Recent studies indicate a concerning trend in drug use, particularly cocaine, in both Greece and the broader European context. According to the latest wastewater analysis in Attica, cocaine consumption has notably surged, with its main metabolite, benzoylecgonine, showing elevated levels for several years. In Athens specifically, the average daily benzoylecgonine concentration rose from 133.39 mg per 1,000 residents in 2023 to 181.21 mg in 2024, marking a 35.85% increase. Forecasts for 2025 suggest levels could range from 239 to 370 mg daily per 1,000 residents, indicating persistent high usage compared to previous years.

Additionally, experts highlight the detection of cocaethylene, a metabolite formed when cocaine is used alongside alcohol, as particularly concerning from a toxicological perspective. This dual substance use not only complicates addiction treatment but also poses greater health risks for users. The rising trends prompt a reassessment of public health strategies in addressing drug consumption and prevention, particularly in urban environments like Athens, which are experiencing a marked increase in both prevalence and implications of cocaine use.

Healthcare authorities and policymakers are urged to respond with targeted interventions, considering the alarming rise in cocaine usage that mirrors the broader European trend. Such actions may include enhanced educational campaigns about the dangers of drug use, improved access to addiction services, and stricter regulations concerning the availability of substances. Ignoring this growing issue could lead to significant public health challenges in the future.