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Netherlands National Drug Monitor - Research and Documentation ...

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Figure 2.5 Trends in age distribution of primary cannabis clients of (outpatient) addiction care from 2001<br />

9000<br />

Number<br />

8000<br />

7000<br />

6000<br />

5000<br />

4000<br />

3000<br />

2000<br />

1000<br />

2001 2002 2003 2004 2005 2006 2007 2008<br />

55+<br />

40-54<br />

25-39<br />

20-24<br />

15-19<br />

23 26 39 44 58 64 92 110<br />

332 377 473 626 713 830 1058 1142<br />

1735 1854 2208 2625 3050 3240 3821 4098<br />

867 951 1138 1376 1410 1477 1837 1878<br />

462 473 617 766 851 900 1169 1162<br />

Number of clients per age group. Source: LADIS, IVZ (2009).<br />

General Hospitals; incidents<br />

In 2007, the Dutch Hospital Registration (LMR) recorded about 1.8 million <strong>and</strong> in 2008<br />

approximately 1.9 million clinical admissions to general hospitals.<br />

<strong>Drug</strong>-related problems did not figure strongly in these numbers. IN 2008, There were<br />

642 cases of drug misuse <strong>and</strong> drug addiction as the primary diagnosis <strong>and</strong> 2,386 cases<br />

as a secondary diagnosis.<br />

• In 9% of the main drug-related diagnoses in 2008, the drug involved was cannabis<br />

(figure 2.6). Misuse of cannabis was more often to blame than dependence (67%<br />

versus 32%). It is not known what the symptoms were that led to the hospital admission<br />

(mental or physical). The number of main diagnoses related to cannabis misuse or<br />

dependence has been low for years, although there appears to have been an increase<br />

between 2000 <strong>and</strong> 2008.<br />

• As a secondary diagnosis, cannabis plays a more prominent role. In 2008 there were<br />

476 secondary diagnoses involving cannabis (26% dependence, 74% misuse). In<br />

recent years there has been a rise in this respect, albeit with fluctuations. Between<br />

2007 <strong>and</strong> 2008 the number of cannabis secondary diagnoses rose by 19%.<br />

• In 2008 the most common main diagnoses that accompanied the secondary diagnoses<br />

were:<br />

- psychoses (26%)<br />

50 <strong>Netherl<strong>and</strong>s</strong> <strong>National</strong> <strong>Drug</strong> <strong>Monitor</strong> - NDM Annual Report 2009

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