RT Journal Article T1 The embodiment of wastewater data for the estimation of illicit drug consumption in Spain A1 Bijlsma, Lubertus A1 Picó, Yolanda A1 Andreu, Vicente A1 Celma, Alberto A1 Estévez-Danta, Andrea A1 González Mariño, Iria A1 Hernández, Félix A1 López de Alda, Miren A1 López-García, Ester A1 Marcé, Rosa María A1 Miró, Manuel A1 Montes Goyanes, Rosa A1 Pérez de San Román-Landa, Unai A1 Pitarch, Elena A1 Pocurull, Eva A1 Postigo, Cristina A1 Prieto Sobrino, Ailette A1 Rico, Andreu A1 Rodil Rodríguez, María del Rosario A1 Valcárcel, Yolanda A1 Ventura, Mireia A1 Quintana Álvarez, José Benito K1 Wastewater-based epidemiology K1 Chiral analysis K1 Drugs of abuse K1 National drug monitoring K1 Addiction K1 Spain AB Data obtained from wastewater analysis can provide rapid and complementary insights in illicit drug consumption at community level. Within Europe, Spain is an important country of transit of both cocaine and cannabis. The quantity of seized drugs and prevalence of their use rank Spain at the top of Europe. Hence, the implementation of a wastewater monitoring program at national level would help to get better understanding of spatial differences and trends in use of illicit drugs. In this study, a national wastewater campaign was performed for the first time to get more insight on the consumption of illicit drugs within Spain. The 13 Spanish cities monitored cover approximately 6 million inhabitants (12.8% of the Spanish population). Untreated wastewater samples were analyzed for urinary biomarkers of amphetamine, methamphetamine, MDMA, cocaine, and cannabis. In addition, weekend samples were monitored for 17 new psychoactive substances. Cannabis and cocaine are the most consumed drugs in Spain, but geographical variations showed, for instance, comparatively higher levels of methamphetamine in Barcelona and amphetamine in Bilbao, with about 1-fold higher consumption of these two substances in such metropolitan areas. For amphetamine, an enantiomeric profiling was performed in order to assure the results were due to consumption and not to illegal dumping of production residues. Furthermore, different correction factors for the excretion of cannabis were used to compare consumption estimations. All wastewater results were compared with previously reported data, national seizure data and general population survey data, were a reasonable agreement was found. Daily and yearly drug consumption were extrapolated to the entire Spanish population with due precautions because of the uncertainty associated. These data was further used to estimate the retail drug market, where for instance cocaine illicit consumption alone was calculated to contribute to 0.2–0.5% of the Spanish gross domestic product (ca. 3000–6000 million Euro/year) PB Elsevier SN 0048-9697 YR 2021 FD 2021 LK http://hdl.handle.net/10347/26146 UL http://hdl.handle.net/10347/26146 LA eng NO Science of the Total Environment, 2021, 772, 144794 NO This study was supported by MINECO/AEI projects (CTM2016-81935-REDT, CTM2017-84763-C3-2-R, CTM2017-84763-C3-1-R, CTM2017-84763-C3-3-R, RTI2018-097158-B-C31 and CTM2017-90890-REDT), MICINN project (CEX2018-000794-S), Galician Council of Culture, Education and Universities (ED481D-2017/003, ED431C-2017/36 and ED481A-2020/258), cofounded by FEDER/ERDF DS Minerva RD 24 abr 2026