'You mean you're not doing it already?' A national sentinel toxico-surveillance system for detecting illicit, emerging and novel psychoactive drugs in presentations to emergency departments

Emerg Med Australas. 2024 Dec;36(6):990-992. doi: 10.1111/1742-6723.14478. Epub 2024 Aug 1.

Abstract

Patients presenting to the ED after using illicit drugs, including novel psychoactive substances, are a unique source of information on substances that are directly causing acute harm in the community. Conventionally, illicit drug intoxications are assessed and managed in EDs based on self-report and presenting symptoms, with no objective data on the causative agent. The Emerging Drugs Network of Australia (EDNA) is a national toxico-surveillance system that provides analytic data on these drugs, from sentinel Emergency Departments. It is a collaborative national network of emergency physicians, toxicologists, forensic laboratories and public health authorities. The key benefit of EDNA is the capacity to provide timely laboratory-confirmed toxicology data on emerging drug-related threats in the community. This leads to improvements in clinical, forensic laboratory and public health harm reduction responses, reflecting rapid translation of the research.

Keywords: forensic toxicology; illicit drugs; novel psychoactive substances; public health; research translation.

MeSH terms

  • Australia / epidemiology
  • Emergency Service, Hospital* / statistics & numerical data
  • Humans
  • Illicit Drugs*
  • Psychotropic Drugs* / adverse effects
  • Sentinel Surveillance
  • Substance Abuse Detection / methods
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology

Substances

  • Psychotropic Drugs
  • Illicit Drugs