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Examination of Firearms Review: 2007 to 2010 - Interpol

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new light on the investigation <strong>of</strong> alcohol use: Extension <strong>of</strong> the detection time for<br />

alcohol consumption; differentiation <strong>of</strong> antemortem alcohol use vs. postmortem<br />

generation due <strong>to</strong> decomposition; chronic vs. social drinking, etc. It would be<br />

expected that more labora<strong>to</strong>ries will include alcohol biomarker testing in their<br />

routine <strong>to</strong>xicological screening pro<strong>to</strong>cols in order <strong>to</strong> provide additional<br />

information when required.<br />

Alternative matrices for analysis <strong>of</strong> drugs and poisons are becoming popular in<br />

forensic <strong>to</strong>xicology. Promising improvements in the reliability <strong>of</strong> the oral-fluid<br />

drug screening devices, particularly for the detection <strong>of</strong> cocaine and more<br />

recently cannabinoids for DUID, are noted. The scope <strong>of</strong> drug detection for the<br />

device, however, is limited and needs <strong>to</strong> be extended <strong>to</strong> other common drugs<br />

<strong>of</strong> abuse such as ketamine (which is extensively abused in some Asian<br />

countries). While blood is still regarded as the specimen <strong>of</strong> choice, the use <strong>of</strong><br />

oral fluid either for roadside testing or even as evidence for prosecution after<br />

labora<strong>to</strong>ry confirmation <strong>of</strong> DUID, is increasing. The analysis <strong>of</strong> hair is<br />

escalating in various routine drug moni<strong>to</strong>ring programs such as driving license<br />

re-granting, pro<strong>of</strong> <strong>of</strong> drug abstinence, and drug-related crimes such as DFSA.<br />

It should be noted that interpretation <strong>of</strong> hair test results is difficult due <strong>to</strong><br />

complicated disposition mechanisms; issues <strong>of</strong> external contamination; and<br />

limited research available, particularly those in controlled clinical studies. As<br />

such, more background studies such as controlled administration at clinical<br />

settings and statistical evaluation <strong>of</strong> hair drug testing results from drug users,<br />

are needed.<br />

The rapid emergence <strong>of</strong> new drugs <strong>of</strong> abuse, such as synthetic cannabinoids<br />

and mephedrone, continues <strong>to</strong> be one <strong>of</strong> the major challenges <strong>to</strong> <strong>to</strong>xicologists,<br />

as the unavailability <strong>of</strong> reference standards (particularly for the corresponding<br />

metabolites) has hindered the timely development <strong>of</strong> effective analytical<br />

methods for their identification. While <strong>to</strong>xicity data for the new drugs are<br />

lacking, background studies utilizing data derived from animal models are<br />

useful in assessing the potential risk <strong>to</strong> humans, and <strong>to</strong> determine what<br />

analytes need <strong>to</strong> be included in systematic <strong>to</strong>xicological analysis. This<br />

information is also valuable <strong>to</strong> assist governments, medical practitioners, and<br />

the pharmaceutical industry in formulating policies <strong>to</strong> reduce the risk <strong>to</strong> the<br />

general public.<br />

The harmonization <strong>of</strong> quality assurance programs are seen in many <strong>to</strong>xicology<br />

labora<strong>to</strong>ries in the adoption <strong>of</strong> the ISO/IEC 17025 requirements; for instance,<br />

686

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