RIVM rapport 340001001 Ranking van drugs

Abstract
Ranking of drugs
A comparison of the harmful effects of drugs
The National Institute for Public Health and the Environment (RIVM) has performed a risk assessment
on the harmful effects of 17 drugs plus that of tobacco and alcohol. These 19 items were ranked
according to their degree of harm. The assessment was performed by a panel of 19 experts who based
their judgement on their own scientific expertise and information derived from the literature. The
assessment focussed on the following three categories: (1) toxicity (acute toxicity and chronic toxicity),
(2) potential for dependency, and (3) social harm at individual and population levels.
The most important conclusions drawn from the assessment are as follows. Firstly, alcohol, tobacco,
heroin and crack scored relatively high on the scale for Total harm, whereas magic mushrooms, LSD
and khat scored relatively low. Secondly, the scores of the Dutch expert panel correspond well with
previous findings from British experts as well as previous advice from the Dutch Coordination point
Assessment Monitoring new drugs (CAM). Thirdly, classed as legal drugs, alcohol and tobacco have
been judged by the experts as more harmful than many of the illegal drugs included in the assessment –
with the exception of heroin and crack. This accounts for the Total harm at individual and population
levels. Finally, regarding Total harm at individual level, cannabis and ecstasy have been assessed by
the experts as moderately harmful.
Key words:
illicit drugs, risk assessment, public health, toxicity, health hazard
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