PMID- 31642141 OWN - NLM STAT- MEDLINE DCOM- 20210113 LR - 20221207 IS - 1360-0443 (Electronic) IS - 0965-2140 (Print) IS - 0965-2140 (Linking) VI - 115 IP - 1 DP - 2020 Jan TI - Spatio-temporal assessment of illicit drug use at large scale: evidence from 7 years of international wastewater monitoring. PG - 109-120 LID - 10.1111/add.14767 [doi] AB - BACKGROUND AND AIMS: Wastewater-based epidemiology is an additional indicator of drug use that is gaining reliability to complement the current established panel of indicators. The aims of this study were to: (i) assess spatial and temporal trends of population-normalized mass loads of benzoylecgonine, amphetamine, methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) in raw wastewater over 7 years (2011-17); (ii) address overall drug use by estimating the average number of combined doses consumed per day in each city; and (iii) compare these with existing prevalence and seizure data. DESIGN: Analysis of daily raw wastewater composite samples collected over 1 week per year from 2011 to 2017. SETTING AND PARTICIPANTS: Catchment areas of 143 wastewater treatment plants in 120 cities in 37 countries. MEASUREMENTS: Parent substances (amphetamine, methamphetamine and MDMA) and the metabolites of cocaine (benzoylecgonine) and of Delta(9) -tetrahydrocannabinol (11-nor-9-carboxy-Delta(9) -tetrahydrocannabinol) were measured in wastewater using liquid chromatography-tandem mass spectrometry. Daily mass loads (mg/day) were normalized to catchment population (mg/1000 people/day) and converted to the number of combined doses consumed per day. Spatial differences were assessed world-wide, and temporal trends were discerned at European level by comparing 2011-13 drug loads versus 2014-17 loads. FINDINGS: Benzoylecgonine was the stimulant metabolite detected at higher loads in southern and western Europe, and amphetamine, MDMA and methamphetamine in East and North-Central Europe. In other continents, methamphetamine showed the highest levels in the United States and Australia and benzoylecgonine in South America. During the reporting period, benzoylecgonine loads increased in general across Europe, amphetamine and methamphetamine levels fluctuated and MDMA underwent an intermittent upsurge. CONCLUSIONS: The analysis of wastewater to quantify drug loads provides near real-time drug use estimates that globally correspond to prevalence and seizure data. CI - (c) 2019 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. FAU - Gonzalez-Marino, Iria AU - Gonzalez-Marino I AUID- ORCID: 0000-0002-2846-8380 AD - Institute for Food Analysis and Research, Department of Analytical Chemistry, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. AD - Faculty of Chemical Sciences, Department of Analytical Chemistry, Nutrition and Bromatology, University of Salamanca, Salamanca, Spain. FAU - Baz-Lomba, Jose Antonio AU - Baz-Lomba JA AUID- ORCID: 0000-0002-4923-3337 AD - Norwegian Institute for Water Research (NIVA), Oslo, Norway. FAU - Alygizakis, Nikiforos A AU - Alygizakis NA AUID- ORCID: 0000-0002-5727-4999 AD - Department of Chemistry, Laboratory of Analytical Chemistry, National and Kapodistrian University of Athens, Athens, Greece. FAU - Andres-Costa, Maria Jesus AU - Andres-Costa MJ AUID- ORCID: 0000-0002-3509-9739 AD - Food and Environmental Safety Research Group, University of Valencia, Moncada, Spain. FAU - Bade, Richard AU - Bade R AUID- ORCID: 0000-0003-2724-9183 AD - School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia. FAU - Bannwarth, Anne AU - Bannwarth A AD - Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland. FAU - Barron, Leon P AU - Barron LP AUID- ORCID: 0000-0001-5986-3853 AD - King's Forensics, School of