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Dear colleagues,
The Belgian Early Warning System Drugs (BEWSD) at the Scientific Institute of Public Health (WIV-ISP) would like to report the identification and analysis of several highly dosed MDMA tablets. 
These tablets were analyzed in the framework of the Modus Vivendi drug testing project in Brussels.
All tablet characteristics including MDMA dosage per tablet can be found in the table below.
The BEWSD would like to draw your attention specifically to those results.
We take this opportunity to remind you that the majority of ecstasy tablets currently circulating are highly dosed, sometimes containing dosages of up to 300 mg MDMA base
The amount of MDMA present in an ecstasy tablet can only be determined using laboratory analysis.
Symptoms of an MDMA overdose are characterised by heavy sweating, tremor, dry mouth, nausea, vomiting, elevated blood pressure and heart rate, paranoia and hyperthermia. 
In severe cases a serotonin syndrome can occur, resulting in an often fatal hyperthermia.
Please inform your networks.
Kind regards,
Dr. Apr. Peter Blanckaert
Coordinator Belgian Early Warning System on Drugs
DO Public Health&Surveillance, Drugs Program (BMCDDA)
Juliette Wytsmanstraat 14 | 1050 Brussels
T + 32 2 642 54 08 | F + 32 2 642 54 10 | GSM Wacht +32 475 84 68 16
Skype: wiv-isp.peter.blanckaert
Institut Scientifique de Santé Publique
Wetenschappelijk Instituut Volksgezondheid
Scientific Institute of Public Health
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The information in this message is exclusively meant for the EWS-network, and was sent to you, as a member of this network, in a confidential way.
Therefore the information in this message may not be copied, transferred or made public without the prior permission of the WIV-ISP.
The WIV-ISP takes responsibility for the editing of a press release, if considered as necessary in the framework of its mission.
The information contained in this document is also available on the BEWSD-website (with corresponding pdf-files and analytical data).
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The following 4 alert levels are used, and will always be indicated between brackets ([]) in the subject line of the alert message.