Gracia-Lor, E. et al. (2017) Measuring biomarkers in wastewater as a new source of epidemiological information: current state and future perspectives. Environment International, 99, pp. 131-150. (doi:10.1016International, 99, pp. 131-150. (doi:10. /j.envint.2016 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/133949/

BackgroundMonitoring the scale of pharmaceuticals, illicit and licit drugs consumption is important to assess the needs of law enforcement and public health, and provides more information about the different trends within different countries. Community drug use patterns are usually described by national surveys, sales and seizure data. Wastewater-based epidemiology (WBE) has been shown to be a reliable approach complementing such surveys.MethodThis study aims to compare and correlate the consumption estimates of pharmaceuticals, illicit drugs, alcohol, nicotine and caffeine from wastewater analysis and other sources of information. Wastewater samples were collected in 2015 from 8 different European cities over a one week period, representing a population of approximately 5 million people. Published pharmaceutical sale, illicit drug seizure and alcohol, tobacco and caffeine use data were used for the comparison.ResultsHigh agreement was found between wastewater and other data sources for pharmaceuticals and cocaine, whereas amphetamines, alcohol and caffeine showed a moderate correlation. methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) and nicotine did not correlate with other sources of data. Most of the poor correlations were explained as part of the uncertainties related with the use estimates and were improved with other complementary sources of data.ConclusionsThis work confirms the promising future of WBE as a complementary approach to obtain a more accurate picture of substance use situation within different communities. Our findings suggest further improvements to reduce the uncertainties associated with both sources of information in order to make the data more comparable.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3686-5) contains supplementary material, which is available to authorized users.

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34The popularity of new psychoactive substances (NPS) has grown in recent years, with internal standards were used to correct for matrix effects and potential SPE losses. 43Following chromatographic separation on a C18 column within 6 minutes, the 44 compounds were measured by tandem mass spectrometry in positive ionisation mode. 45The method was optimised and validated for all compounds. Limits of quantification 46 were evaluated by spiking influent wastewater samples at 1 or 5 ng/L. An investigation 47 into the stability of these compounds in influent wastewater was also performed, 48showing that, following acidification at pH 2, all compounds were relatively stable for 49 up to 7 days. The method was then applied to influent wastewater samples from eight