The distribution of consumed cocaine in the Brazilian Federal District (FD) was estimated using the wastewater-based epidemiology (WBE) approach. Sewage samples from eight wastewater treatment plants were analyzed for cocaine (COC) and benzoylecgonine (BE) using solid-phase extraction followed by liquid chromatography-mass spectrometry. The highest per capita consumption was noticed for the northern area of the Brazilian Capital (1162 mg day -1 1000 inh -1 ) being 32% higher than the average consumption rate of the investigated region. In this area, a day-to-day investigation revealed an average cocaine consumption of 1800 mg day -1 1000 inh -1 during the weekend, i.e., more than 50% higher than weekdays. An annual street-grade cocaine load of about 2 ton was estimated for the FD considering previous information on the actual purity of seized street drugs as well as consumers between 15 and 64 years old. Sample preservation strategies were also investigated in order to expand the WBE approach to other Brazilian areas. Sample acidification to pH 2.0 presented the smallest relative errors for COC (+11%) and BE (−4%) after a period of three days under typical transport conditions practiced by the Brazilian national postal service.Keywords: illicit drugs, cocaine use, WBE, sample preservation, consumption estimates
IntroductionCocaine and its metabolites are commonly found in wastewater due to human urinary excretion or even through direct drug disposal (accidentally or not) in the sewer system. 1,2 Concentration of the drug residues can be assessed through analytical routines that include sample collection and preservation, followed by specific analytes separation and quantification. Benzoylecgonine (BE) and cocaine (COC) have been the most frequently investigated substances within wastewater-based epidemiology (WBE) initiatives around the world, [3][4][5][6][7] since the former is the most abundant cocaine metabolite. Also for this reason, analytical data concerning benzoylecgonine in wastewater samples has been used as a near real-time tool to estimate cocaine consumption for a given population. 8,9 Several works have explored different aspects of the WBE approach including other cocaine metabolites, 10 estimation of other consumed drugs, 10-12 influence of recreational events, [13][14][15][16] consumption dynamics in restricted facilities, [17][18][19] temporal and spatial variability, [20][21][22] stability of target chemicals, 23,24 refinement on estimates calculation, [25][26][27] innovations in sample preparation and analysis, [28][29][30] among others. In Brazil, the first work to put the WBE approach into practice was designed to assess cocaine consumption on regions served by six wastewater treatment plants (WWTP) installed in the Brazilian Federal District (FD). 31 Results revealed a consumption of 920 mg day -1 1000 inhabitants -1 . Recently, our group also showed higher cocaine consumption patterns in the FD during the FIFA World Cup weekend matches as well as significant crack-cocaine use in the FD th...