Europe's cocaine capitals, measured in sewage: what the 2025 wastewater study found


Once a year, scientists across Europe sample the sewage of more than 100 cities and measure benzoylecgonine — the metabolite every human body produces after cocaine. It is the most objective drug-consumption data on Earth: nobody can lie to a sewer. The SCORE network's latest round (2025 sampling, published through the EU Drugs Agency) landed on a record market.
Milligrams of benzoylecgonine per 1,000 people per day:
| City | Load |
|---|---|
| Lleida, Spain | 1,405 |
| Antwerp, Belgium | 1,382 |
| Granada, Spain | 1,238 |
| Amsterdam, Netherlands | 1,172 |
| Liège, Belgium | 1,039 |
| Brussels, Belgium | 1,020 |
Three patterns stand out:
Full rankings and per-city context: Cocaine cities: Europe.
Cocaine's 22% jump was outpaced by ketamine — up 41% across measured cities, the fastest-growing signal in the whole study. MDMA loads fell 16% in the same period. Analysts read it as a price-and-availability shift: cocaine and ketamine are cheap and everywhere; MDMA supply tightened.
Sources: SCORE wastewater network / EU Drugs Agency wastewater analysis (2025 sampling round); EUDA European Drug Report 2026 (seizure statistics).
Related: Cocaine cities: Europe — full ranking · Cocaine prices in Europe · Ketamine profile · Cocaine · Quit cocaine · Help lines
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