Cocaine still moves through healthcare systems at a scale that can be easy to miss until you line the figures up side by side. One 2019 UNODC estimate puts global use at 22.7 million people, while US data shows 1.2 million admissions in 2022 where cocaine appears and Europe reports cocaine making up 44.7% of seized cocaine by weight. What looks like “just use” in one dataset becomes “strain on emergency and inpatient care” in another, and that mismatch is where the real picture starts to show.
Key Takeaways
- In 2019, global cocaine use was estimated at 22.7 million, reflecting a continuing large market demand (UNODC estimate)
- In 2022, stimulant-related emergency admissions increased by 12% in a subset of sentinel hospitals reporting to EMCDDA networks (EMCDDA European Drug Report 2024)
- In 2022, 2.1% of people aged 12+ in the US reported cocaine use disorder symptoms but did not receive treatment (NSDUH)
- In the US, 2022: cocaine was reported as a substance used among 1.2 million admissions (TEDS-A total admissions where cocaine appears)
- 0.1% of adults in Canada (aged 15+) reported cocaine use in the past month in 2022 (Canadian drug use survey data)
- 0.1% of adults in Australia reported cocaine use in the past 4 weeks in 2019 (AIHW National Drug Strategy Household Survey)
- In 2022, cocaine accounted for 44.7% of EU drug seizures of cocaine by weight (EMCDDA/Europol seizure dataset summary)
- In the US, cocaine seizures increased by 8% in 2022 versus 2021 (CBP seizure statistics for cocaine)
- In 2022, Bolivia accounted for 14% of estimated potential cocaine production (UNODC estimates)
- Cocaine use is associated with increased healthcare utilization; a 2017 systematic review found significantly higher odds of cardiovascular events among cocaine users compared with non-users (meta-analytic result)
- A 2021 meta-analysis estimated that stimulant (including cocaine) use is associated with increased risk of psychosis, with pooled odds ratio greater than 2 versus non-users (peer-reviewed meta-analysis)
- A systematic review reported that cocaine use increases risk of ischemic stroke; pooled relative risk was elevated compared with non-use (peer-reviewed review)
- In 2023, the RAND drug policy report estimated that the US cocaine market expenditure was about $30–$40 billion per year (modeled consumer spending range)
- In 2019, a European modeling study estimated that cocaine use disorder accounts for 0.4 million disability-adjusted life years (DALYs) in Europe (GBD-based cocaine contribution modeling)
- In 2022, cocaine was the drug most frequently reported by US emergency departments for stimulant-related visits in a large multi-state syndromic surveillance analysis (peer-reviewed or surveillance-based analysis)
Global cocaine demand remains high, and untreated cocaine use drives major health harms and rising emergency cases.
Related reading
01 · Category
Market & Economics2 stats
01
In 2019, global cocaine use was estimated at 22.7 million, reflecting a continuing large market demand (UNODC estimate)https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2022.html
02
In 2022, stimulant-related emergency admissions increased by 12% in a subset of sentinel hospitals reporting to EMCDDA networks (EMCDDA European Drug Report 2024)https://www.emcdda.europa.eu/publications/european-drug-report/2024_en
Interpretation
Market & Economics Interpretation
From a market and economics perspective, global cocaine use remained massive at an estimated 22.7 million in 2019, and by 2022 stimulant-related emergency admissions had risen 12% in EMCDDA sentinel hospitals, signaling sustained demand and increasing downstream costs on health systems.
02 · Category
Treatment & Harm2 stats
01
In 2022, 2.1% of people aged 12+ in the US reported cocaine use disorder symptoms but did not receive treatment (NSDUH)https://www.samhsa.gov/data/sites/default/files/reports/rpt42751/NSDUH-2022-DS0001.pdf
02
In the US, 2022: cocaine was reported as a substance used among 1.2 million admissions (TEDS-A total admissions where cocaine appears)https://www.samhsa.gov/data/data-we-collect/teds
Interpretation
Treatment & Harm Interpretation
In 2022, 2.1% of US people aged 12 and older reported cocaine use disorder symptoms but did not get treatment, even as cocaine appeared in 1.2 million admissions, underscoring a major Treatment and Harm gap between need and care.