Population Health and Environmental Sciences, King's College London, London, UK. FAU - Been, Frederic AU - Been F AUID- ORCID: 0000-0001-5910-3248 AD - KWR Water Research Institute, Nieuwegein, the Netherlands. FAU - Benaglia, Lisa AU - Benaglia L AD - Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland. FAU - Berset, Jean-Daniel AU - Berset JD AUID- ORCID: 0000-0002-5337-7798 AD - University of Bern, Institute of Plant Sciences, Bern, Switzerland. FAU - Bijlsma, Lubertus AU - Bijlsma L AUID- ORCID: 0000-0001-7005-8775 AD - Research Institute for Pesticides and Water, University Jaume I, Castellon, Spain. FAU - Bodik, Igor AU - Bodik I AUID- ORCID: 0000-0002-7410-7789 AD - Department of Environmental Engineering, Faculty of Chemical and Food Technology, Slovak University of Technology, Bratislava, Slovakia. FAU - Brenner, Asher AU - Brenner A AUID- ORCID: 0000-0001-9796-5391 AD - Unit of Environmental Engineering, Ben-Gurion University of the Negev, Beer-Sheva, Israel. FAU - Brock, Andreas L AU - Brock AL AUID- ORCID: 0000-0002-3792-9572 AD - Department of Environmental Engineering, Technical University of Denmark, Kongens Lyngby, Denmark. FAU - Burgard, Daniel A AU - Burgard DA AUID- ORCID: 0000-0003-2727-9307 AD - University of Puget Sound, Tacoma, WA, USA. FAU - Castrignano, Erika AU - Castrignano E AUID- ORCID: 0000-0002-5555-9894 AD - Department of Chemistry, University of Bath, Bath, UK. AD - Department of Analytical, Environmental and Forensic Sciences, King's College London, London, UK. FAU - Celma, Alberto AU - Celma A AD - Research Institute for Pesticides and Water, University Jaume I, Castellon, Spain. FAU - Christophoridis, Christophoros E AU - Christophoridis CE AUID- ORCID: 0000-0003-2298-7136 AD - Environmental Pollution Control Laboratory, Chemistry Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Covaci, Adrian AU - Covaci A AUID- ORCID: 0000-0003-0527-1136 AD - Department of Pharmaceutical Sciences, Toxicological Center, Antwerp, Belgium. FAU - Delemont, Olivier AU - Delemont O AD - Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland. FAU - de Voogt, Pim AU - de Voogt P AUID- ORCID: 0000-0001-9065-9797 AD - KWR Water Research Institute, Nieuwegein, the Netherlands. AD - IBED, University of Amsterdam, Amsterdam, the Netherlands. FAU - Devault, Damien A AU - Devault DA AD - Universite Paris-Sud, CNRS, AgroParisTech, Universite Paris-Saclay, Chatenay-Malabry, France. FAU - Dias, Mario J AU - Dias MJ AUID- ORCID: 0000-0002-5900-5899 AD - National Institute of Legal Medicine and Forensic Sciences, Lisbon, Portugal. FAU - Emke, Erik AU - Emke E AUID- ORCID: 0000-0002-8441-1709 AD - KWR Water Research Institute, Nieuwegein, the Netherlands. FAU - Esseiva, Pierre AU - Esseiva P AD - Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland. FAU - Fatta-Kassinos, Despo AU - Fatta-Kassinos D AUID- ORCID: 0000-0003-1173-0941 AD - NIREAS-International Water Research Center, Department of Civil and Environmental Engineering, University of Cyprus, Nicosia, Cyprus. FAU - Fedorova, Ganna AU - Fedorova G AUID- ORCID: 0000-0001-5492-7459 AD - Faculty of Fisheries and Protection of Waters, University of South Bohemia in Ceske Budejovice, Zatisi, Czech Republic. FAU - Fytianos, Konstantinos AU - Fytianos K AD - Environmental Pollution Control Laboratory, Chemistry Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Gerber, Cobus AU - Gerber C AUID- ORCID: 0000-0001-9070-843X AD - School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia. FAU - Grabic, Roman AU - Grabic R AUID- ORCID: 0000-0002-0935-2075 AD - Faculty of Fisheries and Protection of Waters, University of South Bohemia in Ceske Budejovice, Zatisi, Czech Republic. FAU - Gracia-Lor, Emma