Brennan Geiger 1 Benjamin Riordan 12 Daniel Winter 1 Jacques Raubenheimer 1 Paul Haber 1 Andrew Dawson 1 1 Edith Collins Centre Translational Research in Alcohol Drugs and Toxicology Sydney Local Health District ID: 1043930
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1. Use of wearable thermometers to reduce the risk of drug-related toxicity at music festivals: The COVID pivot Brennan Geiger1, Benjamin Riordan1,2, Daniel Winter1, Jacques Raubenheimer1, Paul Haber1 , Andrew Dawson11 Edith Collins Centre (Translational Research in Alcohol, Drugs and Toxicology), Sydney Local Health District2 Centre for Alcohol Policy Research, La Trobe UniversityThis project is supported by a seed funding grant from NCCREDThe authors declare no competing interests Presenters email: Brennan.geiger@sydney.edu.au
2. Late 2015 – drug policing survey 165.3% (n=2115) reported that they used illicit drugs at the most recent festival attended Ecstasy most used drug: reported by 85.1% of the sample, followed by cannabis (48.2%), then hallucinogens (10.2%)November 2019 – March 2020, Self completed anonymous survey 2(n= 1229), 372 (30.3%) used or planned to use drugs at the festival. Drug Use at Music Festivals
3. Outdoor music festivals in Australia constitute a specific risk environment for those who choose to use MDMA. Drugs with sympathomimetic effects such as MDMA increase the risk of hyperthermia. When combined with: warm weather at the outdoor music festivalsalcohol (a diuretic)dancing, = dehydration and overheating leading to serious complications or death. Risk EnvironmentWoodstock August 15, 1969
4. Matthias E Liechti (2014) Effects of MDMA on body temperature in humans, Temperature, 1:3, 192-200, DOI: 10.4161/23328940.2014.955433 3 MDMA –Induced Hyperthermic Effects
5. In Australia and internationally this has resulted in a number deaths in music festivals.392 MDMA-related deaths in Australia between 2001 and 2018 4 81%, 27 years median 19%, 24 years median7% (n = 17) of drug toxicity deaths occurred at music festivals or dance parties. Epidemiology
6. Public Policy
7. We hypothesised that wearable thermometers to detect high body temperature could be part of a health strategy to reduce such risk in music festival participants that could be delivered with other health messages. The Fever Patch project
8. Original DesignPhase 1Test sensitivity and specificity of thermometers in hospital patients.Then Assess acceptability in dance club patronsPhase 2 (presuming Phase 1 acceptable)Acceptability and feasibility in music festival attendees Delivery of health messages
9. Original DesignPhase 1Test sensitivity and specificity of thermometers in hospital patients.Then Assess acceptability in dance club patronsPhase 2 (presuming Phase 1 acceptable)Acceptability and feasibility in music festival attendees Delivery of health messages
10. Original DesignPhase 1Test sensitivity and specificity of thermometers in hospital patients.Then Assess acceptability in dance club patronsPhase 2 (presuming Phase 1 acceptable)Acceptability and feasibility in music festival attendees Delivery of health messagesPhase 1 Test sensitivity and specificity of thermometers in hospital patients.Then Assess acceptability in dance club patrons
11. COVID PivotOur first phase will now be carried out in high intensity workout gym classes in the University of Sydney Gym.Approximately 30% of participants are expected to generate a high temperature during exercise.3Utilisation of a group with similar demographics to festival goers will allow sensitivity/specificity as well as acceptability and feasibility to be measured.
12. Measurement 3 x brands of commercially available wearable thermometers. @ 4 locations (Forehead, Chest, Forearm, Wrist)Referenced to sublingual thermometer (Welch Allyn Suretemp Plus 692) (pre-workout, mid1, mid2, post-workout)2 x self complete Qualtrics survey (pre-post) – Basic demographics and device acceptability Photo of music festival attendee for 2034 – Andrew Dawson
13. Discussion & Implications Complimentary addition to music festival harm reduction initiativesEnabling individual and peer-based harm reduction practices Opportunity for early intervention RE: drug induced hyperpyrexia (>40oC)
14. References1: Hughes C, Moxham-Hall V, Ritter A, Weatherburn D, MacCoun R. (2017), The deterrent effects of Australian street-level drug law enforcement on illicit drug offending at outdoor music festivals. International Journal of Drug Policy, (2017), 91-100, 41. https://doi.org/10.1016/j.drugpo.2016.12.0182: Healey, A., Siefried, K.J., Harrod, M.E., Franklin, E., Peacock, A., Barratt, M.J. and Brett, J. (2022), Correlates of higher-risk drug-related behaviours at music festivals in New South Wales, Australia. Drug Alcohol Rev., 41: 320-329. https://doi.org/10.1111/dar.13404 3: Liechti, M. E. (2014). Effects of MDMA on body temperature in humans. Temperature, 1(3), 192–200. https://doi.org/10.4161/23328940.2014.9554334: Roxburgh, A., & Lappin, J. (2020). MDMA-related deaths in Australia 2000 to 2018. International Journal of Drug Policy, 76, 102630. https://doi.org/https://doi.org/10.1016/j.drugpo.2019.102630
15. Use of wearable thermometers to reduce the risk of drug-related toxicity at music festivals: The COVID pivot @Edith_CollinsCONTACT US Brennan.geiger@sydney.edu.auEdithCollinsCentre.org.au