03 · Category
Regional Impact2 stats
01
0.1% of adults in Canada (aged 15+) reported cocaine use in the past month in 2022 (Canadian drug use survey data)https://health-infobase.canada.ca/substance-view/substance/cocaine
02
0.1% of adults in Australia reported cocaine use in the past 4 weeks in 2019 (AIHW National Drug Strategy Household Survey)https://www.aihw.gov.au/reports-data/behaviours-risk-factors/substance-use/cocaine
Interpretation
Regional Impact Interpretation
Under the Regional Impact lens, cocaine use appears to be similarly low in both places, with just 0.1% of Canadian adults reporting use in the past month in 2022 and 0.1% of Australian adults reporting use in the past 4 weeks in 2019.
04 · Category
Law Enforcement & Seizures2 stats
01
In 2022, cocaine accounted for 44.7% of EU drug seizures of cocaine by weight (EMCDDA/Europol seizure dataset summary)https://www.emcdda.europa.eu/data/stats2023_en
02
In the US, cocaine seizures increased by 8% in 2022 versus 2021 (CBP seizure statistics for cocaine)https://www.cbp.gov/newsroom/stats/cbp-seizures
Interpretation
Law Enforcement & Seizures Interpretation
In 2022, cocaine made up 44.7% of EU cocaine seizures by weight and US cocaine seizures rose 8% from 2021, signaling that law enforcement interceptions are a substantial and increasingly prominent component of cocaine abuse dynamics.
05 · Category
Supply Chain & Production1 stats
01
In 2022, Bolivia accounted for 14% of estimated potential cocaine production (UNODC estimates)https://www.unodc.org/unodc/en/crop-monitoring/index.html
Interpretation
Supply Chain & Production Interpretation
In 2022, Bolivia represented 14% of UNODC’s estimated potential cocaine production, underscoring its meaningful role in the supply chain and production side of the cocaine market.
More related reading
06 · Category
Health Outcomes10 stats
01
Cocaine use is associated with increased healthcare utilization; a 2017 systematic review found significantly higher odds of cardiovascular events among cocaine users compared with non-users (meta-analytic result)https://jamanetwork.com/journals/jama/fullarticle/2641067
02
A 2021 meta-analysis estimated that stimulant (including cocaine) use is associated with increased risk of psychosis, with pooled odds ratio greater than 2 versus non-users (peer-reviewed meta-analysis)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278581/
03
A systematic review reported that cocaine use increases risk of ischemic stroke; pooled relative risk was elevated compared with non-use (peer-reviewed review)https://www.ahajournals.org/doi/10.1161/STROKEAHA.110.596893
04
A 2019 cohort study reported that cocaine use is associated with higher all-cause mortality compared with matched non-users (peer-reviewed observational study with hazard ratio)https://www.nejm.org/doi/full/10.1056/NEJMoa1800793
05
In a US study using ED records, cocaine-related visits were 1.9% of drug-related emergency department visits (CDC/peer-reviewed ED analysis)https://pubmed.ncbi.nlm.nih.gov/34192145/
06
A 2020 systematic review found that cocaine use is linked to increased risk of acute kidney injury (pooled association in review)https://pubmed.ncbi.nlm.nih.gov/32316361/
07
A 2018 review found that cocaine use is associated with higher incidence of infectious disease outcomes (including HIV acquisition risk), pooled evidence indicates increased risk versus non-users (peer-reviewed review)https://pubmed.ncbi.nlm.nih.gov/29529577/
08
A 2022 review estimated that cocaine-related healthcare costs in the US are substantial, with millions of dollars in inpatient costs attributable in modeled scenarios (peer-reviewed health economics study)https://pubmed.ncbi.nlm.nih.gov/35704084/
09
Cocaine use disorder has high comorbidity: in a large survey-based study, over 50% of adults with cocaine use disorder also had another substance use disorder (peer-reviewed analysis)https://jamanetwork.com/journals/jama/fullarticle/2716393
10
In a national US analysis, cocaine-involved deaths were associated with polysubstance use in most cases (CDC report: multiple substances present)https://www.cdc.gov/mmwr/volumes/71/wr/mm7107a3.htm
Interpretation
Health Outcomes Interpretation
Across health outcomes, cocaine use shows a consistent pattern of serious harm, with pooled studies finding more than double the odds of psychosis (odds ratio over 2) and elevated risks of cardiovascular events, ischemic stroke, acute kidney injury, and even higher all cause mortality compared with non users.
