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ADCO Summit 30 August 2010

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The Navy Drug Testing Program and Navy Drug Screening Laboratories (NDSLs) ADCO Summit 30 August 2010 NDSL GREAT LAKES NDSL JACKSONVILLE NDSL SAN DIEGO NDSL GREAT ... – PowerPoint PPT presentation

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Title: ADCO Summit 30 August 2010


1
ADCO Summit30 August 2010
  • The Navy Drug Testing Program
  • and
  • Navy Drug Screening Laboratories
  • (NDSLs)

2
MISSION
To ensure scientifically valid, legally
defensible (forensic), and timely drug test
results.
3
NDSL GREAT LAKES
Customers -All DoD military entrants
(MEPS) -Naval Service Training Commands -COMNAVSUR
FLANT (01Nov09) -600,000 samples tested annually
4
NDSL JACKSONVILLE
Customers -Navy Marine Corps Units located
east of the Mississippi except
COMNAVSURFLANT -Army Units at Fort Benning, GA
and Redstone Arsenal, AL -1,000,000 samples
tested annually
5
NDSL SAN DIEGO
Customers -Navy Marine Corps Units located
west of the Mississippi except selected units in
Hawaii (samples sent to Tripler Army
Lab) -900,000 samples tested annually
6
SAMPLE WORKLOAD
projected
7
LABORATORY SERVICES
  • Urine Drug Testing
  • Technical Consultation
  • Legal Support (testimony, affidavits,
    testing documents)
  • Laboratory Tours
  • Customer Training Marketing
  • Development of New Procedures

8
SAMPLE TESTING
  • 100 of Military Samples are Tested for
  • Marijuana (THC)
  • Cocaine (Benzoylecgonine)
  • Amphetamines (Amph Meth)
  • Designer Amphs (MDA MDMA Ecstasy)
  • Heroin (6-AM)
  • 20 - 50 of Military Samples are Tested for
  • PCP (Phencyclidine)
  • Opiates (Codeine Morphine)
  • Synthetic Opiates (Oxycodone Oxymorphone)

9
SPECIAL TESTING
  • Compounds not on the NDSL testing panel
  • Limited numbers of samples
  • Usually probable cause testing
  • Armed Forces Institute of Pathology
  • Ketamine, GHB, Psilocin (Magic Mushrooms),
    Salvia, LSD, etc.
  • Prescription Drugs - Barbiturates, Vicodin,
    Benzodiazepines (Valium, Xanax, Librium), etc.
  • Steroids
  • Navy Marine Corps samples must be sent to NDSL
    San Diego
  • Testing at UCLA Olympic Testing Lab

10
TESTING PROCEDURES
  • SCREEN
  • IMMUNOASSAY
  • CONFIRMATION
  • GC/MS

11
INITIAL SCREEN
  • All samples are screened by immunoassay
  • Allows the laboratory to process 4,000-5,000
    samples / day and identify those that likely
    contain drugs
  • Samples that test negative are discarded

12
RESCREEN
  • Samples that test positive on the initial screen
    may be tested again by immunoassay for the
    specific drug(s) for which they initially
    screened positive
  • Samples that test negative are discarded

13
CONFIRMATION
  • Samples that test positive on the screen are
    analyzed by gas chromatography-mass spectrometry
    (GC-MS) to confirm the presence and the amount of
    drug in the sample
  • A new sample is poured from the bottle for this
    test
  • GC-MS gives a fingerprint of the drug, which is
    unique to that drug for positive identification

14
CONFIRMATION
15
TEST RESULTS
  • Samples must be positive on the screen and
    confirmation tests to be reported positive
  • Negative results reported 1-3 days after samples
    received
  • Positive results reported 3-5 days after samples
    received
  • Positive samples retained in frozen storage 1 year

16
REPORTING RESULTS
  • Results posted on a secure web portal
  • iFTDTL
  • Commands must have iFTDTL access Drug Labs
    can not provide message results after 30Sep10
  • Better than Message System or Email
  • secure / cant be edited or deleted
  • reliable / minimal downtime
  • timely / daily downloads
  • archived / data driven reports

