Sixty-five people were charged with possessing drugs and three men were admitted to hospital with suspected overdoses after a dance party at Sydney Olympic Park on Saturday night.
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More than 12,700 revellers flocked to A State of Trance which ran between 9pm Saturday and 5am Sunday.
Police charged eight people at the rave with supplying drugs, mostly MDMA, and 55 people with drug possession.
Medical staff treated 45 people and three men, aged between 18 and 22, were admitted to Concord Hospital with suspected drug overdoses, police said in a statement.
They are reported to be in a stable condition.
South West Metropolitan Region Enforcement Squad Commander Detective Inspector Gus Viera said the results of the police operation at the weekend party were alarming.
“It never ceases to amaze me how many people ignore all the warnings – not only health warnings but the awareness that there will be a high-visibility police operation – then choose to carry illegal drugs into the venue,” Detective Inspector Viera said.
“We’ve detected dozens of young people carrying substances which could not only result in a criminal charge but – if taken – could be life-threatening."
Detective Inspector Viera said police checked for drugs at all entrances and drug detection dogs conducted sweeps of the area - "yet people still think they can bring drugs into these functions without being stopped".
“Poor choices can have serious consequences and we urge all people attending these functions to party safely, look after your friends, and don’t risk your health or your good reputation."
One man, 20, was allegedly found with 150 caps of MDMA, 26 ecstasy tablets and eight grams of cocaine.
Another man, 19, was allegedly found with 120 MDMA caps while police say a woman, 23, was nabbed with 47 MDMA caps. They will face Burwood Local Court next month.
A man, 19, died after he collapsed on the dance floor at the rave event in Sydney in February 2015.
Police later said they believed he had been involved in an "idiotic" pill-taking game at the event.
The festival attracted controversy in the past with three festival attendees, aged 18 to 26, dying after attending Jakarta's A State of Trance festival in 2014.
One person died during an A State of Trance event that was part of the Future Music Festival Asia event in Malaysia the previous year.
The dance festival, headlined by Dutch trance DJ Armin van Buuren, said on its event page patron health and safety was its priority.
"We want to make sure everyone has the most enjoyable and safe experience at A State Of Trance!" the page said.
Event organiser Symbiotic said on social media it had a zero-tolerance policy for illicit substances.
"Police sniffer dogs will be present at the event. If you are in possession of drugs, you will be denied access to the event and handed over to the authorities without refund."
