicit drugs, alcohol, nicotine and caffeine from wastewater analysis and other sources of information. Wastewater samples were collected in 2015 from 8 different European cities over a one week period, representing a population of approximately 5 million people. Published pharmaceutical sale, illicit drug seizure and alcohol, tobacco and caffeine use data were used for the comparison. RESULTS: High agreement was found between wastewater and other data sources for pharmaceuticals and cocaine, whereas amphetamines, alcohol and caffeine showed a moderate correlation. methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) and nicotine did not correlate with other sources of data. Most of the poor correlations were explained as part of the uncertainties related with the use estimates and were improved with other complementary sources of data. CONCLUSIONS: This work confirms the promising future of WBE as a complementary approach to obtain a more accurate picture of substance use situation within different communities. Our findings suggest further improvements to reduce the uncertainties associated with both sources of information in order to make the data more comparable. FAU - Baz-Lomba, Jose Antonio AU - Baz-Lomba JA AD - Norwegian Institute for Water Research (NIVA), Gaustadalleen 21, Oslo, NO-0349, Norway. Joseantonio.baz@niva.no. AD - Norwegian Centre for Addiction Research, Faculty of Medicine, University of Oslo, PO box 1078, Blindern, Oslo, 0316, Norway. Joseantonio.baz@niva.no. FAU - Salvatore, Stefania AU - Salvatore S AD - Norwegian Centre for Addiction Research, Faculty of Medicine, University of Oslo, PO box 1078, Blindern, Oslo, 0316, Norway. FAU - Gracia-Lor, Emma AU - Gracia-Lor E AD - IRCCS-Istituto di Recerche Farmacologiche "Mario Negri", Via La Masa 19, Milan, 20156, Italy. FAU - Bade, Richard AU - Bade R AD - Research Institute for Pesticides and Water, University Jaume I, Avda. Sos Baynat s/n, Castellon, E-12071, Spain. FAU - Castiglioni, Sara AU - Castiglioni S AD - IRCCS-Istituto di Recerche Farmacologiche "Mario Negri", Via La Masa 19, Milan, 20156, Italy. FAU - Castrignano, Erika AU - Castrignano E AD - Department of Chemistry, University of Bath, Faculty of Science, Bath, BA2 7AY, UK. FAU - Causanilles, Ana AU - Causanilles A AD - KWR Watercycle Research Institute, Chemical Water Quality and Health, P.O. Box 1072, Nieuwegein, 3430 BB, The Netherlands. FAU - Hernandez, Felix AU - Hernandez F AD - Research Institute for Pesticides and Water, University Jaume I, Avda. Sos Baynat s/n, Castellon, E-12071, Spain. FAU - Kasprzyk-Hordern, Barbara AU - Kasprzyk-Hordern B AD - Department of Chemistry, University of Bath, Faculty of Science, Bath, BA2 7AY, UK. FAU - Kinyua, Juliet AU - Kinyua J AD - Department of Pharmaceutical Sciences, Toxicological Center, Campus Drie Eiken, University of Antwerp, Universiteitsplein 1, Antwerp, 2610, Belgium. FAU - McCall, Ann-Kathrin AU - McCall AK AD - Eawag, Swiss Federal Institute of Aquatic Science and Technology, Dubendorf, CH-8600, Switzerland. FAU - van Nuijs, Alexander AU - van Nuijs A AD - Department of Pharmaceutical Sciences, Toxicological Center, Campus Drie Eiken, University of Antwerp, Universiteitsplein 1, Antwerp, 2610, Belgium. FAU - Ort, Christoph AU - Ort C AD - Eawag, Swiss Federal Institute of Aquatic Science and Technology, Dubendorf, CH-8600, Switzerland. FAU - Plosz, Benedek G AU - Plosz BG AD - Department of Environmental Engineering, Technical University of Denmark, Miljovej, Building 115, Kgs. Lyngby, DK-2800, Denmark. FAU - Ramin, Pedram AU - Ramin P AD - Department of Environmental Engineering, Technical University of Denmark, Miljovej, Building 115, Kgs. Lyngby, DK-2800, Denmark. FAU - Reid, Malcolm AU - Reid M AD - Norwegian Institute for Water Research (NIVA), Gaustadalleen 21, Oslo, NO-0349, Norway. FAU - Rousis, Nikolaos I AU - Rousis NI AD - IRCCS-Istituto di Recerche Farmacologiche "Mario Negri", Via La Masa 19, Milan, 20156, Italy. FAU - Ryu, Yeonsuk AU - Ryu Y AD - Norwegian Institute for Water Research (NIVA), Gaustadalleen 21, Oslo, NO-0349, Norway. FAU - de Voogt, Pim AU - de Voogt P AD - KWR Watercycle Research Institute, Chemical Water Quality and Health, P.O. Box 1072, Nieuwegein, 3430 BB, The Netherlands. FAU - Bramness, Jorgen AU - Bramness J AD - Norwegian Centre for Addiction Research, Faculty of Medicine, University of Oslo, PO box 1078, Blindern, Oslo, 0316, Norway. FAU - Thomas, Kevin AU - Thomas K AD - Norwegian Institute for Water Research (NIVA), Gaustadalleen 21, Oslo, NO-0349, Norway. LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20161001 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 RN - 0 (Amphetamines) RN - 0 (Central Nervous System Stimulants) RN - 0 (Illicit Drugs) RN - 0 (Pharmaceutical Preparations) RN - 0 (Waste Water) RN - 0 (Water Pollutants, Chemical) RN - 3G6A5W338E (Caffeine) RN - 3K9958V90M (Ethanol) RN - 44RAL3456C (Methamphetamine) RN - 6M3C89ZY6R (Nicotine) RN - I5Y540LHVR (Cocaine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM CIN - Nature. 2018 Jul;559(7714):310-311. PMID: 30018440 MH - Alcohol Drinking MH - Amphetamines/administration & dosage/analysis MH - Beverages MH - *Caffeine/administration & dosage/analysis MH - Central Nervous System Stimulants/administration & dosage/analysis MH - Cities MH - Cocaine/administration & dosage/analysis MH - Commerce MH - *Ethanol/administration & dosage/analysis MH - Europe MH - Humans MH - Illicit Drugs/analysis MH - Methamphetamine/administration & dosage/analysis MH - N-Methyl-3,4-methylenedioxyamphetamine/administration & dosage/analysis MH - *Nicotine/administration & dosage/analysis MH - *Pharmaceutical Preparations/administration & dosage/analysis MH - *Substance Abuse Detection MH - Substance-Related Disorders MH - Nicotiana/chemistry MH - Tobacco Use MH - Wastewater/*chemistry MH - Water Pollutants, Chemical/*analysis PMC - PMC5045646 OTO - NOTNLM OT - Drug consumption, Correlation, Europe-wide study, Seizures, Sales statistics OT - Wastewater-based epidemiology EDAT- 2016/10/08 06:00 MHDA- 2017/08/02 06:00 PMCR- 2016/10/01 CRDT- 2016/10/08 06:00 PHST- 2016/04/23 00:00 [received] PHST- 2016/09/20 00:00 [accepted] PHST- 2016/10/08 06:00 [entrez] PHST- 2016/10/08 06:00 [pubmed] PHST- 2017/08/02 06:00 [medline] PHST- 2016/10/01 00:00 [pmc-release] AID - 10.1186/s12889-016-3686-5 [pii] AID - 3686 [pii] AID - 10.1186/s12889-016-3686-5 [doi] PST - epublish SO - BMC Public Health. 2016 Oct 1;16(1):1035. doi: 10.1186/s12889-016-3686-5.