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Fatal poisoning in drug addicts in the Nordic countries in 2007.
Forensic Sci Int. 2011 Apr 15; 207(1-3):170-6.FS

Abstract

The frequency of medico-legally examined fatal poisonings in 2007 among drug addicts was investigated in five Nordic countries; Denmark, Finland, Iceland, Norway, and Sweden. The number of deaths, age, sex, place of death, main intoxicant, and other drugs present in blood samples were recorded to obtain national and comparable Nordic data, as well as data to compare with earlier studies in 2002, 1997, and 1991. Norway had the highest incidence of drug addict deaths by poisoning followed by Denmark, with 8.24 and 6.92 per 100,000 inhabitants, respectively. The death rates in Finland (4.02), Iceland (4.56), and Sweden (3.53) were about half that of Norway and Denmark. Compared with earlier studies, the death rates were unchanged in Denmark and Norway, but increased in Finland, Iceland, and Sweden. In all countries, fewer deaths (29-35%) were recorded in the capital area compared with earlier studies. Females accounted for 11-19% of the fatal poisonings. Iceland deviates with a more equal distribution between men and women (40%). Deaths from methadone overdoses increased in all Nordic countries, and methadone was the main intoxicant in Denmark in 2007, accounting for 51% of the poisonings. In Norway and Sweden, heroin/morphine was still the main intoxicant with a frequency of 68% and 48%, respectively. In Iceland, 3 deaths each were due to heroin/morphine and methadone, respectively. Finland differs from other Nordic countries in having a high number of poisonings caused by buprenorphine and very few caused by heroin/morphine. The total number of buprenorphine deaths in Finland doubled from 16 in 2002 to 32 in 2007, where it constituted 25% of deaths. The general toxicological screening program showed widespread multi-drug use in all countries. The median number of drugs per case varied from 3 to 5. The most frequently detected substances were heroin/morphine, methadone, buprenorphine, tramadol, amphetamine, cocaine, tetrahydrocannabinol, benzodiazepines and ethanol.

Authors+Show Affiliations

Section of Forensic Chemistry, Department of Forensic Medicine, Faculty of Health Sciences, University of Copenhagen, Frederik V's vej 11, 3. DK-2100 Copenhagen, Denmark. kirsten.wiese@forensic.ku.dkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21036495

Citation

Simonsen, K Wiese, et al. "Fatal Poisoning in Drug Addicts in the Nordic Countries in 2007." Forensic Science International, vol. 207, no. 1-3, 2011, pp. 170-6.
Simonsen KW, Normann PT, Ceder G, et al. Fatal poisoning in drug addicts in the Nordic countries in 2007. Forensic Sci Int. 2011;207(1-3):170-6.
Simonsen, K. W., Normann, P. T., Ceder, G., Vuori, E., Thordardottir, S., Thelander, G., Hansen, A. C., Teige, B., & Rollmann, D. (2011). Fatal poisoning in drug addicts in the Nordic countries in 2007. Forensic Science International, 207(1-3), 170-6. https://doi.org/10.1016/j.forsciint.2010.10.001
Simonsen KW, et al. Fatal Poisoning in Drug Addicts in the Nordic Countries in 2007. Forensic Sci Int. 2011 Apr 15;207(1-3):170-6. PubMed PMID: 21036495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal poisoning in drug addicts in the Nordic countries in 2007. AU - Simonsen,K Wiese, AU - Normann,P T, AU - Ceder,G, AU - Vuori,E, AU - Thordardottir,S, AU - Thelander,G, AU - Hansen,A C, AU - Teige,B, AU - Rollmann,D, Y1 - 2010/10/30/ PY - 2010/06/22/received PY - 2010/09/23/revised PY - 2010/10/01/accepted PY - 2010/11/2/entrez PY - 2010/11/3/pubmed PY - 2011/9/23/medline SP - 170 EP - 6 JF - Forensic science international JO - Forensic Sci Int VL - 207 IS - 1-3 N2 - The frequency of medico-legally examined fatal poisonings in 2007 among drug addicts was investigated in five Nordic countries; Denmark, Finland, Iceland, Norway, and Sweden. The number of deaths, age, sex, place of death, main intoxicant, and other drugs present in blood samples were recorded to obtain national and comparable Nordic data, as well as data to compare with earlier studies in 2002, 1997, and 1991. Norway had the highest incidence of drug addict deaths by poisoning followed by Denmark, with 8.24 and 6.92 per 100,000 inhabitants, respectively. The death rates in Finland (4.02), Iceland (4.56), and Sweden (3.53) were about half that of Norway and Denmark. Compared with earlier studies, the death rates were unchanged in Denmark and Norway, but increased in Finland, Iceland, and Sweden. In all countries, fewer deaths (29-35%) were recorded in the capital area compared with earlier studies. Females accounted for 11-19% of the fatal poisonings. Iceland deviates with a more equal distribution between men and women (40%). Deaths from methadone overdoses increased in all Nordic countries, and methadone was the main intoxicant in Denmark in 2007, accounting for 51% of the poisonings. In Norway and Sweden, heroin/morphine was still the main intoxicant with a frequency of 68% and 48%, respectively. In Iceland, 3 deaths each were due to heroin/morphine and methadone, respectively. Finland differs from other Nordic countries in having a high number of poisonings caused by buprenorphine and very few caused by heroin/morphine. The total number of buprenorphine deaths in Finland doubled from 16 in 2002 to 32 in 2007, where it constituted 25% of deaths. The general toxicological screening program showed widespread multi-drug use in all countries. The median number of drugs per case varied from 3 to 5. The most frequently detected substances were heroin/morphine, methadone, buprenorphine, tramadol, amphetamine, cocaine, tetrahydrocannabinol, benzodiazepines and ethanol. SN - 1872-6283 UR - https://www.unboundmedicine.com/medline/citation/21036495/Fatal_poisoning_in_drug_addicts_in_the_Nordic_countries_in_2007_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0379-0738(10)00458-5 DB - PRIME DP - Unbound Medicine ER -