Contamination of a drug consumption room with drugs and potential risks for social health care workers.
Cocaine
Drug consumption room
Drugs of abuse
Heroin
Occupational health
Surface contamination
Journal
Harm reduction journal
ISSN: 1477-7517
Titre abrégé: Harm Reduct J
Pays: England
ID NLM: 101153624
Informations de publication
Date de publication:
16 Aug 2024
16 Aug 2024
Historique:
received:
22
02
2024
accepted:
08
08
2024
medline:
16
8
2024
pubmed:
16
8
2024
entrez:
15
8
2024
Statut:
epublish
Résumé
Studies have shown that contamination of surfaces by illicit drugs frequently occurs in forensic laboratories when manipulating seized samples as well as in pharmacies and hospitals when preparing medicinal drugs. In this project, we extended these studies to a Drug Consumption Room to investigate drug levels and possible exposure of the staff members. We investigated pre and post cleaning contamination by heroin and cocaine and their degradation products 6-monoacetylmorphine and benzoylecgonine on different surfaces (tables, counters, computers and door handles) and in the ambient air. We also collected urine and hair samples from staff members to check for potential short and long term contaminations. Medium to heavy contamination has been detected on most surfaces and door handles; as expected, air contamination was particularly high in the smoking room. Drug levels were < LOD to very low in the urine and the hair samples of staff members tested. The cleaning efficiency of the surfaces, carried out by staff and drug users after drug consumption, was often not satisfactory. The very low drug levels in hair indicate that acute health risks for staff members are low.
Sections du résumé
BACKGROUND
BACKGROUND
Studies have shown that contamination of surfaces by illicit drugs frequently occurs in forensic laboratories when manipulating seized samples as well as in pharmacies and hospitals when preparing medicinal drugs. In this project, we extended these studies to a Drug Consumption Room to investigate drug levels and possible exposure of the staff members.
METHODS
METHODS
We investigated pre and post cleaning contamination by heroin and cocaine and their degradation products 6-monoacetylmorphine and benzoylecgonine on different surfaces (tables, counters, computers and door handles) and in the ambient air. We also collected urine and hair samples from staff members to check for potential short and long term contaminations.
RESULTS
RESULTS
Medium to heavy contamination has been detected on most surfaces and door handles; as expected, air contamination was particularly high in the smoking room. Drug levels were < LOD to very low in the urine and the hair samples of staff members tested.
CONCLUSION
CONCLUSIONS
The cleaning efficiency of the surfaces, carried out by staff and drug users after drug consumption, was often not satisfactory. The very low drug levels in hair indicate that acute health risks for staff members are low.
Identifiants
pubmed: 39148047
doi: 10.1186/s12954-024-01074-y
pii: 10.1186/s12954-024-01074-y
doi:
Substances chimiques
Cocaine
I5Y540LHVR
Illicit Drugs
0
benzoylecgonine
5353I8I6YS
Morphine Derivatives
0
6-O-monoacetylmorphine
M5E47P1ZCH
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
149Informations de copyright
© 2024. The Author(s).
Références
The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). Drug consumption rooms: an overview of provision and evidence (Perspectives on drugs). 2018. https://www.emcdda.europa.eu/system/fles/media/publications/documents/2734/POD_Drug%20consumption%20rooms.pdf . Accessed 18 August 2023.
Dahm G, Roschel K, Marson C, Bourmaud A, Macedo J, Lupo M, Fauchet L, Allar C, Schaaf R, Schneider S. Consumer expectations, drug effects, price and purity of heroin and cocaine purchased at drug consumption rooms. Harm Reduct J. 2023;20:1. https://doi.org/10.1186/s12954-023-00837-3 .
doi: 10.1186/s12954-023-00837-3
Sisco E, Najarro M. A multi-laboratory investigation of drug background levels. Forensic Chem. 2019;16. https://doi.org/10.1016/j.forc.2019.100184 . PMID: 32118122; PMCID: PMC7047777.
Sisco E, Najarro M, Burns A. A snapshot of drug background levels on surfaces in a forensic laboratory. Forensic Chem. 2018;11. https://doi.org/10.1016/j.forc.2018.09.001 . PMID: 31555749; PMCID: PMC6760002.
Doran GS, Deans RM, De Filippis C, Kostakis C, Howitt JA. Quantification of licit and illicit drugs on typical police station work surfaces using LC-MS/MS. Anal. Methods. 2017;9:198–210.
