DRUG-related deaths in Wales are at their highest levels on record, according to a new report.

Public Health Wales revealed the number of people dying from drug poisoning has increased by 78 per cent in just 10 years, while there has also been a rise in deaths of younger people from substances such as cocaine and MDMA.

The health agency's report makes a number of recommendations to tackle the increase, including protecting drug users from prosecution when seeking medical attention, and reclassifying heroin substitute Take-Home Naloxone as an over-the-counter medication.

There were 327 deaths from drug poisoning in Wales in 2018, 208 of which were classed as drug misuse fatalities.

Drug misuse deaths, a subset of drug poisoning deaths, increased by 12 per cent, from 185 deaths in 2017, with Wales having the second highest rates of drug misuse deaths in England and Wales regions.

But the 2018 figure for Wales was 84 per cent higher than that for 2014.

Of those 208 deaths in 2018, 24 were in the Aneurin Bevan University Health Board area.

This was the highest figure for Gwent's health board area since 2015.

In 2018, 119 people died of drug poisoning that was not attributed to misuse, 58 per cent more than in 2017 (75), and more than double the figure for 2014 (55).

Twenty-seven of the 119 non-misuse deaths in 2018 were in the Gwent health board area, and the number of such deaths has risen in Gwent every year since 2014, when there were just four recorded.

Deaths from drug poisoning were more than four times more likely to occur in the most deprived areas of Wales compared to the least deprived.

The report noted a rise in deaths involving cocaine, amphetamine and MDMA tended to involve younger people in their 20s.

A third of all drug deaths reviewed saw "no known contact" between those that died and any local health, social care or criminal justice service in the 12 months beforehand.

Josie Smith, Head of Substance Misuse at Public Health Wales, said the increasing availability of drugs was causing the rise in drug deaths, and warned the trend was set to continue.

She added: "Given the scale of problem drug use in Wales, it is likely that every member of the population will know someone affected by, or experiencing difficulties with drugs be they illegal or prescribed, but may be unaware.

"Evidence is clear that seeking support early on can prevent escalation of problem use and dependency, however, fear of stigmatisation and social exclusion may be barriers to this. Consideration needs to be given to how this can be overcome in Wales to prevent future tragic deaths."