The latest data on worldwide drug consumption has just been published. This is an extensive study looking at drug and drug metabolites in city waste water. 
Results are expressed as drug concentrations in mg per 1000 population per day. 
Unsurprisingly, drug use peaks at the weekend. 
 
Below is the table for BZE the Cocaine metabolite. 
Of ALL the European cities, Middlesbrough leads the way for Cocaine use. 
 
Middlesbrough waste water has the second highest concentration in the world for BZE the main cocaine metabolite. (More on BZE below.) 
Second only to the appropriately named Whitehorse in Canada. 
 
https://www.euda.europa.eu/publications/pods/waste-water-analysis_en 
 
For the full report. 
 
 
Daily mean Country: City mg/1000p/Day 
5242.54 CA: Whitehorse 
2786.38 GB: Middlesbrough 
1576.48 CL: Copiapo 
1415.62 GB: Bristol 
1405.43 ES: Lleida 
1382.14 BE: Antwerp Zuid 
1238.19 ES: Granada 
1171.57 NL: Amsterdam 
1076.86 CH: Geneva 
1055.01 CH: Zurich (2) 
1038.88 BE: Li�ge-Oupeye 
1020.47 BE: Brussels (2) 
1007.84 ES: Santiago 
1002.6 BE: Charleroi-Est 
998.25 AT: Kufstein 
996.93 ES: Barcelona 
948.65 CH: Luzern 
926.98 BE: Namur 
907.4 NL: Rotterdam (2) 
895.98 CH: Lugano 
 
 
 
 
 
 
 
 

BZE is the non psychoactive metabolite of Cocaine. 

Many UK "Drug Driving" cases are prosecuted as Road Traffic Act Section 5A offences. 
Since 2016 roadside oral fluid tests which are non negative have resulted in blood samples taken and analysed. 
If one or more of 17 drugs is above the specified concentration then this can lead to the driver being charged. 
In these cases, the driver is unimpaired. 
 
Impaired driving through alcohol or drugs is dealt with in other sections of the RTA. 
 
Benzoylecognine is the main metabolite of Cocaine. 
Cocaine is rapidly hydrolysed by the liver and plasma. 
 
There will be a time delay between roadside oral fluid swabbing, and a blood draw at the police station or A&E clinic. 
During this time, the Cocaine blood concentration will be falling and BZE concentration increasing. 
This rate of metabolising is highly specific to the individual's liver function and plasma cholinesterase. 
 
Unless the driver has ingested BZE, it is present due to prior use of Cocaine. 
Cocaine is a Class A drug, and possession is subject to arrest and a potential 7 years in prison. 
Current convictions lead to a fine and minimal prison sentence, typically suspended. 
 
The question to be answered is: 
 
Should drivers with no Cocaine in their blood be punished for earlier misuse of drugs? 
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