| In the year 2002 the
National Clandestine Laboratory Database reported 8,911 clandestine
laboratory seizures. Over ninety percent of these were methamphetamine
production and over 2078 incidents involved children. First responders
and children alike are exposed to toxic and hazardous chemical exposure.
Many of the hazards of this illicit process and the type of exposure
have not been studied extensively, and are therefore unknown. According
to the El Paso Intelligence Center, the increase of methamphetamine
production has resulted in at least one methamphetamine laboratory in
every state of the union in 2002. In January 2003, National Jewish Hospital
and Research center began to study the harmful effects of methamphetamine
labs to first responders and children through various methodologies,
including: controlled lab studies, field controlled lab studies and
surveys. The study expanded its scope throughout the year with results
that may impact the way in which first responders and investigators
perform their duties. Throughout the duration of this study, the spirit
of collaboration and cooperation has been a predominant factor.
The initial study concerns included the
potential, exposures, related health concerns, medical monitoring, and
the comprehensive use of personal protective equipment. Throughout the
study additional questions arose regarding the airborne properties of
methamphetamine, the decontamination process and the degree of danger
to children.
The standards used for measuring exposure
were those utilized for an occupational setting. These guidelines and
standards are formulated based on a predominantly male workforce, 20-30
years of age and healthy. These standards are not applicable to children,
those with health conditions or pregnant women. To date, there are no
suitable standards established regarding exposures to children during
the production of methamphetamine. Therefore, a significant amount of
future research is still needed in order to accurately determine the
degree of dangers to children.
There are approximately three contemporary
“street� methods to manufacture methamphetamine in the United States.
Countless numbers of “recipes� exist in drug cultures for manufacturing.
In this study the primary method observed with the “Pseudo-Ephedrine
Reduction Method�, using red phosphorous or hypophosphorous. Future
studies will include the use of anhydrous ammonia in the “Birch�
or “Nazi� Method. The primary emitting chemicals of focus throughout
the study were: phosphine, iodine, hydrogen chloride, other acids and
methamphetamine itself. Intially, solvents (organic chemicals) were
examined as well, but later disregarded due to the insignificant amounts
found. These materials dissipate quickly. This study also served to
examine the specific hazards during the different stages of manufacturing.
Officials from NIOSH, National Jewish
Research Center and Law Enforcement performed the controlled laboratory
portion of the study in a municipal police department crime lab. Three
formulas were used; a “street� Red Phosphorous method, a DEA laboratory
method and a method utilizing hypophosphorous acid. The standards applied
for exposure detection were those of Threshold Limit Values (TLV) and
Short Term Exposure Limits (STEL). Again, these are occupational standards.
Although no occupational standard exists for methamphetamine; a reference
standard has been established for surface levels, which is more applicable
than using a pharmaceutical dosage amount.
During the scientific laboratory portion,
designed to examine “worst case� scenarios, occupational standards
for hydrogen chloride, iodine, phosphine were all exceeded at one point
or another. Levels for hydrogen chloride acid were at and above the
limits. Phosphine measured up to three times the short-term exposure
limit and ten times over the recommended eight hour per day limit. Iodine
and methamphetamine were up to thirty times over the limits. Most monitors
measure an average measurement over a given time period, therefore,
exact peaks are not recognized and could be reaching extremely dangerous
levels.
The research team responded to sixteen
suspected methamphetamine laboratory investigations with a local task
force. Although none of the locations had an in-process working lab,
air samples and surface wipe samples were taken. Most of the labs were
considered small in nature and the presence of chemicals limited. There
were no significant levels of hydrochloric acid, phosphine, iodine or
solvents found. A number of notable iodine stains on carpets, walls
and furniture were observed. Most significantly, there were excessive
levels of methamphetamine found throughout the labs on a wide variety
of surfaces. Methamphetamine was detected in ten out of fourteen labs
tested. The presence of methamphetamine was found on vertical as well
as horizontal surfaces in levels up to 10,000 times over the recommended
amount. Methamphetamine, ephedrine, and pseudoephedrine contamination
was detected on appliances, counters, vents, and furniture in extreme
amounts. Due to the presence of contamination various surfaces, it was
determined that sustainable, widespread high-level methamphetamine contamination
occurs during the manufacturing process, which led to more focus in
this area during the remaining research.
