Population
28 %
Municipalities
111
Plants
17
Samples
118
Analyses
944
Last week of March 2025
In Belgium, the wastewater surveillance program allows to monitor the consumption of several illicit drugs (cocaine, crack, MDMA, amphetamine, methamphetamine, ketamine, 3-MMC and 4-MMC). The surveillance program is performed annually and aligns with the European SCORE action that is coordinated by the European Union Drugs Agency. During 7 consecutive days in spring, daily influent wastewater samples are collected from 17 wastewater treatment plants spread across the three regions of Belgium, mainly in densely populated areas. The exact days are carefully selected to provide a snapshot of everyday life; a period without public or school holidays or other confounding events.
The samples are tested for the presence of biomarkers of use for the earlier mentioned illicit drugs in collaboration with the Toxicological Center of the University of Antwerp. These biomarkers are substances that form in the body as it processes and breaks down the illicit drugs. By measuring their concentration in influent wastewater and taking into account the number of people that are covered by the wastewater treatment plant, an estimate of the population’s drug consumption (population-normalized mass loads, expressed in mg/day/1000 inhabitants) can be calculated. A more in-depth analysis of the results and detailed information on the methodology are available in a separate report on Sciensano’s website. The full dataset is accessible through the federal geoportal.
In Belgium, the wastewater surveillance program allows to monitor the consumption of several illicit drugs (cocaine, crack, MDMA, amphetamine, methamphetamine, ketamine, 3-MMC and 4-MMC). The surveillance program is performed annually and aligns with the European SCORE action that is coordinated by the European Union Drugs Agency. During 7 consecutive days in spring, daily influent wastewater samples are collected from 17 wastewater treatment plants spread across the three regions of Belgium, mainly in densely populated areas. The exact days are carefully selected to provide a snapshot of everyday life; a period without public or school holidays or other confounding events.
The samples are tested for the presence of biomarkers of use for the earlier mentioned illicit drugs in collaboration with the Toxicological Center of the University of Antwerp. These biomarkers are substances that form in the body as it processes and breaks down the illicit drugs. By measuring their concentration in influent wastewater and taking into account the number of people that are covered by the wastewater treatment plant, an estimate of the population’s drug consumption (population-normalized mass loads, expressed in mg/day/1000 inhabitants) can be calculated. A more in-depth analysis of the results and detailed information on the methodology are available in a separate report on Sciensano’s website. The full dataset is accessible through the federal geoportal.