Substance use across the Eastern Mediterranean Region is growing among vulnerable groups, including migrants and displaced persons. This silent crisis, taking place in the shadow of conflict, displacement, marginalization and economic hardship, is compounded by the loss of social support networks.

In 2022, 6.7% of people aged between 15 and 64 in the Region had used drugs, surpassing the global average. Young men are particularly affected, with nearly 5% reporting cannabis use in the past year. The treatment gap is particularly alarming. Only 1 in 13 people with substance use disorders receive care.

Substance use contributes to the spread of infectious diseases like HIV, hepatitis and tuberculosis. It takes a heavy toll on mental health, community safety and national economies. In some countries, the economic impact has reached 2% of gross domestic product.