Breaking Bad Habits: Tracking the new wave of illicit drugs

August 28, 2025

International Overdose Awareness Day, observed on 31 August, is a powerful reminder of the lives behind the statistics and the urgent need for education, support, and prevention. In Victoria, the Emerging Drugs Network of Australia – Victoria (EDNAV) is playing a crucial role in this effort.

As a state-wide early warning system, EDNAV brings together toxicologists, pharmacists, emergency physicians, forensic labs and researchers to monitor the emergence of novel psychoactive substances and track drug trends across 18 metropolitan and regional health services. By analysing and sharing toxicological insights, the network provides vital information to health authorities and frontline providers – helping to raise awareness, guide responses, and ultimately reduce harm in the community.

The EDNAV project was introduced to the Northern Health Emergency Department in 2020 as part of our ongoing efforts to protect our community from harm associated with illicit drugs, in particular Novel Psychoactive Substances.

Headed by Associate Professor Joe Rotella, the initiative has become an integral part of our proactive approach to managing drug related harms.

“EDNAV encompasses all three of the Northern values of Safe, Kind and Together” says A/Prof Rotella.

“We have been able to improve people’s experience of care by providing them with information that will empower them to make better informed choices, thereby being safe and kind. To work with other hospital networks to improve our awareness of the substances that are out there and compose harm to consumers who may be exposed to these without their knowledge, is part of being together and working towards the ideals of consumer-centered care,” he adds.

ED Research Nurses, Aisling Kiely and Yasmin Sungkar, conduct patient screening and weekly reviews to uphold high standards of care and ensure the accuracy and integrity of data is maintained.

Since the introduction of EDNAV to Northern Health, 379 cases have been analysed, with 93 returning positive for NPS. Patients who return positive results are contacted where possible to inform them of their results and to provide guidance on appropriate next steps.

Northern Health’s involvement in the EDNAV project enhances the safety of our patients and local community. The work also reinforces our role as a proactive partner in a broader statewide public health response to a complex and ever evolving challenge.

Pictured above: Yasmin Sungkar and Aisling Kiely channel the spirit of Breaking Bad, the crime drama centered around the world of illicit drugs.