AU - Gracia-Lor E AD - Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. AD - Department of Analytical Chemistry, Complutense University of Madrid, Madrid, Spain. FAU - Gruner, Stefan AU - Gruner S AD - Chair of Urban Water Management, Technische Universitat Dresden, Dresden, Germany. FAU - Gunnar, Teemu AU - Gunnar T AUID- ORCID: 0000-0003-4304-8031 AD - Forensic Toxicology, National Institute for Health and Welfare (THL), Helsinki, Finland. FAU - Hapeshi, Evroula AU - Hapeshi E AUID- ORCID: 0000-0002-2785-145X AD - NIREAS-International Water Research Center, Department of Civil and Environmental Engineering, University of Cyprus, Nicosia, Cyprus. FAU - Heath, Ester AU - Heath E AD - Department of Environmental Sciences, Jozef Stefan Institute, Ljubljana, Slovenia. FAU - Helm, Bjorn AU - Helm B AUID- ORCID: 0000-0003-4963-7523 AD - Chair of Urban Water Management, Technische Universitat Dresden, Dresden, Germany. FAU - Hernandez, Felix AU - Hernandez F AUID- ORCID: 0000-0003-1268-3083 AD - Research Institute for Pesticides and Water, University Jaume I, Castellon, Spain. FAU - Kankaanpaa, Aino AU - Kankaanpaa A AUID- ORCID: 0000-0003-2272-5726 AD - Forensic Toxicology, National Institute for Health and Welfare (THL), Helsinki, Finland. FAU - Karolak, Sara AU - Karolak S AUID- ORCID: 0000-0002-0904-3459 AD - Universite Paris-Sud, CNRS, AgroParisTech, Universite Paris-Saclay, Chatenay-Malabry, France. FAU - Kasprzyk-Hordern, Barbara AU - Kasprzyk-Hordern B AUID- ORCID: 0000-0002-6809-2875 AD - Department of Chemistry, University of Bath, Bath, UK. FAU - Krizman-Matasic, Ivona AU - Krizman-Matasic I AD - Division for Marine and Environmental Research, Rudjer Boskovic Institute, Zagreb, Croatia. FAU - Lai, Foon Yin AU - Lai FY AUID- ORCID: 0000-0001-8996-6714 AD - Department of Aquatic Sciences and Assessment, Swedish University of Agricultural Sciences (SLU), Uppsala, Sweden. FAU - Lechowicz, Wojciech AU - Lechowicz W AD - Institute of Forensic Research, Krakow, Poland. FAU - Lopes, Alvaro AU - Lopes A AUID- ORCID: 0000-0003-1034-7086 AD - Faculty of Pharmacy, University of Lisbon, Lisbon, Portugal. FAU - Lopez de Alda, Miren AU - Lopez de Alda M AUID- ORCID: 0000-0002-9347-2765 AD - Water and Soil Quality Research Group, Department of Environmental Chemistry, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain. FAU - Lopez-Garcia, Ester AU - Lopez-Garcia E AD - Water and Soil Quality Research Group, Department of Environmental Chemistry, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain. FAU - Love, Arndis S C AU - Love ASC AUID- ORCID: 0000-0002-3573-0607 AD - Department of Pharmacology and Toxicology, University of Iceland, Reykjavik, Iceland. FAU - Mastroianni, Nicola AU - Mastroianni N AD - Water and Soil Quality Research Group, Department of Environmental Chemistry, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain. FAU - McEneff, Gillian L AU - McEneff GL AUID- ORCID: 0000-0003-2590-413X AD - King's Forensics, School of Population Health and Environmental Sciences, King's College London, London, UK. FAU - Montes, Rosa AU - Montes R AUID- ORCID: 0000-0002-4154-3541 AD - Institute for Food Analysis and Research, Department of Analytical Chemistry, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. FAU - Munro, Kelly AU - Munro K AD - King's Forensics, School of Population Health and Environmental Sciences, King's College London, London, UK. FAU - Nefau, Thomas AU - Nefau T AD - Universite Paris-Sud, CNRS, AgroParisTech, Universite Paris-Saclay, Chatenay-Malabry, France. FAU - Oberacher, Herbert AU - Oberacher H AUID- ORCID: 0000-0002-0963-8268 AD - Institute of Legal Medicine and Core Facility Metabolomics, Medical University of