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Examination of Firearms Review: 2007 to 2010 - Interpol

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groups were in the following order: Cannabis (THCCOOH); amphetamine/MA;<br />

benzoylecgonine; diazepam-related; and opiates and alprazolam [190]. 59<br />

fatalities that tested positive for MDMA during the period <strong>of</strong> 2001 <strong>to</strong> 2008 in<br />

Taiwan were studied [191]. Among the fatalities, ketamine was found in 28<br />

cases, indicating the popularity <strong>of</strong> this drug in Taiwan. The cause <strong>of</strong> death was<br />

mainly acute in<strong>to</strong>xication, with a mean MDMA concentration <strong>of</strong> 2.75 µg/mL,<br />

while the manner <strong>of</strong> death was predominately accidental.<br />

2.5.3 GHB<br />

Several studies <strong>of</strong> GHB use were conducted in the U.K. [192,193,194]. 189<br />

individuals that reported at least one lifetime use <strong>of</strong> GHB in the U.K. completed<br />

an online questionnaire, which indicated that the primary use <strong>of</strong> GHB was for<br />

recreation [192]. In another study on 173 individuals with recreational drug<br />

<strong>to</strong>xicity and requiring "medical" assistance in a large urban nightclub from<br />

September <strong>2007</strong> <strong>to</strong> January 2008, the results showed that the majority <strong>of</strong> them<br />

were not first-time recreational drug users, and that they used a variety <strong>of</strong><br />

recreational drugs, particularly GHB, gamma-butyrolac<strong>to</strong>ne (GBL), and<br />

ketamine [193]. Although the use <strong>of</strong> GHB is controlled in many countries, its<br />

precursors GBL and 1,4-butanediol (1,4-BD) remain legally available despite<br />

having similar clinical effects (GBL is now controlled in U.K., Canada, Australia,<br />

and Sweden). A self-reported study found that GHB ingestion was much more<br />

common than GBL ingestion, whereas GBL was more commonly found in the<br />

seized samples, suggesting that GBL use may be more common than<br />

previously thought [194].<br />

A National Drug Strategy Household Survey in Australia showed that 0.5% <strong>of</strong><br />

Australians aged 14 years or older reported ever using GHB, and 0.1%<br />

reported recent use, with the prevalence <strong>of</strong> use being highest amongst those<br />

aged 20-29 years [195].<br />

2.5.4 Ketamine<br />

In a national survey in Taiwan from 2004 <strong>to</strong> 2006, a decline was noted in the<br />

prevalence and incidence rate <strong>of</strong> ecstasy, a leading illegal drug used by<br />

school-attending adolescents in Taiwan since the early 2000s. The emerging<br />

ketamine use trend, being the first commonly used illegal drug in the middle<br />

school-aged students starting in 2006, may warrant more attention [196]. Data<br />

analyzed from the 2004 National Drug Strategy Household Survey in Australia<br />

640

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