The Netherlands Drug Situation 2010 - Trimbos-instituut

among Dutch residents. In this period, the casualty rate fluctuated between 81 and 75cases. In 2002, the number of opiate deaths decreased and reached about the same levelas the number of acute cocaine deaths, which had slowly increased since the late nineties.Since 2003, these trends have diverged.PsychostimulantsIn 2009, there were only four cases that were coded to poisoning by psychostimulants,compared to only two cases in 2008, and just one case in 2007. Whether these fatal intoxicationsconcerned amphetamines, MDMA, or other psychostimulants is not known.Figure 6.3.1: Number of acute drug-related deaths in the Netherlands according to theEMCDDA selection of ICD-10 codes from 1996 through 2009*160Number1401201008060402001996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009Total 108 108 110 115 131 144 103 104 127 122 112 99 129 139Opiates 81 71 71 63 68 75 37 53 52 60 44 34 52 52Cocaine 10 8 11 12 19 26 34 17 20 23 21 23 22 30Other 17 29 28 40 44 43 32 34 55 39 47 42 55 57*Only residents that were registered at a municipal register in the Netherlands are included. Among nonresidents,an additional 28 cases of acute drug-related deaths were registered in 2009. EMCDDA selection ofICD-10 codes: F11-F12, F14, F16, F19; and X42, X41, X62, X61, Y12, Y11 (selected in combination with T40.0-9 or T43.6). Source: Causes of Death Statistics, Statistics Netherlands (CBS).Age and genderThe population of problem drug users is ageing, and this trend is reflected in the increasingage of drug users that have died from drugs. Figure 6.3.2 shows that the percentageof deceased aged 35 years and above increased from 40% during the period 1991through 1995 to 70% during the period 2006 through 2009.Between 1996 and 2009, the percentage of female cases varied from 15 to 28% peryear, without showing a clear trend.97