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 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…
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 –…
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,…
The illicit ketamine market has expanded beyond Asia, with rising use and emerging harms in new regions.Once concentrated in East and South-East Asia, several countries with time-series data (for example, the United Kingdom, Australia or the United States) have recorded an increase in the use of…
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…
Similarly to most internationally controlled drugs, the use of NPS among adolescents is higher than among the general population, but the difference between adolescent boys and girlsis lower for NPS than for controlled drugs.Limited data suggest that NPS use is generally higher among school…
Cocaine use remains concentrated in established markets, but emerging markets are gaining relevance.North America and Western and Central Europe have the largest number of users, while prevalence is highest in Oceania, followed by the Americas and Western and Central Europe.Alongside these…
Limited data suggest stable or declining NPS use among young people, with some exceptions.Time-series data on NPS use among young people are scarce and largely limited to high-income countries.Where data are available, the use of NPS is generally stable or declining, as corroborated by recent…
Globally, the use of synthetic NPS continues to be lower than most internationally controlled drugs.Based on the available data – mainly from high-income countries – the use of synthetic NPS is generally lower than the use of drugs under international control. By contrast, the scarce data on plant-…