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Examination of Firearms Review: 2007 to 2010 - Interpol

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(27.7%), and opioids (13.8%). A 7-year survey in Greece for the prevalence <strong>of</strong><br />

alcohol/drugs involved in road traffic accidents indicated that there was a drop<br />

in the detection <strong>of</strong> alcohol from 37% in 1998-2000 <strong>to</strong> 29% in 2000-2004, and<br />

that cannabis, benzodiazepines, opiates, and cocaine were found in 4%, 4%,<br />

4%, and 1% <strong>of</strong> the <strong>to</strong>tal number <strong>of</strong> cases, respectively [61]. The prevalence <strong>of</strong><br />

drugs in the first year after the introduction <strong>of</strong> the revision <strong>of</strong> the Swiss Traffic<br />

Law for DUID in 2005 was studied [62]. The most frequently encountered<br />

drugs in whole blood were cannabinoids (48% <strong>of</strong> <strong>to</strong>tal number <strong>of</strong> cases),<br />

ethanol (35%), cocaine (25%), opiates (10%), amphetamines (7%),<br />

benzodiazepines (6%), and methadone (5%). In the U.K., the drugs and<br />

alcohol findings for victims <strong>of</strong> 1047 cases in fatal road traffic incidents indicated<br />

that alcohol and cannabinoids were the most frequently detected substances<br />

across the victim groups, while a wide range <strong>of</strong> drugs were also detected (e.g.,<br />

drugs <strong>of</strong> abuse, anti-convulsants, anti-histamines, anti-inflamma<strong>to</strong>ries,<br />

anti-psychotics, cardiac drugs, and over-the-counter products) [ 63 ].<br />

Epidemiological data in fatal road accidents in France suggested that alcohol<br />

levels above the legal limit (0.5 g/L <strong>of</strong> blood) were found in 21% <strong>of</strong> all drivers<br />

involved in accidents (killed, injured, or unharmed). Cannabis headed the list <strong>of</strong><br />

illicit drugs detected, with a prevalence <strong>of</strong> 6.8% (THC > or = 1 ng/mL) [64]. The<br />

prevalence <strong>of</strong> the use <strong>of</strong> psychoactive substances for 1000 truck drivers in<br />

France was studied by analyzing urine samples. The drugs found included<br />

cannabinoids (85 cases), ethanol (50), opiates (41), buprenorphine (18),<br />

methadone (5), benzodiazepines (4), amphetamines (3), cocaine (1), and<br />

6-MAM (1) [65]. A study in Austria for the period <strong>of</strong> 2003-<strong>2007</strong> showed that<br />

cannabis (50%), opiates (20%), amphetamines (18%), cocaine (15%), and<br />

benzodiazepines (20%) were those with the highest prevalence in blood<br />

samples taken from drivers; a newly developed urinary road-site-test system,<br />

Check 24 (Protzek GmbH, Germany), with two different cut-<strong>of</strong>f values for<br />

THCCOOH-glucuronide, was used <strong>to</strong> identify drivers under the influence <strong>of</strong><br />

cannabis [66]. Post-mortem cases for amphetamine-based drugs in 1999-2004<br />

in the Netherlands were reviewed and compared with those <strong>of</strong> non-fatal DUID<br />

cases. Amphetamine-based drugs were present in 70 post-mortem cases and<br />

467 DUI cases. The majority <strong>of</strong> MDMA- and amphetamine-caused deaths<br />

occurred with blood concentrations above 1.5 and 0.80 mg/L, respectively, and<br />

the concentrations in drug related deaths and DUI cases overlap the range <strong>of</strong><br />

fatal concentrations. Thus, the MDMA and amphetamine concentrations<br />

should never be used alone <strong>to</strong> establish the cause <strong>of</strong> death [ 67]. 274<br />

amphetamines (amphetamine, MA, MDA, MDMA and/or<br />

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