List of findings

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Cocaine use continues to increase in Western and Central Europe as well as South-Eastern Europe, according to several indicators of use and harm.In 2024, demand-side and supply-side domestic market indicators showed diverging trends in Western and Central Europe, suggesting localized disruptions…
In the United States and in Canada use of cocaine declined among young people until 2024, but not among the general population. Men continue to account for higher levels of use and harms than women, with cocaine-related overdose deaths rising much more sharply for men over the past decade –…
In Australia, multiple drug-related indicators show an increase in cocaine use and associated harm between 2010 and 2021, particularly among men. However, cocaine still plays a relatively small role in overall drug-related harm, with only 2.7 per cent of people in drug-related treatment reporting…
Cocaine is the second most used drug in Europe, after cannabis. However, per capita consumption of the substance tends to be lower than in the Americas.Annual use of cocaine is relatively high in Western and Central Europe (the subregion with the third highest average prevalence in the world) and…
Over the past decade, the prevalence of cocaine use has remained relatively stable in some countries of South America while increasing in others. However, the most recent data from countries where available show signs of stabilization.A wide variety of cocaine products are used in the region,…
Global opioid use has remained broadly stable, with strong regional differences in prevalence of use.The number of people who use opioids worldwide has remained relatively stable in the last five years, with the estimate for 2024 only slightly higher than the level in 2019.Prevalence of past-year…
Global opiate use has remained broadly stable, with slight declines in the prevalence of use.The number of people using opiates worldwide has remained stable over the last five years, while the annual prevalence of use declined slightly from 0.61 per cent in 2020 to 0.57 per cent in 2023 and 2024.…
Cocaine use and related harms have increased globally over the past two decades, despite recent disruptions.Approximately 25 million people worldwide are estimated to have used cocaine in 2024 (or 0.47 per cent of the population aged 15-64), with lower estimated use among women (0.24 per cent) than…
The type of opioid that is most used non-medically varies across regions and countries.With the highest population globally, Asia is also the region with the highest number of people who use opioids.The type of opioid used differs across regions, with opiates such as heroin dominating in Asia and…
The non-medical use and trafficking of tramadol remain most concentrated in North Africa, West and Central Africa, and the Near and Middle East and South-West Asia, though there remains significant localized non-medical use in other regions.There remains a significant data gap on tramadol use and…
The health harms posed by the non-medical use of opioids remains high in North America, but have started to decline in late 2023 and in 2024.Opioid overdose deaths reached historical highs in the United States of America and Canada between 2021 and 2023 but have since started to decline, returning…
In East and South-East Asia, limited regular data collection makes it difficult to assess long-term trends in opioid use. However, data on people registered for drug use and people in drug treatment indicate a decline in opioid (mainly heroin) use over the past 10 to 15 years.In most of East and…