Health
Cannabis and Cocaine Top Drug Use in the EU, but Other Substances Pose Rising Risks
Cannabis and cocaine remain the most commonly used drugs across the European Union, but other substances are emerging as significant public health threats, according to a joint report by the European Commission and the Organisation for Economic Co-operation and Development (OECD).
Nearly one in three Europeans have tried illegal drugs at some point in their lives. Regular drug use is linked to heightened risks of cardiovascular disease, mental health problems, accidents, and infectious diseases like HIV, particularly with injectable substances.
Cannabis and Cocaine Usage
Cannabis use is especially prevalent among young adults, with 15% reporting consumption in the past year. Among all age groups, the highest rates of cannabis use were found in the Czech Republic, Italy, France, and Spain. In contrast, Malta, Turkey, and Hungary reported the lowest rates.
Cocaine use is less common but remains significant, with 2.5% of young adults reporting use in the past year. The Netherlands, Spain, and Ireland report the highest rates of cocaine use, while Turkey, Portugal, Poland, and Hungary show the lowest prevalence.
Law Enforcement Impact
Strict drug penalties appear to have limited influence on drug availability for younger populations. “The major penalties impact only the people who use the substance once or fewer times in a year, so not the real [heavy] users,” explained Sabrina Molinaro, an epidemiologist and research director at Italy’s National Research Council.
Drug habits among youth often predict adult trends, Molinaro noted. Historically, boys were more likely than girls to use cannabis, but that gap has narrowed in recent years, with girls surpassing boys in some countries.
Growing Risks from Other Drugs
While cannabis and cocaine dominate drug use in the EU, substances like MDMA (ecstasy), heroin, opioids, psychedelics, and synthetic drugs are emerging as critical threats. Synthetic drugs, including lab-made cannabinoids and stimulants, pose unique challenges because they are difficult to identify and regulate quickly.
“They are so dangerous [because] you don’t know what you are taking,” said Molinaro, emphasizing the risks posed by low-quality manufacturing and potential contamination.
The EU dismantled hundreds of synthetic drug labs in 2022, and its early warning system identified seven new synthetic opioid substances in 2023, noted for their potency and health risks.
Public Health Concerns
Synthetic drugs, in particular, are a growing issue among adult populations, according to Molinaro. With the rise in new substances and increasing drug availability, experts are calling for more robust measures to address these evolving challenges.
The report underscores the need for comprehensive approaches to tackle drug use and its health implications across the EU, including better monitoring, education, and targeted interventions.
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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Health
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