A new EU report has found that Oslo, a city that for many years has topped the heroin overdose ranking, still lacks a comprehensive strategy to combat drug use. The report also reveals that Oslo has a very high number of addicts who inject rather than smoke heroine, a fact that may explain the number of drug related deaths. The Oslo needle exchange programme gives out 1.9 million needles a year, compared to 600,000 in Madrid and 145,000 in Amsterdam.