Quantitative analysis of methamphetamine in hair of children removed from clandestine laboratories--evidence of passive exposure?

In New Zealand many children have been removed from clandestine laboratories following Police intervention. In the last few years it has become standard procedure that these children have hair samples taken and these samples are submitted to the laboratory for analysis. There are various mechanisms for the incorporation of drugs into hair. The hair follicle has a rich blood supply, so any drug that may be circulating in the blood can be incorporated into the growing hair. Another mechanism is via external contamination, such as spilling a drug on the hair or through exposure to fumes or vapours. Hair samples were analysed for methamphetamine and amphetamine. From the 52 cases analysed 38 (73%) were positive for methamphetamine (>0.1 ng/mg) and amphetamine was detected in 34 of these cases. In no case was amphetamine detected without methamphetamine. The hair washes (prior to extraction) were also analysed (quantified in 30 of the positive cases) and only 3 had a wash to hair ratio of >0.1 (all were <0.5), which may be indicative of a low level of external contamination. This low level of evidence of external contamination suggests that the children are exposed to methamphetamine and are incorporating it into the hair through the blood stream.

Quantitative analysis of hair samples for 1-benzylpiperazine (BZP) using high-performance liquid chromatography triple quadrupole mass spectrometry (LC-MS/MS) detection.

Benzylpiperazine (BZP) is an amphetamine-type stimulant, which was legally available in New Zealand and widely used in "Party Pills" until reclassification as a Class C drug in April 2008. BZP was included as part of a multi-analyte method developed for hair screening using high-performance liquid chromatography triple quadrupole mass spectrometry (LC-MS/MS). A 20-mg sample of hair is extracted and partially purified using mixed-mode solid-phase extraction cartridges prior to analysis by LC-MS/MS. The method was developed as a broad screen for drugs of abuse (including amphetamines, opiates, and benzodiazepines), with only the BZP results being presented here. The assay was validated and found to be linear over the range of 0.085 to 8.65 ng/mg with correlation coefficient of r (2) ≥ 0.99. Blank hair samples spiked with BZP at 0.22 and 2.16 ng/mg gave intra- and inter-day precision coefficients of variation of ≤10% (n = 6 per day, 3 days) at both levels and calculated extraction efficiencies of 78% and 91%, respectively. The results from the samples submitted to the laboratory for BZP analysis showed 11% were positive (n = 126). The mean BZP level was 3.9 ng/mg (range, 0.4-33 ng/mg; the result was extrapolated when above the calibration). These data are the first available showing the levels expected from users of BZP.

Deaths in Rotorua's geothermal hot pools: hydrogen sulphide poisoning.

In late 2007 and early 2008 two gentlemen were found dead in, or near to, enclosed hot pools fed with Rotorua's geothermal waters. Amidst much publicity the Coroner has ruled that the deaths were related to hydrogen sulphide poisoning. Following post mortem examinations, blood and urine samples were frozen and sent to the Toxicology Unit of ESR. These were then stored frozen until analysis. Hydrogen sulphide (H(2)S) is a potentially deadly gas at elevated levels, but is rapidly eliminated from the body and is unstable post mortem. Thiosulphate is a marker for the exposure to H(2)S, and as it is stable post mortem the samples were analysed to determine the thiosulphate levels present. The urine thiosulphate levels detected were above those seen in the urine samples measured from the only previous study of people exposed to the Rotorua thermal area and the blood levels were similar to literature values from fatalities exposed in workplaces such as sewage treatment plants.