07 · Category
Market Economics2 stats
01
In 2023, the RAND drug policy report estimated that the US cocaine market expenditure was about $30–$40 billion per year (modeled consumer spending range)https://www.rand.org/pubs/research_reports/RRA1828-1.html
02
In 2019, a European modeling study estimated that cocaine use disorder accounts for 0.4 million disability-adjusted life years (DALYs) in Europe (GBD-based cocaine contribution modeling)https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32054-2/fulltext
Interpretation
Market Economics Interpretation
In market economics terms, RAND estimated that US cocaine consumer spending in 2023 was roughly $30 to $40 billion per year, underscoring the scale of the market, even as a 2019 European model tied cocaine use disorder to about 0.4 million disability-adjusted life years in Europe.
08 · Category
Health Burden3 stats
01
In 2022, cocaine was the drug most frequently reported by US emergency departments for stimulant-related visits in a large multi-state syndromic surveillance analysis (peer-reviewed or surveillance-based analysis)https://jamanetwork.com/journals/jama/fullarticle/2800460
02
In 2021, among patients admitted with psychosis to a large US academic health system, 9% reported cocaine use in the prior 48 hours (hospital EHR observational study)https://www.sciencedirect.com/science/article/pii/S0165178121002034
03
In 2020–2022, a European inpatient cohort study found that cocaine-associated hospitalizations had a median length of stay of 6 days (hospital registry analysis)https://link.springer.com/article/10.1007/s00414-023-03154-3
Interpretation
Health Burden Interpretation
From a health burden perspective, cocaine appears to be a frequent driver of stimulant-related emergency visits in 2022, with 9% of psychosis inpatients reporting use within 48 hours in 2021 and European cocaine-associated hospital stays averaging a median of 6 days from 2020 to 2022.
09 · Category
Treatment & Recovery2 stats
01
In 2022, among people in specialized substance use disorder treatment in the US who reported stimulant use, 44% reported cocaine as the primary stimulant (Treatment Episode Data Set analysis)https://www.samhsa.gov/data/sites/default/files/reports/rpt-episode-data-2022-stimulants-cocaine.pdf
02
In 2021, a review of trial evidence reported that no medication has yet demonstrated robust efficacy for cocaine use disorder across multiple randomized controlled trials (Cochrane-style evidence assessment)https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006532.pub4/full
Interpretation
Treatment & Recovery Interpretation
In Treatment and Recovery settings, cocaine makes up a large share of stimulant use, with 44% of people in US specialized substance use disorder treatment who reported stimulant use naming cocaine as their primary stimulant in 2022, yet in 2021 evidence reviews still found no medication with robust efficacy across multiple randomized trials for cocaine use disorder.
Reference
Cite This Report
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APA
Henrik Dahl. (2026, February 13). Cocaine Abuse Statistics. Gitnux. https://gitnux.org/cocaine-abuse-statistics
MLA
Henrik Dahl. "Cocaine Abuse Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/cocaine-abuse-statistics.
Chicago
Henrik Dahl. 2026. "Cocaine Abuse Statistics." Gitnux. https://gitnux.org/cocaine-abuse-statistics.
Sources & references
26 datasets cited across this report
+9 additional datasets cited (not shown individually)