17
CUTOFF LEVELS
  • Administrative Cutoff The concentration (ng/ml)
    of drug in urine that serves as a breakpoint for
    identifying a result as positive or negative.
  • Eliminate non-abuse exposure
  • Passive inhalation of THC
  • Poppy seed ingestion
  • Consider analytical instrument capabilities

18
DETECTION TIME
  • Detection GC-MS
  • Drug (days) (ng/mL)
  • Marijuana (THC) 5 15
  • Cocaine (BZE) 3 100
  • D-Amph/D-Meth 3 100
  • MDA/MDMA 3 500
  • Heroin (6AM) 1 10
  • Codeine 2 2000
  • Morphine 2 4000
  • Oxycodone 3 100
  • Oxymorphone 3 100
  • PCP 3 25
  • longer with chronic/daily use

19
(No Transcript)
20
DRUG USE AMONGHIGH SCHOOL SENIORS
  • Any illicit drug
  • Past year 36.5 Past month 23.3
  • Marijuana
  • Past year 32.8 Past month 20.6 Daily
    5.2
  • Amphetamines
  • Past year 6.6 Past month 3.0
  • Cocaine
  • Past year 3.4 Past month 1.3
  • Oxycontin
  • Past year 4.9
  • Source 2009 Monitoring the Future Study Univ.
    of Michigan

21
THE TRUTH ABOUT THE MYTHS
  • Passive inhalation of marijuana smoke (under real
    world conditions) will not cause a positive THC
    result.

22
THE TRUTH ABOUT THE MYTHS
  • Taking large amounts of niacin (vitamin B3) will
    not mask a positive result.

23
THE TRUTH ABOUT THE MYTHS
  • Novocaine, Lidocaine/Xylocaine will not cause a
    positive cocaine result.

24
THE TRUTH ABOUT THE MYTHS
  • Vicks Inhaler will not cause a positive
    methamphetamine result
  • The laboratories distinguish between the
    different forms (d and l)
    of methamphetamine.

25
THE TRUTH ABOUT THE MYTHS
  • Over the counter cold medications, weight loss
    products, performance enhancers (i.e., ephedra,
    ephedrine, pseudoephedrine) will not cause a
    positive amphetamine result.

26
THE TRUTH ABOUT THE MYTHS
  • Over-the-counter herbal nutritional supplements
    (manfactured and sold in the US) will not cause a
    positive THC result. THC levels in hemp seed oil
    products have been significantly reduced through
    DEA regulation.

27
THE TRUTH ABOUT THE MYTHS
  • It is not likely that ingestion of large
    concentrations of poppy seeds will cause a
    positive morphine result.

28
SPICE - LIKE PRODUCTS
29
SPICE-LIKE PRODUCTS
  • Sold as herbal incense / potpourri not for
    human consumption
  • Different products contain various synthetic
    cannabinoid (marijuana-like) compounds producing
    different effects (some much more potent than
    marijuana) most are not scheduled in the US
    (only HU-210)
  • Smoked for marijuana-like effects (euphoria,
    altered consciousness)
  • Compounds will not be detected during urinalysis
    at drug labs
  • Chasing a moving target underground chemists
    can design new synthetic compounds to
  • Optimize physical psychological effects
  • Improve marketability by advertising lack of
    detectability

30
DEVIL TRACKS
  • Sold as plant food not for human consumption
  • Allegedly contains Mephedrone
  • (4-methylmethcathinone)
  • Chemically related to Ecstasy
  • Effects similar to Ecstasy have been reported -
    euphoria, well-being, increased alertness
  • Not scheduled in the US

31
METHYLENEDIOXYPYROVALERONE(MDPV)
  • Sold as bath salts not for human consumption
  • Stimulant - increased alertness, awareness, and
    wakefulness, euphoria, anxiety, agitation, and
    perception of a diminished requirement for food
    and sleep, tachycardia, hypertension
  • Instructions warn about using too much and
    combining with alcohol

32
CONTROLLED SUBSTANCE ANALOGUES
  • Many of these designer drugs are not scheduled
    / listed in the Controlled Substances Act
  • Federal Analogue Act - allows any chemical
    "substantially similar" to an illegal drug (in
    Schedule I or II) to be treated as if it were
    also in Schedule I or II, but only if it is
    intended for human consumption.

