Wastewater-Based Epidemiology: Assessing Illicit Drug Usage and Impact through an Innovative Approach

The abuse of illicit drugs, which is usually associated with violent crimes and public health issues, has evolved into a significant problem that the whole of society must address collectively. With the benefits of high productivity, convenience, objectivity, and semi-real time, wastewater-based epidemiology (WBE) has been demonstrated to be a powerful tool and has been utilized on a global scale for monitoring illicit drug use. In this review, we briefly introduce the development and application of WBE. Then, the stability of biomarkers is summarized, and methods to improve stability are introduced. We highlight recent advances in analytical techniques, from three aspects of chromatography-mass spectrometry, optical methods, and electrochemical strategies. The research progress of illicit drug abuse assessment based on WBE is summarized. Finally, we summarize the research hotspots and challenges on illicit drug abuse assessment based on WBE.