Estimation of amphetamine and methamphetamine uses in Beijing through sewage-based analysis

- First sewage-based epidemiology of methamphetamine and amphetamine used in Beijing
- Amphetamine present at low concentrations and from metabolism of methamphetamine
- Globally medium-level methamphetamine loads observed in Beijing
- Methamphetamine loads were higher at the urban center.
- Methamphetamine loads were greater in summer than in early winter.

Sewage epidemiology has been proven as an effective approach to estimate the use of illicit drugs by a population. In this study, sewage analysis was applied to examine the patterns of amphetamine (AMP) and methamphetamine (METH) uses in the urban area of Beijing. Influent and effluent samples were collected from all the thirteen sewage treatment plants (STPs) in the urban area during two sampling campaigns. METH concentrations in influents were found to range from several tens to several hundred ng · L− 1, whereas AMP concentrations ranged from several to several tens ng · L− 1. The concentration ratios between AMP and METH in influents at most STPs were close to the rate of AMP excretion following METH ingestion, indicating that AMP in sewage in Beijing was predominately from the metabolism of METH. Much higher METH loads were observed in the center part of the urban area in Beijing, indicating a strong correlation between METH use and economic level and entertainment activities. Seasonal variation in METH loads was significant, with greater use in summer than in winter. Significant difference in METH loads between weekdays and weekend days were observed in winter but not in summer. No clear trend in diurnal variation of METH use was observed. Nearly complete removal of METH occurred at the STPS in Beijing. Apparent removal rates of AMP were lower than those of METH, likely due to degradation of METH into AMP during the wastewater treatment processes. In summary, this study represents the first application of sewage epidemiology to the entire urban population of a metropolitan in mainland China and provided an overview of METH and AMP uses in the city.