Document Detail

Illicit drug-related harm during the Sydney 2000 Olympic Games: implications for public health surveillance and action.
MedLine Citation:
PMID:  12492760     Owner:  NLM     Status:  MEDLINE    
AIMS: To describe presentations to emergency departments during the Sydney 2000 Olympic Games for conditions related to the use of illicit drugs; to discuss the implications of such presentations for surveillance and public health action at similar events in the future. DESIGN: Identification of target presentations in sentinel emergency departments; entry of data into a purpose-built database; and daily electronic transfer of data for central collation and analysis. SETTING: Fifteen sentinel emergency departments in the greater Sydney metropolitan area for a 38-day period spanning the Sydney 2000 Olympic Games. PARTICIPANTS: Four hundred and twenty-four presentations to sentinel emergency departments with conditions related to illicit drug use. MEASUREMENTS: Patient's age, sex, country and region of residence, location of emergency department, types of illicit drugs involved and departure status. FINDINGS: The mean daily number of presentations for adverse events due to illicit drug use was significantly higher (13.3 versus 8.8 presentations, t = 2.2, P = 0.04) in the 2-week Olympic Games period than in the lead-up to the Games, culminating in a large peak following the closing ceremony. There was also a significant increase (5.1 versus 1.7 presentations, t = 2.8, P = 0.007) in the mean daily number of presentations related to use of ecstasy or amphetamines, whereas no change was noted in presentations related to heroin use. Over half (52%) of presentations occurred at two emergency departments in areas known as being 'hot-spots' for illicit drug use. CONCLUSIONS: Enhanced surveillance of adverse events following illicit drug use, possibly targeting known 'hot-spots', should be considered for future mass events. Advance preparation of preventive strategies, such as 'party-safe' messages, will enable rapid response to unusual patterns of illicit drug-related harm during future mass events.
Devon Indig; Sarah Thackway; Louisa Jorm; Allison Salmon; Tim Owen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  98     ISSN:  0965-2140     ISO Abbreviation:  Addiction     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-20     Completed Date:  2003-02-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Drug Programs Bureau, NSW Department of Health, North Sydney, NSW, Australia.
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MeSH Terms
Emergency Medical Services / utilization
New South Wales / epidemiology
Population Surveillance / methods
Street Drugs / adverse effects*
Substance-Related Disorders / epidemiology*,  prevention & control
Reg. No./Substance:
0/Street Drugs

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