Wastewater-based epidemiology (WBE) has proven to be a useful tool in estimating community-level illicit drug consumption. WBE can determine real-time drug use without the bias of surveys, making it an invaluable, complementary tool in determining community drug use for public health purposes. Does this technique have ethical obligations when findings point to heightened drug use with particular groups, especially within marginalized communities? This point will be discussed using a case study involving wastewater collected and measured for two consecutive weeks during each of the past four years in Seattle, WA.  Daily amphetamine, methamphetamine, MDMA, and cocaine consumption estimates show relatively consistent use over this time period with increased MDMA consumption during a particular weekend. <br/>

Four-year illicit stimulant use trends in Seattle, WA USA

2019 Fall National Meeting

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