Health
Cannabis and Cocaine Lead EU Drug Use, But Synthetic Drugs Pose Growing Risks
Cannabis and cocaine remain the most commonly used drugs in the European Union (EU), but emerging synthetic substances are raising new public health concerns, according to a recent report by the European Commission and the Organisation for Economic Co-operation and Development (OECD).
Drug Use Patterns Across the EU
The report highlights that nearly one in three Europeans has tried illegal drugs at some point, with 15% of young adults using cannabis and 2.5% using cocaine in 2024. However, drug consumption patterns vary significantly between countries.
- Cannabis use is highest in the Czech Republic, Italy, France, and Spain, while the lowest rates are found in Malta, Turkey, and Hungary.
- Cocaine use is most prevalent in the Netherlands, Spain, and Ireland, but significantly lower in Turkey, Portugal, Poland, and Hungary.
Despite variations in drug policies across Europe, experts say tougher laws do not necessarily impact drug availability, especially among young people.
“The major penalties impact only the people who use the substance once or fewer times in a year, so not the real [heavy] users,” said Sabrina Molinaro, an epidemiologist at Italy’s National Research Council and coordinator of the European School Survey Project on Alcohol and Other Drugs.
Her research has monitored 16-year-olds’ drug use in Europe since the 1990s, revealing consistent generational trends. Notably, while teenage boys historically used cannabis more than girls, that gender gap is narrowing, and in some countries, girls now surpass boys in cannabis use.
The Rise of Synthetic and Harder Drugs
While cannabis and cocaine remain the dominant substances, other illegal drugs—such as MDMA (ecstasy), heroin, opioids, psychedelics, and synthetic drugs—are posing increasing threats.
Synthetic drugs, including lab-made cannabinoids and stimulants, are particularly concerning due to their unpredictable chemical makeup and low-quality production conditions.
“They are so dangerous because you don’t know what you are taking,” Molinaro warned, adding that some synthetic drugs are produced in poorly regulated labs, leading to potential contamination.
The EU Drugs Agency (EUDA) reported that in 2022, authorities dismantled hundreds of synthetic drug labs across the continent. The following year, seven new synthetic opioid substances—known for their high potency—were detected through the agency’s early warning system.
Health Risks and Policy Challenges
Regular drug use in the EU is associated with cardiovascular diseases, mental health issues, accidents, and infectious diseases like HIV, particularly among people using injectable substances.
Molinaro stressed that the rising presence of synthetic opioids poses serious health risks to the adult population. Given their potency, even small doses can be lethal, increasing the urgency for rapid detection and intervention.
As Europe faces an influx of new and harder-to-regulate drugs, public health experts warn that governments must adapt quickly to prevent widespread harm.
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Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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