Drug Related Deaths (2010 – 2011) Toxicological Results vs

Drug Related Deaths (2010 – 2011) Toxicological Results vs

Drug Related Deaths (2010 – 2011)
Toxicological Results vs Causes of Deaths
Mário João Dias
DRD Annual Expert Meeting
12-13 November 2012
Pre-analytic
Samples available
Analytical methods
(LOD;LOQ )
Circumstantial and
autopsy informations
Drugs available
Interpretation of
postmortem drug levels
Pos-Analytic
Analytic
New Psychoactive Substances (NPS)
Amphetamine type
Mefedrona
Anfetamina
Cocaíne
Norefedrina
JWH-18
Efedrina
Atropina
Metanfetamina
EME
Metcatinona
Benzoilecgonina
JWH-018 N-(4-hydroxypentyl) metabolite
PMA
HMA
Cocaetileno
JWH-018 4-hydroxyindole metabolite
JWH-018 5-hydroxyindole metabolite
Cocaína
JWH-018 N-(5-hydroxypentyl) metabolite
MDA
PMMA
Ketamina
JWH-073
HMMA
Levamisole
(±)-JWH-073 N-(3-hydroxybutyl) metabolite
BZP
JWH-073 N-(4-hydroxybutyl) metabolite
TFMPP
JWH-250
MDMA
MDE
Opiates
MBDB
6-MAM
Mescalina
Codeína
mCPP
Etilmorfina
HU-210
Canabis
2CT2
C2T7
Fentanil
11-OH- D9-THC
Metadona
Morfina
Papaverina
Tramadol
D9-THCCOOH
D9-THC
Drug Related Deaths (2011)
11,47%
31,14%
34,42%
4,91%
11,47%
Overdose
Acidente
Natural
Suicidio
Outras (1)
Drug Related Deaths (2011)
10,20%
38,77%
20,40%
14,28%
16,32%
Overdose
Acidente
Natural
Suicidio
Outras (1)
Drug Related Deaths (2011)
2,17%
41,30%
50,00%
6,52%
Overdose
Acidente
Natural
Outras (1)
Drug Related Deaths (2011)
3,79%
39,24%
35,40%
5,10%
16,40%
Overdose
Acidente
Natural
Suicídio
Outras (1)
Drug Related Deaths (2011)
Overdoses
Total
22,95%
54,3%
65,89%
72,4%
42,94%
18,1%
34,11%
One
27,6%
Two
≥ three
Nº of substances detected
Drug Related Deaths
(2010 – 2011)
(2010)
Drug Positive Cases
- 2,3%
(2011)
Drug Related Deaths
(2010 – 2011)
100
80
60
40
16,06%
20
26,4%
+ 6,23 %
- 14,30 %
0
2010
22,29%
12,1%
2011
Overdose
Natural
Acidente
Suicidio
Homicidio
Indeterminada