At the beginning of March 2019, Europol reported that operation MISMED 2 resulted in the seizure of illegally trafficked medicines worth more than €165 million, 435 arrests, and the disruption of 24 organised crime groups. The international operation (carried out between April and October 2018) was led by the French Gendarmerie Nationale and the Finnish customs service. Europol actively supported and coordinated the operation in which law enforcement, customs and health regulatory authorities from 16 countries participated. Seized products included not only opioid medicines, but also performance and image enhancing drugs and pharmaceutical products used for the treatment of major illnesses.