Salch SA, Zamboni WC, Zamboni BA, Eckel SF. Patterns and characteristics associated with surface contamination of hazardous drugs in hospital pharmacies. Am J Health Syst Pharm. 2019;76(9):591–98. https://doi.org/10.1093/ajhp/zxz033 . PMID: 31361828.
Cecinato A, Balducci C, Nervegna G. Occurrence of cocaine in the air of the World’s cities an emerging problem? A new tool to investigate the social incidence of drugs? Sci. Total Envrion. 2009;40:1683–90.
doi: 10.1016/j.scitotenv.2008.11.004
Cecinato A, Romagnoli P, Perilli M, Patriarca C, Balducci C. Psychotropic substances in indoor environments. Environ Int. 2014;71:88–93. https://doi.org/10.1016/j.envint.2014.06.008 . Epub 2014 Jul 2. PMID: 24997305.
doi: 10.1016/j.envint.2014.06.008
pubmed: 24997305
Cecinato A, Balducci C. Detection of cocaine in the airborne particles of the Italian cities Rome and Taranto. J Sep Sci. 2007;30:1930–5.
doi: 10.1002/jssc.200700039
pubmed: 17638364
Gent L, Paul R. Air monitoring for illegal drugs including new psychoactive substances: a review of trends, techniques and thermal degradation products. Drug Test Anal. 2021;13:1078–94. https://doi.org/10.1002/dta.3051 .
doi: 10.1002/dta.3051
pubmed: 33870654
Bitter JL. The persistence of illicit drug smoke residues and their recovery from common household surfaces. Drug Test Anal. 2017;9(4):603–12. https://doi.org/10.1002/dta.1993 . Epub 2016 Jun 22. PMID: 27328798; PMCID: PMC5179313.
Dahm G, Allar C, Schaaf R, Bourmaud A, Schneider S. Cooking heroin the Turkish way: chemical investigation on an unusual heroin preparation method. Harm Reduct J. 2021;18(1):8. https://doi.org/10.1186/s12954-020-00457-1 . PMID: 33413397; PMCID: PMC7791828.
doi: 10.1186/s12954-020-00457-1
pubmed: 33413397
pmcid: 7791828
Favretto D, Cooper G, Andraus M, Sporkert F, Agius R, Appenzeller B, Baumgartner M, Binz T, Cirimele V, Kronstrand R, del Mar Ramirez M, Strano-Rossi S, Uhl M, Vincenti M, Yegles M. The Society of Hair Testing consensus on general recommendations for hair testing and drugs of abuse testing in hair. Drug Test Anal. 2023;15:1042–6. https://doi.org/10.1002/dta.3526 .
doi: 10.1002/dta.3526
pubmed: 37332075
Gambier N, Warling J, Van Elsue N, Yegles M. AEME production in cocaine positive hair after thermal hair treatment. Forensic Sci Int. 2019;302:109894. https://doi.org/10.1016/j.forsciint.2019.109894 .
doi: 10.1016/j.forsciint.2019.109894
pubmed: 31408788
Pleil JD, Ariel Geer Wallace M, Davis MD, Matty CM. The physics of human breathing: flow, timing, volume, and pressure parameters for normal, on-demand, and ventilator respiration. J Breath Res. 2021;15(4). https://doi.org/10.1088/1752-7163/ac2589 . PMID: 34507310; PMCID: PMC8672270.
Cone EJ, Yousefnejad D, Hillsgrove MJ, Holicky B, Darwin WD. Passive inhalation of cocaine. J Anal Toxicol. 1995;19(6):399-411. https://doi.org/10.1093/jat/19.6.399 . PMID: 8926734.
Ramírez Fernández M, del Wille M, Yegles SMR, Samyn M. Evaluation of decontamination procedures for drug testing in undamaged versus damaged hair. Drug Test Anal. 2022;14:1155–6.
doi: 10.1002/dta.3237
pubmed: 35148467
Favretto D, Cooper G, Andraus M, Sporkert F, Agius R, Appenzeller B, Baumgartner M, Binz T, Cirimele V, Kronstrand R, Del Mar Ramirez M, Strano-Rossi S, Uhl M, Vincenti M, Yegles M. The Society of Hair Testing consensus on general recommendations for hair testing and drugs of abuse testing in hair. Drug Test Anal. 2023 Jun 18. https://doi.org/10.1002/dta.3526 . PMID: 37332075.
Lombardo J, Roussel C. Highlighting the Risk of Occupational Exposure to Hazardous Drugs in the Health Care Setting. Pharmacytimes. 2018 Nov 14.