1. Andreja Drev, National Institut of Public Health, Slovenia
Anonymous collecting and testing of NPS samples as a part of national EWS: advantages and challenges
Andreja Drev, National Institut of Public Health, Slovenia

2. SI EWS EMCDDA EUROPOL NIPH National Europol Unit
Ministry of Health
Centre for Poisoning
Institute of Forensic Medicine
DrogArt
Stigma
National Forensic Laboratory
Illicit Drug Section of the GPD
Castums Administration
Regional coordinators of EWS
Coordination of CPTDA
MWHFEO
Members of regional EWS
Prison Administration
Slovenian Psychiatric Association
NGO
Škuc

3. alerts notices reports legislative changes measures proposals
data on NPS intoxications
analyses of biological samples
Centre for Poisoning & Institute of Forensic Medicine
data on appearance & seizures of NPS
analyses of seized and collected samples, test purchases
Illicit Drug Section of GPD & NFL
data on appearance of NPS, dangerous classical drugs, harms, collected samples
DrogArt & Stigma
legislative changes
Ministry of Health
Regional EWS
coordination
data on NPS in EU-EWS
NIPH
alerts
notices
reports
legislative changes
measures
proposals
data on collected samples in regions

4. NGO - night life settings
2015/16
8 new NGO info points for collecting (NPS) samples
Infopeka
Zdrava Pot
ArsVitae
Labirint
JZ Socio
DC Šent
Low treshold NGO
NGO - night life settings
DrogArt, Stigma
Ada že pove o regijski mreži, povem le o info points for collecting (NPS) samples / prvi vzorec tesiran v NFL v letu 2001 zaradi smrti povezane z uporabo MDMA, vzorce zbirajo tako low treshold NGO kot NGO working in night life settings
Svit, E-kavarna Pina

5. NGO info points for collecting (NPS) samples: procedure of anonymous seizure
User brings sample to the NGO info point and delivers the sample to NGO staff
NGO staff collects information about the sample (harmful or unexpected effects, how the sample was obtain, etc.) & provides brief counselling (opportunity for harm reduction advice)
NGO contacts Police to make anonymous seizure of the sample
Police sends sample to National Forensic Laboratory for analysis
Police communicates result to NGO
Povem še, kdaj se obvešča le uporabnik in kdaj se pošlke alert
How the sample was obtaine: on line, by diler, friends
Questionnaire
The sample is saved in a safe space
If a sample is harmful – quick analysis
EWS
ALERT
USER

6. NGO info points for collecting (NPS) samples - advantages
1. Number of collected samples: more reliable and on time data, sharing the data with important institutions
36 samples
18 NPS
2015
124 samples
48 NPS
2016
148 samples
33 NPS
2017

7. NGO info points for collecting NPS samples - advantages
2. Monitoring of the drug market: information on drugs and NPS appearing in the country and in regions
Drug %
MDMA
26%
NPS
22%
COCAINE
16%
LSD+1pLSD
10%
AMPHETAMINE 8%
MEDICINE 6%
OTHER DRUGS 4%
NOT DRUG
Kaj se pojavlja in kje se pojavlja

8. NGO info points for collecting NPS samples - advantages
3-MMC
2-CB
4-CEC
Methylone
3-Meo-PCP
DMT
NBOMe
4-CMC
DOC
GBL
N,N-DMT
4-MEC
Ethylone
4MEAPH
Mephedrone
Information on NPS
We know what kind of NPSprevalent among users in the country and also localy in regions

9. Information on NPS detected for the first time
4-MEAP, 4-CEC, tileamin, 5-OH-DMT, AB-PINACA, DMAA
Information on NPS detected for the first time
25I-NBOH, MDPHP, N-ethylhexedrone
AMB-FUBINACA

10. NGO info points for collecting (NPS) samples - advantages
3. Detection of harmful samples: reducing risks for intoxication, overdosing and deaths, providing alerts
samples containing some other drug and not the drug that was bought
samples of drugs with dangerous adulterants
samples of drugs with high purity and dangerous drugs
Information on harmful samples is available quicker in info points than in toxicological services
Dodaj, da se informacija v tej storitvi pridobi prej kot v drugih službah / pri nas velik poudarek tudi na osveščanju uporabnikov

11. NGO info points for collecting (NPS) samples
12% of samples contained some other drug, not the drug that user bought 8,7% of collected samples were unknown substance
Podatki o vzorcih, ki kupljeni kot nekaj drugega

12. October 2017: blotter bought as LSD, contains 25C-NBOMe & 25B-NBOMe
June 2017: metamphetamine sells as 3MMC
March 2017: 4-CEC sells as 3MMC

13. May 2017: mixture 4-CL-PVP, cocaine and lidocain sells as cocaine

14. 2016: cocaine samples (90-95% purity)
2016: sample of 4-fluorobutirfentanil

15. NGO info points for collecting (NPS) samples - advantages
4. Trends: planning effective responses, measures
MDMA
Cocaine
LSD
3-MMC
Medicines (benzodiazepines)

16. What about users?
DrogArt research on evaluation of drug testing service Nightlife drug users & harm reduction programme users Users from both samples found informing about the hazardous substances and adulterants important, namely 95.1% of IDUs, and 96.9% of the nightlife drug users.
The results of this research shed a light on the opinion of users from two different groups on the drug testing service as a contribution to risk reduction

17. Challenges
The need to provide firm legislative foundation for anonymous seizure / now agreement between Police and NGO
Implementation of collecting samples procedure into NGO mobile units and establishment of info point for MSM
The growing number of samples – how to provide on time analysis for all?
To provide sufficient and sustainable financing

18. andreja.drev@nijz.si Andreja Drev Coordinator of SI EWS
National Institute of Public Health
Trubarjeva 2, 1000 Ljubljana
Slovenia