Slovakia Country Drug Report 2018

Drug harms

Drug-related infectious diseases

The available data on human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) notifications indicate that the prevalence of HIV/AIDS infection among people who inject drugs (PWID) in Slovakia is very low. In 2016, one new HIV case linked to drug injecting was reported.

Prevalence of HIV and HCV antibodies among people who inject drugs in Slovakia (%)
region HCV HIV
Year of data: 2016
National : :
Sub-national 45.61 0

A specific sentinel monitoring study among PWID treated at the Centre for the Treatment of Drug Dependencies in Bratislava reported stable low rates of HIV infection among this group. The same source confirms that hepatitis C virus (HCV) infection is the most common drug-related infection in Slovakia. Although the prevalence of HCV infection among new treatment clients in Bratislava has remained fairly stable, at around 40 %, since 2010, in 2016 almost 5 out of 10 clients tested positive for HCV, and additional analyses indicate that HCV is more common among those who have been injecting for 10 years or more. In 2016, a study in Bratislava found that around 1 out of 10 new treatment clients tested positive for the hepatitis B virus (anti-HBV core antibodies).



Drug-related emergencies

In 2015, the National Toxicological Information Centre reported 122 cases of acute intoxication related to drugs, one third of which were caused by methamphetamine.

Since 2016, the Centre has participated in the European Drug Emergencies Network (Euro-DEN Plus) project, which was established in 2013 to monitor acute drug toxicity in sentinel centres across Europe.

Drug-induced deaths and mortality

Drug-induced deaths are deaths that can be directly attributed to the use of illicit drugs (i.e. poisonings and overdoses).

The annual number of drug-induced deaths reported in Slovakia has fluctuated between 13 and 26 cases during 2012-16. In 2016, all cases were toxicologically confirmed and approximately 9 out of 10 drug-induced deaths were linked to opioids. The majority of victims were males, and most of the deceased were 30 years old or older.


The drug-induced mortality rate among adults (aged 15-64 years) was almost 5.0 deaths per million in 2016, which is lower than the most recent European average of 21.8 deaths per million.

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Methodological note: Analysis of trends is based only on those countries providing sufficient data to describe changes over the period specified. The reader should also be aware that monitoring patterns and trends in a hidden and stigmatised behaviour like drug use is both practically and methodologically challenging. For this reason, multiple sources of data are used for the purposes of analysis in this report. Caution is therefore required in interpretation, in particular when countries are compared on any single measure. Detailed information on methodology and caveats and comments on the limitations in the information set available can be found in the EMCDDA Statistical Bulletin.