Estonia Country Drug Report 2019

Drug-related emergencies

No standardised national data collection on drug-related emergencies exists in Estonia, but there are different data collection systems in place at sub-regional levels. In 2017, Tallinn City Emergency Medical Services reported 1 396 emergency cases due to overdose; this is an increase from the 1 203 cases reported in 2016. This increase may be explained by the arrival of new, previously unknown and extremely strong forms of fentanyl on the market (furanylfentanyl, acrylfentanyl and carfentanyl).

Two emergency departments in hospitals in Tallinn and Pärnu participate in the European Drug Emergencies Network (Euro-DEN Plus) project, which monitors acute drug toxicity in sentinel centres across Europe. Tallinn and Pärnu report around 100 and 200 cases, respectively, of drug-related acute intoxication per year. Most drug-related acute emergencies in Estonia are related to opioid use.

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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.