“Ecstasy” use remains highest in high income countries and parts of Asia.

• Past-year use of "ecstasy" globally is estimated at 0.4 per cent among those aged 15-64. Use is higher among men (0.54 per cent) than women (0.26 per cent), but the difference is not as pronounced as for other drugs (for example opiates).
• Based on limited data, the largest consumer markets continue to be East and South-East Asia and Western and Central Europe, while the highest prevalence of use is observed in Australia and New Zealand.
• Wastewater analysis suggests that use in South-Eastern Europe may be higher than indicated by population survey data.