This paper argues for the presentation of drug risk information within a broader context of risks faced at night clubs and dance events. Various risks, including drug-related risks, are described and the advantages of this strategy are presented, including the involvement of individuals or organizations that might otherwise shy away from offering harm minimization information. While mainly a policy paper, the authors also review research on drug use behaviors and other risks, such as those relating to sexual behavior. The authors note that drug use is considerably higher in dance event attendees than in the general population. A survey of the general population (British Crime Survey) reporting 5% ecstasy use with their own survey of people who visited Ibiza, Spain (Bellis et al. 2000), where 39% reported ecstasy use, and dance event attendees (Measham et al. 2001), reporting 51.4% rate of ecstasy use in this sample. The authors discuss safety issues specific to the nightclub environment, such as increased risk of fire, damage to hearing from loud music, alcohol and drug-related violence and exposure to second-hand smoke. The drug-related risks presented in the paper are not considered specific to ecstasy except for hyperthermia, probably owing to the focus on environmental contributions to drug-related risks. It should be noted in contrast to the authors, some researchers question the link between ambient temperature and occurrence of adverse events (Van Wijngaart et al. 2001).
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