The given article is concentrated on the analysis of the contemporary tendencies in the drug use among young people in the Altai Region. It is shown that the situation with drug use in the region, special features of the narcoepidemic are determined by the particularities of the geopolitical position. The convenient ways are favourable for drug trafficking to the Altai region and then to other Russian regions. The prevalence of drug addiction is growing: in 2007 the number of registered drug abuse patients came to 12022 persons (0,5% of the common population), the part of the drug addiction in the structure of all narcological diseases is 15,6%.

The executed analysis displayed that the structure of substances, practices of intravenous use, risk behaviour in the involving of young people in the narcotization is continually changing and demands the monitoring of the key factors in the drug use spreading among the youth.