The next phase consisted of two controlled
methamphetamine labs conducted by certified chemists. The first was
done in an abandoned house and the second in a motel. Both locations
were scheduled for demolition. The purpose was to determine the likely
exposures during the cooking process itself, particularly to first responders
and those dwelling in the structure. The set up was designed to be reflective
of a “typical� clandestine illegal cooking process. Samples were
taken throughout the area of both cooks, including near the cook, a
distance away and within the breathing zone of the location.
In the first cook, conducted at the house,
a lesser amount of methamphetamine was produced than what is normally
discovered in most street level operations, possibly resulting in less
exposure than the typical clandestine lab. A Red-P “street� method
and two hypophosphorous methods were used for a total of three separate
cooks. Phosphine, iodine and hydrogen chloride levels all exceeded safe
exposure levels in the area of the cook in the Red-P process, causing
significant contamination.
During the “salting out� phase, hydrogen
chloride levels for all three cooks were dangerously high. The levels
were high enough to be of significant risk to anyone present during
this phase with a peak reaching 228 mg/m3, when the ceiling TLV is 7.5
mg/m3 for hydrochloric acid.
Vertical and horizontal wipe samples
were taken for methamphetamine contamination. Even at distances away
from the cook, both horizontal and vertical surfaces showed the presence
of methamphetamine, suggesting that it rapidly travels as an aerosol
throughout the vicinity. Again, this cook produced only a small amount
of methamphetamine, yet still revealed significant contamination and
potential exposure. Wipes were also taken from participants of the study,
revealing significant methamphetamine contamination to those present
at a clandestine lab site on their clothing and skin.
The second controlled lab study took
place in a hotel room with an attached bathroom. The cook was administered
by chemists from the D. E. A. and a “street� Red-P method was utilized.
Both time averaged and real-time (peak) level measurements were taken
for phosphine, iodine and hydrochloric acid. Three types of wipe sampling
were conducted for airborne methamphetamine. Personal pumps were placed
on the chemists conducting the cook and wipe samples were taken from
the outer suits of some of the personnel assisting with the study.
During the cooking phase of the process,
time-averaged levels for phosphine, iodine and hydrochloric acid stayed
below the recommended threshold limit values. During the “salting
out� period, phosphine and iodine stayed below threshold limit values,
but hydrochloric acid exceeded levels in the bathroom area of the hotel
room up to twice the short term exposure limit. Peak level measurements
taken in real time indicated that phosphine was at and above the TLV
for the “salting out� period and hydrochloric acid was over the
limit of Immediately Dangerous to Life and Health (IDLH), creating a
significant health risk. Seventeen different locations were examined
for methamphetamine in the room of the lab, hallway and in an adjacent
room. Methamphetamine levels were found at ten to a thousand times over
the recommended standard, which indicated that methamphetamine itself
becomes airborne and produces widespread contamination in the cook area
and beyond. Methamphetamine was detected in the adjacent room and down
the hallway on carpet samples at high levels. Personal wipe samples
of personnel supported that contamination of skin and clothing will
occur to those present at a methamphetamine lab and sufficient decontamination
must be conducted for first responders and residents.
In addition to the various lab studies,
a questionnaire survey was also administered to first responders. In
this study, sixty-six percent of respondents stated that they had detected
odors associated with methamphetamine labs they had entered, suggesting
the likelihood of some type of exposure. However, only twenty-six percent
reported that they wear respirators during investigations. Thirty-eight
percent of those surveyed reported being sent through the decontamination
process and over fifty percent (52%) of the respondents reported having
at least one symptom associated with methamphetamine labs. The primary
symptoms reported were eye irritation, sore throat, cough, dizziness
and headaches.
Research efforts are scheduled to continue
through 2004 with additional controlled methamphetamine labs including
anhydrous ammonia, hypophosphorous and red phosphorous methods. Further
examination of the decontamination procedure and an increased evaluation
of the harmful effects upon children shall continue as well. For further
information contact Dr. John Martyny at (303) 398-1939 or go to www.nationaljewish.org. |