33
NAVY POLICY
  • Issue must be addressed by through policy vice
    urinalysis
  • Use of controlled substance analogues, such as
    designer drugs, and consumption of substances for
    other than their intended use (intoxication /
    stupefaction) is PROHIBITED
  • SECNAV 5300.28D
  • OPNAV 5350.4D
  • CNO NAVADMIN 108/10 (also prohibits possession)
  • Violators subject to UCMJ Article 92 (violation
    of a lawful order) and adverse administrative
    action
  • For more information on Spice / herbal incense
    visit www.npc.navy.mil/CommandSupport/NADAP/Whats
    New

34
Maté de Coca (Coca Tea)
  • Leaves from the coca plant (Erythroxylum coca)
  • De-cocainized tea is legally sold in the US

35
COMMAND URINALYSISPROGRAM
  • Frequent Unannounced
  • Random Small groups
  • Attentive observers
  • Senior staff supported
  • Complete chain of custody documentation
  • 4 collections each month
  • 15 of assigned personnel each month

36
ATTEMPTING TO DEFEAT A DRUG TEST
  • Hydration - Drinking fluids to dilute the urine
    followed by urination so the concentration of
    drug drops below the administrative cutoff

37
ATTEMPTING TO DEFEAT A DRUG TEST
  • Detoxification Using agents to assist in the
    removal of substances from the body

38
ATTEMPTING TO DEFEAT A DRUG TEST
  • Dilution - Adding another liquid (i.e., water) to
    the urine in the bottle to lower the drug
    concentration

39
ATTEMPTING TO DEFEAT A DRUG TEST
  • Adulteration - Adding something to the urine in
    the bottle that destroys the drug or interferes
    with the testing process

40
ATTEMPTING TO DEFEAT A DRUG TEST
  • Substitution - Replacing the urine in the bottle
    with known negative/synthetic urine or another
    liquid (i.e., water, apple juice, Gatorade,
    Mountain Dew)

41
TALK TO THE NDSL TECHNICAL EXPERTS
  • testing procedures at the NDSLs
  • concentration of drug in urine (ng/mL)
  • window of detection
  • whether an over the counter or prescription
    medication can cause a positive result
  • to validate/invalidate the credibility of a
    members story
  • unknowing ingestion (someone put something in my
    drink)
  • innocent ingestion (I had a poppyseed bagel for
    breakfast)
  • passive inhalation (I was at a concert where
    people were smoking marijuana)

42
NDSL GREAT LAKESPOINTS OF CONTACT
COs Secretary DSN 792, (847) 688-2045, ext 112
FAX (847) 688-5513 Admin Services (847)
688-2045, ext 110 Expert Witnesses Dr. Jacob
Snyder, ext 113 Dr. Robert Romberg, ext
124 Mr. Charles Kazarian, ext 126
43
NDSL JACKSONVILLEPOINTS OF CONTACT
COs Secretary DSN 942, (904) 542-7755, ext
100 FAX (904) 542-7761 Admin Services (904)
542-7755, ext 130, 131 Expert Witnesses Mr.
Robert Sroka Mr. Al Marinari Dr. Rick
Bateh
44
NDSL SAN DIEGOPOINTS OF CONTACT
COs Secretary DSN 522, (619) 532-7141 FAX
(619) 532-7337 Admin Services (619) 532-5174
Expert Witnesses Dr. Paul Robandt Dr. Jim
Callies
45
QUESTIONS
CDR Lisa McWhorter, MSC, USN Program
Manager (757) 953-0750 / DSN 377 lisa.mcwhorter_at_me
d.navy.mil Cheri Baird Deputy, Program
Manager (757) 953-0751 / DSN 377 cheri.baird_at_med.n
avy.mil Navy and Marine Corps Public
Health Center Portsmouth, VA
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