SOFT - TIAFT 1998 Poster Session 4 Friday October 9, 1998
DRIVING UNDER THE INFLUENCE OF DRUGS IN THE NORDIC COUNTRIES

Asbjørg S. Christophersen1, Gunnel Ceder2, Jakob Kristinsson3, Pirjo Lillsunde4, Anni Steentoft5

1. Nat. Inst. of Forensic Toxicology, Oslo, Norway
2. Dep. of Forensic Chemistry, Linkøping, Sweden
3. Dep. of Pharmacology, Reykjavik, Iceland
4. Nat. Public Health, Helsinki, Finland
5. Inst. of Forensic Medicine, Copenhagen, Denmark

The purpose of this study was to determine if the high occurrence of drugs other than alcohol (35 - 40%) among Norwegian drivers suspected to be under drug influence, is different compared to other Nordic countries. Blood samples received by Nordic forensic institutes during one week, from drivers suspected by the police to be driving under the influence of alcohol or drugs (Denmark: n = 255, Finland: n = 270, Iceland: n = 40, Sweden: n = 86, Norway: n = 149), were analyzed for alcohol and drugs, e.g. benzodiazepines (BZD), cannabinoides, amphetamines, cocaine, opiates and a number of antidepressant drugs. The same analytical cut-off levels were used at the different institutes.

For more than 40% of the Norwegian cases, the primary suspicion by the police was directed towards drugs, which were detected in more than 70% of these cases. In only 0-3% of the cases from Denmark, Finland and Iceland, drugs were suspected, while the corresponding frequency from Sweden was 17%. However, evidential breath analyses are used for about 3/4 of the Swedish drivers suspected to be under the influence of alcohol, consequently, the Swedish material might be different from the rest.

BAC's below the legal limits were found in 32, 18 and 2% of the Norwegian, Icelandic and Finnish cases, respectively (BAC <0.05%), in 10% of the Danish cases (BAC <0.08%) and in 20% of the Swedish cases (BAC <0.02%). The highest frequencies of drugs were found in the Norwegian and Swedish cases with no alcohol detected (80 - 83%). For cases with BAC's above the legal limits, similar frequencies of drug detections (19 - 22%) were obtained for the five countries. BZD, THC and amphetamine were among the most frequently detected drugs. Our results show that differences between Norway and the other Nordic countries with regard to drugs and driving, are connected to the selection criteria made by the police and probably due to greater focus on drugs combined with driving in Norway.

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