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SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists

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HUMAN PERFORMANCE FORENSIC TOXICOLOGY IN TURKEY<br />

S. A. Akgur*l, P. Ozturk l , S. Cengiz 2 , A. Yemiscigil l <br />

lEge University Faculty <strong>of</strong> Medicine, Department <strong>of</strong> <strong>Forensic</strong> Medicine, Bornova, Izmir, Turkey. <br />

2Institute <strong>of</strong> Legal Medicine and <strong>Forensic</strong> Science, Istanbul, Turkey. <br />

Human performance toxicology, also referred to as behavioral toxicology, is a branch <strong>of</strong> forensic<br />

toxicology concerned with the relationship between the presence <strong>of</strong> a drug and associated behavioral<br />

changes. <strong>Forensic</strong> toxicologists have become interested in human performance toxicology because it is a<br />

natural extension <strong>of</strong> their interest in the medicolegal implications <strong>of</strong> drug use, misuse, and abuse. This<br />

branch needs new educational and analytical approaches and developments in our country. The aim <strong>of</strong> this<br />

study is to describe the present status, progress and applications <strong>of</strong> human performance toxicology in<br />

Turkey.<br />

<strong>Forensic</strong> Toxicology in Turkey is carried out in the <strong>Forensic</strong> Medicine Council <strong>of</strong> the Ministry <strong>of</strong> Justice<br />

and <strong>Forensic</strong> Medicine Departments and <strong>Forensic</strong> Medicine Institutes <strong>of</strong> Universities. <strong>Forensic</strong> Toxicology<br />

is practiced almost exclusively as a result <strong>of</strong> investigation <strong>of</strong> fatalities. As a result, postmortem forensic<br />

toxicology is the main topic in the <strong>Forensic</strong> Medicine Council.<br />

In most countries <strong>Forensic</strong> Toxicology has progressed with the advances in analytical chemistry but the<br />

same progress has not been achieved yet in forensic chemistry in countrywide <strong>of</strong> Turkey except Istanbul<br />

Ankara and izmir. <strong>Forensic</strong> Medicine Departments that provide education in forensic medicine are also<br />

attempting to develop the fields <strong>of</strong> forensic sciences. There are several forensic toxicology education<br />

programs in universities and institutes, including Ege University.<br />

Ege University, in cooperation with the Police Department, is applying on-site (saliva) drug tests in traffic<br />

cases. The positive results will be· confirmed by Enzyme Multiplied Immunoassay (EMIT) and Gas<br />

Chromatography! Mass Spectrometry (GCIMS). Most countries have legislation covering driving under<br />

the influence <strong>of</strong> drugs (DUID). Most have an impairment approach but not an analytical approach. Several<br />

European Union (EU) member states have recently introduced or are preparing 'per se' laws on DUID.<br />

Driving under the influence <strong>of</strong> drugs is prohibited by traffic legislation in our country also, but<br />

unfortunately the analytical procedure is not yet effectively used. The Police Criminology Laboratories do<br />

not analyze biological specimens for drugs. In routine applications, the impairment approach is only related<br />

with driving under the influence <strong>of</strong> alcohol.<br />

At present, the breath alcohol tests performed by police are routinely applied to motor vehicle operators<br />

driving under the influence <strong>of</strong> alcohol. The allowed ethanol limit for driving under the Turkish Road<br />

Traffic Act is O.5gfL. In alcohol testing, the first suspicion <strong>of</strong> the police <strong>of</strong>ficer is followed by an on-site<br />

breath analyzer test and under certain conditions it is followed by the blood test for alcohol in Council <strong>of</strong><br />

<strong>Forensic</strong> Medicine cases. Blood Alcohol Determination is performed by Conway- micro diffusion,<br />

immunoassay techniques and gas chromatography. Recently, the <strong>Forensic</strong> Medicine Chemical Analysis<br />

Specialty Office has made an effort for analytical toxicological research projects to include GC, GCIMS,<br />

High Performance Liquid Chromatography (HPLC) and Head Space Gas Chromatography (HS-GC).<br />

More collaborative projects on educational and laboratory practices will help us to achieve improvements<br />

in <strong>Forensic</strong> Toxicology in Turkey.<br />

Keywords: Human, Performance Toxicology, Turkey<br />

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