Innsbruck, Innsbruck, Austria. FAU - O'Brien, Jake W AU - O'Brien JW AUID- ORCID: 0000-0001-9336-9656 AD - Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Woolloongabba, QLD, Australia. FAU - Oertel, Reinhard AU - Oertel R AD - Institute of Clinical Pharmacology, Technische Universitat Dresden, Dresden, Germany. FAU - Olafsdottir, Kristin AU - Olafsdottir K AUID- ORCID: 0000-0002-3241-836X AD - Department of Pharmacology and Toxicology, University of Iceland, Reykjavik, Iceland. FAU - Pico, Yolanda AU - Pico Y AUID- ORCID: 0000-0002-9545-0965 AD - Food and Environmental Safety Research Group, University of Valencia, Moncada, Spain. FAU - Plosz, Benedek G AU - Plosz BG AUID- ORCID: 0000-0002-7081-7038 AD - Department of Environmental Engineering, Technical University of Denmark, Kongens Lyngby, Denmark. AD - Department of Chemical Engineering, University of Bath, Bath, UK. FAU - Polesel, Fabio AU - Polesel F AUID- ORCID: 0000-0003-2906-3462 AD - Department of Environmental Engineering, Technical University of Denmark, Kongens Lyngby, Denmark. FAU - Postigo, Cristina AU - Postigo C AUID- ORCID: 0000-0002-7344-7044 AD - Water and Soil Quality Research Group, Department of Environmental Chemistry, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain. FAU - Quintana, Jose Benito AU - Quintana JB AUID- ORCID: 0000-0002-2566-8133 AD - Institute for Food Analysis and Research, Department of Analytical Chemistry, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. FAU - Ramin, Pedram AU - Ramin P AUID- ORCID: 0000-0001-7245-072X AD - Department of Environmental Engineering, Technical University of Denmark, Kongens Lyngby, Denmark. AD - Process and Systems Engineering Center (PROSYS), Department of Chemical and Biochemical Engineering, Technical University of Denmark, Kongens Lyngby, Denmark. FAU - Reid, Malcolm J AU - Reid MJ AUID- ORCID: 0000-0002-9988-4867 AD - Norwegian Institute for Water Research (NIVA), Oslo, Norway. FAU - Rice, Jack AU - Rice J AUID- ORCID: 0000-0002-7439-9574 AD - Department of Chemistry, University of Bath, Bath, UK. FAU - Rodil, Rosario AU - Rodil R AUID- ORCID: 0000-0002-7100-723X AD - Institute for Food Analysis and Research, Department of Analytical Chemistry, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. FAU - Salgueiro-Gonzalez, Noelia AU - Salgueiro-Gonzalez N AD - Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. FAU - Schubert, Sara AU - Schubert S AD - Institute of Clinical Pharmacology, Technische Universitat Dresden, Dresden, Germany. FAU - Senta, Ivan AU - Senta I AUID- ORCID: 0000-0002-3308-5122 AD - Division for Marine and Environmental Research, Rudjer Boskovic Institute, Zagreb, Croatia. FAU - Simoes, Susana M AU - Simoes SM AD - National Institute of Legal Medicine and Forensic Sciences, Lisbon, Portugal. FAU - Sremacki, Maja M AU - Sremacki MM AUID- ORCID: 0000-0002-0671-5117 AD - Faculty of Technical Sciences, Department of Environmental Engineering and Occupational Safety, University of Novi Sad, Novi Sad, Serbia. FAU - Styszko, Katarzyna AU - Styszko K AUID- ORCID: 0000-0003-0092-3772 AD - Department of Coal Chemistry and Environmental Sciences, AGH University of Science and Technology, Krakow, Poland. FAU - Terzic, Senka AU - Terzic S AUID- ORCID: 0000-0001-9351-3355 AD - Division for Marine and Environmental Research, Rudjer Boskovic Institute, Zagreb, Croatia. FAU - Thomaidis, Nikolaos S AU - Thomaidis NS AUID- ORCID: 0000-0002-4624-4735 AD - Department of Chemistry, Laboratory of Analytical Chemistry, National and Kapodistrian University of Athens, Athens, Greece. FAU - Thomas, Kevin V AU - Thomas KV AUID- ORCID: 0000-0002-2155-100X AD - Norwegian Institute for Water Research (NIVA), Oslo, Norway. AD - Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Woolloongabba, QLD, Australia. FAU - Tscharke, Ben J AU - Tscharke BJ AUID- ORCID: 0000-0002-3292-3534 AD - Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Woolloongabba, QLD, Australia. FAU - Udrisard, Robin AU - Udrisard R AD - Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland. FAU - van Nuijs, Alexander L N AU - van Nuijs ALN AUID- ORCID: 0000-0002-9377-6160 AD - Department of Pharmaceutical Sciences, Toxicological Center, Antwerp, Belgium. FAU - Yargeau, Viviane AU - Yargeau V AUID- ORCID: 0000-0002-7332-276X AD - Department of Chemical Engineering, McGill University, Montreal, Quebec, Canada. FAU - Zuccato, Ettore AU - Zuccato E AUID- ORCID: 0000-0003-2094-2305 AD - Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. FAU - Castiglioni, Sara AU - Castiglioni S AUID- ORCID: 0000-0002-7313-8495 AD - Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. FAU - Ort, Christoph AU - Ort C AUID- ORCID: 0000-0001-9950-2286 AD - Eawag, Urban Water Management, Swiss Federal Institute of Aquatic Science and Technology, Dubendorf, Switzerland. LA - eng GR - COST Action ES1307/European Cooperation in Science and Technology/International GR - 163049-051/The Icelandic Research Fund/International GR - Thyne Reid Foundation/International GR - CTM2017-84763-C3-2-R/MINECO/AEI/International GR - 317205/EU International Training Network SEWPROF/International GR - European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)/International GR - ED481D 2017/003/Galician Council of Culture, Education and Universities/International GR - Marie Curie-FP7-PEOPLE/EU International Training Network SEWPROF/International GR - Environmental Sustainability Knowledge Transfer Network, Engineering and Physical Sciences Research Council and Thermo Fisher Scientific/International GR - CTM2016-81935-REDT/MINECO/AEI/International GR - CTM2014-56628-C3-2-R/MINECO/AEI/International GR - CTQ2015-65603-P/MINECO/AEI/International GR - Natural Sciences and Engineering Research Council of Canada (NSERC)/International GR - MR/S019669/1/MRC_/Medical Research Council/United Kingdom GR - L1-9191/Slovene Research Agency/International GR - HOME/2015/ISFP/PR/DRUG/0062/Wastewater Analysis of Traces of illicit drug-related Chemicals for law enforcement and public Health (WATCH)/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191023 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Illicit Drugs) RN - 0 (Waste Water) RN - 44RAL3456C (Methamphetamine) RN - 5353I8I6YS (benzoylecgonine) RN - CK833KGX7E (Amphetamine) RN - I5Y540LHVR (Cocaine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM EIN - Addiction. 2020 May;115(5):994-996. PMID: 32281267 MH - Amphetamine/analysis MH - Chromatography, Liquid MH - Cocaine/analogs & derivatives/analysis MH - Environmental Monitoring/*methods MH - Humans MH - *Illicit Drugs MH - Internationality MH - Methamphetamine/analysis MH - N-Methyl-3,4-methylenedioxyamphetamine/analysis MH - *Spatio-Temporal Analysis MH - Substance Abuse Detection/*methods MH - Tandem Mass Spectrometry MH - Wastewater/*chemistry PMC - PMC6973045 OTO - NOTNLM OT - Amphetamine OT - cocaine OT - ecstasy/MDMA OT - illicit drugs OT - methamphetamine OT - wastewater-based epidemiology EDAT- 2019/10/24 06:00 MHDA- 2021/01/14 06:00 PMCR- 2020/01/21 CRDT- 2019/10/24 06:00 PHST- 2018/12/21 00:00 [received] PHST- 2019/07/15 00:00 [revised] PHST- 2019/07/23 00:00 [accepted] PHST- 2019/10/24 06:00 [pubmed] PHST- 2021/01/14 06:00 [medline] PHST- 2019/10/24 06:00 [entrez] PHST- 2020/01/21 00:00 [pmc-release] AID - ADD14767 [pii] AID - 10.1111/add.14767 [doi] PST - ppublish SO - Addiction. 2020 Jan;115(1):109-120. doi: 10.1111/add.14767. Epub 2019 Oct 23.