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Swedish Public Health Agency`s perspective and work related to NPS
Stockholm 3 November 2016
Sara Wall, Analyst The Public Health Agency of Sweden
2016-11-09 2
The Public Health Agency of Sweden has
overall responsibility for public health issues
at a national level.
Our mission is to promote health,
prevent illness and contribute to
a sustainable society.
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Public Health Agency of Sweden
• The Agency shall monitor and investigate the need for regulation of new substances as narcotics or under the Act on the Prohibition of Certain Goods Dangerous to Health.
• The Agency shall be a national unity (so-called Focal Point) for the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)
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Legal system
- Penal Law on Narcotics (SFS 1968:64)
- The Act on the Prohibition of Certain Goods Dangerous to Health (SFS 1999:42)
- Act on the Destruction of Certain Substances of Abuse Dangerous to Health (SFS 2011:111)
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. Sid
The Destruction Act-Statements
6 2016-11-09
0
10
20
30
40
50
60
70
2011 2012 2013 2014 2015 2016 sept
19
48 45
67
46
28
Statement by substance
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NADiS and NADiS-PORTAL
• Since 2000 we have a national collaboration called The Network for the Current Situation of Drugs in Sweden (NADiS)
• NADiS is a network for sharing information between agency's and other governs bodies and research.
• It’s a reference group to Public Health Agency of Sweden and Medical Product Agency.
• The NADiS members have access to a closed internet webpage were you can enter information about seizers and serious adverse events. The NADiS-PORTAL .
• There is also a special email address for information regarding new psychoactive substances.
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Contributing authorities in NADiS
• Public Health Agency of Sweden
• Medical Products Agency
• Swedish Customs
• Swedish custom laboratory
• Swedish National Bureau of Investigation (NBI)
• Council for Information on Alcohol and Other Drugs
• The National Board of Forensic Medicine
• Swedish National Laboratory of Forensic Science
• Swedish Poison Information Centre
• The Swedish Prosecution Authority
• National Food Agency
• Karolinska University laboratory, STRIDA
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Reporting of new psychoactive substances
(from Sweden to the EMCDDA)
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First to report
Sweden
EMCDDA0
20
40
60
80
100
120
20102011
20122013
20142015
2 3 9 13
36
25
7
25
44 42
84
49
41 49
73 81
101 98
Nu
mb
er
of
su
bsta
nce
s r
ep
ort
ed
Year
First to report
Sweden
EMCDDA
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Swedish Early Warning System
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Information on NPS The Public Health Agency of Sweden
EMCDDA, Early warning
Media
NADiS
Internet Public Scientific literature
UNODC, EWA
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Swedish Early Warning System
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Information on NPS The Public Health Agency of Sweden
EMCCDA/UNODC
EMCDDA, Early warning
Media
NADiS
Internet Public
Scientific literature
Regional County boards
NADiS network
UNODC, EWA
Regulation
Other recipients
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Time line Acetylfentanyl
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EWS: Reporting form on NPS 5 February 2015
Seizure by Customs 24 October 2014
Discussion on Swedish Internet forum 23 August 2014
Statement according to the Act of destruction 6 February 2015
Regulated as Narcotics, Sweden 18 August 2015
Formal request Joint report by EMCDDA 22 September 2015
Analysed by the Swedish National Forensics Centre 31 October 2014
Case reported from Swedish Poison Information Centre 25 April 2015
Suggestion for regulation in Sweden 1 June 2015
Alert EMCDDA 7 June 2015
First indication regarding deaths from the National Board of Forensic Medicine 18 May 2015
WHO recommended the scheduling of Acetylfentanyl under the 1961 Convention November 2015
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Challenges
• The hospitals do not always take samples and send them for analyses.
• We might lack reference to validate a method
• Scientific literature
• It is sometimes hard to connect cases with each other because the excess information is not given
• To further develop the NADiS-PORTAL
• Differences between agencies and research
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Priority areas for development
• Continue to develop the NADiS-portal
• Continue to work with the collaboration between public health, law enforcements, laboratories, research and other governmental bodies
• Possibly evolve the information dissemination
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